Southeast Asia has many people who work in the agriculture sector. Not many stakeholders pay special attention to the health of farmers, even though they are exposed to various types of hazards. One of the most common health complaints among farmers is related to work-related musculoskeletal disorders (WMSDs). This study aims to assess the prevalence of WMSDs and factors associated with them among farmers in Southeast Asia. A literature search on PubMed, ScienceDirect, Scopus, and EBSCO was conducted. Articles were included if they studied ergonomic problems among farmers from 11 countries in the Southeast Asia region and were published during 2015–2022. The Critical Appraisal Skills Program was used to evaluate the quality of the articles. The search process and retrieval process reflected PRISMA's recommendation. There were 14 studies found from 3 countries that had published articles in PubMed and ScienceDirect, including Thailand [8], Indonesia [4], and Malaysia [2]. The prevalence of WMSDs in Thailand, Indonesia, and Malaysia was 78,31%, 81,27%, and 88,39%, respectively. Common factors associated with WMSDs include age, sex, smoking habits, drinking alcohol habits, working period (years), type of work, awkward position, non-ergonomic equipment, repetitive movements, and lifting heavy loads. The prevalence of WMSDs among farmers in Southeast Asia is considerably high. Effective intervention is essential for reducing the prevalence and protecting workers' health and well-being.

Coal miners are highly prone to occupational health risks, such as black lung disease. This study aims to assess the prevalence of black lung disease and the factors associated with black lung disease among coal miners in Asia. This systematic review, conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, searched through the scientific literature of the following databases: EBSCO, ScienceDirect, PubMed, and Scopus. We selected articles that studied black lung disease among coal miners from 48 countries in Asia and were published between 2014 and 2023. Article quality was evaluated using the Critical Appraisal Skills Program. The seven articles that we review studied a total of 653,635 coal miners from various types of coal mines from three countries in Asia. Of these miners, 59,998 experienced black lung disease. Black lung disease is prevalent among 9.18% of coal miners in Asia, which is approximately four times higher than the worldwide prevalence. Common factors that influence black lung disease in Asia include age, years of dust exposure, smoking, drinking, working types, and sizes of mines, type of mines, respiratory functions, spirometry parameters, tenure, lack of attention to occupational health, inefficient surveillance, and weak occupational health service. Although the prevalence of black lung disease among coal miners in Asia is considerably high, it can be addressed through effective prevention measures, monitoring, control, and case reporting.

Breast cancer is the most prevalent malignancy among women. Certain air pollutants have carcinogenic and estrogenic properties that can contribute to breast cancer development. This systematic review aimed to investigate the association between air pollution and breast cancer based on epidemiological evidence. This systematic review included articles published between 2013 and 2022 from Scopus and PubMed databases, focusing on cohort and nested case-control studies examining the association between outdoor air pollution and breast cancer. A total of 25 articles were included. A total of eight outdoor pollutants were analyzed, with seven showing a significant association with breast cancer risk. Specifically, the strong association between benzo[a]pyrene and breast cancer risk was reported. Furthermore, all four studies on nitrogen oxides (NO_x), fifteen out of eighteen (83.33%) on particulate matter less than 2.5 µm (PM_2.5), nine out of thirteen studies (69.23%) on nitrogen dioxide (NO₂), and three out of seven studies (42.86%) on particulate matter less than 10 µm PM₁₀ showed an association with breast cancer risk (hazard ratio [HR]: 1.05–1.56; odds ratio [OR]: 1.03–1.86). In contrast, only one out of three studies (33.33%) on O₃ (HR: 0.76–1.03) and all studies on cadmium (OR: 0.88–0.97) suggested a negative association with breast cancer risk. None of the studies on black carbon found an association with breast cancer risk. It is important to note the methodological limitations of this review, including potential publication bias due to the inclusion of only English-language articles and a regional focus on developed countries, which may limit the generalizability of findings. This study suggests that exposure to outdoor air pollutants is linked to an increased risk of breast cancer. Further research is needed to establish a causal relationship and the mechanisms by which environmental pollutants may trigger carcinogenic effects and contribute to breast cancer development through epigenetic pathways.

Objective. To analyze the effect of Channa striata supplementation on body mass index among tuberculosis patients, in which their health status is also investigated. Methods. This study employed a true experiment. The study was designed randomized pretest‐posttest with a control group, in which 200 respondents were enrolled. Body mass index (BMI), used as a nutritional status indicator, was measured every week for a month. Chi‐square test was used to analyze the data with a significance level of 5% by STATA 13. Results. The mean BMI of all groups increases during the month, in which rapid alteration occurs in the treatment group. The mean BMI (kg/m²) in the treatment group at weeks 0–4 was reported to be 17.43, 17.65, 17.90, 18.04, and 18.22, respectively. Meanwhile, the mean BMI (kg/m²) at weeks 0–4 in the control group was reported to be 17.20, 17.36, 17.57, 17.71, and 17.96, respectively. Furthermore, the alteration from severe thinness to higher BMI level in the treatment group is the highest. Based on the statistical test, there were no differences in BMI between the treatment and control groups (p > 0.05). However, the alteration of nutritional status in the treatment group is faster than that in the control group. In addition, there is no difference in their health status between the treatment and control groups (p > 0.05), except vomiting (p < 0.05). Conclusion. The BMI among tuberculosis patients with Channa striata supplementation is increasing faster than that in the control group within a month with a minimum potential negative effect.

Dengue fever remains a critical public health issue in Indonesia, with a significant increase in mortality cases in recent years. As a vector-borne disease, dengue fever is highly influenced by environmental conditions, making it particularly sensitive to the impacts of climate change. Indonesia, being heavily affected by global climate change, faces increasing challenges in managing dengue fever. This study aims to investigate the association between dengue fever mortality and climate variables, specifically annual rainfall, and temperature, in Indonesia from 2010 to 2023. Secondary data on dengue fever cases from 2010 to 2023 were collected from the Ministry of Health of Indonesia. Data on annual rainfall and annual temperature were obtained from the Indonesia Meteorology, Climatology, and Geophysics Council, with information gathered from 116 stations across Indonesia. Linear regression analysis was used to determine the association between these variables and dengue fever mortality. The analysis revealed a significant association between annual temperature (p=0.049; R²= 0.212; 95% CI: 710.85-2.233) and dengue fever mortality. Additionally, annual dengue fever cases were significantly associated with mortality (p<0.001; R²= 1.075; 95% CI: 0.007-0.010). However, annual rainfall was not found to be significant in this study. These findings underscore the importance of monitoring climatic changes and their impact on public health, particularly concerning vector-borne diseases. Enhanced surveillance and targeted interventions could mitigate the adverse effects of these climatic variables on dengue fever mortality in Indonesia.

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