Ambient air pollution remains one of the most important risk factors for health outcomes. In recent years, there has been a growing number of research linking particulate matter (PM) exposure with adverse health effects, especially on cardiovascular and respiratory systems. The objective of this review is to examine the range and nature of studies on time series analysis of health outcomes affected by PM_2.5 across a broad research area. A literature search was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping review framework through a strategic search of PubMed and ScienceDirect online databases for articles from January 2016 to January 2021. Articles were first screened by their titles and abstracts. Then two reviewers independently reviewed and evaluated the full text of the remaining articles for eligibility. Of the 407 potentially relevant studies, 138 articles were included for final analysis. There was an increasing trend in publications from 2016 to 2019 but a decreasing trend in the year 2020. Most studies were conducted in Eastern and South-Eastern Asia (69.6%), Europe and Northern America (14.5%) and Latin America and the Caribbean (8.7%), with the majority coming from high- and upper-middle-income countries (95.6%). The main methodology used was Generalized Additive Model (GAM) with Poisson distribution (74.6%). Morbidity was the most common health outcome studied (60.1%), with vulnerable groups (64.5%) often included. The association between PM_2.5 and health effects was stronger for respiratory diseases compared to cardiovascular diseases. In short-term studies (less than 7 years), respiratory diseases showed higher risks compared to cardiovascular. However, in long-term studies (7 years and more), cardiovascular showed higher risks.

Recently, wastewater-based epidemiology (WBE) research has experienced a strong impetus during the Coronavirus disease 2019 (COVID-19) pandemic. However, a few technical issues related to surveillance strategies, such as standardized procedures ranging from sampling to testing protocols, need to be resolved in preparation for future infectious disease outbreaks. This review highlights the study characteristics, potential use of WBE and overview of methods, as well as methods utilized to detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) including its variant in wastewater. A literature search was performed electronically in PubMed and Scopus according to PRISMA guidelines for relevant peer-reviewed articles published between January 2020 and March 2022. The search identified 588 articles, out of which 221 fulfilled the necessary criteria and are discussed in this review. Most global WBE studies were conducted in North America (n = 75, 34 %), followed by Europe (n = 68, 30.8 %), and Asia (n = 43, 19.5 %). The review also showed that most of the application of WBE observed were to correlate SARS-CoV-2 ribonucleic acid (RNA) trends in sewage with epidemiological data (n = 90, 40.7 %). The techniques that were often used globally for sample collection, concentration, preferred matrix recovery control and various sample types were also discussed. Overall, this review provided a framework for researchers specializing in WBE to apply strategic approaches to their research questions in achieving better functional insights. In addition, areas that needed more in-depth analysis, data collection, and ideas for new initiatives were identified.

Hospital buildings require special attention to protect patients and healthcare workers from hospital-acquired infections and sick building illnesses. This is the first study to assess the prevalence of fungus in indoor air, outdoor air, and their contamination on surfaces at selected locations in four highly contaminated hospitals (A, B, C, and D) in Peninsular Malaysia. A total of 294 indoor air samples, 106 scrapped and 169 swabbed, were collected from July 2019 to August 2020. Bioaerosol concentrations were calculated using the colony-forming unit (CFU)/m³. Molecular identification was performed on the cultures. The internal transcribed spacer (ITS) region in the rRNA gene of the isolates was amplified by PCR. Results showed that fungal burden was in the range between 18 and 2597 CFU/m³. Fungal load in selected locations at Hospital D were in the higher range between 106 and 2597 CFU/m³, with two locations exceeding the national guidelines. Fungal genera were highly identified in air samples (47) compared to swabbed (29) and scrapped (18) samples. The dominant species were C. halotolerans, C. tenuissimum, P. alfredii, P. brevicompactum, P. brocae, P. cataractarum, and A. aculeatus. Fungal loads were higher in the Orthopedic and Oral Surgeon Clinic, the On Call Emergency Room, wards, and pathways.

Recently, there has been an increasing ecological and global public health concern associated with environmental contamination by arsenic (As), cadmium (Cd), nickel (Ni) and lead (Pb). This study aims to visualize distribution of these heavy metals concentration in urine of 817 Malaysian adults in Malaysia. This cross-sectional study compiled urine samples from October 2017 to March 2018. Spatial inverse distance weighted (IDW) interpolation method was used to derive a map which illustrate the distribution of these metals from urine samples. Moran's I Index was used to assess the spatial autocorrelation of these metals between the study area. The mean concentration for Ni and Cd was highest in Perak while for As and Pb, they were predominantly in East Coast region (Terengganu and Kelantan). Moran's I index showed significant spatial autocorrelation exist in the study area for all metals except for Pb (p-value<0.05). According to IDW, people in North East and Western regions had the highest concentrations for As and Cd. Individuals in Central region were less exposed than those in North region. These techniques can assist health authorities a better prediction in assessing exposure to heavy metals in population of an area to prioritize their control and preventive measure.

Cephalopods and crustaceans are known to bioaccumulate heavy metals, potentially posing both non-carcinogenic and carcinogenic health risks to consumers. This study was conducted to determine heavy metal concentrations and assess associated health risks in the edible tissues of 84 cephalopod and crustacean samples. Heavy metal concentrations and assess associated health risks in the edible tissues of 84 cephalopod and crustacean samples collected from selected wholesale markets and major fish landing ports throughout Peninsular Malaysia. The analysis focused on nine heavy metals: selenium (Se), cadmium (Cd), lead (Pb), copper (Cu), zinc (Zn), antimony (Sb), tin (Sn), chromium (Cr), and manganese (Mn). The samples were digested using a microwave digestion system, and heavy metal concentrations were analysed using Inductively Coupled Plasma Mass Spectrometry (ICP-MS). Results showed that Mn was the most abundant metal, followed by Cr and Zn. Octopus (C. indicus) had the highest Mn concentration (5.01 mg/kg WW), while Rainbow shrimp (P. sculptilis) had the highest overall metal concentration (91.02 mg/kg WW). Significant differences were observed between cephalopods and crustaceans, with Cd and Sn concentrations being notably higher in cephalopods (p < 0.001). However, no significant associations were observed between heavy metal concentrations and sample weight or length, indicating a greater influence of environmental factors. Principal Component Analysis (PCA) explained 80.4% of the variance, with Cd, Sn, Pb, Cu, Zn, Cr, and Mn accounting for the majority of the variance. Estimated weekly intake (EWI) values ranged from 0.002 to 26.30 µg/kg bw/week for cephalopods and 8.02 × 10⁻⁶ to 243.175 µg/kg bw/week for crustaceans. All metal levels were below the permissible limits set by the Food and Agriculture Organisation of the United Nations/World Health Organisation (FAO/WHO). Hazard Index values were <1, indicating low non-carcinogenic risk, and Total Carcinogenic Risk values for Pb and Cr were below 1 × 10⁻⁴, suggesting negligible carcinogenic risk.