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  1. Article ; Online: Seroprevalence of dengue and chikungunya viruses among urban refugees in Klang Valley, Malaysia.

    Sahimin, Norhidayu / Low, Zhao Xuan / Hassandarvish, Pouya / Mohd Hanapi, Izzah Ruzana / Mohd Zain, Siti Nursheena / Yahaya, Hasmawati / Abu Bakar, Sazaly

    Transactions of the Royal Society of Tropical Medicine and Hygiene

    2024  Volume 118, Issue 5, Page(s) 328–335

    Abstract: Background: Mosquito-borne diseases pose a significant global public health threat, with Malaysia's Klang Valley experiencing numerous outbreaks in densely populated urban areas.: Methods: This study aimed to estimate the seroprevalence of anti- ... ...

    Abstract Background: Mosquito-borne diseases pose a significant global public health threat, with Malaysia's Klang Valley experiencing numerous outbreaks in densely populated urban areas.
    Methods: This study aimed to estimate the seroprevalence of anti-dengue and anti-chikungunya antibodies among urban refugees in the Klang Valley, Malaysia, and identify associated risk factors.
    Results: High seroprevalence of anti-dengue immunoglobulin G (IgG) and IgM (60.0% [confidence interval {CI} 55.39 to 64.48] and 9.2% [CI 6.77 to 12.25], respectively) were observed among refugees >18 years of age (χ22=11.720, p=0.003), Kachin ethnicity (χ28=72.253, p<0.001), without formal education (χ21=3.856, p=0.050), homes near waste disposal sites (χ21=10.378, p=0.001) and refugees who have experienced flooding (χ21=5.460, p=0.019). Meanwhile, the overall seroprevalence of anti-chikungunya IgG and IgM was 9.7% (CI 7.15 to 12.73) and 10.8% (CI 8.09 to 13.93), respectively, with ages 12-18 years (χ22=6.075, p=0.048), Rohingya ethnicity (χ28=31.631, p<0.001) and homes close to waste disposal sites (χ21=3.912, p=0.048) being significant risk factors. Results showed a link to poor environmental living conditions, with an increase in the vector population with higher availability of breeding sites and thus exposure to dengue and chikungunya virus.
    Conclusions: Health education among the community is the key to disease prevention, as there are no specific antiviral drugs for treatment and limited vaccine availability.
    MeSH term(s) Humans ; Malaysia/epidemiology ; Seroepidemiologic Studies ; Dengue/epidemiology ; Dengue/immunology ; Dengue/blood ; Male ; Chikungunya Fever/epidemiology ; Chikungunya Fever/blood ; Chikungunya Fever/immunology ; Female ; Adult ; Refugees/statistics & numerical data ; Adolescent ; Child ; Chikungunya virus/immunology ; Young Adult ; Antibodies, Viral/blood ; Immunoglobulin M/blood ; Middle Aged ; Immunoglobulin G/blood ; Dengue Virus/immunology ; Risk Factors ; Child, Preschool ; Urban Population
    Chemical Substances Antibodies, Viral ; Immunoglobulin M ; Immunoglobulin G
    Language English
    Publishing date 2024-01-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 441375-1
    ISSN 1878-3503 ; 0035-9203
    ISSN (online) 1878-3503
    ISSN 0035-9203
    DOI 10.1093/trstmh/trad097
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Intestinal parasitic infections and risk analysis among urban refugees in the Klang Valley, Malaysia.

    Mohd Hanapi, Izzah Ruzana / Behnke, Jerzy M / Sahimin, Norhidayu / Saifulazmi, Nur Fadlin / Golam Mohammad Khan, Ashah Sara Jehan / Abdul Mutalib, Raisya Nur Syazmeen / Lau, Yee Ling / Mohd Zain, Siti Nursheena

    Transactions of the Royal Society of Tropical Medicine and Hygiene

    2023  Volume 118, Issue 1, Page(s) 18–32

    Abstract: Background: Global studies show intestinal parasitic infections (IPIs) have been introduced and spread with refugee inflows from low to high socio-economic countries. However, there is relatively limited information on the prevalence of infections among ...

    Abstract Background: Global studies show intestinal parasitic infections (IPIs) have been introduced and spread with refugee inflows from low to high socio-economic countries. However, there is relatively limited information on the prevalence of infections among the community.
    Methods: A 2-year cross-sectional study was conducted to determine the prevalence and associated risk factors for infections among urban refugees in the Klang Valley, Malaysia. A total of 418 faecal samples were collected and examined by microscopy.
    Results: Faecal screening revealed moderate levels (32.3%) of infections in the community. Three nematode (Ascaris lumbricoides, Trichuris trichiura and hookworm) and three protozoan species (Entamoeba, Giardia and Cryptosporidium) were recorded, with the highest prevalence being A. lumbricoides (20.6%) followed by T. trichiura (10.3%), while other infections were <5%. Statistical analysis found that young males with less education were more likely to be infected with helminths. Additionally, living near waste disposal sites, the presence of stray animals, eating with bare hands, bare footedness, poor handwashing practices and no anthelmintic treatment constituted significant risk factors for helminth infections. Protozoan infections were linked to drinking tap water or from water dispensers and poor handwashing practices.
    Conclusions: These findings emphasize the importance of health education in addition to introduction of biannual anthelmintic treatment to promote community health and well-being.
    MeSH term(s) Male ; Animals ; Humans ; Refugees ; Cross-Sectional Studies ; Malaysia/epidemiology ; Cryptosporidiosis ; Cryptosporidium ; Intestinal Diseases, Parasitic/epidemiology ; Intestinal Diseases, Parasitic/parasitology ; Risk Factors ; Risk Assessment ; Water ; Prevalence ; Feces/parasitology
    Chemical Substances Water (059QF0KO0R)
    Language English
    Publishing date 2023-07-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 441375-1
    ISSN 1878-3503 ; 0035-9203
    ISSN (online) 1878-3503
    ISSN 0035-9203
    DOI 10.1093/trstmh/trad047
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Seroprevalence and Associated Risk Factors for Toxoplasma gondii Infections Among Urban Poor Communities in Peninsular Malaysia.

    Sahimin, Norhidayu / Mohd Hanapi, Izzah Ruzana / Nurikhan, Zarin Amalina / Behnke, Jerzy M / Mohd Zain, Siti Nursheena

    Acta parasitologica

    2020  Volume 66, Issue 2, Page(s) 524–534

    Abstract: Purpose: Toxoplasmosis is a zoonotic infection linked to compromised hygiene and sanitation via the handling of infected cat faeces, eating undercooked contaminated meat or transplacental transmission. We conducted a study to determine seroprevalence ... ...

    Abstract Purpose: Toxoplasmosis is a zoonotic infection linked to compromised hygiene and sanitation via the handling of infected cat faeces, eating undercooked contaminated meat or transplacental transmission. We conducted a study to determine seroprevalence and risk factors associated with toxoplasmosis among the urban poor communities in Malaysia.
    Methods: The demographic profiles for each participant were obtained through a questionnaire survey prior to blood collection. A total of 389 participants were recruited and blood samples screened for the presence of anti-Toxoplasma IgG and IgM antibody using an ELISA commercial kit, SERION ELISA classic Toxoplasma gondii IgG and IgM.
    Results: The overall T. gondii seroprevalence was 69.6% with 56.8% seropositive for anti-Toxoplasma IgG, 7.7% seropositive for anti-Toxoplasma IgM and 5.1% seropositive for both IgG and IgM antibodies. The presence of both antibody classes in blood samples indicated high avidity, suggesting latent infection. Univariate analysis revealed significant associations that included; age, ethnicity, location and employment status while, significant lifestyle factors included source of drinking water and eating style. A multifactorial statistical model that incorporated all the significant effects from the first-stage univariate analyses listed above revealed that age and ethnicity were the two dominant and independent effects on IgG seroprevalence. For seroprevalence of IgM, the multifactorial model revealed a significant interaction between work and accommodation. IgM seroprevalence was higher among the unemployed inhabitants of PPR (Program Perumahan Rakyat) than those living in non-PPR accommodation, and higher than among the employed irrespective of their accommodation.
    Conclusion: High seroprevalence of Toxoplasmosis in the community calls for increased awareness of disease transmission and improvements in hygiene and sanitation.
    MeSH term(s) Animals ; Antibodies, Protozoan ; Cats ; Cross-Sectional Studies ; Humans ; Immunoglobulin M ; Malaysia/epidemiology ; Risk Factors ; Seroepidemiologic Studies ; Toxoplasma ; Toxoplasmosis/epidemiology
    Chemical Substances Antibodies, Protozoan ; Immunoglobulin M
    Language English
    Publishing date 2020-11-21
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 1132735-2
    ISSN 1896-1851 ; 0065-1478 ; 1230-2821
    ISSN (online) 1896-1851
    ISSN 0065-1478 ; 1230-2821
    DOI 10.1007/s11686-020-00304-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Prevalence of anti-Leptospira antibodies and associated risk factors in the Malaysian refugee communities.

    Mohd Hanapi, Izzah Ruzana / Sahimin, Norhidayu / Maackara, Michael John Banuru / Annisa, Aufa Shofia / Abdul Mutalib, Raisya Nur Syazmeen / Lewis, John W / Behnke, Jerzy M / Lau, Yee Ling / Mohd Zain, Siti Nursheena

    BMC infectious diseases

    2021  Volume 21, Issue 1, Page(s) 1128

    Abstract: Background: Refugees in Malaysia, who are afflicted by poverty, conflict and poor health, are vulnerable to a range of zoonotic infections in the deprived environmental and social conditions under which they live. Exposure to infections such as ... ...

    Abstract Background: Refugees in Malaysia, who are afflicted by poverty, conflict and poor health, are vulnerable to a range of zoonotic infections in the deprived environmental and social conditions under which they live. Exposure to infections such as leptospirosis, for which rodents are primary hosts, is of particular concern.
    Methods: A wellness program was conducted to determine the presence of antibodies against Leptospira (seroprevalence) in 11 refugee community schools and centers in the Klang Valley, Malaysia. A total of 433 samples were assessed for IgG and IgM antibodies against Leptospira, using enzyme-linked immunosorbent assays (ELISA).
    Results: Overall Leptospira seroprevalence was 24.7%, with 3.0% being seropositive for anti-Leptospira IgG and 21.7% for anti-Leptospira IgM. Factors significantly associated with overall Leptospira seroprevalence included: age, ethnicity, pet ownership, knowledge of disease and awareness of disease fatality. For IgM seroprevalence, significant risk factors included sex, ethnicity, eating habits with hands, pet ownership, the presence of rats, walking in bare feet and water recreation visits.
    Conclusions: These findings highlight the need for improvements in health and well-being among the refugee community through disease awareness programs and provision of healthy behavior programs, particularly in hygiene and sanitation through community engagement activities.
    MeSH term(s) Animals ; Antibodies, Bacterial ; Humans ; Leptospira ; Leptospirosis/epidemiology ; Prevalence ; Rats ; Refugees ; Risk Factors ; Seroepidemiologic Studies
    Chemical Substances Antibodies, Bacterial
    Language English
    Publishing date 2021-11-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041550-3
    ISSN 1471-2334 ; 1471-2334
    ISSN (online) 1471-2334
    ISSN 1471-2334
    DOI 10.1186/s12879-021-06830-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Seroprevalence of Anti-

    Sahimin, Norhidayu / Sharif, Siti Aishah / Mohd Hanapi, Izzah Ruzana / Nai Chuan, Sukchinda / Lewis, John W / Douadi, Benacer / Mohd Zain, Siti Nursheena

    The American journal of tropical medicine and hygiene

    2019  Volume 101, Issue 6, Page(s) 1265–1271

    Abstract: Leptospirosis is a zoonotic bacterial disease caused by pathogenic species of the ... ...

    Abstract Leptospirosis is a zoonotic bacterial disease caused by pathogenic species of the genus
    MeSH term(s) Adolescent ; Adult ; Age Factors ; Antibodies, Bacterial/blood ; Child ; Diagnostic Screening Programs/statistics & numerical data ; Female ; Humans ; Immunoglobulin G/blood ; Immunoglobulin M/blood ; Leptospira ; Leptospirosis/epidemiology ; Leptospirosis/immunology ; Leptospirosis/transmission ; Malaysia/epidemiology ; Male ; Middle Aged ; Poverty/statistics & numerical data ; Prevalence ; Risk Assessment ; Risk Factors ; Seroepidemiologic Studies ; Urban Population/statistics & numerical data ; Young Adult
    Chemical Substances Antibodies, Bacterial ; Immunoglobulin G ; Immunoglobulin M
    Language English
    Publishing date 2019-10-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2942-7
    ISSN 1476-1645 ; 0002-9637
    ISSN (online) 1476-1645
    ISSN 0002-9637
    DOI 10.4269/ajtmh.19-0003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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