Dengue remains a public health threat that consumes a significant number of resources for its prevention and control. This systematic review aimed to solidify recent costing evidence in dengue management among South East Asian (SEA) countries. All studies conducted between 2010 and 2020 were retrieved using four international databases i.e. PubMed, Scopus, Web of Science, and Emerald Insight. The review was reported according to PRISMA guidelines. Quality assessments were done independently by two reviewers using a checklist adapted for the cost of illness studies. We identified 13 original articles representing several SEA countries. Among the common reported costing measure include total cost/ health expenditure; direct medical cost; direct non-medical cost; and indirect cost. The estimated total cost for dengue management varied between countries largely due to the difference in the total incidence of dengue cases. The estimated cost spent on dengue per capita GDP ranges from less than 0.001% to 0.1%, depending on the recorded number of dengue cases of the year. The majority of the articles focused on the economic burden from the perspective of treatment such as hospitalization and ambulatory care. In a nutshell, the economic burden of managing dengue infection is costly and the evidence suggests a steady increase in health expenditure with the growing number of dengue cases

Introduction: Malaysia has been considered an industrialized country and there is a demand for manpower in low-skilled jobs which usually filled by migrant workers. Therefore, this study focused to identify the level of alcohol consumption and its associated factors among Nepali migrant workers in Shah Alam, Selangor. Methods: A cross-sectional study using a convenient sampling method was conducted among 233 Nepali migrant workers in Shah Alam, Selangor using a selfadministered questionnaire. A validated questionnaire (The Alcohol Use Disorder Identification Test) by WHO was used in the study. Results: The results showed that 60.09% of Nepali workers consumed alcohol with most of them are in low (31.43%) and medium (29.28%) risk level for alcohol consumption. The empirical findings revealed a significant association between income, education level, and peer pressure with alcohol consumption (p value <0.001 respectively). However, the study found no association between age, marital status, years of working, and body mass index with alcohol consumption (p value= 0.44, 0.19, 0.42, 0.40 respectively). Conclusion In conclusion, most Nepali migrant workers consumed alcohol but in low and medium risk severity. The results highlighted socio-demographic factors such as income and education as well as peer pressure among the important factors affecting alcohol consumption. Thus, it is important to address this issue by creating awareness by conducting health talk and campaign. This can give a clear idea to migrant workers on the health effect of alcohol consumption. More education and promotion are needed to address the health effect of excessive alcohol consumption and work productivity among migrant workers in their own language.

A novel strain of coronavirus was first detected in Wuhan, China in December 2019. It is the causative agent of a respiratory disease known as the Coronavirus Disease 2019 (COVID-19). On 12th March 2020, it was declared as a global pandemic by the World Health Organization. The aim of the study was to study the impact of MCO in terms of the academic performance and finance on the student population and to measure the level of knowledge, attitude and practice towards prevention of coronavirus disease 19 (COVID-19) among a private university students in Malaysia. On 22nd April until 30th April 2020, a cross-sectional study using a convenient sampling method was conducted among 401 students using a self-administered online questionnaire survey. It was found that 272 (67.8%) of the respondents had a less negative impact of MCO while 129 (32.3%) of the respondent had a more negative impact of MCO. The findings show also 229 respondents (57.1%) have adequate knowledge. As for the attitude, about 237 respondents (59.1%) have an adequate attitude and only 191 respondents (47.6%) have adequate practice towards the prevention of COVID-19. There was a significant relationship between knowledge, attitude, and practice with family income, a significant relationship between knowledge and practice, a significant relationship between knowledge and attitude, a sig. relationship between knowledge, attitude, practice with university faculties, the relationship between knowledge and source of information. The MCO showed significant association with knowledge level and with practice, also MCO was less negatively impact on the medical faculty students with p-value 0.004. The MCO was more negatively impacting those with less family income. The study findings concluded that the majority of the participants had a fair level of knowledge, attitude, and a lesser level of good practice towards the prevention of COVID-19. However, the COVID-19 is still considered a global pandemic and has not resolved yet. Therefore, to minimize the risk of future COVID-19 cases current efforts to educate the public towards knowledge, attitude, and practice towards prevention of COVID-19 in public health should be done.

Breast cancer is one of the leading causes of mortality among women. The aim of the current study was to assess the factors affecting awareness and beliefs regarding breast cancer, among women living in the state of Selangor, Malaysia. A cross-sectional study was conducted among women living in Selangor aged 18 to 65 years old, with a total of 483 participants. A validated questionnaire regarding awareness and belief was used. The questionnaires consist of 25 questions comprising of socio-demographic, history of other diseases, awareness and belief. The prevalence of poor awareness among women was 63.4%. while the poor level of belief was 84.7%. There was a significant association between awareness and educational background, family history of breast cancer (P=0.001, P=0.032) respectively. The association between awareness and belief was significant (P=0.02). As a conclusion: There is a high level of poor belief and poor awareness among women in Selangor, Malaysia regarding breast cancer. Source of information such as the internet plays a major role in breast cancer prevention, and the majority of them do not know the technique of breast self-examination. More health promotion is needed to target general population through big campaign of awareness.

Introduction: Prostate cancer is one of the most common causes of cancer deaths among men worldwide. In Malaysia however, it is the fifth leading cause of cancer among men. The increases of prostate cancer among men in Malaysia due to its close association with lack of awareness, poor knowledge and attitude. Therefore, this study is to obtain information on the prostate in terms of the level of awareness, perception, and the practice of prevention of prostate cancer among Malaysians, particularly residents of PPR Lembah Subang 1. Methods: A cross-sectional survey was collected among 200 respondents aged 18 years and above in PPR Lembah Subang 1 consisting of 37 questions comprised of socio-demographic data, source of information, risk factors, knowledge on prostate cancers, attitude on prostate cancer and practice of prevention. Likert scale scoring system used in this research. Results: Men in PPR Lembah Subang 1, show a significant association between knowledge on prostate cancer with age group, level of education, and family history showing (p value: <0.001), (p value: 0.01), (p value: 0.03), respectively. There is an association between attitude towards prostate cancer and age group and income level both with (p value: <0.001). The findings showed a significant association between the practice of prevention towards prostate cancer with level income and education showing (p value: <0.001) and (p value: 0.01) respectively. Conclusion: In PPR Lembah Subang, knowledge, attitude , and practice of prevention of Prostate Cancer found to be associated with socio-demographic risk factors.

Stress is accepted as the accumulation of unpleasant state of physical, mental and emotion on a person. Medical education has been known as one of the most stressful academic curriculum. Hence, medical students may subjected to multiple psychological changes and challenges throughout the years of medical education. The aim of this study was to determine the prevalence of stress and its associated factors among medical students. This cross sectional study was conducted from April to May 2018 in medical school in Sabah. It involved 396 medical students through universal sampling. Self-administered questionnaires were used as an instrument for data collection. The questionnaires included were Sociodemographic Questionnaire, Depression, Anxiety and Stress Scales 21 (DASS-21) and Medical Student Stressors Questionnaire (MSSQ). Bivariate analysis (Chi Square test, Fisher’s Exact Test, Independent T test and Man-Whitney U test) were used to analyse the association. The response rate was 90.2%. The prevalence of stress among medical students were 33.3%. Significant associated factors include financial support inadequacy (p=0.010) and all categories of medical student stressors. The mean score of the academic related stressors was found to be at 2.117 (±0.758) which was the highest mean score among medical student stressors assessed by MSSQ. The result of this study can be used as a basis for implementation of preventive measures such as provision of comprehensive, integrated and responsive mental health care services in university-based settings.
Stress, stressor, medical students, medical education, mental health, DASS, MSSQ

Among the main reasons for re-emergence of vaccine preventable diseases were missed or incomplete immunization schedule. The supplementary immunization activity (SIA) is an important intervention done to provide complete immunization coverage among those children. Better outcome came along with good knowledge and perception on the program. Thus, this study aims to assess the level of knowledge and perception of the mothers towards SIA program. A cross-sectional study was conducted among mothers with children ≤ 15 years old in Cheras, Kuala Lumpur. Data was collected by interview using the guided questionnaire consists of four sections to assess the socio demographic, socio economic, knowledge and perception regarding SIA. The questionnaire was validated for internal consistency with Cronbach’s alpha 0.461 for knowledge and 0.729 for perception. A total of 105 respondents with the median age of 33 years (IQR: 28-38) with majority of them are Malays (82.9%), Muslim (83.8%), married (97.1%) and (57.1%) with 1- 2 child in the family. Half of them were from low income family (46.7%) and had secondary education level (54.3%) and were housewives (47.6%). One third of the respondents (33%) never heard about SIA before. Overall had poor knowledge (82.9%) and perception (95.2%) towards SIA. There is a significant association between the level of knowledge on SIA with household income (χ^2=7.746, p=0.019) and occupation (χ^2=6.457, p<0.05). However, there was no significant association between the socio demographic and socio-economic factors and perception towards SIA. In conclusion, the knowledge and perception among mothers on SIA are still poor. More intensive health educations may be useful to be incorporated within the program implementation to increase the community understanding and perception towards SIA in the future.

Nurses’ job performance is defined as the effectiveness of a person in carrying out his or her duties related to patient care. Aim of this study is to measure job performance among nurses in a tertiary hospital and its associated factors. A cross-sectional study was conducted among nurses selected from four departments, which were Obstetrics & Gynecology (O&G), medical, surgical and Cardiac Care Unit (CCU)/High Dependency Unit (HDU). A Malay validated Six-Dimension Scale of Nursing Performance (6-DSNP) questionnaire was used to measure job performance. Nurses who have one child more compared to other nurses had significantly lower total mean score of job performance by -0.06 (95% CI 0.11, 0.01). Nurses working in medical department [adj.β=0.16 (95% CI 0.01, 0.30)] and CCU/HDU [adj.β= 0.33(95% CI: 0.17, 0.50)] had significantly higher total mean scores of jobs performance compared to O&G department. Effective strategies and re-examining work conditions are imperative for better job performance.
job performance ; associated factors ; nurses ; tertiary hospital

Bullying can be projected through many ways, are affected by many factors and can bring about a lot of consequences. The aim of this research was to identify the association between bullying factors such as age, gender, race, family income, family structure with bullying among high school students in one of Selangor high schools in year 2018 also its consequences towards depression, stress and anxiety. A cross sectional study was conducted among 337 students. The validated Multidimensional Peer-Victimization Scale (MPVS) and Mental Health Screening Status-20 (MHSS-20) questionnaire was used to classify the prevalence, types, associating factors and the consequences of bullying. The prevalence of bullying was found to be 63.5%. The percentage of bullying is higher among those with mean age of 14 years old. As for the gender, percentage among male is higher compared to female which is 62%. As for the family background, students who have family income above RM 7000 (about 1700 USD) has higher percentage of bullying which is 51.9%, and for students with low academic performance have the highest percentage of bullying (57%) and it was found that bullying was significantly associated with age and with p value of <0.001, gender of p value 0.009, academic performance shows p value of 0.049 and mental health status with <0.001 p value.
Bullying ; High school students ; Mental Health

Introduction Tuberculosis (TB) a major global health challenge especially in low- and middle-income countries reflects improper, delayed or missed diagnosis. Contact screening should be utilized both as an efficient and effective targeted approach to intensify TB case finding.Methods Through a comprehensive systematic literature review of online database, this paper aims at providing an insight into the current practice of TB contact screening and to provide evidence based practice for formulation of appropriate policies in low- and middle-income countries. There are 24 articles included in this review from studies published from 2005 to 2014.Results Findings in literature varies substantially. Generally, contact screening is better intensified with clear operational guidelines, adequate training, include close contact outside household as appropriate and follow up at least for 1 year. Prioritizing high risk close contacts is helpful in resource limited setting. Tuberculin skin test is still of value as screening tool and intensified case finding must be accompanied with effective management protocol. Prophylaxis treatment is recommended especially for children especially less than 5 years old, unvaccinated, malnourished, living with person having HIV and close contact with MDR-TB.Conclusion Policy recommendations in improving TB management must incorporate complementary strategies to enhance case finding, effective management protocol for follow up or prophylaxis treatment, training for public health capacity and concerted dedication from various stakeholders.