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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.


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

Friday, November 1, 2024

Videos: Banana is good for health, Shenzhou-19 lifts off with China’s third female astronaut

Banana is good for health

What Happens to Your Body When You Eat Bananas Every ...




China's space endeavor witnesses openness and self-reliance: Global Times editorial

China will continue to promote international space exchanges and cooperation in various forms with an open mind, share development achievements with other countries, improve outer space governance, and make space scientific and technological achievements more beneficial to mankind, so that the wisdom of mankind with a shared future will be ventured into the vast expanse of space.

Monday, September 30, 2024

Early treatment critical for stroke

 

 

Prof Dr Badrisyah Idris Neurosurgeon

  ACCORDING to the Institute of Health Metrics and Evaluation, stroke is the third leading cause of male mortality after ischaemic heart disease and pneumonia, and the second leading cause of female mortality after ischaemic heart disease in Malaysia.

The leading cause of mortality worldwide is heart disease, which accounts for 16% of all fatalities. Stroke follows closely, accounting for 11% of deaths. In addition, key contributors to disability and the rise in healthcare costs include heart disease and stroke. Heart disease and stroke share many similarities.

Many major risk factors for heart disease and stroke can be altered by implementing several easy lifestyle adjustments such as exercising, maintaining a healthy weight, abstaining from smoking, eating a heart-healthy diet and controlling your blood pressure.

Stroke is expected to become the second leading cause of mortality by 2040, according to the Global Burden of Disease Report. The increasing trends of non-communicable diseases such as diabetes, hypertension and obesity are posing substantial threats to stroke incidences in Malaysia.

On average, there are about 90 stroke admissions at Malaysian hospitals daily; with 40% of cases comprising patients below 60 years of age, and an average of 30 deaths owed to stroke. Almost 70% of stroke survivors live with many disabilities.

Stroke is characterised by a sudden disruption of brain function due to a disturbance in its blood supply. When the blood supply is abruptly cut off, brain cells are deprived of oxygen and essential nutrients, causing them to malfunction and eventually die.

Medical director and consultant neurosurgeon Prof Dr Badrisyah Idris at MSU

Medical Centre explains, “There are two types of stroke; ischaemic and haemorrhagic. Occurring in 80% of stroke cases, ischaemic stroke is owed to a narrowing of blood vessels by fat deposits or blood clots disrupting the blood supply to the brain. The remaining 20%, owed to ruptured blood vessels, can be caused by uncontrolled high blood pressure or a weakened blood vessel wall.

“Stroke survivors suffer different deficits according to the affected brain area. They may suffer from memory or emotional disturbances, or be challenged by speech, vision, sensory or movement difficulties. In a transient ischaemic attack, commonly called a mini-stroke, the symptoms hit for only a few minutes or hours and then disappear. Mini-strokes happen when the blood supply to the brain is interrupted only momentarily, though the chance of getting a permanent stroke within 48 hours rises tenfold and the risk remains high within three months.”

“With increasing age, the likelihood of getting an ischaemic stroke rises with the increased narrowing of the blood vessels. Other factors leading to stroke include smoking, obesity, alcoholism, high blood pressure, high blood cholesterol, and high blood sugar. Lifestyle changes and treatment optimisation may reduce the risk of getting a stroke.”

Anyone who has had a stroke should receive treatment at a hospital within three hours after the onset of stroke signs to reduce further damage to the brain. The majority of stroke patients arrived at the hospital only after seven hours, narrowing the window of opportunity to save the brain.

Recognising the onset of stroke with tools such as ‘BE FAST’ is crucial to reducing deaths and disabilities from delayed stroke treatment.

• B – Balancing difficulties • E – Eye and vision disturbances

• F – Facial weakness

• A – Arm and/or leg weakness

• S – Speech difficulties

• T – Time to call ambulance

When a person with a stroke reaches the hospital, a doctor will establish the circumstances leading to the stroke event by taking its history and then performing a physical examination to identify the risks and associated deficits. A brain scan will be performed to determine whether the stroke is ischaemic or haemorrhagic and which part of the brain is involved. Another scan or investigation called angiography may be performed to assess the brain’s blood flow pattern and blood vessel structure.

“The leading cause of mortality worldwide is heart disease, which accounts for 16% of all fatalities. Stroke follows closely, accounting for 11% of deaths. In addition, key contributors to disability and the rise in healthcare costs include heart disease and stroke.”

Stroke treatment

Treatment for stroke depends on the stroke type. For ischaemic strokes, restoring blood flow to the affected area is crucial and should be carried out within four hours of the stroke’s onset. This can be done by injecting a blood-thinning medication called alteplase into a vein in the arm to dissolve blood clots inside the brain’s blood vessels.

Another technique called endovascular therapy dissolves the blood clot inside the blocked brain vessel by directly injecting alteplase through a small catheter placed inside the affected blood vessel or removing the blood clot by retrieving it with a special device through a catheter placed inside the affected blood vessel.

For haemorrhagic strokes, the main goal of treatment is to control bleeding and to reduce the increased pressure in the brain. The high blood pressure has to be controlled by antihypertensive drugs, and the effect of the blood-thinning medication has to be reversed to reduce further bleeding. Ruptured blood vessels caused by cerebral aneurysms or arteriovenous malformations need to be treated by surgical intervention or endovascular therapy.

Following stroke treatment, the recovery phase for each stroke patient will depend on the extent of disabilities resulting from the stroke. Most stroke patients need to undergo physical therapy to regain limb functions or prevent severe limb spasticity. Some may also need speech therapy to improve their ability to speak and understand conversations.

By Prof Dr Badrisya Idris

Let’s meet our specialist!
Consultant Neurosurgeon (Brain & Spine), Prof. Dr. Badrisyah Idris.


Related posts:

Better access for stroke patients, and Helping stroke survivors in a pandemic



What is the Blood-Brain Barrier?

The blood vessels that vascularize the central nervous system exhibit unique properties which control the flow of cells, ions, and molecules from plasma to the brain. Referred to as the blood-brain barrier, it is vital for the protection of the brain and maintains homeostasis. Dysfunction of the blood-brain barrier is linked with a range of neurological conditions

Critical to improve health literacy

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

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