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  1. Mokhtar MB, Murad W
    J Environ Health, 2010 Apr;72(8):24-9.
    PMID: 20420051
    Environmental health problems in Malaysia are mostly attributed to atmospheric pollution, water pollution, climate change, ozone depletion, and solid waste management, as well as toxic, chemical, and hazardous waste management. The Ministry of Health, Malaysia, has been vigorously pursuing the environmental health agenda by collaborating with other agencies at district, state, national, and international levels. This article discusses the issues and management framework of environmental health in Malaysia. Some issues requiring further investigation in order to clearly understand the trade-off between atmospheric change and environmental health are suggested. These suggestions are developed with particular reference to appraisals concerned with the development and implementation of environmental policy, programs, and practice. Research on the relevant issues is discussed and a framework is built involving a comprehensive review of the literature and existing framework of Malaysian environmental health.
  2. Ahmed MF, Mokhtar MB
    PMID: 32344678 DOI: 10.3390/ijerph17082966
    Although toxic Cd (cadmium) and Cr (chromium) in the aquatic environment are mainly from natural sources, human activities have increased their concentrations. Several studies have reported higher concentrations of Cd and Cr in the aquatic environment of Malaysia; however, the association between metal ingestion via drinking water and human health risk has not been established. This study collected water samples from four stages of the drinking water supply chain at Langat River Basin, Malaysia in 2015 to analyze the samples by inductivity coupled plasma mass spectrometry. Mean concentrations of Cd and Cr and the time-series river data (2004-2014) of these metals were significantly within the safe limit of drinking water quality standard proposed by the Ministry of Health Malaysia and the World Health Organization. Hazard quotient (HQ) and lifetime cancer risk (LCR) values of Cd and Cr in 2015 and 2020 also indicate no significant human health risk of its ingestion via drinking water. Additionally, management of pollution sources in the Langat Basin from 2004 to 2015 decreased Cr concentration in 2020 on the basis of autoregression moving average. Although Cd and Cr concentrations were found to be within the safe limits at Langat Basin, high concentrations of these metals have been found in household tap water, especially due to the contamination in the water distribution pipeline. Therefore, a two-layer water filtration system should be introduced in the basin to achieve the United Nations Sustainable Development Goals (SDGs) 2030 agenda of a better and more sustainable future for all, especially via SDG 6 of supplying safe drinking water at the household level.
  3. Mokhtar MB, Hashim HB, Joshi SR
    Asian J Transfus Sci, 2016 Jan-Jun;10(1):84-7.
    PMID: 27011678 DOI: 10.4103/0973-6247.172177
    A use of platelet additives solution (PAS) improves storage conditions so as to give increased shelf life to platelets and to maintain hemostatic function.
  4. Ahmed MF, Mokhtar MB, Alam L
    Environ Geochem Health, 2021 Feb;43(2):897-914.
    PMID: 32372251 DOI: 10.1007/s10653-020-00571-w
    The prolonged persistence of toxic arsenic (As) in environment is due to its non-biodegradable characteristic. Meanwhile, several studies have reported higher concentrations of As in Langat River. However, it is the first study in Langat River Basin, Malaysia, that As concentrations in drinking water supply chain were determined simultaneously to predict the health risks of As ingestion. Water samples collected in 2015 from the four stages of drinking water supply chain were analysed for As concentration by inductively coupled plasma mass spectrometry. Determined As concentrations along with the time series data (2004-2015) were significantly within the maximum limit 0.01 mg/L of drinking water quality standard set by World Health Organization. The predicted As concentration by auto-regression moving average was 3.45E-03 mg/L in 2020 at 95% level based on time series data including climatic control variables. Long-term As ingestion via household filtration water at Langat Basin showed no potential lifetime cancer risk (LCR) 9.7E-06 (t = 6.68; p = 3.37E-08) as well as non-carcinogenic hazard quotient (HQ) 4.8E-02 (t = 6.68; p = 3.37E-08) risk at 95% level. However, the changing landscape, ex-mining ponds and extensive use of pesticides for palm oil plantation at Langat Basin are considered as the major sources of increased As concentration in Langat River. Therefore, a two-layer water filtration system at Langat Basin should be introduced to accelerate the achievement of sustainable development goal of getting safe drinking water supply.
  5. Haris H, Aris AZ, Mokhtar MB
    Chemosphere, 2017 Jan;166:323-333.
    PMID: 27710880 DOI: 10.1016/j.chemosphere.2016.09.045
    Total mercury (THg) and methylmercury (MeHg) concentrations were determined from sediment samples collected from thirty sampling stations in Port Klang, Malaysia. Three stations had THg concentrations exceeding the threshold effect level of the Florida Department of Environmental Protection and the Canadian interim sediment quality guidelines. THg and MeHg concentrations were found to be concentrated in the Lumut Strait where inputs from the two most urbanized rivers in the state converged (i.e. Klang River and Langat River). This suggests that Hg in the study area likely originated from the catchments of these rivers. MeHg made up 0.06-94.96% of the sediment's THg. There is significant positive correlation (p 
  6. Ta GC, Mokhtar MB, Peterson PJ, Yahaya NB
    Ind Health, 2011;49(6):765-73.
    PMID: 22020020
    The European Union (EU) and the World Health Organization (WHO) have applied different approaches to facilitate the implementation of the UN Globally Harmonized System of Classification and Labelling of Chemicals (GHS). The EU applied the mandatory approach by gazetting the EU Regulation 1272/2008 incorporating GHS elements on classification, labelling and packaging of substances and mixtures in 2008; whereas the WHO utilized a voluntary approach by incorporating GHS elements in the WHO guidelines entitled 'WHO Recommended Classification of Pesticides by Hazard' in 2009. We report on an analysis of both the mandatory and voluntary approaches practised by the EU and the WHO respectively, with close reference to the GHS 'purple book'. Our findings indicate that the mandatory approach practiced by the EU covers all the GHS elements referred to in the second revised edition of the GHS 'purple book'. Hence we can conclude that the EU has implemented the GHS particularly for industrial chemicals. On the other hand, the WHO guidelines published in 2009 should be revised to address concerns raised in this paper. In addition, both mandatory and voluntary approaches should be carefully examined because the classification results may be different.
  7. Mokhtar MB, Awaluddin AB, Yusof AB, Bakar BB
    Bull Environ Contam Toxicol, 2002 Jul;69(1):8-14.
    PMID: 12053250
  8. Ahmed MF, Lim CK, Mokhtar MB, Khirotdin RPK
    PMID: 34360286 DOI: 10.3390/ijerph18157997
    Chemical pollution in the transboundary Langat River in Malaysia is common both from point and non-point sources. Therefore, the water treatment plants (WTPS) at the Langat River Basin have experienced frequent shutdown incidents. However, the Langat River is one of the main sources of drinking water to almost one-third of the population in Selangor state. Meanwhile, several studies have reported a high concentration of Arsenic (As) in the Langat River that is toxic if ingested via drinking water. However, this is a pioneer study that predicts the As concentration in the Langat River based on time-series data from 2005-2014 to estimate the health risk associated with As ingestion via drinking water at the Langat River Basin. Several time-series prediction models were tested and Gradient Boosted Tree (GBT) gained the best result. This GBT model also fits better to predict the As concentration until December 2024. The mean concentration of As in the Langat River for both 2014 and 2024, as well as the carcinogenic and non-carcinogenic health risks of As ingestion via drinking water, were within the drinking water quality standards proposed by the World Health Organization and Ministry of Health Malaysia. However, the ingestion of trace amounts of As over a long period might be detrimental to human health because of its non-biodegradable characteristics. Therefore, it is important to manage the drinking water sources to minimise As exposure risks to human health.
  9. Haris H, Aris AZ, Mokhtar MB, Looi LJ
    Chemosphere, 2020 Apr;245:125590.
    PMID: 31874324 DOI: 10.1016/j.chemosphere.2019.125590
    This study was conducted to assess the reliability of Nerita lineata as a bioindicator for metals in sediment and the factors influencing the accumulation of metals and methylmercury in its soft tissue. The two matrices were analyzed for Co, Cr, Cu, THg, MeHg, Mn, Ni, Pb, and Zn. The metal concentrations in N. lineata were comparable to previously reported results with the exception of Ni which was higher. Cu, Mn, and Pb in N. lineata were significantly (p 
  10. Mokhtar MB, Praveena SM, Aris AZ, Yong OC, Lim AP
    Mar Pollut Bull, 2012 Nov;64(11):2556-63.
    PMID: 22901962 DOI: 10.1016/j.marpolbul.2012.07.030
    This study was designed as the first to assess the trace metal (Cd, Cu, Fe, Mn, Ni and Zn) in coral skeleton in relation to metal availabilities and sampling locations in Sabah. The study also aims to determine the differential abilities of Scleractinian coral species as a bioindicator of environmental conditions. Skeletons of Scleractinian coral (Hydnophora microconos, Favia speciosa and Porites lobata) showed concentrations of Fe, Mn and Ni relatively higher than Cd and Zn in the skeletons. Statistical analyses outputs showed significant relationships between trace metal concentrations in coral species and those in seawater and sediment. The highest bioaccumulation factors among three Scleractinian coral species investigated was for Zn followed by Mn, Ni, Fe, Cd and Cu can provide a sign about pollution levels. However, metal tolerance, coral structure and morphology as well as multispecies monitoring are factors that need to be a focus in future studies.
  11. Latif MT, Baharudin NH, Velayutham P, Awang N, Hamdan H, Mohamad R, et al.
    Environ Monit Assess, 2011 Oct;181(1-4):479-89.
    PMID: 21181256 DOI: 10.1007/s10661-010-1843-3
    The renovation of a building will certainly affect the quality of air in the vicinity of where associated activities were undertaken, this includes the quality of air inside the building. Indoor air pollutants such as particulate matter, heavy metals, and fine fibers are likely to be emitted during renovation work. This study was conducted to determine the concentration of heavy metals, asbestos and suspended particulates in the Biology Building, at the Universiti Kebangsaan, Malaysia (UKM). Renovation activities were carried out widely in the laboratories which were located in this building. A low-volume sampler was used to collect suspended particulate matter of a diameter size less than 10 μm (PM₁₀) and an air sampling pump, fitted with a cellulose ester membrane filter, were used for asbestos sampling. Dust was collected using a small brush and scope. The concentration of heavy metals was determined through the use of inductively coupled plasma-mass spectroscopy and the fibers were counted through a phase contrast microscope. The concentrations of PM₁₀ recorded in the building during renovation action (ranging from 166 to 542 μg m⁻³) were higher than the value set by the Department of Safety and Health for respirable dust (150 μg m⁻³). Additionally, they were higher than the value of PM₁₀ recorded in indoor environments from other studies. The composition of heavy metals in PM₁₀ and indoor dust were found to be dominated by Zn and results also showed that the concentration of heavy metals in indoor dust and PM₁₀ in this study was higher than levels recorded in other similar studies. The asbestos concentration was 0.0038 ± 0.0011 fibers/cc. This was lower than the value set by the Malaysian Department of Occupational, Safety and Health (DOSH) regulations of 0.1 fibers/cc, but higher than the background value usually recorded in indoor environments. This study strongly suggests that renovation issues need to be considered seriously by relevant stakeholders within the university in order to ensure that the associated risks toward humans and indoor environment are eliminated, or where this is not feasible, minimized as far as possible.
  12. Ta GC, Mokhtar MB, Mohd Mokhtar HA, Ismail AB, Abu Yazid MF
    Ind Health, 2010;48(6):835-44.
    PMID: 20616463
    Chemical classification and labelling systems may be roughly similar from one country to another but there are significant differences too. In order to harmonize various chemical classification systems and ultimately provide consistent chemical hazard communication tools worldwide, the Globally Harmonized System of Classification and Labelling of Chemicals (GHS) was endorsed by the United Nations Economic and Social Council (ECOSOC). Several countries, including Japan, Taiwan, Korea and Malaysia, are now in the process of implementing GHS. It is essential to ascertain the comprehensibility of chemical hazard communication tools that are described in the GHS documents, namely the chemical labels and Safety Data Sheets (SDS). Comprehensibility Testing (CT) was carried out with a mixed group of industrial workers in Malaysia (n=150) and factors that influence the comprehensibility were analysed using one-way ANOVA. The ability of the respondents to retrieve information from the SDS was also tested in this study. The findings show that almost all the GHS pictograms meet the ISO comprehension criteria and it is concluded that the underlying core elements that enhance comprehension of GHS pictograms and which are also essential in developing competent persons in the use of SDS are training and education.
  13. Juahir H, Zain SM, Aris AZ, Yusoff MK, Mokhtar MB
    J Environ Monit, 2010 Jan;12(1):287-95.
    PMID: 20082024 DOI: 10.1039/b907306j
    The present study deals with the assessment of Langat River water quality with some chemometrics approaches such as cluster and discriminant analysis coupled with an artificial neural network (ANN). The data used in this study were collected from seven monitoring stations under the river water quality monitoring program by the Department of Environment (DOE) from 1995 to 2002. Twenty three physico-chemical parameters were involved in this analysis. Cluster analysis successfully clustered the Langat River into three major clusters, namely high, moderate and less pollution regions. Discriminant analysis identified seven of the most significant parameters which contribute to the high variation of Langat River water quality, namely dissolved oxygen, biological oxygen demand, pH, ammoniacal nitrogen, chlorine, E. coli, and coliform. Discriminant analysis also plays an important role as an input selection parameter for an ANN of spatial prediction (pollution regions). The ANN showed better prediction performance in discriminating the regional area with an excellent percentage of correct classification compared to discriminant analysis. Multivariate analysis, coupled with ANN, is proposed, which could help in decision making and problem solving in the local environment.
  14. Alam L, Rahman LF, Ahmed MF, Bari MA, Masud MM, Mokhtar MB
    Environ Geochem Health, 2021 May;43(5):2049-2063.
    PMID: 33389458 DOI: 10.1007/s10653-020-00783-0
    Rivers, the main source of the domestic water supply in Malaysia, have been threatened by frequent flooding in recent years. This study aims to assess human health risks associated with exposure to concentrated heavy metals in a flood-prone region of Malaysia and investigate the affected individuals' willingness to participate in managing water resources. Hazard indices and cancer risks associated with water contamination by heavy metals have been assessed following the method prescribed by the US Environmental Protection Agency. Yearly data of heavy metal contamination (Cd, Cr, Pb, Zn, Fe), water quality parameters (DO, BOD, COD, pH), and climatic information (annual rainfall, annual temperature) have been collected from the Department of Environment and Meteorological Department of Malaysia, respectively. The inductively coupled plasma mass spectrometry technique has been used by the department of environment for analyzing heavy metal concentration in river water samples. In this study, data from a stratified random sample of households in the affected region were analyzed, using partial least squares structural equation modeling, to predict the link between individuals' perceptions and attitudes about water resources and their willingness to engage in water management program. The health risk estimation indicated that the hazard index values were below the acceptable limit, representing no non-carcinogenic risk to adults and children residing in the study area via oral intake and dermal adsorption of water. However, the calculated value for cancer risk signified possible carcinogenic risks associated with Pb and Cd. In general, contamination due to pollution and flooding tends to increase in the basin region, and appropriate management is needed. The results identified perceived water quality as a significant factor influencing people's attitudes toward involvement in water management programs. As in many developing countries, there is no legal provision guaranteeing public representation in water management in Malaysia. The conclusion discusses the importance of these for the literature and for informing future policy actions.
  15. Rasul MG, Islam MS, Yunus RBM, Mokhtar MB, Alam L, Yahaya FM
    Water Environ Res, 2017 Dec 01;89(12):2088-2102.
    PMID: 28087920 DOI: 10.2175/106143017X14839994522740
      The spatio-temporal variability of water quality associated with anthropogenic activities was studied for the Bertam River and its main tributaries within the Bertam Catchment, Cameron Highlands, Malaysia. A number of physico-chemical parameters of collected samples were analyzed to evaluate their spatio-temporal variability. Nonparametric statistical analysis showed significant temporal and spatial differences (p < 0.05) in most of the parameters across the catchment. Parameters except dissolved oxygen and chemical oxygen demand displayed higher values in rainy season. The higher concentration of total suspended solids was caused by massive soil erosion and sedimentation. Seasonal variations in contaminant concentrations are largely affected by precipitation and anthropogenic influences. Untreated domestic wastewater discharge as well as agricultural runoff significantly influenced the water quality. Poor agricultural practices and development activities at slope areas also affected the water quality within the catchment. The analytical results provided a basis for protection of river environments and ecological restoration in mountainous Bertam Catchment.
  16. Begum M, Masud MM, Alam L, Mokhtar MB, Amir AA
    Environ Sci Pollut Res Int, 2022 Dec;29(58):87923-87937.
    PMID: 35819668 DOI: 10.1007/s11356-022-21845-z
    Several studies have highlighted the significant impact of climate change on agriculture. However, there have been little empirical enquiries into the impact of climate change on marine fish production, particularly in Bangladesh. Hence, this study aims to investigate the impact of climate change on marine fish production in Bangladesh using data from 1961 to 2019. Data were obtained from the Food and Agriculture Organization, Bangladesh Meteorological Department, the World Development Indicators, and the National Oceanic and Atmospheric Administration. The autoregressive distributed lag (ARDL) model was used to describe the dynamic link between CO2 emissions, average temperature, Sea Surface Temperature (SST), rainfall, sunshine, wind and marine fish production. The ARDL approach to cointegration revealed that SST (β = 0.258), rainfall (β =0.297), and sunshine (β =0.663) significantly influence marine fish production at 1% and 10% levels in the short run and at 1% level in the long run. The results also found that average temperature has a significant negative impact on fish production in both short and long runs. On the other hand, CO2 emissions have a negative impact on marine fish production in the short run. Specifically, for every 1% rise in CO2 emissions, marine fish production will decline by 0.11%. The findings of this study suggest that policymakers formulate better policy frameworks for climate change adaptation and sustainable management of marine fisheries at the national level. Research and development in Bangladesh's fisheries sector should also focus on marine fish species that can resist high sea surface temperatures, CO2 emissions, and average temperatures.
  17. Ahmed MF, Alam L, Mohamed CAR, Mokhtar MB, Ta GC
    PMID: 30241360 DOI: 10.3390/ijerph15102056
    The presence of toxic polonium-210 (Po-210) in the environment is due to the decay of primordial uranium-238. Meanwhile, several studies have reported elevated Po-210 radioactivity in the rivers around the world due to both natural and anthropogenic factors. However, the primary source of Po-210 in Langat River, Malaysia might be the natural weathering of granite rock along with mining, agriculture and industrial activities. Hence, this is the first study to determine the Po-210 activity in the drinking water supply chain in the Langat River Basin to simultaneously predict the human health risks of Po-210 ingestion. Therefore, water samples were collected in 2015⁻2016 from the four stages of the water supply chain to analyze by Alpha Spectrometry. Determined Po-210 activity, along with the influence of environmental parameters such as time-series rainfall, flood incidents and water flow data (2005⁻2015), was well within the maximum limit for drinking water quality standard proposed by the Ministry of Health Malaysia and World Health Organization. Moreover, the annual effective dose of Po-210 ingestion via drinking water supply chain indicates an acceptable carcinogenic risk for the populations in the Langat Basin at 95% confidence level; however, the estimated annual effective dose at the basin is higher than in many countries. Although several studies assume the carcinogenic risk of Po-210 ingestion to humans for a long time even at low activity, however, there is no significant causal study which links Po-210 ingestion via drinking water and cancer risk of the human. Since the conventional coagulation method is unable to remove Po-210 entirely from the treated water, introducing a two-layer water filtration system at the basin can be useful to achieve SDG target 6.1 of achieving safe drinking water supplies well before 2030, which might also be significant for other countries.
  18. Shamshiry E, Nadi B, Mokhtar MB, Komoo I, Hashim HS, Yahaya N
    J Environ Public Health, 2011;2011:709549.
    PMID: 21904559 DOI: 10.1155/2011/709549
    The population growth, changing consumption patterns, and rapid urbanization contribute significantly to the growing volumes of solid waste that are generated in urban settings. As the rate of urbanization increases, demand on the services of solid waste management increases. The rapid urban growth in Langkawi Island, Malaysia, combined with the increasing rates of solid waste production has provided evidence that the traditional solid waste management practices, particularly the methods of waste collection and disposal, are inefficient and quite nonsustainable. Accordingly, municipal managers and planners in Langkawi need to look for and adopt a model for solid waste management that emphasizes an efficient and sustainable management of solid wastes in Langkawi Island. This study presents the current practices of solid waste management in Langkawi Island, describes the composition of the solid waste generated in that area, and presents views of local residents and tourist on issues related to solid waste management like the aesthetic value of the island environment. The most important issue of this paper is that it is the first time that integrated solid waste management is investigated in the Langkawi Island.
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