Arsenic in drinking water, hair, and prevalence of arsenicosis in Perak, Malaysia

Arsenic is a carcinogen element that occurs naturally in our environment. Humans can be exposed to arsenic through ingestion, inhalation, and dermal absorption. However, the most significant exposure pathway is via oral ingestion. Therefore, a comparative cross-sectional study was conducted to deter...

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Main Authors: Nurfatehar Ramly, Husna Maizura Ahmad Mahir, Wan Nurul Farah Wan Azmi, Zailina Hashim, Jamal Hisham Hashim, Rafiza Shaharudin
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.998511/full
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author Nurfatehar Ramly
Nurfatehar Ramly
Husna Maizura Ahmad Mahir
Wan Nurul Farah Wan Azmi
Zailina Hashim
Jamal Hisham Hashim
Rafiza Shaharudin
author_facet Nurfatehar Ramly
Nurfatehar Ramly
Husna Maizura Ahmad Mahir
Wan Nurul Farah Wan Azmi
Zailina Hashim
Jamal Hisham Hashim
Rafiza Shaharudin
author_sort Nurfatehar Ramly
collection DOAJ
description Arsenic is a carcinogen element that occurs naturally in our environment. Humans can be exposed to arsenic through ingestion, inhalation, and dermal absorption. However, the most significant exposure pathway is via oral ingestion. Therefore, a comparative cross-sectional study was conducted to determine the local arsenic concentration in drinking water and hair. Then, the prevalence of arsenicosis was evaluated to assess the presence of the disease in the community. The study was conducted in two villages, namely Village AG and Village P, in Perak, Malaysia. Socio-demographic data, water consumption patterns, medical history, and signs and symptoms of arsenic poisoning were obtained using questionnaires. In addition, physical examinations by medical doctors were performed to confirm the signs reported by the respondents. A total of 395 drinking water samples and 639 hair samples were collected from both villages. The samples were analyzed using Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) to determine arsenic concentration. The results showed that 41% of water samples from Village AG contained arsenic concentrations of more than 0.01 mg/L. In contrast, none of the water samples from Village P exceeded this level. Whilst, for hair samples, 85 (13.5%) of total respondents had arsenic levels above 1 μg/g. A total of 18 respondents in Village AG had at least one sign of arsenicosis and hair arsenic levels of more than 1 μg/g. Factors significantly associated with increased arsenic levels in hair were female, increasing age, living in Village AG and smoking. The prevalence of arsenicosis in the exposed village indicates chronic arsenic exposure, and immediate mitigation action needs to be taken to ensure the wellbeing of the residents in the exposed village.
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spelling doaj.art-d9800f34519844dd9997f52cec43fddb2023-02-16T12:24:34ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-02-011110.3389/fpubh.2023.998511998511Arsenic in drinking water, hair, and prevalence of arsenicosis in Perak, MalaysiaNurfatehar Ramly0Nurfatehar Ramly1Husna Maizura Ahmad Mahir2Wan Nurul Farah Wan Azmi3Zailina Hashim4Jamal Hisham Hashim5Rafiza Shaharudin6Environmental Health Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health, Setia Alam, MalaysiaDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MalaysiaCommunicable Disease Control Section, Public Health Division, Perak State Health Department, Ministry of Health, Ipoh, Perak, MalaysiaEnvironmental Health Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health, Setia Alam, MalaysiaDepartment of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, MalaysiaDepartment of Health Sciences, Faculty of Engineering and Life Sciences, Universiti Selangor, Bestari Jaya, Selangor, MalaysiaEnvironmental Health Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health, Setia Alam, MalaysiaArsenic is a carcinogen element that occurs naturally in our environment. Humans can be exposed to arsenic through ingestion, inhalation, and dermal absorption. However, the most significant exposure pathway is via oral ingestion. Therefore, a comparative cross-sectional study was conducted to determine the local arsenic concentration in drinking water and hair. Then, the prevalence of arsenicosis was evaluated to assess the presence of the disease in the community. The study was conducted in two villages, namely Village AG and Village P, in Perak, Malaysia. Socio-demographic data, water consumption patterns, medical history, and signs and symptoms of arsenic poisoning were obtained using questionnaires. In addition, physical examinations by medical doctors were performed to confirm the signs reported by the respondents. A total of 395 drinking water samples and 639 hair samples were collected from both villages. The samples were analyzed using Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) to determine arsenic concentration. The results showed that 41% of water samples from Village AG contained arsenic concentrations of more than 0.01 mg/L. In contrast, none of the water samples from Village P exceeded this level. Whilst, for hair samples, 85 (13.5%) of total respondents had arsenic levels above 1 μg/g. A total of 18 respondents in Village AG had at least one sign of arsenicosis and hair arsenic levels of more than 1 μg/g. Factors significantly associated with increased arsenic levels in hair were female, increasing age, living in Village AG and smoking. The prevalence of arsenicosis in the exposed village indicates chronic arsenic exposure, and immediate mitigation action needs to be taken to ensure the wellbeing of the residents in the exposed village.https://www.frontiersin.org/articles/10.3389/fpubh.2023.998511/fullarsenic poisoninghairwaterprevalencecarcinogensmass spectrometry
spellingShingle Nurfatehar Ramly
Nurfatehar Ramly
Husna Maizura Ahmad Mahir
Wan Nurul Farah Wan Azmi
Zailina Hashim
Jamal Hisham Hashim
Rafiza Shaharudin
Arsenic in drinking water, hair, and prevalence of arsenicosis in Perak, Malaysia
Frontiers in Public Health
arsenic poisoning
hair
water
prevalence
carcinogens
mass spectrometry
title Arsenic in drinking water, hair, and prevalence of arsenicosis in Perak, Malaysia
title_full Arsenic in drinking water, hair, and prevalence of arsenicosis in Perak, Malaysia
title_fullStr Arsenic in drinking water, hair, and prevalence of arsenicosis in Perak, Malaysia
title_full_unstemmed Arsenic in drinking water, hair, and prevalence of arsenicosis in Perak, Malaysia
title_short Arsenic in drinking water, hair, and prevalence of arsenicosis in Perak, Malaysia
title_sort arsenic in drinking water hair and prevalence of arsenicosis in perak malaysia
topic arsenic poisoning
hair
water
prevalence
carcinogens
mass spectrometry
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.998511/full
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