1.Adoption of the Mobile Health Screening Programme for Farming Communities: A Study Among Pesticide-Exposed Farmers from North East of Peninsular Malaysia
Zariyantey Abdul Hamid ; Zaliha Harun ; Syarif Husin Lubis ; Nihayah Mohamed ; Ismarulyusda Ishak ; Hidayatul Fathi Othman ; Nur Zakiah Mohd Saat ; Mohamad Roff Mohd Noor ; Saiful Zaimi Jamil ; Jamil Rafaai
Malaysian Journal of Health Sciences 2014;12(2):63-69
Health awareness promotion among farming communities are important for a sustainable agriculture activities. A crosssectional
study was conducted to assess health status among farming communities in Cameron Highlands, Pahang
(n = 61) and Bachok and Pasir Puteh, Kelantan (n = 143). Mobile Health Screening Programme composed of assessment
of blood glucose, blood cholesterol, haemoglobin, blood pressure, pterygium, lung function and nerve conductive velocity
was utilized. Our results indicate that the percentage of Cameron Highland’s farmers with hyperglycaemia, systolic
hypertension, diastolic hypertension and anaemia were 8.2%, 14.8%, 11.5% and 8.2%, respectively. However, higher
percentage of farmers in Bachok and Pasir Puteh, Kelantan with hyperglycaemia (32.8%), hypercholesterolaemia (83%),
anaemia (24.2%) and systolic hypertension (41.9%) were observed. Pterygium was positive for 88.6% of farmers in
Cameron Highlands and 94.4% in Bachok and Pasir Puteh. Lung function test shows that 61.7% and 11.4% of farmers
in Cameron Highlands had restrictive and obstructive lung, respectively. In Bachok and Pasir Puteh, a total of 19.8%,
55.5% and 23.9% of farmers were found to have obstructive, restrictive and combined obstructive and restrictive lung,
respectively. Current Perception Threshold (CPT) value which indicate nerve conductive velocity were signifi cantly
increased (p < 0.05) among Cameron Highland’s farmers for both median and peroneal nerve at all frequencies (5 Hz,
250 Hz and 2000 Hz). In Bachok and Pasir Puteh, the values of the CPT for median nerve was signifi cantly increased
(p < 0.05) for all frequencies (5, 250 and 2000 Hz). Meanwhile, a signifi cant increased (p < 0.05) was observed for
the CPT values for peroneal nerve at the frequencies of 250 and 2000 Hz as compared to control groups. In conclusion,
analysis revealed different health problem among the studied farming communities which could be infl uenced by the
differences in farming practices. Thus, employed Mobile Health Screening Programme offers a monitoring approach that
could highlight the need for suitable health services and awareness programmes for different farming communities
2.Factors Affected Chromium Levels Among Farmers in District of Bachok and Pasir Puteh, Kelantan
Nurfariha Firdaus ; Ismarulyusda Ishak ; Syarif Husin Lubis ; Nooraisyah Mansoor ; Hidayatul Fathi Othman ; Nihayah Mohammad ; Zariyantey Abdul Hamid ; Nurzakiah Mohd Saat ; Mohd Jamil Rafaai ; Mohamad Roff Mohd Noor
Malaysian Journal of Health Sciences 2014;12(2):27-31
Chromium is an essential mineral and cofactor for insulin that plays an important role as hormone that helps in the blood
sugar regulation. Kelantanese were known as sugar-based food consumer. Farmers have high risk of health problem
because of exposure to pesticide and sugar-based food intake can give an effect on the level of chromium. The objective
of this research was to study the status of chromium among farmers exposed to pesticides and fertilizer in Kelantan.
This was a cross-sectional study that was done at Bachok and Pasir Puteh, Kelantan. Respondent were 113 farmers who
had been exposed to pesticides or fertilizer for not less than one year. Subjects were interviewed to obtain information
on their demographic data by using validated knowledge, attitude and practice (KAP) questionnaire. Nails and hair
chromium levels were analyzed by using acid digestion method and Inductively Coupled Plasma Mass Spectroscopy
(ICP-MS). Results showed that 81.4% were male while 18.6% were female. Farmer’s chromium level in nails (125.82
± 47.81 μg/L) and hair (39.63 ± 5.70 μg/L) were very much lower when compared with standard value in nails (6200
μg/L) and hair (100-2500 μg/L). No signifi cantly differences (p > 0.05) were found between chromium level according
to gender, age, level of pesticide exposure, dietary chromium intake and blood glucose. Chromium levels in nails and
hair of farmers who smoke was signifi cantly lower (p < 0.05) than non-smoking farmers. As a conclusion, the level of
chromium among farmers in Bachok and Pasir Puteh, Kelantan are lower than normal reference and farmers should
stop smoking because smoking can lower the chromium level
3.Selenium, Zinc and Chromium Level Among Paddy Farmers Exposed to Pesticide in MADA, Perlis and Fisherman Community in Mersing, Johor
Ishak ; Hidayatulfathi Othman ; Nihayah Mohammad ; Syarif Husin Lubis ; Zariyantey Abdul Hamid ; Nur Zakiah Mohd Saat ; Mohd Jamil Rafaai ; Ahmad Rohi Ghazali ; Asmah Hamid ; Siti Nadia Mohd Izam ; Nooraisyah Mansoor ; Marliana Samsir ; Abd Rahim Salleh ; Robiah Lazim ; Nurfariha Firdaus
Malaysian Journal of Health Sciences 2013;11(1):9-13
Pesticide exposure can lead to low trace elements levels in human body. Trace element plays important role in body metabolism. The aim of this study was to study the levels of selenium, zinc and chromium among paddy farmers who expose to pesticide in Wilayah I, MADA, Perlis. This cross sectional study involved 70 males paddy farmers and 57subjects living in fisherman village as control group who were aged between 21 to 80 years old. Subjects were interviewed to obtain information on their demographic data by using validated questionnaire. Subjects also were examined for their blood pressure and glucose level. Selenium, zinc and chromium levels were analyzed by using acid digestion method and Inductively Coupled Plasma Mass Spectrometry (ICP-MS). Results showed that selenium levels in hairs (5.11 ± 17.05 μg/L) and nails (4.92 ± 2.17 μg/L) were significantly (p < 0.05) lower compared to selenium levels in hairs (15.67 ± 10.59 μg/L) and nails (6.67 ± 2.81 μg/L) in control group. Chromium levels in hairs (31.83 ± 15.17 μg/L) and nails (87.64 ± 23.30 μg/L) were also significantly lower (p < 0.05) compared to chromium levels in hairs (85.19 ± 56.90 μg/L) and nails (99.36 ± 56.89 μg/L) of control group. However there were no significant different (p>0.05) between all trace element levels and duration of pesticide exposures. In conclusion, levels of trace elements were lower in nails and hairs of paddy farmers than fisherman community group