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Urban heat islands (UHIs) are negatively impacting the quality of the urban environment and outdoor thermal comfort (OTC) levels, which have raised concerns regarding their impact on urban health and well-being. Understanding of OTC level is crucial, particularly in tropical cities with year-round high temperatures and humidity. A study was conducted in Kuala Lumpur (KL), Malaysia, to determine the OTC level in a selected urban area through microclimate measurements and questionnaire surveys with 1157 respondents. Over half of the urban dwellers reported thermal discomfort, with a high perceived OTC level, indicating strong thermal adaptive behaviours among the urban dwellers despite the physiological stress. Confounding factors such as urban morphology, land cover and human activity patterns also influence the OTC level in the tropical city. The findings emphasize the need for interventions to improve the urban environment and promote better outdoor thermal comfort for city dwellers through measures such as green infrastructure, UHI mitigation and increasing public awareness. [ABSTRACT FROM AUTHOR]

This research aimed to investigate the control measures used by public transport commuters and their health (physical and psychological) effects due to exposure to air pollution during their daily commute and during haze days. From June to October 2016, 800 public transport commuters in urban cities in the heart of Selangor, Malaysia were interviewed. Of these, 25.4% reported sometimes/often wearing surgical masks during their daily commute, while 92.1% reported such use during haze days. The total control measure score against air pollutants during the daily commute was low; on a control measure scale of 0–18, the median rating during the daily commute was 8 (interquartile range (IQR) 6–10). During haze days, control measures improved slightly (median 14, IQR 12–16). Evidence of adverse health effects was present. During the daily commute under normal conditions, the three highest adverse health experiences were fatigue and weakness (35.5%), coughing (23.6%), and dizziness (18.2%). During haze days, the three highest adverse health experiences were headache (85%), coughing (84.8%), and breathing difficulties (84.5%). On a possible total adverse health (physical and psychological) experience scale of 0–22, the median rating during the daily commute was 1 (IQR 0–3). The median rating during haze days was intensified (median 11, IQR 9–13). Public transportation commuters should be encouraged to enhance various control measures against particulate air pollutants during their daily commute, particularly during haze days, to minimize the adverse health risks associated with air pollutants. [ABSTRACT FROM AUTHOR]

Sarawak is the largest state in Malaysia, with 22% of the nation's oil palm plantation area, making it the second largest contributor to palm biomass production. Despite the enormous amount of palm biomass in the state, the use of biomass as fuel for power generation remains low. This study is designed to investigate the sustainability of power generation from palm biomass specifically in Sarawak by conducting a survey among the palm oil mill developers. To conduct this investigation, several key sustainability factors were identified: the security of the biomass supply, the efficiency of conversion technology, the existing network system, challenges and future prospects for power generation from palm biomass. These factors were assessed through a set of questionnaires. The returned questionnaires were then analysed using statistical tools. The results of this study demonstrate that Sarawak has biomass in abundance, and that it is ready to be exploited for large scale power generation. The key challenge to achieving the renewable energy target is the inadequate grid infrastructure that inhibits palm oil developers from benefiting from the Feed-in-Tariff payment scheme. One way forward, a strategic partnership between government and industrial players, offers a promising outcome, depending on an economic feasibility study. The decentralization of electricity generation to support rural electrification is another feasible alternative for renewable energy development in the state. [ABSTRACT FROM AUTHOR]

As the world tries to cope with the devastating effects of the COVID-19 pandemic and emerging variants of the virus, COVID-19 vaccination has become an even more critical tool toward normalcy. The effectiveness of the vaccination program and specifically vaccine uptake and coverage, however, is a function of an individual's knowledge and individual opinion about the disease and available vaccines. This study investigated the knowledge, attitudes, and resulting community practice(s) associated with the new COVID-19 variants and vaccines in Bangladesh, Colombia, India, Malaysia, Zimbabwe, and the USA. A cross-sectional web-based Knowledge, Attitudes, and Practices (KAP) survey was administered to respondents living in six different countries using a structured and multi-item questionnaire. Survey questions were translated into English, Spanish, and Malay to accommodate the local language in each country. Associations between KAP and a range of explanatory variables were assessed using univariate and multiple logistic regression. A total of 781 responses were included in the final analysis. The Knowledge score mean was 24 (out of 46), Attitude score 28.9 (out of 55), and Practice score 7.3 (out of 11). Almost 65% of the respondents reported being knowledgeable about COVID-19 variants and vaccination, 55% reported a positive attitude toward available COVID-19 vaccines, and 85% reported engaging in practices that supported COVID-19 vaccination. From the multiple logistic models, we found post-graduate education (AOR = 1.83, 95% CI: 1.23–2.74) and an age range 45–54 years (AOR = 5.81, 95% CI: 2.30–14.69) to be significantly associated with reported COVID-19 knowledge. In addition, positive Attitude scores were associated with respondents living in Zimbabwe (AOR = 4.49, 95% CI: 2.04–9.90) and positive Practice scores were found to be associated with people from India (AOR = 3.68, 95% CI: 1.15–11.74) and high school education (AOR = 2.16, 95% CI: 1.07–4.38). This study contributes to the identification of socio-demographic factors associated with poor knowledge, attitudes, and practices relating to COVID-19 variants and vaccines. It presents an opportunity for collaboration with diverse communities to address COVID-19 misinformation and common sources of vaccine hesitancy (i.e., knowledge, attitudes, and practices). [ABSTRACT FROM AUTHOR]

Dengue fever is one of the most important viral infections transmitted by Aedes mosquitoes and a major cause of morbidity and mortality globally. Accurate identification of cases and treatment of dengue patients at the early stages can reduce medical complications and dengue mortality rate. This survey aims to determine the knowledge, attitude, and practices (KAP) among physicians in dengue diagnosis and treatment. This study was conducted among physicians in Turkey as one nonendemic country and Bangladesh, India, and Malaysia as three dengue-endemic countries. The dosing frequencies, maximum doses, and contraindications in dengue fever were examined. The results found that physicians from Bangladesh, India, and Malaysia have higher KAP scores in dengue diagnosis and treatment compared to physicians in Turkey. This may be due to a lack of physician's exposure to a dengue patient as Turkey is considered a nonendemic country. This assessment may help establish a guideline for intervention strategies among physicians to have successful treatment outcomes and reduce dengue mortality. [ABSTRACT FROM AUTHOR]

COVID-19 has harshly impacted communities globally. This study provides relevant information for creating equitable policy interventions to combat the spread of COVID-19. This study aims to predict the knowledge, attitude, and practice (KAP) of the COVID-19 pandemic at a global level to determine control measures and psychosocial problems. A cross-sectional survey was conducted from July to October 2020 using an online questionnaire. Questionnaires were initially distributed to academicians worldwide. These participants distributed the survey among their social, professional, and personal groups. Responses were collected and analyzed from 67 countries, with a sample size of 3031. Finally, based on the number of respondents, eight countries, including Bangladesh, China, Japan, Malaysia, Mexico, Pakistan, the United States, and Zambia were rigorously analyzed. Specifically, questionnaire responses related to COVID-19 accessibility, behavior, knowledge, opinion, psychological health, and susceptibility were collected and analyzed. As per our analysis, age groups were found to be a primary determinant of behavior, knowledge, opinion, psychological health, and susceptibility scores. Gender was the second most influential determinant for all metrics except information about COVID-19 accessibility, for which education was the second most important determinant. Respondent profession was the third most important metric for all scores. Our findings suggest that health authorities must promote health educations, implement related policies to disseminate COVID-19-awareness that can prevent and control the spread of COVID-19 infection. [ABSTRACT FROM AUTHOR]

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Perceptions about illnesses may influence self-care and preventive health behaviours. Illness perceptions of the Zika virus (ZIKV) infection were investigated under the framework of the Self-Regulation Model of Illness. Illness perception differences between ZIKV and dengue fever were also examined. Lastly, associations between illness perceptions of ZIKV with mosquito prevention practices were studied. Samples were drawn from landline telephone numbers using computer-assisted telephone interviewing in Malaysia. A total of 567 respondents completed the survey between February 2015 and May 2016. The median and interquartile range (IQR) for the total six dimensions of illness perceptions score was higher for dengue (23.0 (IQR 17.0-28.0)) than ZIKV (20.0 (IRQ 11.0-28.0)), p < 0.001. Respondents who planned to have children (OR 1.670, 95% CI 1.035-2.694 vs. no intention to have children) and had friends or acquaintances who died of dengue (OR 2.372, 95% CI 1.300-4.327 vs. no friends who died of dengue) were more likely to have a higher total score for six illness perceptions for ZIKV compared to dengue. Multivariate analysis indicated that the best predictors for mosquito control practices after the ZIKV outbreak was declared a Public Health Emergency of International Concern, in descending order, were causes, control, timeline, and consequences dimensions of illness perception. Understanding the context in which a person perceives ZIKV may contribute to developing interventions that influence prevention behaviours., Competing Interests: The authors declare no conflict of interest. The founding sponsors had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, and in the decision to publish the results.

Despite its popularity, shisha smoking practices, reasons for its use, attitudes, detrimental health effects and intention to quit among shisha users in Malaysia have never been investigated. A total of 503 shisha users responded to a cross-sectional study conducted between July 2015 and March 2016. The majority of users were young people aged 21-30; a small minority were underage. The reasons for shisha use were its growing popularity as a favourite pastime activity and the perception of shisha use as cool and trendy. Just over half (57.3%) agree that shisha use exposes the smoker to large amounts of smoke and the majority were unsure about the health risks of shisha smoking compared to tobacco smoking. The three most common detrimental health effects reported by the study respondents were dry throat, headache and nausea. Regular shisha users have significantly higher detrimental health effects compared to no-regular shisha users. Shisha users with a duration of smoking of 6-12 months (odds ratio (OR) 3.212; 95% confidence interval (CI) 1.651-6.248) and 6 months and below (OR 2.601; 95% CI 1.475-4.584) were significantly more likely to have a higher proportion who intend quitting smoking than shisha users of more than 12 months duration.