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Fulltext Risk factors of the occurrence of malaria Knowlesi in Ranau: a case control study

Jewel Bollah, Syed Sharizman

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):24-24.
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Introduction: Malaria is a public health concern and still endemic in Malaysia particularly in Sabah. Malaria is due to plasmodium parasite which can be further divided into human malaria and zoonotic malaria. Plasmodium knowlesi, a zoonotic malaria species, is increasing in trend and alarming despite of ongoing prevention and control measures especially in Sabah. Methods: This is a case-control study involving a total of 169 respondents which comprises of 43 cases and 126 controls from Mukim Paginatan and Mukim Nalapak, Ranau. A simple random sampling were used to select subjects. Results: This study found male, forest related and doing outdoor activity has higher risk of contracting malaria. Village house is another significant risk factor. The specific risk factors with the strongest association with malaria is the presence of monkey near housing or farm area (OR5.667; 95% CI: 2.429, 13.220), live near forest (OR 5.330; 95% CI: 1.209, 23.495), presence of pond or pool or river near house (OR 4.222; 95% CI: 1.552, 11.490), doing outdoor activity after 5 PM (OR 3.434; 95% CI: 1.522, 7.748) and ever overnight in the hut (OR 2.724; 95% CI: 1.334, 5.561). Conclusion: This study shows several risk factors that associated with malaria knowlesi. Based on the identified risk factors, preventive and control measure can be improved and optimized.
Fulltext Spatial analysis of food poisoning cases and its environmental relations in Sabah, Malaysia

Syed Sharizman Syed Abdul Rahim

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):4-4.
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Introduction: Food poisoning usually occurs with the consumption of contaminated food. Some related factors are unsafe water supply, poor sanitation, unhygienic waste disposal and unhygienic practices or poor personal hygiene by food handlers. The purpose of this study is to describe the spatial epidemiology of food poisoning cases in the four districts of Sabah. Methods: This review consists of all food poisoning cases reported from 2011 to 2014 from Kota Kinabalu, Penampang, Putatan and Papar, Sabah. The coordinates used for locations of cases are based on home addresses. Tools such as SPSS v20, ArcGIS v10 and CrimeStat IV were used for data analysis and mapping. Results: A total of 1,787 cases of food poisoning were reported during this review period. In 2011, only Kota Kinabalu and Pa-par illustrated significant food poisoning clusters. Meanwhile, in the year 2012 to 2014, Kota Kinabalu, Penampang and Putatan had clustering of cases. Analysis of nearest neighbour hierarchical clustering analysis showed 32 food poisoning clusters. There were 4 food poisoning points at 500 meters radius around a market place, 2 food poisoning points near a sewage plant and 1 food poisoning point near a water treatment plant. No cases were near a municipal landfill. For rivers and coastline, there were 37 points of food poisoning cases in the proximity of 500 meters. Con-clusion: Food poisoning usually occurs in clusters with possible associated environmental factors.
Fulltext A review on illegals and the stateless in Sabah

Narinderjeet Kaur, Syed Sharizman Syed Abdul Rahim, Mohd Yusof Ibrahim, Mohammad Saffree Jeffree, Mazlinda Musa

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):13-13.
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Introduction: Illegal immigrants refer to the migration of people into a country in ways that violates its immigra-tion laws. A stateless person is a person who is not considered as a national by any state under the operation of its law. Interestingly, many who are stateless have never even crossed an international border. The term illegal is very loosely used in places like Sabah where it is interchanged with statelessness. As of 13 November 2018, it was estimated that there are about 12 million stateless people in the world. This review seeks to understand the current demographic situation in Sabah along with the public health repercussions of this demographic change and also to look into the success stories from around the world along with the recommendations from United Nation in solving this matter. Methods: The method used is reviewing of literature of previous studies conducted on statelessness and illegals. Local as well as international studies were reviewed. The data base used was ProQuest. Results: This review identified that one third of Sabah’s population consists of non-locals and in the past 27 years, about half a million illegal immigrants have been deported from Sabah. These numbers pose major public health repercussions from the economic, crime and health point of view. The way forward involves incorporating the United Nation Action plan with the local requirements and settings. Despite challenges, Sabah is trying its best to curb this issue and the Public health repercussions through various initiatives. We have also identified that more public health actions can be taken to reduce the negative effects. Conclusion: Dealing with the stateless and illegals is a delicate matter and there is no one way to solve it. Every country and every state are unique therefore the methods used must be tailor made. This is not something that can be solved within a short period of time and therefore persistence and perseverance is very much needed to tackle this global issue.
Fulltext The brunt of intensive simulation airway management training programme on the final year nursing in one of health training institutions in Sabah

Mazlinda Musa, Fidelia Ferderik Anis, Hamidah Hassan, Syed Sharizman Syed Abdul Rahim, Siti Fatimah Saat

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):18-0.
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Introduction: Airway management is one of the most important steps in emergency patient care, and it is part of the core content of emergency training programme in nursing. Besides, learning in the real clinical area on artificial air- way management is almost impossible due to the complexity of clinical conditions and non-uniform treatment algo- rithms that make the training strategies even more difficult to develop. This study was to evaluate the effectiveness of the simulation airway management training programme developed for the final year nursing students. Methods: This was a quasi-experimental with convenience sampling technique approach used. Students were exposed with the Intensive simulation of airway management technique which includes BLS, oropharyngeal measure and insertion, high flow O2 administration, interpret ECG, use of defib and understanding role of arrest team during emergency. The questionnaire on confident level was given before and after the simulation of airway management. Results: The results showed significant different in the mean score of pre-tests and post-tests (CI95% (-0.53414, -0.09586), t= -3.009, df = 19, p
Fulltext Dengue outbreak management -field experience in managing dengue involving an urban residential area in Kota Kinabalu, Sabah Malaysia

Narindeerjeet Kaur, Syed Sharizman Syed Abdul Rahim, Mohd Yusof Ibrahim, Mohd Azimullah Abdullah Zakaria

Borneo Epidemiology Journal, 2021;2(1):36-44.
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Introduction: Dengue fever is endemic in Malaysia. It is a major public health challenge that has caused significant morbidity and mortality. A dengue outbreak is contributed by entomological factors, epidemiological and environmental factors. Outbreak response is crucial to reduce cases and death. This study is a descriptive dengue outbreak report in an urban residential area in Kota Kinabalu, Sabah Malaysia. Methods: This is a report of a dengue outbreak that started in middle of November 2019 and ended early December 2019. A dengue outbreak in Malaysia is defined when more than one dengue cases is reported in the same locality within 14 days from the date of notification of the first case. Cases were analysed descriptively looking at epidemiology and vector control database. Results: This outbreak involved 6 cases. The source reduction activities by elimination of breeding sites were conducted 3 times covering an area of 200-meter radius. A total of 110 premises were checked with coverageof 86%. The number of containers inspected was923, with 454 outside the premises and 469 inside the premises with no positive results for dengue larvae. Insecticide space spraying via thermal fogging was conducted with added ultra-low volume (ULV) spraying done within the 400 meterradius with coverageof 100%. Conclusion: Effective preventive measures have to be paired with responsible communities, as both play very vital roles in the control of dengue.
Fulltext Neighbourhood factors on mental health questionnaire: development, validity, and reliability among Malaysian adolescents

Zahir Izuan Azhar, Shamsul Azhar Shah, Tan, Susan, M.K., Syed Sharizman Syed Abdul Rahim

Int J Public Health Res, 2016;6(1):713-718.
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Introduction The risk factors associated with mental health among adolescents are usually
described by researchers at an individual level. Neighbourhood factors and
health have opened a new insight into the field of epidemiology. The aim of
this study was to assess the reliability and validity of a newly developed
Neighbourhood Factors on Mental Health Questionnaire among Malaysian
adolescents.

Methods A cross-sectional study was conducted in four secondary schools in Kuala
Lumpur, Malaysia using a newly developed questionnaire which comprised
of two main domains and seven items. Exploratory factor analysis and
Cronbach‟s alpha were used to measure the instrument‟s construct validity
and reliability.

Results A total of 106 adolescents participated in this research. The majority of
adolescents were 13 years old (40.6%), female (55.7%), Malays (68.9%),
have parents who only studied until secondary school (66.0%) and lived in
flats (32.1%). Bartlett‟s Test of Sphericity was significant (Chi-square =
258.361, p
Fulltext A Promising Intervention for Comprehensive Pulmonary Rehabilitation for Asthma COPD Overlap Syndrome

Ahmedy F, Hayati F, Abdul Rahim SSS, Payus AO

Oman Med J, 2021 Jan;36(1):e232.
PMID: 33628466 DOI: 10.5001/omj.2021.14
Can First-trimester AST to Platelet Ratio Index Scores Predict HELLP Syndrome?

Soe MZ, Hayati F, Abdul Rahim SSS

J Coll Physicians Surg Pak, 2022 Mar;32(3):409-410.
PMID: 35148605 DOI: 10.29271/jcpsp.2022.03.409

Null.
Diagnostic Value of Preoperative Haemoglobin, Albumin, Lymphocyte and Platelet (HALP) Score in Predicting Tumour Budding in Colorectal Cancer

Hidrus A, Abdul Rahim SSS, Zakaria AD, Hayati F

J Coll Physicians Surg Pak, 2022 Nov;32(11):1514-1515.
PMID: 36377032 DOI: 10.29271/jcpsp.2022.11.1514

Null.
Fulltext Three-year Survival of Women with Breast Cancer in Basrah, Iraq

Abdul Rahim SSS, Hayati F, Azhar ZI

Oman Med J, 2021 Nov;36(6):e327.
PMID: 34912572 DOI: 10.5001/omj.2021.90
Comment to: Diagnostic Value of Serum Gastrin and Epidermal Growth Factor to the Gastric Ulcer Complicated with Upper Gastrointestinal Hemorrhage

Hayati F, Abdul Rahim MA, Abdul Rahim SSS

J Coll Physicians Surg Pak, 2021 Dec;31(12):1522-1523.
PMID: 34794305 DOI: 10.29271/jcpsp.2021.12.1522

Null.
Fulltext Spatial clustering of cholera in Sabah, Malaysia

Syed Sharizman Syed Abdul Rahim, Shamsul Azhar Shah, Zahir Izuan Azhar, Mohammad Saffree Jeffree, Mohd Rohaizat Hassan, Nazarudin Safian

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):54-54.
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Introduction: Cholera epidemics can produce devastating public health outcomes. Cholera distribution is influenced by temperature, precipitation, elevation, distance to the coastline and oceanic environmental factors such as sea surface temperature, sea surface height and ocean chlorophyll concentration. The purpose of this study is to describe the spatial epidemiology of cholera in the four districts of Sabah. Methods: This is a retrospective review of 4 years (2011 to 2014) data from the districts of Kota Kinabalu, Penampang, Putatan and Papar, Sabah. All reported cases of cholera from those areas are included. Coordinates for locations of the cases are based on home addresses. SPSS v20, ArcGIS v10 and CrimeStat IV were used for data analysis and mapping. Results: Cholera showed several clustering of cases, such as in 2011 and 2014 in Kota Kinabalu. In the year 2011 and 2013, Penampang and Papar districts had the nearest neighbour index of less than 1, but p value was not significant, meaning the pattern did not appear to be significant. Nearest neighbour hierarchical clustering analysis further revealed cholera had 7 clusters, of those 6 were first order and 1 was a second order cluster. Conclusion: Cholera shows disease clustering which could mean it is due to its common point source or localised human to human transmission. Using GIS as a tool may help in surveillance and control of cholera infections.
Fulltext A review on climate change and Malaysia’s actions

Narinderjeet Kaur, Syed Sharizman Syed Abdul Rahim, Zahir Izuan Azhar, Mohd Yusof Ibrahim, Mohammad Saffree Jeffree, Mohd Rohaizat Hassan

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):72-72.
MyJurnal

Introduction: One of the biggest global health threats of the 21st century is climate change It is so catastrophic that the climate action has been given a platform as it is the 13th goal of the 17 United Nations Sustainable developmen-tal goals (SDG). This review seeks to understand the factors causing climate change, followed by understanding the impact it has on individual and population health. We also identify the strategies to control and prevent further cli-mate change. Methods: Reviews of local and international articles from the past ten years was conducted. The focus of the review was the causes, health effects as well as strategies. Data base used was Pro Quest. Results: This re-view identified that the main contributor to climate change are man-made activities such as fossil fuels combustion, livestock farming, and deforestation. This change in climate has many repercussions from mass migrations, increase communicable diseases as well as an increase in extreme weather events and natural disasters. All this eventually leads to the deterioration of individual and population health. Strengthening adaptivity to climate-related hazard, climate change integration into national policies, education, awareness-raising, impact reduction and early warning are actions that are present in Malaysia to manage this crisis. Conclusion: Climate change is occurring globally, and its presence can no longer be denied. Actions have been put forth, but only when its importance and impact is taken seriously will the positive changes be sustainable.
Neighbourhood influences and its association with the mental health of adolescents in Kuala Lumpur, Malaysia

Zahir Izuan A, Shamsul Azhar S, Tan MKS, Syed-Sharizman SAR

Asian J Psychiatr, 2018 Dec;38:35-41.
PMID: 30408711 DOI: 10.1016/j.ajp.2018.10.018

BACKGROUND: Mental health problems are affecting more children and adolescents worldwide. Individual, family and school factors are often linked with mental health problems among adolescents.
AIM: To determine the neighbourhood factors influencing the prevalence of abnormal mental health status among adolescents in an urban population.
METHOD: A cross-sectional study was conducted among adolescents aged 13, 14 and 16 years old from thirteen secondary schools in Kuala Lumpur using validated questionnaires. A total of 567 adolescents participated in this study.
RESULTS: The prevalence of abnormal mental health status in this study was 4.4%. In multivariable analysis, female (OR = 1.79, 95%CI: 1.11-2.89), having divorced parents (OR = 3.53, 95%CI: 1.96-6.36), high educational stress (OR = 8.18, 95%CI: 4.25-15.75), medium educational stress (OR = 2.99, 95%CI: 1.53-5.83), whose house has been broken in before (OR = 2.02, 95%CI: 1.11-3.68) and living in a neighbourhood with low socioeconomic status (OR = 2.09, 95%CI: 1.23-3.56) were more likely to have abnormal mental health status.
CONCLUSIONS: Neighbourhood factors were found to be significant in determining adolescents' mental health status. The findings emphasize the importance of those in the public health sector to highlight these significant neighbourhood factors to the Ministry of Housing and Local Government. Swift action needs to be taken by the Ministry to provide solutions related to the neighbourhood factors and this can contribute to improvement in the adolescents' mental health.
Fulltext Effectiveness of antibiotic prophylaxis for leptospirosis among adults: a systematic review

Muhammad Aklil, A.R., Aznida, M.Z., Azman A., Muhammad Haneef, A., Nik Him, N.A.S., Syed Sharizman, S.A.R., et al.

Malaysian Journal of Applied Sciences, 2018;3(2):46-56.
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Leptospirosis is one of the most widespread re-emerging zoonoses in the world. Malaysia is known to
be an endemic country for human leptospirosis, with a case fatality rate of 2.11%, and an average annual
incidence rate of 7.80 cases per 100,000 individuals. This systematic review is conducted to determine
the effectiveness of antibiotic prophylaxis for leptospirosis among the adult populations who are highly
at risk of getting infected. A systematic search was performed for the relevant titles, abstracts and
keywords on PubMed, Scopus, Cochrane and Google Scholar from inception to November 2017 based
on the PICO strategy; which returned 126 studies. Screening of abstracts had shortlisted 19 studies and
data extraction was conducted for 8 studies which had been accepted after review of the full text. For
the evaluation of antibiotics prophylaxis effectiveness against leptospirosis, only trials and cohort studies
with risk ratio (RR) were selected. The articles were analyzed from the viewpoint of the dosage, adverse
effects, study settings and effectiveness of the antibiotic prophylaxis. Using fixed effects model, pooled
RR showed protective association between antibiotic prophylaxis use against the incidence of
leptospirosis (RR = 0.31; 95% CI: 0.20, 0.48). Antibiotic prophylaxis for leptospirosis had been shown
to be effective in preventing the incidence of the disease among high-risk populations and carries
minimal adverse effects. It is recommended that the practice of antibiotic prophylaxis for leptospirosis is
included in the standard protocol for leptospirosis prevention among people at high-risk, including
disaster response teams and patrons of eco-sports tourism activities; with the drug of choice being
doxycycline, either as a single 200 mg dose or weekly dose of 200 mg for the duration of exposure,
based on the setting, duration of event and resources available.
Fulltext Complications of Melioidosis: a systematic review

Marilyn Charlene Montini Maluda, Michelle May D. Goroh, Tan, Eric Chee How, Syed Sharizman Syed Abdul Rahim, Richard Avoi, Mohammad Saffree Jeffree, et al.

Borneo Epidemiology Journal, 2020;1(1):5-15.
MyJurnal

Introduction: Melioidosis, also known as Whitmore disease, is caused by the gram-negative bacillus, Burkholderia pseudomallei and remains a public health concern in Southeast Asia and northern parts of Australia. This study attempts to identify all possible complications of melioidosis and its outcomes.
Methods: Literature search was conducted from databases such as PubMed, Science Direct and Scopus from 1st January 2000 to 31st August 2019. Medical Subject Headings (MeSH) search strategy was used with the terms ‘Melioidosis’ or ‘Burkholderia pseudomallei’ and ‘Complications’.
Results: A total of 162 titles were identified and 22 articles were included in the review. Findings showed that among the 22 articles, the ratio of male to female melioidosis incidence was 2.3 to 1, with most cases (86.4%) aged older than 14 years old and showed a mean age of 46 years old. A third (7/22) of the papers reported the involvement of the nervous system as a complication of melioidosis followed by cardiovascular complications. Among the 23 cases reported, 13 had underlying medical conditions with most of them (84.6%) having diabetes mellitus or newly diagnosed with diabetes mellitus. Overall, only one case (4.3%) had resulted in mortality, while 17.4% developed complications and 78.3% managed a full recovery after undergoing treatment for melioidosis.
Conclusion: The most commonly found complication of melioidosis involved the nervous system but patient outcomes were favourable. Rare complications included mycotic aneurysm that can be fatal. Melioidosis can affect almost any organ leading to various complications.
Fulltext Resilience among undergraduate nursing students in University Malaysia Sabah

Mazlinda M, Azra F A, Segaran Ramodran, Marlinah P, Adawiyah N R, Randall M, et al.

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):35-0.
MyJurnal

Introduction: Resilience is an important coping mechanism that nurses need to inculcate as they often faced with numerous psychosocial conflicts and stressors in providing day to day patient care. Student nurses are particularly vulnerable to psychosocial stressors and studies indicates that poor resilience is associated with poor academic performance, burn out, depression and high risk of drop out. This study was to examine the level of resilience and associated factors among nursing students in University Malaysia Sabah. Methods: The study entailed a descriptive cross-sectional survey assessing the level of resilience involving student nurses. Ethical clearance for this study was obtained from REC UMS and as well as respondent’s consent. A total of 100(N) nursing students was selected through stratified sampling by year of study (year 1, n=35; year 2 n=35; and year 3 n=30). Sample selection randomization for each year of study was done using full name list generated using Microsoft excel. The study tool consists of a validated instrument (reliability α= 0.82) benchmarked from a previous study which captured respondent`s demo- graphics and a 28-item inquiry related to resilience. Data analysis use descriptive statistics and Fisher`s-Exact test for correlates. Results: In this study among 100 nursing students 82% (n=82) had high resilience score (cut-off mean score more than 3.5) and 18% low resilience score (cut-off mean score lower than 3.4). Comparing distribution of resilience scores, respondents with low resilience scores were higher among thefirst-year nursing student and stu- dents of family origin from rural settings. Conclusion: Findings imply that most nursing students in this study have a high level of resilience and a small cohort of the student nurses have low resilience vulnerable to stressors and risk poor achievement and drop out. There is a need to address nursing students with poor resilience and this paper will discuss some pragmatic strategies.
Fulltext Ecological analysis of five years dengue cases and outbreaks in Keningau, Sabah, Malaysia

Mohd Shafik Abd Majid, Mohd Rohaizat Hassan, Wan Rosmawati Wan Ismail, Abdul Marsudi Manah, Syed Sharizman Syed Abdul Rahim, Mohammad Saffree Jeffree

Malaysian Journal of Medicine and Health Sciences, 2020;16(4):34-39.
MyJurnal

Introduction: Dengue fever is caused by the dengue virus that is transmitted via Aedes mosquitoes. The lifecycle of Aedes mosquitoes is affected by the local climate (rainfall) which influences dengue transmission. Sabah is one of the states that is laden with a high incidence rate of dengue in Malaysia and the condition seems to have worsened with sudden, multiple outbreaks occurring in the year 2016. Methods: An ecological analysis was conducted in Keningau, Sabah to analyse dengue case patterns and distribution over a 5-year period and to exhibit the correlation between rainfall, larval indices, dengue incidences, and outbreaks. Results: Significant cross-correlation analysis (CCF) was discovered between rainfall and Aedes index at lag number 5 with a correlation coefficient of 0.151 (±0.063) as well as between rainfall and Breteau Index at lag number 5 with a correlation coefficient of 0.143 (±0.063). However, no significant cross-correlation analysis was found between Aedes index and dengue incidences. Associations were also seen between larval indices and outbreak cases. Conclusion: This study showed an increase of Aedes and Breteau Indices to susceptibility level five weeks after rainfall which increases the risk of dengue transmission.
Spatial analysis of colorectal cancer cases in Kuala Lumpur

Shah SA, Neoh HM, Rahim SS, Azhar ZI, Hassan MR, Safian N, et al.

Asian Pac J Cancer Prev, 2014;15(3):1149-54.
PMID: 24606433

BACKGROUND: In Malaysia, data from the Malaysian Health Ministry showed colorectal cancer (CRC) to be the second most common type of cancer in 2007-2009, after breast cancer. The same was apparent after looking at males and females cases separately. In the present study, the Geographic Information System (GIS) was employed to describe the distribution of CRC cases in Kuala Lumpur (KL), Malaysia, according to socio-demographic factors (age, gender, ethnicity and district).
MATERIALS AND METHODS: This retrospective review concerned data for patients diagnosed with colorectal cancer in the years 1995 to 2011 collected from the Wilayah Persekutuan Health Office, taken from the cancer notification form (NCR-2), and patient medical records from the Surgical Department, Universiti Kebangsaan Malaysia Medical Centre (UKMMC). A total of 146 cases were analyzed. All the data collected were analysed using ArcGIS version 10.0 and SPSS version 19.0.
RESULTS: Patients aged 60 to 69 years accounted for the highest proportion of cases (34.2%) and males slightly predominated 76 (52.1%), Chinese had the highest number of registered cases at 108 (74.0%) and staging revealed most cases in the 3rd and 4th stages. Kernel density analysis showed more cases are concentrated up in the northern area of Petaling and Kuala Lumpur subdistricts. Spatial global pattern analysis by average nearest neighbour resulted in nearest neighbour ratio of 0.75, with Z-score of -5.59, p value of <0.01 and the z-score of -5.59. Spatial autocorrelation (Moran's I) showed clustering significant with p<0.01, Z score 3.14 and Moran's Index of 0.007. When mapping clusters with hotspot analysis (Getis-Ord Gi), hot and cold spots were identified. Hot spot areas fell on the northeast side of KL.
CONCLUSIONS: This study demonstrated significant spatial patterns of cancer incidence in KL. Knowledge about these spatial patterns can provide useful information to policymakers in the planning of screening of CRC in the targeted population and improvement of healthcare facilities to provide better treatment for CRC patients.
Fulltext Respiratory Symptoms Among Domestic Waste Collectors

Salvaraji L, Jeffree MS, Avoi R, Akhir HM, Rahim SSSA, Lukman KA

Medeni Med J, 2020;35(4):304-309.
PMID: 33717622 DOI: 10.5222/MMJ.2020.82246

Objective: Increasing amount of waste concurrently increases the risk of exposure to hazardous materials among waste collectors. Vigorous exertion in the field intensifies the abundance of contaminated inspirable droplets. If left undetected and untreated, it may provoke significant pernicious health effects and redundant burdens to employees and employers. The purpose of this study is to determine the prevalence of respiratory symptoms and their associated factors among domestic waste collectors.
Method: A cross-sectional study was conducted in Kota Kinabalu, Sabah between January and April 2020. Data were collected using a validated questionnaire which encompasses details about sociodemographic, health status, environment, and employment characteristics.
Results: A total of 290 waste collectors with a mean age of 40 (±9) years old were participated in the study. Most of them were from Kadazan-Dusun-Murut ethnic origin with educational background till secondary school. The average monthly income of the workers was USD 298.45 (±171.9) per month, and they had been in service for 11 (±9.04) years. Respiratory symptoms were seen in 21% of the workers. The identified significant risk factors were determined as underlying chronic diseases (OR=2.34; 95% CI=1.054, 5.219) and contact with pets (OR=1.87; 95% CI=1.004, 3.288).
Conclusion: Respiratory symptoms are prevalent amidst domestic waste collectors and related to their health and field activities.

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