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Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Monday, December 9, 2024

Danger and Health risks thriving in dirty fridges - from food poisoning to liver damage

 

Worth the effort: A restaurant worker inspecting a freezer to ensure raw items are stored correctly. — FAIHAN GHANI/The Star

PETALING JAYA: Contaminated refrigerators pose significant health risks, including food-borne illnesses and exposure to harmful chemicals, warns a health expert.

Prof Dr Mohd Hasni Jaafar, a public health specialist at Universiti Kebangsaan Malaysia (UKM), said contaminated refrigerators carry microbiological and chemical risks that can have severe health consequences.

“Biological risks are particularly concerning, as they can lead to illnesses such as listeriosis, salmonellosis, E. coli infections and mould-related conditions,” he said when contacted.

He said Listeria bacteria often grow with poor temperature regulation, leading to contamination spreading in refrigerator interiors.

Salmonella is typically linked to unclean raw meat and eggs, and E. coli contamination can occur when cooked and uncooked foods come into contact, he added.

The health implications of these risks can be severe, ranging from food poisoning, characterised by vomiting and diarrhoea, to allergic reactions from mould spores.

“Some moulds can even cause liver damage,” Prof Mohd Hasni said, adding that chemical contamination, which is often overlooked, is another significant risk.

Food packaging materials, particularly newspapers used to wrap vegetables, fish or meat, can expose consumers to harmful substances.

“Newspapers may contain heavy metals like cadmium and lead, commonly found in printing pigments and solvents.

“Prolonged exposure, even at low doses, is associated with chronic non-communicable diseases,” he said.

Therefore, maintaining a clean refrigerator is crucial to preventing cross-contamination during food storage.

Prof Mohd Hasni said while newer refrigerators with proper temperature regulation may require less frequent cleaning, signs such as visible stains, temperature fluctuations or pest infestations are a signal for immediate attention.

In Malaysia, there isn’t a universal protocol for refrigerator cleaning, he said.

However, the Health Ministry’s Food Safety Regulation (2009) requires food establishments to adhere to strict hygiene guidelines, ensuring refrigerators and freezers are clean, well maintained and fit for purpose.

Prof Mohd Hasni said cold-stored foods must be kept at specific temperatures – below 4°C for chilled items and below -18°C for frozen goods.

He added that the US Centers for Disease Control and Prevention (CDC) provide a detailed five-step protocol for cleaning refrigerators.

This includes disposing of spoiled food, emptying the refrigerator, cleaning removable parts and the interior, as well as reassembling and restocking clean parts.

“This process is particularly critical when dealing with spoiled food, contamination from animal blood, or mould growth,” he said.

Routine inspections by health officers, he said, play a key role in maintaining food safety, especially in densely populated areas.

Inspections may occur monthly or yearly, depending on the location, or in response to food quality complaints or poisoning incidents.

During inspections, he said, several critical aspects are assessed, including refrigerator and freezer cleanliness, temperature control, and food storage practices.

“These inspections use a demerit-based evaluation system, with specific attention to refrigerator and freezer hygiene,” said Prof Mohd Hasni, adding that regulations require freezers to maintain temperatures below 0°C to ensure food safety.

For veteran restaurateur Zainun Rahman, 64, the cleanliness of refrigerators and freezers reflects a restaurant’s dedication.

“Keeping fridges and freezers clean isn’t just about meeting regulations. It’s essential for food quality and trust,” she said.

Her restaurant follows a strict weekly cleaning routine, which includes removing stains, checking for spoiled items, sanitising surfaces and ensuring proper food storage to prevent cross-contamination.

“Temperature control is key,” Zainun said, adding that her team monitors refrigerators and freezers daily to maintain optimal levels – below 4°C for chilled items and below -18°C for frozen goods. Regular maintenance, like checking door seals, helps avoid issues.

“It’s not just about avoiding fines; clean equipment ensures safe, high-quality food and reduces energy costs,” she added.

Restaurant owner Mohd Azmi Yusuf, 51, said his emphasis on clean refrigeration stems from a bad experience at a previous workplace, where poor hygiene practices led to food spoilage and contamination.

“When I opened my own restaurant, I promised never to let that happen.

“Customers might not see the effort, but they can taste the difference,” he said, stressing that trust starts behind the kitchen doors.

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Related:

'Taking cleanliness for granted may be our downfall' | The Star

Sunday, December 8, 2024

Probe all premises involved in recycling plastic waste, says chairman

Detailed look: Santiago speaking at the press conference at the SPAN headquarters in Cyberjaya. — Bernama
Dirty and smelly


SPAN: Raid satellite factories too


CYBERJAYA: The National Water Services Commission (SPAN) has called on the Selangor government and environmental authorities to investigate all businesses or factories involved in recycling plastic waste, specifically in areas affected by pollution, and all areas deemed as high-risk.

The call follows an inquiry into a water pollution incident in July that resulted in a disruption of water supply for a week in 1,140 areas in Selangor, which sourced water from Sungai Kuang, affecting 1,124,781 consumer accounts.

The pollution was traced back to a chemical leak of “poly (methacrylic acid)” into Sungai Kuang, a tributary of the Sungai Selangor River Basin.

SPAN chairman Charles Santiago has appealed to the Selangor government, Selayang Municipal Council and the Environment Department (DOE) to conduct inspections on all auxiliary factories in the Kuang area to determine whether they were dumping waste into tributaries that lead to Sungai Selangor.

Santiago added that while action has been taken against a foreign business operator responsible for the pollution due to illegal plastic recycling activities, there are other factories in the area carrying out similar operations.

“In 2024, SPAN recorded four out of 20 incidents of raw water pollution in Selangor that caused water treatment plants to shut down, including this incident in Sungai Kuang.

“SPAN urges the state government to lead a team composed of local authorities, DOE and Selangor Water Management Authority to carry out inspections in every factory or business premises involved in recycling plastic waste,” Santiago said during a press conference at the SPAN headquarters in Cyberjaya yesterday.

Also present were commission members Derek John Fernandez and Datuk Mohd Azmi Ismail.

On July 23, the media reported that more than 1,000 locations in seven regions in the Klang Valley experienced unscheduled water supply disruptions following the shutdown of four water treatment plants due to incidents of odour pollution in Sungai Kundang and Sungai Sembah, Selangor.

Following this, a Chinese national faced a hefty RM10mil fine and a mandatory prison sentence of up to five years for releasing chemical waste into inland waterways near the industrial area of Jalan Kampung Orang Asli in Kuang, Selangor.

He was later found guilty, sentenced to three months in prison, and fined RM240,000.

Santiago revealed that the foreign-owned company had rented the premises from a local company, which also operated two recycling operations within the same compound.

Investigations showed that the foreign company, which only had a business licence, was illegally conducting plastic recycling activities using polymethyl methacrylate (PMAA), a solvent chemical hazardous to health.

The pollution in Sungai Kuang in July was traced back to an estimated three tonnes of PMAA leaking from the foreign company’s premises into the drains, which then flowed into a tributary called Sungai Lampan Yu.

Santiago said the inquiry also discovered that the local company had illegally diverted Sungai Lampan Yu to run through its compound.

The findings released yesterday underlined that the primary tenant of the implicated premises, possessing a valid business licence, allowed a sub-tenant to operate without the local authority’s knowledge.

This tenant also permitted the sub-tenant to use their approved Environmental Impact Assessment (EIA) report without the DOE’s consent.

The report also proposed improvement measures and recommendations, including strengthening law enforcement by conducting physical inspections for all new applications and business licence renewals.

The report also encouraged DOE to undertake regular, targeted inspections to ensure compliance with approved EIA reports.

It also said it is essential to tighten waste discharge controls into rivers and conduct a detailed review of authorities under the Anti-Money Laundering, Anti-Terrorism Financing, and Proceeds of Unlawful Activities Act.


The Companies Act 1965 should have stricter stipulations when it comes to incorporating companies, particularly those owned by foreigners, according to the report.

Importers must comply with the criteria set in the Plastic Waste Import Licence and conform to the Environmental Quality Act 1974, it added.

The report said importers should also carry out Environmentally Sound Management of plastic waste recycling activities, and stronger supervision and enforcement of Approved Permit holders are necessary to prevent licence misuse.


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Monday, December 2, 2024

Metabolic syndrome and men

 

While this syndrome can affect many parts of the body, men should watch out for its effects on their urinary system in particular.

Addressing men's health, particularly the management of metabolic syndrome (MetS), is becoming a critical public health priority. - SMCV

https://www.facebook.com/share/v/PBZkgeUGMFbs95ZK/

MEN’S health issues often come to the forefront during this time of the year, spotlighting concerns like prostate cancer and mental health.

But there’s a year-round need to address conditions like metabolic syndrome, which can greatly influence men’s quality of life and vitality.

By 2040, Malaysia’s demographic will include an almost equal share of young (18.6%) and older populations (14.5%), with the elderly population surpassing six million – a key milestone in the country’s transition to an ageing nation.

As this demographic shift unfolds, managing metabolic syndrome in men will be crucial to promoting healthy ageing and supporting men’s resilience throughout life’s stages.

What is this syndrome?

As shared by consultant nephrologist and internal medicine physician Dr Radzi Rodzlan, metabolic syndrome is characterised by at least three of the following five risk factors:

> Central obesity

> High serum triglycerides (having too much fats in your blood)

> Low high-density lipoprotein cholesterol (HDL-C, or when a person does not have enough “good” cholesterol in their blood)

> Raised blood pressure, and > Raised fasting blood sugar levels.

“Metabolic syndrome affects both men and women,” he says.

“Studies showed that the overall prevalence of metabolic syndrome among adults in Malaysia lies between 25% to 40%.

“Risk factors most closely tied to metabolic syndrome include age – you are more likely to have it the older you are.

“Personal or family history of diabetes where women who have had diabetes during pregnancy (gestational diabetes) or people who have a family member with type 2 diabetes are at greater risk for metabolic syndrome.

“Other risk factors include unhealthy eating habits, smoking, history of heavy drinking, stress, being past menopause, high-fat diet and sedentary lifestyle.”

He adds that having metabolic syndrome can increase one’s risk of developing type 2 diabetes, and can cause heart and blood vessel disease, eventually leading to heart attack or stroke.

Affecting the urinary system

Metabolic syndrome is also linked to several conditions involving the male urinary system, including kidney stones, benign prostatic hyperplasia (BPH) or enlarged prostate, lower urinary tract symptoms, erectile dysfunction, male infertility and prostate cancer.

“There has been increasing evidence that men with metabolic syndrome are at an increased risk of experiencing moderate to severe urinary symptoms as they age,” explains consultant urologist and robotic surgeon Datuk

Dr Selvalingam Sothilingam.

“Lower urinary tract symptoms, or collectively referred to as LUTS, are frequently caused by BPH.

“The symptoms include delay in initiating voiding (hesitancy), poor urinary flow, incomplete bladder emptying, urinary urgency or frequent urination, and disturbed sleep due to voiding (nocturia),” he explains.

Patients with these symptoms are urged to seek medical attention as soon as possible, especially those with an elevated prostate specific antigen (PSA) level.

If left untreated, BPH can lead to complications such as urinary tract infection, blood in the urine, acute urinary obstruction, urinary incontinence, renal impairment and bed-wetting.

BPH may also cause obstruction to the kidney, leading to kidney swelling (hydronephrosis), and in severe cases, kidney failure.

This condition is often referred to as chronic obstruction and men will typically experience hypertension (high blood pressure), bilateral leg swelling and often complain of bedwetting (nocturnal enuresis), he adds.

Dr Selvalingam stresses the importance of going for health screenings, as early detection is key in preventing further complications.

“Eighty percent of men with BPH can be successfully treated with medication.

“However, these medications need to be taken long term.

“Men with complications from BPH may require surgery such as TURP (transurethral resection of prostate), or minimally-invasive treatments such as Rezum (water vapour therapy for the prostate),” he says.

Taking care of the kidneys

Metabolic syndrome can result in significant changes to kidney structure and function.

Dr Radzi says: “These changes include decreased glomerular filtration rate (GFR), which is a calculation to measure how well a person’s kidneys are working in filtering out waste and extra fluid from their blood, and increased urinary microalbumin, which indicates protein leakage from the kidneys.”

Such alterations in kidney function can lead to chronic kidney disease (CKD), which may progress to severe health issues, including end-stage kidney disease that requires dialysis or kidney transplantation.

He adds that early symptoms and signs of kidney problems associated with metabolic syndrome can include leg swelling, frothy urine and abnormal results in blood and urine tests.

To prevent the progression of CKD, he notes the importance of regular health screenings, as early detection is vital for avoiding further complications related

to metabolic syndrome.

In additional, both doctors encourage lifestyle changes such as regular exercise to combat insulin resistance and adopting a heart-healthy diet by avoiding excessive amounts of carbohydrates that stimulate excess insulin production.

These proactive measures can significantly improve overall health and reduce the risk of developing kidney-related issues.

Take charge of your health

As Malaysia transitions into an ageing nation, understanding and addressing men’s health, particularly in the context of metabolic syndrome, becomes increasingly important.

With a significant portion of the population facing the challenges associated with metabolic syndrome, including the risk of urinary and chronic kidney problems, proactive health management is crucial to adopt now.

By fostering awareness and encouraging health screenings, as advocated by both Drs Selvalingam and Radzi, men can take charge of their health, facilitating early detection and intervention that can greatly improve health outcomes.

This will not only enhance the quality of life for individuals, but will also contribute to the overall well-being of Malaysia’s ageing population.


Critical to improve health literacy

People must learn to modify diets to prevent lifestyle diseases such as diabetes

Not the best for weight

 Although BMI is widely used as a measure of weight, it is not very accurate and can lead to the mistreatment of obesity and eating disorders.

When you have insufficient magnesium, mineral for relaxation; Clearing up your brain fog

A lack of this important mineral could be causing you health problems without you even knowing it.

Wednesday, November 27, 2024

An app for any medical emergency

 With a tap, MyresQ, can quickly have life-saving help on its way

Improving the odds: The MyresQ app helps connect to 5,805 qualified and certified rescuers while giving the precise location of the emergency after activation. — IZZRAFIQ ALIAS/The Star

PETALING JAYA: When rescuing someone in cardiac arrest, every second counts towards saving their life.

With that in mind, the MyresQ medical app was created to quickly alert nearby rescuers to hasten emergency response times.

The app provides the public with the last-mile emergency response, which is a vital link in the chain of survival.

Launched in March, the first-of-its-kind app has already been activated in 459 emergency cases nationwide, of which 127 or nearly 28% were related to sudden cardiac arrest. The others were medical emergencies such as fainting and chest pain.

It also has one of the most comprehensive databases for automated external defibrillators (AEDs), with 360 registered under the app.

MyresQ helps connect to 5,805 qualified and certified rescuers while giving the precise location of the emergency after activation.

Its co-founder Dr Mohd Afiq Mohd Nor said the idea for the app came in late 2022 after a person collapsed and nobody around could perform cardiopulmonary resuscitation (CPR).

Dr Afiq is an emergency physician consultant currently working in Universiti Malaya Medical Centre’s emergency medicine department, which is one of MyresQ’s partners.

ALSO READ: Digital solutions crucial for quick response, says Red Crescent

Following the incident, he said his colleagues and a few others thought about developing an app to activate responders.

“There was no system to activate responders to help people in need while waiting for an ambulance to arrive.

“It took us about three months to develop the app and we ran tests in 2023 to fine-tune it.

“We have yet to see the next part following the hospitalisation of the patients,” he said.

CLICK TO ENLARGECLICK TO ENLARGE

“Our focus is to increase the number of responders, to train and get people to use the app.

“A key performance index for an ambulance is to reach in 15 minutes after a call is made, but a study has found that it takes about 17 to 20 minutes on average,” said Dr Afiq.

He said the app team’s aim was to get those who received the notification within a 500m radius to reach the victim in four minutes.

Dr Afiq said emergency assistance for someone in cardiac arrest should be conducted within four to 10 minutes.

ALSO READ: Promoting a more vibrant community through sports

“This is because when the heart stops and there is no oxygen supply to the brain, it (the brain) will begin suffering damage,” he said.

As such, when the heart stops or someone has an attack, CPR and subsequent use of an AED are vital, he reiterated.

Regarding the AED, he said users could upload information of their locations to help people find and access them via the app.

When asked about the importance of having such an app, Dr Afiq said the activation of the system and CPR increased the survival rate.

“Even if you are not a responder, as a bystander you can activate the system, which helps tremendously as it notifies those within 500m.

“Among Malaysians, knowledge of CPR is taught in schools but there is no practical training for it, thus it becomes difficult for someone to perform it when needed.

“With the MyresQ app, one can start the CPR, activate the system and if there is an AED nearby, they can use it as well.

“Once you activate the system, you will be directed to 999 via the phone app call network,” he said, adding that the app can function nationwide.

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Digital solutions crucial for quick response, says Red Crescent

Promoting a more vibrant community through sports

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Tuesday, November 26, 2024

JAB AGAINST PNEUMONIA, TIME FOR ANOTHER VAX DRIVE

Stay covered: It’s suggested that a broader respiratory health strategy is needed, including promoting pneumococcal and influenza vaccinations and ensuring early diagnosis and treatment of respiratory infections.


There is a rise in deaths related to pneumonia, which is a highly avoidable disease. It has surpassed heart disease to become Malaysia’s leading cause of death in 2023. Health experts recommend pneumococcal vaccinations for adults and high-risk groups.

Ageing population calls for focus on adult pneumonia, say docs

PETALING JAYA: Malaysia should introduce pneumococcal vaccines for adults and high-risk groups following the steady rise in pneumonia-related deaths, say health experts.

While pneumococcal vaccination is already part of the National Immunisation Programme for children, they said there is no such programme yet for adults, the elderly, and those with chronic conditions.

Federation of Private Medical Practitioners’ Associations Malaysia president Dr Shanmuganathan Ganeson said Malaysia should integrate this vaccine as it has great public health benefits.

“Many countries have successfully reduced pneumonia-related morbidity and mortality by integrating pneumococcal vaccines. Malaysia should follow suit.

ALSO READ: Understanding Malaysia’s No. 1 killer

“It will help reduce hospital admissions by preventing severe pneumonia and invasive diseases, decrease healthcare costs by minimising complications and intensive care needs, and promote herd immunity by lowering bacterial transmission to protect unvaccinated individuals.

“Cost-effectiveness studies in other nations suggest that national-level vaccinations could have a long-term economic benefit alongside improved health outcomes,” he said in an interview yesterday.

Calling pneumonia a “highly avoidable disease”, Dr Shanmuganathan noted a rise in pneumonia-related deaths, particularly in 2021, due to Covid-19.

ALSO READ: Go big to fight pneumonia, says MMA

“Even after recovery, some individuals experienced secondary bacterial infections, further increasing pneumonia risks,” he added.

He pointed out that strained healthcare capacity also delayed treatment for other respiratory conditions.

At the same time, an ageing population and prevalent non-communicable diseases like diabetes and heart disease heightened pneumonia risks.

“The rise of antibiotic-resistant strains like Streptococcus pneumoniae has complicated treatment.

“Also, the lack of widespread adoption of the pneumococcal vaccine, especially among high-risk groups, leaves a significant portion of the population vulnerable,” he said.

Dr Shanmuganathan said the pneumococcal vaccine effectively reduces the risk of severe pneumococcal disease.

He added that the pneumococcal conjugate vaccine (PCV) can prevent up to 80% of invasive diseases in children.

“For the elderly and high-risk groups, the vaccine significantly lowers the risk of complications and death.

“Its efficacy varies depending on the individual health status and the vaccine type – either the PCV or the pneumococcal polysaccharide vaccine (PPSV).

“Importantly, it offers protection against antibiotic-resistant strains of pneumococcus, addressing a growing concern.

“Malaysians, especially high-risk groups, should get the pneumococcal vaccine available in hospitals and clinics.

“This includes children under two, adults over 65, those with chronic diseases and the immunocompromised,” he said, adding that increasing the awareness of the benefits of the vaccine and its availability at most clinics is important.

With pneumonia now the leading cause of death, Dr Shanmuganathan said it is essential to update the Covid-19 vaccination programme, focusing on new variants like XEC and vulnerable populations.

He emphasised that a broader respiratory health strategy is needed, including promoting pneumococcal and influenza vaccinations and ensuring early diagnosis and treatment of respiratory infections.

“Private general practitioners should be kept informed of these developments.

“The Health Ministry must remain proactive, despite diverting staff to address the doctor shortage in clinical sectors,” he said.

Association of Private Hospitals Malaysia president Datuk Dr Kuljit Singh said while Covid-19 infections may have been reduced, influenza cases are rising, with respiratory syncytial virus (RSV) becoming more recognised as a significant infection.

As such, he said the government should consider including pneumococcal vaccines in Malaysia’s national vaccination programme.

The vaccines, he added, should also be made readily available at private medical facilities and selected clinics.

“Such a programme should be introduced as it would help reduce morbidity and mortality, especially in the high-risk population.

“Vaccines should be made widely available to reduce the cost and burden of treating illnesses,” he said.

Dr Kuljit suggested that those in the high-risk group consider getting vaccinated to better protect themselves against pneumonia.

He said private medical centres are currently using the latest vaccine, Vaxneuvance, which helps protect against 15 types of pneumococcus.

The cost of pneumococcal vaccines ranges between RM280 and RM400, depending on the type used.

When asked, Dr Kuljit said the steady rise in pneumonia-related deaths in the past decade could be from the large number of high-risk populations due to the nation’s ageing population and those suffering from non-communicable diseases, which result in compromised immune systems.

He also said the increase in cigarette and e-cigarette smoking could also be a factor in the rise of such cases.

Smoking damages the cilia (tiny hair-like structures) in the respiratory tract that help clear pathogens and debris.

“This dysfunction can lead to a higher risk of respiratory infections, including pneumonia,” he said.

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Understanding Malaysia’s No. 1 killer

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