CHAPTER 6

Existing Environment

ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT INDUSTRIAL ESTATE, KEMAMAN, FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Chapter

6 EXISTING ENVIRONMENT

6.1 Introduction

This chapter presents an overview of the existing environmental conditions surrounding the Project area. The discussion is limited to the factors and environmental components that could have a direct impact on the Project, or that could be impacted by the development or operation of the Project.

Information presented in these sections has been drawn from published literature, government agencies records and literature studies as well as field investigations and primary data collection.

Information on the existing environment will be utilised for assessing the degree of impact from the development of the Project towards the environment which will be discussed in Chapter 7 of this EIA Report.

6.2 Physical Environment

This section outlines the existing physical characteristics of the Project site and its surroundings.

6.2.1 Topography

Kemaman Districts which covers an area of 253,560 ha is located at the south of Terengganu. General terrain throughout Kemaman is flat with 31.7% of it is covered by vegetation.

The Proposed Project is sited on a flat area, at level of 5.8 m (19 ft) to 7m (23 ft) above mean sea level (AMSL) within Teluk Kalong Industrial Estate (TKIE). Currently the Proposed Project site is a vacant land, surrounded by other industries; majorities are related to services for petroleum and chemical industry. Plate 6.2.1 show the existing condition of the Project site.

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Plate 6.2.1: Existing Condition of Proposed Project Site

6.2.2 Geology and Soil

Based on the Geological Map of Peninsular 1985, the underlying geological characteristics of the Project site were of the Quaternary which existed 2.588 ± 0.005 million years ago. It consists of marine and continental deposits: clay, silt, sand, peat with minor gravel. The lithology of the area consists of unconsolidated deposits i.e. peat, humic clay and silt. The geological formation of the Project area is shown in Figure 6.2.2.1.

Based on the Reconnaissance Soil Map of Peninsular Malaysia 1968, the entire Project site is located on peat soil which falls under the on coastal plains and/or riverine category of alluvial soil series (shown in Figure 6.2.2.2). Peat soil is dark brown in colour. It is formed in wet climate and found in swampy areas. The peat soil has less nutrients and contains more organic matter. Nevertheless, the Project site has been reclaimed/filled during development of Teluk Kalong Industrial Estate.

6.2.3 Hydrology and Drainage System

Based on observation made during site visit, no river was found within the Project site. Sg , a tributary of Sg. Kemaman is the nearest river, the hydrology map is shown in Figure 6.2.3.1(b). Sg Chukai catchment covers an area of 377 km2 and among its tributaries are Sg Ibok, Sg Ruang, Sg Mekelok and Sg Bungkus. There is no water intake station downstream of Project site, the river flow is shown in Figure 6.2.3.1(a).

At present, the Proposed Project site is served with Teluk Kalong Industrial Estate drainage network system. There are two main drains located within the TKIE namely Main Drain 2 and Main Drain 3. Main Drain 2 serves the eastern and southern half of the TKIE meanwhile Main Drain 3 serves the northern part. Plate 6.2.2 shows the existing drainage available at the Project area.

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HYDROLOGY MAP ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Plate 6.2.2: Existing Drainage at the north boundary of the Proposed Project Site

6.2.4 Meteorology

Meteorology of an area can be described by wind pattern, rainfall amount, surface temperature and relatively humidity measured at the area. experiences an equatorial type of climate characterised by warm and humid weather all year round with intermittent rainfall. There are two distinct monsoon seasons, the Northeast Monsoon (from November to March) and the Southwest Monsoon (from May to September).

The meteorology of an area can be described by the wind pattern, rainfall amount, surface temperature and relatively humidity measured at the area. Meteorological data of the Project site was acquired from the nearest Malaysian Meteorological Service (MMS) station at the Sultan Ahmad Shah (SAS) Airport in Kuantan, which is approximately 80 km from the Project site. The meteorological station is located at 3° 47’ N, 103° 13’ E. In general, the climate of Malaysia is equatorial characterized by uniform temperatures, high humidity and copious rainfall throughout the year with little seasonal variation. Annual and Seasonal Wind Rose Summary covers data period of 1968 to 2017

6.2.4.1 Surface Wind

Wind flow pattern in terms of direction and speed is important to understand the role of wind in transporting and dispersing air pollutants. The wind pattern was recorded from 1968 to 2017. Annual wind record and profile are as shown in Table 6.2.4.1. Based on the wind profile, it is noted that the most prevailing wind flow is from the north (approximately 26.4% of the time) and southwest (approximately 11.2% of the time). Wind speeds are generally low occurring below 3.3 m/s for 62% of the time and rarely exceeding 5.4 m/s (1.9%). Higher wind speeds are typically associated with winds from the north, northeast, east, south and southwest. Calm weather occurs about 19.3% annually. The annual and seasonal wind rose is shown in Figures 6.2.4.2(a) and 6.2.4.2(b).

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Table 6.2.4.1: Annual Windrose Summary - Percentage Frequencies of Occurrence for Concurrent Wind Direction (1968-2017) Wind speed range Direction 0.3-1.5 1.6-3.3 3.4-5.4 5.5-7.9 8.0-10.7 >10.7 Total Mean Speed Calm 19.3 Variable 0 0 0 0 0 0 0 N 11.5 11.4 3.3 0.2 0 0 26.4 2 NE 2.4 3.3 2.9 0.6 0 0 9.2 2.9 E 1.6 3.1 3.8 0.4 0 0 8.9 3.1 SE 1.6 1.6 0.6 0 0 0 3.9 2.1 S 3.7 4.5 1.5 0.1 0 0 9.8 2.1 SW 3.5 4.2 3 0.4 0 0 11.2 2.6 W 2.4 1 0.5 0.1 0 0 4 1.7 NW 3.7 2.5 0.7 0.1 0 0 6.9 1.8 Source: Malaysian Meteorological Department (2018)

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Source: Malaysian Meteorological Department (2018)

Figure 6.2.4.2(a): Annual Wind Rose Summary

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Source: Malaysian Meteorological Department (2018)

Figure 6.2.4.2(b): Seasonal Wind Rose Summary

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6.2.4.2 Temperature

Figure 6.2.4.3 shows the 24-hr mean temperature for each month of the year averaged over the period from 1968 to 2017. The graph shows that mean temperature varied from 25.1 °C to 27.5 °C with a range difference of 2.4 °C. Lower 24-hr mean temperatures is observed to be between November and February each year can be attributed to the high precipitation and high cloud cover during the wet northeast monsoon period. The highest 24-hr mean temperatures are observed in May. The mean annual temperature is 26.4°C

Figure 6.2.4.3: Averaged 24-hour Mean Temperature in Kuantan (1968 - 2017)

6.2.4.3 Relative Humidity

Figure 6.2.4.4 shows the 24-hour mean monthly humidity averaged over 1968 to 2017. Throughout the years, the 24-hr mean monthly relative humidity remains high ranging between 83.7% and 89 %. The lowest relative humidity occurs in the month of August and the highest humidity occurs in December. The average annual 24-hour relative humidity is 85.2%.

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Figure 6.2.4.4: 24-Hour Mean Relative Humidity in Kuantan (1968-2017)

6.2.4.4 Rainfall

The average annual rainfall recorded at Kuantan Airport from 1968 to 2017 is 2949.3 mm with an average of 184.5 rain days per year. The highest annual rainfall was recorded at 4186.2 mm in 1972. Although rainfall is heavy throughout the year, variations are evident (as shown on Figure 6.2.4.5). The wettest months are November, December and January during the northeast monsoon, and driest in February. The average monthly rainfall ranges between 135.5 mm and 675.2 mm. The lowest rain days is recorded in February with 524 rain days throughout the years from 1968 to 2017. Table 6.2.4.2 shows the monthly minimum, mean and maximum number of rain days in Kuantan.

Table 6.2.4.2: Number of Rain Days in Kuantan (1968-2017) Jul Oct Oct Jan Jan Apr Feb Feb Mar Jun Sep Dec Nov Aug May Month Month Annual

Total 678 629 892 1038 983 846 1012 1068 1041 1140 1319 1007 11653

Min 2 0.0 3 5 6 5 9 9 7 10 13 5 140 Mean 10.1 9.4 13.3 15.5 14.7 12.6 15.1 15.9 15.5 17 19.7 15 173.9 Max 21 21 21 22 23 22 23 23 24 24 26 25 224

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Figure 6.2.4.5: Monthly Minimum, Mean and Maximum Rainfall in Kuantan (1968-2017)

6.2.5 Environmental Baseline

6.2.5.1 Surface Water Quality

In order to gauge surface water quality at the Project site, baseline for water quality were carried out in January 2019 at pre-identified monitoring locations as described in Table 6.2.5.1 and shown on Figure 6.2.5.1. Water samples were tested by SAMM accredited laboratory in accordance to APHA Standard Methods and other established methods. The laboratory test reports are appended in Appendix 6.2.5.

Table 6.2.5.1: Baseline Water Quality Sampling Locations

Station Approximate Coordinates Justification W1 N 4° 17' 49.28" To represent the existing water quality at the existing TKIE drainage located upstream of the Project site E 103° 26' 40.93" W2 N 4° 17' 49.33" To represent the existing water quality at the existing TKIE drainage located downstream of the Project site E 103° 26' 41.53" W3 N 4° 17' 41.36" To represent the existing water quality at the existing TKIE drainage located further downstream of the Project site E 103° 26' 41.99" W4 N 4 °17' 33.7" To represent the existing water quality at main drain TKIE located further downstream of the Project site E 103° 26' 53.5" W5 N 4° 17' 34.3" To represent the existing water quality at Sg Chukai located further downstream of the Project site E 103° 25' 08.4"

Test results are tabulated in Table 6.2.5.2 were compared with the National Water Quality Standards for Malaysia (NWQSM). Generally, most of the tested water parameters could comply with Class II B requirement. The calculated Water Quality Index (WQI) were in between 55.27 and 91.10 which exhibits Class III (Polluted) and Class II (Clean) water quality.

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Dissolved oxygen level in water sample from W2 and W3 during where significantly low during the sampling with only 2.0 mg/L and 1.1 mg/L respectively. The required level for DO is in the range of 5 to 7mg/L in Class IIB. This indicated low oxygen level and obviously correlates with the high BOD results of the W2 and W3; 21.3mg/L and 17.8mg/L respectively. The sampling locations for both W2 and W3 located on the the existing TKIE drainage located further downstream of the Project site indicating the current water quality conditions for the overall of Main Drain 2 of TKIE. Further downstream of the Project site towards Sg Chukai, the water quality improves.

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Table 6.2.5.2: Baseline Water Quality Results

W1 W2 W3 W4 W5 NWQSM

PARAMETER METHOD UNIT Date: 31/01/19 Date: 31/01/19 Date: 31/01/19 Date: 31/01/19 Date: 31/01/19

Time: 2.00 pm Time: 2.30 pm Time: 2.45pm Time: 3.00 pm Time: 10.30 am Class IIB

Temperature APHA 2550 B, 2017 ᵒC 28.8 28.2 28.2 28.7 29.1 Normal + 2

pH value APHA 4500-H⁺ B, 2017 - 7.3 6.8 6.9 8.1 6.2 6-9

Dissolved Oxygen APHA 4500- O G, 2017 mg/L 7.2 2.0 1.1 5.1 5.6 5-7

Turbidity APHA 2130 B, 2017 NTU 8.2 27.0 28.0 9.0 16.0 50

Free Residual Chlorine In House Method 0501 based on Palintest Comparator mg/L < 0.1 < 0.1 < 0.1 < 0.1 < 0.1 -

Biochemical Oxygen Demand APHA 5210 B & 4500-O G, 2017 mg/L 2.2 21.3 17.8 4.0 9.4 3

Chemical Oxygen Demand APHA 5220 C, 2017 mg/L 27.0 42.0 34.0 19.0 47.0 25

Total Suspended Solids APHA 2540 D, 2017 mg/L < 5.0 22.8 45.0 7.7 8.5 50

Ammoniacal-Nitrogen APHA 4500-NH3 B & F, 2017 mg/L 0.05 0.05 0.05 < 0.05 0.1 0.3

Oil and Grease APHA 5520 B, 2017 mg/L 1,3 < 1.0 1.9 2.1 < 1.0 7;N

Phenol APHA 5530 B & C, 2017 mg/L < 0.01 < 0.01 0.02 0.0 0.0 10

Cyanide APHA 4500-CNˉ C & F, 2017 mg/L < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 0.02

Sulphide APHA 4500 S²ˉ D, 2017 mg/L < 0.10 < 0.10 0.17 < 0.10 < 0.10 0.05

Total Coliform Count APHA 9221 B, 2017 MPN/100 mL 33 > 1.6 x10⁴ > 1.6 x10⁴ > 1.6 x10⁴ 1.3 x 10³ 5000

Fecal Coliform Count APHA 9221 E, 2017 MPN/100 mL 33 > 1.6 x10⁴ > 1.6 x10⁴ > 1.6 x10⁴ 7.9 x10² 400

Lead mg/L 0.001 0.001 < 0.001 0.002 0.002 0.05

Copper mg/L 0.053 0.041 < 0.001 0.041 0.075 0.02

Zinc mg/L 0.075 0.039 0.017 0.057 0.083 5

Nickel mg/L 0.010 0.026 0.005 0.017 0.013 0.05

Cadmium mg/L < 0.001 < 0.001 < 0.001 <0.001 <0.001 0.01

Total Chromium mg/L 0.001 0.002 0.003 0.006 0.002 0.05 APHA 3125 B, 2017 Iron mg/L 0.136 2.48 6.64 9.89 1.48 1

Mercury mg/L 0.0004 0.0002 < 0.0001 < 0.0001 < 0.0001 0.001

Arsenic mg/L < 0.001 0.002 0.003 0.002 0.001 0.05

Tin mg/L 0.001 < 0.001 < 0.001 < 0.001 < 0.001 -

Boron mg/L < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 1

Magnesium mg/L 2.9 3.6 1.9 4.8 3.4 - 55.27 91.10 57.44 83.57 77.13 WQI - - (Class III) - (Class II) Clean (Class III) Polluted (Class II) Slightly Polluted (Class II) Clean Polluted

Notes: MPN – Most Probable Number; < - Less than the minimum detection limit reported

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6.2.5.2 Ambient Air Quality

In order to gauge baseline ambient air quality within the Project site and at the identified sensitive receptors, five sampling locations were established as listed in Table 6.2.5.3 and shown in Figure 6.2.5.1. Ambient air quality sampling was carried in January 2019.

Table 6.2.5.3: Baseline Ambient Air Quality Sampling Locations

Station Approximate Coordinates Justification A1 N 04° 17' 48.7" Represent the existing air quality within the Project site E 103° 26' 46.2" A2 N 04° 18' 59.2", Represent the existing air quality at the nearest receptor i.e. Kg Bukit Anak Dara at the north of the Project site E 103° 26' 42.1" A3 N 04° 18' 08.8", Represent the existing air quality at the nearest receptor i.e. Kg Pancur that is located at the east of Project site E 103° 28' 21.5" A4 N 04° 15' 53.3", Represent the existing air quality at the nearest receptor i.e. Kg Bukit Kuang that is located at the southwest of Project site E 103° 25' 51.8" A5 N 04° 17' 26.5", Represent the air quality at the nearest receptor i.e. Rumah Mampu Milik Telok Kalong on the west of the Project Site E 103° 28' 10.7"

Ambient air parameters listed in Table 6.2.5.4(a) were analysed at a SAMM accredited laboratory using appropriate standard test methods. Laboratory Test Certificates are appended in Appendix 6.2.5 and the test results as tabulated in Table 6.2.5.4 (a) were compared against the Malaysia Ambient Air Quality Standard (MAAQS) and Arizona Ambient Air Quality Standard.

Based on the ambient air test results, it was observed that the ambient air quality sampling results complied with the MAAQS and AAAQS where applicable.

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Table 6.2.5.4(a): Baseline Ambient Air Quality Results

A1 A2 A3 A4 A5 Malaysia Ambient Air Quality Date: 30/01/19 - Date: 27/01/19 - Date: 28/01/19 - Date: 31/01/19 - Date: 29/01/19 - Standards Parameter Method 31/01/19 28/01/19 29/01/19 01/02/19 30/01/19 *Arizona Ambient Time: 5.27 pm – Time: 1.32 pm - Time: 2.53 pm - Time: 7.09 pm - Time: 4.15 pm - Air Quality 5.27 pm 1.32 pm 2.53 pm 7.09 pm 4.15 pm Standard

3 12.5 32.7 10.4 17.4 15.2 PM10, µg/m AS/NZS 3580.9.6: 2003 100 @ 24 hrs

3 PM2.5, µg/m AS/NZS 3580.9.6: 2003 < 10.0 < 10.0 < 10.0 < 10.0 < 10.0 35 @ 24 hrs

3 In House Method based on Methods of air sampling and analysis, NO2, µg/m <6.0 <6.0 <6.0 <6.0 <6.0 280 @ 1 hr 3rd Edition, Method 704A (sampling excluded)

3 In House Method based on Methods of air sampling and analysis, SO2, µg/m <20 <20 <20 <20 <20 80@ 24 hrs 3rd Edition, Method 818A (sampling excluded)

CO, ppm In-situ <5.0 <5.0 <5.0 <5.0 <5.0 10 @ 8 hr

Extracted from filter paper < 1.5 < 1.5 < 1.5 < 1.5 < 1.5 Lead as Pb, µg/m3 - ICPMS Extracted from filter paper < 0.2 < 0.2 < 0.2 < 0.2 < 0.2 Cadmium, µg/m3 *0.2 @ 24 hrs ICPMS Extracted from filter paper Copper as Cu, µg/m3 < 5.0 < 5.0 < 5.0 < 5.0 < 5.0 - ICPMS Extracted from filter paper Chromium as Cr, µg/m3 <4.0 <4.0 <4.0 <4.0 <4.0 *4.0 @ 24 hrs ICPMS Extracted from filter paper Mercury as Hg, µg/m3 <0.1 <0.1 <0.1 <0.1 <0.1 *0.4 @ 24 hrs ICPMS

Extracted from filter paper Arsenic as As, µg/m3 <0.01 <0.02 <0.03 <0.04 <0.05 *0.016 @ 24 hrs ICPMS

Hydrogen Chloride Content as HCl, mg/m3 OSHA ID 174SG (sampling excluded) <1.0 <1.0 <1.0 <1.0 <1.0 *0.21 @ 1 hr

Fluoride as Hydrogen Fluoride (HF), mg/m3 OSHA ID 110 ND<2.5 ND<2.5 ND<2.5 ND<2.5 ND<2.5 -

3.44x10^-6 4.72x10^-6 4.69x10^-5 5.26x10^-6 4.50x10^-6 PCDD/PCDF, ng TEQ / m3 US EPA TO-9A -

Note: *AAAQG limit

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Table 6.2.5.4 (b): Reference Data of Air Quality (Teluk Panglima Garang)

Parameter Results MAAQS (2020) Point A1 Point A2 Point 3 Point 4

3 PM10 (µg/m ) 30 38 61 78 100

3 SO2 (µg/m ) <5 <5 <5 <5 80

3 NO2 (µg/m ) <5 <5 <5 <5 280 CO (mg/m3) <0.1 <0.1 <0.1 <0.1 30 Source: EIA Teluk Panglima Garang Tri EcoEdge Sdn Bhd 2017

6.2.5.3 Ambient Noise Level

In order to gauge the existing noise climate at the Project’s boundary, two monitoring locations were established as described in Table 6.2.5.5 and further illustrated in Figure 6.2.5.1. Baseline noise measurement was conducted from 27 January 2019 to 28 January 2019.

Table 6.2.5.5: Baseline Noise Measurement Locations

Station Approximate Coordinates Justification N1 4°17'48.3"N Represent the existing noise level within the North of the Project site 103°26'48.8"E N2 4°17'48.3"N Represent the existing noise level within the South of the Project site 103°26'52.5"E

Noise measurements was conducted using a calibrated sound level meter and continuously over 24 hours period to represent 15 hours (7 am to 10 pm) day time and 9 hours (10 pm to 7 am) night time. Measured

parameters include Leq, Lmax, Lmin, L10 and L90. Extraneous and significant noise contributors were observed and recorded during the monitoring sessions.

Noise levels presented in Table 6.2.5.6, indicates that the Leq levels at N1 and N2 during day time were

within the guideline limit of 70 dB(A). Meanwhile, Leq levels during night time at both were within the guideline limit of 60 dB(A).

Table 6.2.5.6: Baseline Noise Level Results

Noise Measurement, dB(A) DOE’s Noise Contributing Regulated Location Date and Time Leq L10 L90 Lmax Lmin Activities Noise Limit Major: Sound from 27/1/19-28/1/19 vehicles movements- 02.02 pm -10.00 pm lorry and forklift 49.0 50.7 46.3 77.5 41.2 70 07.00 am – 02.02 pm Minor: Surrounding (Day time) neighbour workers' activities N1 Major: Sound from vehicles movements- 27/1/19-28/1/19 lorry and forklift 10.00 pm - 07.00 am 45.0 46.2 42.8 72.6 38.4 60 Minor: Surrounding (Night time) neighbour workers' activities

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Noise Measurement, dB(A) DOE’s Noise Contributing Regulated Location Date and Time Leq L10 L90 Lmax Lmin Activities Noise Limit Major: Sound from 27/1/19-28/1/19 vehicles movements- 02.02 pm -10.00 pm lorry and forklift 51.2 53.2 46.4 82.6 41.6 70 07.00 am – 02.02 pm Minor: Surrounding (Day time) neighbour workers' activities N2 Major: Sound from vehicles movements- 27/1/19-28/1/19 lorry and forklift 10.00 pm - 07.00 am 47.5 48.7 44.5 76.3 38.1 60 Minor: Surrounding (Night time) neighbour workers' activities

Note: *Schedule 1: Maximum Permissible Sound Level (LAeq) By Receiving Land Use for Planning and New Development

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

6.3 Biological Environment

The proposed Project site is located on a vacant land area within Teluk Kalong Industrial Estate. The immediate surroundings of the Proposed Project site have been cleared and developed into industries; therefore no flora and fauna of significant values are present at the area. During site visit, only common grass, lalang, shrubs and recently grown acacia trees were observed as shown in Plate 6.3.1.

Plate 6.3.1: Current Site Conditions

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

6.4 Land Use

A survey to record the existing land uses surrounding the Project site up to 5 km radius was carried out in January 2019-June 2019.

6.4.1 Existing Land Use within 5 km radius from Project Site

Existing land use within 5 km radius from the Project site is shown in Figure 6.4.1.1 (a-d). The prominent land uses within 5 km radius from the Project site are listed in Table 6.4.1.1.

Table 6.4.1.1: Land Use within 5 km Radius

Land Use Distance from Description Plates Type Project Site

Industry Up to 250 m . QESB Radius . Mushtari Engineering & Trading Sdn Bhd

. PBJV Group Sdn Bhd

. RHM Trading & Transport Services Sdn Bhd

. NSR Waste Management Sdn Bhd QESB (north) Mushtari Engineering & Trading Sdn Bhd (northeast) . Protection Rigging Access Services Sdn Bhd

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Feb CHEMSAIN KONSULTANT SDN. BHD.

'08+410/'06#.+/2#%6#55'55/'06 (146*'241215'&%.+0+%#.9#56' 64'#6/'062.#06#66'.1--#.10) +0&7564+#.'56#6'-'/#/#0 6'44'0))#07(144#&+%#4' / 5&0$*&

LEGEND:

241,'%65+6'

 2(%'PIKPGGTKPI5FP$JF  

  

/4CFKWU

/4CFKWU  

-/4CFKWU

LAND USE WITHIN 1KM

5174%')QQING'CTVJ (+)74'# CHEMSAIN KONSULTANT SDN. BHD.

'08+410/'06#.+/2#%6#55'55/'06 3KM RADIUS (146*'241215'&%.+0+%#.9#56' 64'#6/'062.#06#66'.1--#.10) +0&7564+#.'56#6'-'/#/#0 6'44'0))#07(144#&+%#4' / 5&0$*&

2KM RADIUS LEGEND:

241,'%65+6'

 2(%'PIKPGGTKPI5FP$JF  



 





LAND USE WITHIN 3KM

5174%')QQING'CTVJ (+)74'$ CHEMSAIN KONSULTANT SDN. BHD.

'08+410/'06#.+/2#%6#55'55/'06 (146*'241215'&%.+0+%#.9#56' 5KM RADIUS 64'#6/'062.#06#66'.1--#.10) +0&7564+#.'56#6'-'/#/#0 6'44'0))#07(144#&+%#4' / 5&0$*&

4KM RADIUS LEGEND:

241,'%65+6'

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Ä5KPQ%JGOKECN+PFWUVTKGU5FP$JF 31 30 34  *WPVUOCP 48  'CUVGTP2CEKHKE+PFWUVTKGU%QTRQTCVKQP$GTJCF 35  6COCP2GTWOCJCP/CORW/KNKM6GNQM-CNQPI 44 36

37 38 39

40

LAND USE 41 42 WITHIN 5KM

5174%')QQING'CTVJ (+)74'% ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Land Use Distance from Description Plates Type Project Site

PBJV (northeast) RHM Trading & Transport Services Sdn Bhd (east)

Protection Rigging Access Services Sdn Bhd (east)

Up to 500 m . Optimistic Organic Sdn Radius Bhd

. UNICHAMP

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Land Use Distance from Description Plates Type Project Site

. Daya Secadyme Sdn Bhd

. CR ASIA (Malaysia) Sdn Bhd

. Daya Proffscorp Sdn Bhd

. Kawasan Perindustrian MIEL Optimistic Organic Sdn Bhd (north) Daya Secadyme Sdn Bhd (northwest) . Zulkifli Ngah Engineering Sdn Bhd

UNICHAMP (southeast) PFC Engineering Sdn Bhd (northeast)

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Land Use Distance from Description Plates Type Project Site

CR ASIA (Malaysia) Sdn Bhd (west) Kawasan Perindustrian MIEL (east)

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Land Use Distance from Description Plates Type Project Site

Up to 1-km . Hap Seng Building Radius Materials Sdn Bhd

. Puncak Jaya Petroleum

. TRUMP

. UMW Fabritech Sdn Bhd

. Pioneer Engineering Sdn Bhd Hap Seng Building Materials Sdn Bhd TRUMP (southwest) (northwest) . Kawasan Perindustrian MIEL

Zulkifli Ngah Engineering Sdn Bhd Pioneer Engineering Sdn Bhd (southwest)

(southwest)

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Land Use Distance from Description Plates Type Project Site

. Kawasan Perindustrian

MIEL Up to 2-km

Radius . Eastern Steel Sdn Bhd

Kawasan Perindustrian MIEL

Up to 3-km . Huntsman Radius

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Land Use Distance from Description Plates Type Project Site

Up to 2-km . Kg Bukit Anak Dara Radius

Kg Bukit Anak Dara

Settlement Up to 3-km . Taman Sri Kalongan Radius . Kg Pancur

. Kg Telok Kalong

. Rumah Mampu Milik Teluk Kalong

Resident’s house at Kg Telok Kalong Kg Pancur (northeast) (east)

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Land Use Distance from Description Plates Type Project Site

Up to 5-km . Kg Bukit Kuang Radius . Perumahan Permai Indah Taman Bukit Kuang Sejahtera

. Perumahan Reno Taman Bukit Kuang Sejahtera

Perumahan Permai Indah Bukit Kuang Perumahan Reno Taman Bukit Kuang (southeast) (southeast)

Up to 3-km . Kolej Universiti TATI Radius . SK Telok Kalong

Institution

SK Telok Kalong (southeast) Kolej Universiti TATI

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Land Use Distance from Description Plates Type Project Site

Up to 5-km . SK Bukit Kuang Radius . Tabika Kg Bukit Kuang

. Pusat Latihan Antarabangsa ITC

SK Bukit Kuang (southwest) Pusat Latihan Antarabangsa ITC

Up to 3-km . Klinik Desa Telok Kalong Radius

Health

Facility

Klinilk Desa Telok Kalong (southeast)

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Land Use Distance from Description Plates Type Project Site

3-4 km . Recreational Beach- Pantaii Telok Kalong

Recreational

Pantai Rekreasi Teluk Kalong, Kemaman – (Eastern)

Up to 5-km . Telok Kalong Muslim Radius Cemetery

Others

Teluk Kalong Muslim Cemetery (Southwest)

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Land Use Distance from Description Plates Type Project Site

Up to 5-km . Telok Kalong Mosque, Radius Bukit Kuang Muslim

Cemetery, Bukit Kuang

Mosque Masjid Al-Rahman Kg Bukit Kuang (Southwest)

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6.4.2 Future Land Use

Based on reference made to the Rancangan Tempatan Daerah Kemaman Pengubahan (2011-2020), the Project site is located within industrial zone in Blok Perancangan Kecil (BPK) 5.2 of Blok Perancangan 5: Telok Kalong. BPK 5.2 covers an area of 1,951.75 ha and the major land uses within this BPK are industry and buffer zone. Figure 6.4.2.1 illustrates the future land use of the Project site. There are two planning blocks located adjacent to BP 5 i.e. BP 3: Hulu Cukai and BP4: . The major future land uses of BP 3 mainly consist of housing, industry and commercial. Meanwhile, the major future land uses of BP 4 are housing, commercial and recreational

6.4.3 Environmental Sensitive Receptors

Based on site survey and secondary information obtained, several environmental sensitive receptors (ESR) are found to be located adjacent to the Project site. The ESRs are listed in Table 6.4.3.1 and shown in Figure 6.4.3.1.

Table 6.4.3.1: Environmental Sensitive Receptors within 5 km Radius

Land Use Distance from Description Type Project Site

Up to 2-km Radius . Kg Bukit Anak Dara

. Taman Sri Kalongan

2 to 3-km Radius . Kg Pancur

. Kg Telok Kalong Settlement . Kg Bukit Kuang

. Perumahan Permai Indah Taman Bukit Kuang Sejahtera 3 to 5-km Radius . Perumahan Reno Taman Bukit Kuang Sejahtera

. Rumah Mampu Milik Telok Kalong

. Kolej Universiti TATI Up to 3-km Radius . SK Telok Kalong

Institution . SK Bukit Kuang

3- 5-km Radius . Tabika Kg Bukit Kuang

. Pusat Latihan Antarabangsa ITC

Health Up to 3-km Radius . Klinik Desa Telok Kalong Facility

Recreational Up to 3-4km Radius . Pantai Teluk Kalong

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Feb CHEMSAIN KONSULTANT SDN. BHD.

'08+410/'06#.+/2#%6#55'55/'06 (146*'241215'&%.+0+%#.9#56' 64'#6/'062.#06#66'.1--#.10) +0&7564+#.'56#6'-'/#/#0 6'44'0))#07(144#&+%#4' / 5&0$*&

PROJECT SITE

FUTURE LANDUSE

(+)74' CHEMSAIN KONSULTANT SDN. BHD.

'08+410/'06#.+/2#%6#55'55/'06 5KM RADIUS (146*'241215'&%.+0+%#.9#56' 64'#6/'062.#06#66'.1--#.10) +0&7564+#.'56#6'-'/#/#0 6'44'0))#07(144#&+%#4' / 5&0$*&

4KM RADIUS

 3KM RADIUS

2KM RADIUS LEGEND:

241,'%65+6'

 2WUCV.CVKJCP#PVCTCDCPIUC +%6  -I2CPEWT  -QNGL7PKXGTUKVK6CVK 1KM RADIUS   6COCP5TK-CNQPICP  5-6GNQM-CNQPI  -NKPKM&GUC6GNQM-CNQPI   6CPCJ2GTMWDWTCP+UNCO6GNQM-CNQPI  -I6GNQM-CNQPI  -I$WMKV-WCPI  6CPCJ2GTMWDWTCP+UNCO$WMKV-WCPI  5-$WMKV-WCPI   /CULKF$WMKV-WCPI  6COCP2GTOCK$WMKV-WCPI 250M RADIUS  6COCP4GPQ   -I$WMKV#PCM&CTC 500M RADIUS  2CPVCK6GNQM-CNQPI  6COCP2GTWOCJCP/CORW/KNKM6GNQM-CNQPI  

 





     

ENVIRONMENTAL SENSITIVE AREA

5174%')QQING'CTVJ (+)74' ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Land Use Distance from Description Type Project Site

Up to 5-km Radius . Telok Kalong Muslim Cemetery Others . Telok Kalong Mosque, Bukit Kuang Muslim Up to 5-km Radius Cemetery, Bukit Kuang Mosque

6.5 Human Environment

The Project site is located in Teluk Kalong of Kemaman District. Kemaman District covers an area of about 253,559.90 ha. The district is divided into 12 with Cukai town as the center of administration and economic activities. Kemaman District is under the jurisdiction of Majlis Perbandaran Kemaman

6.5.1 Population

Based on reference made to the 2010 census data from the Population and Housing Census of Malaysia done by the Department of Statistics, the total population of Mukim Teluk Kalong was 13, 483. The Kemaman District has a total population of 166,750. The population of Mukim Teluk Kalong is about 8% of the total population of Kemaman District.

6.5.2 Ethnic Groups

The 2010 census figures indicate that in overall under Mukim Teluk Kalong, the Malays (94.8%) were the main ethnic group in the areas. This is followed by the Chinese (4%) and Non-Malaysian Citizens (0.9%). See Table 6.5.2.

6.5.3 Gender, Household and Living Quarters

Referring to Table 6.5.2.1, the male populations outweighs the female populations. The gender ratio is 109 and 111 respectively.

Total households are reported to be 3,100 and 37,439 respectively. Meanwhile, the total living quarters are reported to be 3,382 and 41,545.

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Table 6.5.2.1: Demographic Profile

Area Mukim Teluk Kemaman Kalong District Total Population 13, 483 166,750

Distribution Based on Ethnic Group

Malaysian Citizen 13,359 161,959

Bumiputera 12,776 154,171

Malays 12,702 153,472

Other Bumiputera 74 699

Chinese 534 6,800

Indian 42 729

Others 7 259

Non-Malaysian 124 4,791

Distribution Based on Gender, Household and Living Quarters

Male Population 7,032 87,768

Female Population 6,451 78,982

Gender Ratio 109 111

Household 3,100 37,439

Living Quarters 3,382 41,545

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6.5.4 Age Distribution

Table 6.5.4.1 listed population’s age distributions for Mukim Teluk Kalong and Kemaman District. 34.13% of the District population fall under the age group below 15, meanwhile 37.41% of Mukim Teluk Kalong population fall under the age group below 15. 62.52% of the District population fall between 15-64 age groups, meanwhile 60.23% of Mukim Teluk Kalong population fall between 15-64 age groups. 3.35% of the District population fall under the age group above 65 year old, meanwhile 2.35% of Mukim Teluk Kalong population fall under the age group above 65 year old.

The dependency ratio for Kemaman District = (34.31 + 3.35) / 65.52 * 100 = 57.47

The dependency ratio for Mukim Teluk Kalong = (37.41 + 2.35) / 60.23 * 100 = 66.01

Table 6.5.4.1: Population by Age Group, 2010

Mukim Teluk Kalong Kemaman District Age Group Total Percentage (%) Total Percentage (%) 0-4 1,761 13.06 17,889 10.73 5-9 1,931 14.32 20,590 12.35 10-14 1,352 10.03 18,425 11.05 15-19 1,192 8.84 16,269 9.76 20-24 1,152 8.54 15,304 9.18 25-29 1,263 9.37 14,149 8.49 30-34 1,216 9.02 12,310 7.38 35-39 855 6.34 10,746 6.44 40-44 714 5.30 9,570 5.74 45-49 677 5.02 9,258 5.55 50-54 542 4.02 7,476 4.48 55-59 324 2.40 5,488 3.29 60-64 186 1.38 3,694 2.22 65-69 118 0.88 2,284 1.37 70-74 63 0.47 1,510 0.91 75+ 137 1.02 1,788 1.07 Total 13483 100 166,750 100 Source: Population and Housing Census of Malaysia 2010, Department of Statistics

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

6.5.5 Socioeconomic and Stakeholder Engagement

Formal and informal engagements with identified key stakeholders were carried out by EIA Consultant.

6.5.5.1.1 Socioeconomic Survey

A survey on 28th and 29th January 2019 was conducted on the local community to gauge their awareness and perception on the project. The survey employed a random sampling technique in three adjacent area namely, Bukit Kuang, Kampung Bukit Anak Dara and Kampung Teluk Kalong. Although, there were also few respondents that are not from the mentioned villages but are working in the neighborhoods; hence, their opinions were also considered in this study. A total of 122 respondents were interviewed. A copy of the socioeconomic survey form is attached in Appendix 6.5.1. A general outlook of the responses can be summed up as follows:

6.5.5.1.2 Respondent’s Perception (Section A)

The survey results showed that although the majority of respondents were not aware of the proposed project, there was a certain degree of apprehension, 36.89% of the respondent was not in favor of the project while 40.98% of them favor the project to be continued. Meanwhile, the remaining 22.13% of the respondent were uncertain of the project to be proceed by the project proponent as shown in Table 6.5.5.1. This is due to the concern of the environment; mainly air quality, river water quality, perceived health hazards, disruption of present livelihood and expected adjustment problems in new surroundings out-weigh whatever socio- economic benefits that may arise. However, despite the perceived agreement for the proposed project - many of the respondents nevertheless cautioned the proponent and relevant agencies over the wastewater discharge and air pollution from the incinerator; as well as the health and safety risk of the community.

Accumulatively, all respondents agreed that there would be many significant impacts during all phases of the proposed project development. Most of who perceived it will negatively impact the community were concern of impacts during the critical operation stage. Most of the respondent who disagreed to the project were doubtful whether will the project proponent comply to the regulations provided as according to them, the air quality of the area is already degraded. As observed and relayed by respondents those who lived in Bukit Kuang; the nearby factory were the main contributory factors for contributing smoke and dust thru air pollution and as a consequence contribute to the degradation of the air quality within the area. This also raised concern over the health of the community of Bukit Kuang if the situation persistent or worsen.

Table 6.5.5.1 : The Respondent Perception of the Project

Knowledge or information on this clinical waste treatment plant project Respond No of respondent Percentage (%) Yes 28 22.95 No 88 72.13 Not sure 6 4.92

Total 122 100

Channel of knowing

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Respond No of respondent Percentage (%) Media 9 26.47 Village head/JKKK 2 5.88 Government Offices 2 5.88 Friends or relatives 19 55.88 Others 2 5.88 Total 34 100 Will the project affect individual life Respond No of respondent Percentage (%) Yes 41 33.60 No 53 43.44 Not sure 28 22.95 Total 122 100 Will the project affect the area Respond No of respondent Percentage (%) Yes 96 78.69 No 9 7.38 Not sure 17 13.93 Total 122 100 The possible effects concerns by the community Respond No of respondent Percentage (%) Change to water quality 55 17.80 Change to air quality 74 23.95 Change to tranquillity 17 5.50 Odour problems 29 9.39 Community's health and 67 21.68 safety risk Job/business 27 8.74 opportunities Competition in getting 7 2.27 employment Disturbance from foreign 3 0.97 workers Change in landscape or 30 9.70 environment Total 309 100 Community’s perception on the propose project Respond No of respondent Percentage (%) Yes 50 40.98 No 45 36.89 Not sure 27 22.13 Total 122 100

6.5.5.1.3 Respondent and Village Background (Section B)

The survey was conducted in three villages namely Bukit Kuang with 31.15% of respondent, Kampung Teluk Kalong with 34.43% of respondent and 29.51% of respondent in Kampung Bukit

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Anak Dara. While the remaining 4.91% of respondent are not the resident of the area; but, currently working in the neighborhood. The survey involved more women that man with 60.66% over 39.34%. This is due to time of the sampling conducted were from 9.30 in the morning until 4.30 in the evening, which around these hours, women are more accessible.

These areas are almost fully resided by Malaysian with only 6.56% of respondent’s nationality were unknown and majority of the respondents are Malay (96.72%). 92.62% of respondents were coming from various education level background with only 7.38% respondent have no formal education. 71.31% of the respondents do possess their own house while 17.21% rented a house in the areas. The house type within the neighbourhood are village house (72.13%), terrace 1 storey (16.39%), terrace 2 storey (1.64%) and bungalow (4.92%).

Table 6.5.5.2: The Percentage of Respondent’s Details

Villages involved Respond No of respondent Percentage (%) Bukit Kuang 38 31.15 Kampung Teluk Kalong 42 34.43 Bukit Anak Dara 36 29.51 Flat Fikri Desa 1 0.82 Kampung Beris Nenas 1 0.82 Felda Seberang Tayor 1 0.82 K6 Ibok 1 0.82 Kampung Chukai 2 1.63 Total 122 100 Respondent’s gender Respond No of respondent Percentage (%) Male (M) 48 39.34 Female (F) 74 60.66 Total 122 100 Respondent’s race Respond No of respondent Percentage (%) Malay 118 96.72 No Answer 4 3.28 Total 122 100 Respondent’s nationality Respond No of respondent Percentage (%) Malaysia 114 93.44 No Answer 8 6.56 Total 122 100 Respondent’s age Respond No of respondent Percentage (%) <20 4 3.28 20-29 26 21.31 30-39 32 26.23 40-49 19 15.57

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50-59 29 23.77 ≥60 12 9.83 Total 122 100 Respondent’s education level Respond No of respondent Percentage (%) No Formal Education 9 7.37 UPSR 0 0 LCE/SRP/PMR 12 9.83 MCE/SPM/SPMV 17 13.93 STPM 11 9.02 Certificate 23 18.85 Diploma 12 9.83 Degree or Higher 11 9.02 No Answer 27 22.13 Total 122 100 Is the respondent head of family Respond No of respondent Percentage (%) Yes 46 37.71 No 64 52.46 No Answer 12 9.84 Total 122 100 Respondent’s house type Respond No of respondent Percentage (%) Village House 88 72.13 Terrace 1 Storey 20 16.39 Terrace 2 Storey 2 1.64 Bungalow 6 4.92 Others 1 0.82 No Answer 5 4.10 Total 122 100 Respondent’s house ownership Respond No of respondent Percentage (%) Own House 87 71.31 Rented House 21 17.21 Staying with Relative 8 6.56 Others 2 1.64 No Answer 4 3.28 Total 122 100

6.5.5.1.4 Respondent’s Economic Background (Section C)

From the results obtained, 40.98% are self-employed and 28% hired workers to assist them in their daily business. There are 13.93% of respondent are in private sector and housewife with 5.74% are working for the government while 4.10% are retiree and 9.02% of the respondent are factory workers.

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Only 3.28% respondents are unemployed and the remaining 9.02% of the respondent job’s status were unknown.

The range of respondent’s income are from RM500 – RM 5 000 with the most common income are around RM 1 000 – RM 1 999 (19.67%) and less than RM 500 (17.21%). However, the most common household income of the respondents is around RM 1 000 – RM 1 999 (19.67%) and RM 2 000 – RM 2 499 (18.03%). Meanwhile, 21.31% and 22.95% of the respondents did not revealed their salary and household income to the interviewer.

Table 6.5.5.3: The Respondent’s Economic Background Respondent’s occupation Respond No of respondent Percentage (%) Factory Worker 11 9.02 Private Sector 17 13.93 Government Sector 7 5.74 Self-Employed 50 40.98 Unemployed 4 3.28 Housewife 17 13.93 Retiree 5 4.10 Others 4 3.28 No Answer 7 5.74 TOTAL 122 100 Employer that hired worker Respond No of respondent Percentage (%) Yes 14 28 No 36 72 Total 50 100 Respondent's income Respond No of respondent Percentage (%) < RM500 21 17.21 RM500–RM999 17 13.93 RM1,000-RM1,999 24 19.67 RM2,000-RM2,499 15 12.30 RM2,500-RM2,999 10 8.20 RM3,000–RM3,999 6 4.92 RM4,000-RM4,999 2 1.64 RM5,000–RM9,999 1 0.82 RM10,000 and above 0 0 No Answer 26 21.31 Total 122 100 Household income Respond No of respondent Percentage (%) < RM500 7 5.74 RM500–RM999 13 10.66 RM1,000-RM1,999 24 19.67

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RM2,000-RM2,499 22 18.03 RM2,500-RM2,999 12 9.84 RM3,000–RM3,999 10 8.20 RM4,000-RM4,999 3 2.46 RM5,000–RM9,999 3 2.46 RM10,000 and above 0 0 No Answer 28 22.95 Total 122 100

6.5.5.1.5 Respondent’s Health Background (Section D)

Access to clean water, sanitation, and hygiene-related practices at the household level are basic to the health of every person. Hence, some establishment for the information is necessary.

There are three type of toilets (pit latrine, pour-flush latrine and flush toilet) used in the respondent’s household. Flush toilet is the common toilet type in a household with 72.99% followed by pit latrine with 18.98% and pour-flush latrine with 8.03%. On top of that, majority of the houses, 97.54% use pipe from Syarikat Air Terengganu (SATU) with exception of the houses that use opened well, tube well and gravity feed system by Ministry of Health (MOH) respectively. Apart from that, the local council provides garbage collection services to most of the neighborhood area. Thus, 89.84% of the respondent’s garbage are disposed safely while 2.34% dump their garbage in drains or rivers while another 7.82% burn their garbage as a method of disposal. Pest is also an issue that respondents have to deal with but, it is manageable; according to them. Regardless, mosquitoes are the most common pest in the area with 31.07%.

From the survey, number in all respondent’s households were able to determined; hence, the total sample for health section is 601 persons. The number of women and men in the neighborhoods is quite balanced with 50.25% is man while 49.75% is women. Life style risk factors such as aging, poor nutrition, infection and exposure to toxicants can also increase susceptibility to illnesses. These life style factors can therefore be considered to cause acquired susceptibility for increased risk for environmental diseases. Those who belongs in the age group of below 1 year old (3.0%) and above 65 years old (3.66%) are prone to the health risk and more susceptible to the environmental diseases. Moreover, 68.03% households within the ZOI area consist of smoking people which can also promote health issues.

Overall, the percentage of healthy people within the ZOI in a year is 89.68% over 10.32% of unhealthy people. The highest percentage of sickness is hypertension (27.42%) followed by diabetes (25.81%) and asthma (24.19%). Meanwhile, the percentage of healthy people within the ZOI in three months is 66.10% over 33.94% of unhealthy people with the most common sickness is cold/cough (34.31%) followed by fever (26.47%) and bloody cough / sputum (15.69%).

Table 6.5.5.4: The Respondent’s Health and Living Conditions

Toilet type in respondent’s household Respond No of respondent Percentage (%) Pit Latrine 26 18.98

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Pour-Flush Latrine 11 8.03 Flush Toilet 100 72.99 Total 137 100 Water sources in respondent’s household Respond No of respondent Percentage (%) Opened Well 1 0.82 Tube Well 1 0.82 Gravity Feed System by 1 0.82 MOH Pipe from Satu 119 97.54 Total 122 100

Garbage disposal method by the respondent Respond No of respondent Percentage (%) Throw into 3 2.34 Drain/River/Beach Burn Only 10 7.81 Collected by Local 115 89.84 Council Total 128 100 Number of people in households Respond No of respondent Percentage (%) Male 302 50.25 Female 299 49.75 Total 601 100 Household age Respond No of respondent Percentage (%) <1 18 3.00 1-Apr 35 5.82 May-14 120 19.97 15-64 406 67.55 65 and Above 22 3.66 Total 601 100 Respondent that have problem with pest in their household Respond No of respondent Percentage (%) Mosquito 96 31.07 Flies 50 16.18 Cockroach 52 16.83 Ant 61 19.74 Rats 50 16.18 Total 309 100 Does respondent have an air-conditioner in their household Respond No of respondent Percentage (%) Yes 19 15.57 No 88 72.13 No Answer 15 12.30

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Total 122 100 number of smoking respondent Respond No of respondent Percentage (%) Yes 83 68.03 No 39 31.97 Total 122 100 Sickness in household within 1 year Respond No of respondent Percentage (%) Asthma 15 24.19 Emphysema 0 0 Chronic Bronchitis 0 0 Pneumonia 0 0 Tuberculosis 0 0 Lung Cancer 0 0 Rhinitis 1 1.61 Other Respiratory Disease 2 3.23 Hypertension 17 27.42 Stroke 1 1.61 Heart Problem 6 9.68 Diabetes 16 25.81 Dengue 1 1.61 Malaria 0 0 Cholera 0 0 Typhoid 0 0 Hepatitis 0 0 Kidney Disease 2 3.23 Liver Disease 0 0 HIV/Aids 0 0 Skin Disease 0 0 Other Disease (Epilepsy) 1 1.61 Total 62 100 Sickness in household within 3 months Respond No of respondent Percentage (%) Asthmatic Attack 5 2.45 Fever 54 26.47 Cold/Cough 70 34.31 Bloody Cough / Sputum 32 15.69 Wheezing 4 1.96 Shortness of Breath 5 2.45 (Dyspnoea) Chest Pain (Angina) 6 2.94 Heart Attack 0 0 Diarrhoea 12 5.88 Vomiting 6 2.94 Skin Disease 4 1.96

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Eye Infection 3 1.47 Ear Infection 0 0 Fits 0 0 Accident 0 0 Other Disease 3 1.47 Total 204 100

6.5.5.1.6 Dialogue

Dialogue session was held on 11 July 2019 at Pejabat Penyelaras Dun Kijal Kemaman. The Dialogue session aimed to brief local communities’ leaders adjacent to the Project, explaining the scale of construction and operation as well as the purpose of the EIA assessment. The dialogue session also helps to gauge the awareness and acceptance about the Project as well as to clarify any unclear or lack of information on the Project. In addition, the Proponent has viewed the dialogue session as an opportunity to establish good relationships with the relevant stakeholders.

The dialogue session was carried out in the presence of the Project Proponent, EIA Consultant and representative from local communities’ leaders. The invitation letter and list of attendees are attached in Appendix 6.5.1.

An oral-and-slide presentation of the Project, explaining about the Project was carried out. The information provided include process description, potential impact assessment as well as pollution and prevention and mitigation measures. This was followed by a question-and-answer session. A copy of the presentation slides is attached in Appendix 6.5.2.

Issues of concern during the dialogue session were mainly about waste water generation and treatment, stack emission, and traffic diversion. Issues of concern during question-and-answer session are listed in Appendix 6.5.2.

6.5.6 Existing Public Health Status

6.5.6.1.1 Public Health Survey

A study of the public health status of the community residing in the vicinity of the proposed clinical waste treatment plant in Teluk Kalong Industrial Estate, Kemaman, Terengganu, was conducted. The objective was to describe the existing, baseline information on the state of health of the community prior to the construction and operation of the proposed Project. Health data was extracted from a public health survey of the community in the vicinity of the proposed Project site.

6.5.6.1.2 Background of Respondents

A total of 122 households were surveyed which comprised a total of 601 household members. A total of 8 residential areas were surveyed as shown in Table 6.5.6.1(a). Some (34.4%) of the respondents were living near the Project site in Teluk Kalong, while 65.6% of the respondents were living in residential areas near to Teluk Kalong.

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Table 6.5.6.1(b) shows respondents’ highest level of education. Some (7.4%) of respondents had no education. Another 32.8% of the respondents had secondary education, while 18.9% had certificate programme, and 18.8% completed their tertiary education.

Table 6.5.6.1(c) gives the income of the households surveyed. Some (16.4%) of the household had income of less than RM 1000 per month. Almost half (47.6%) of the households had monthly income of RM 1000 to RM 2,999.00. Only 2.4% of households had income of RM 5,000 per month and above.

Table 6.5.6.1(d) gives the distribution of household members surveyed by age groups. Children aged below 15 years old made up 28.8% of the household population, which is greater than the national percentage of 24.5%. Productive adults made up a smaller percentage (67.6%) compared to the national percentage of 69.4%. The elderly population of 3.7% is also smaller than the national percentage of 6.1%. There was a total of 18 live births recorded among the household members in the last one year.

Table 6.5.6.1(a): Distribution of Residential Areas Sampled in the Public Health Survey.

Residential area Number of households Percent

Teluk Kalong 42 34.4

Bukit Kuang 38 31.2

Bukit Anak Dara 36 29.5

*Others 6 4.9

Total 122 100.0

*Others refer to Kampung Chukai, Kampung Beris Nenas, Flat Fikri Desa, K6 blok or Felda Seberang Tayor.

Table 6.5.6.1(b) : Respondents’ Highest Level of Education.

Number of Education level Percent respondents

No education 9 7.4

Primary school 0 0.0

LCE/ SRP/ PMR/ PT3 12 9.8

MCE/ SPM/ SPMV 17 14.0

STPM 11 9.0

Certificate 23 18.9

Diploma 12 9.8

Undergraduate degree or 11 9.0 higher

No answer 27 22.1

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Total 122 100.0

Table 6.5.6.1(c) : Income of the Households Surveyed.

Monthly Number of household Percent households income

Less than RM 500 7 5.7

RM 500 – RM 999 13 10.7

RM 1000 – RM 1,999 24 19.7

RM 2000 – RM 2,999 34 27.9

RM 3000 – RM 3,999 10 8.2

RM 4000 – RM 4,999 3 2.4

RM 5000 – RM 9,999 3 2.4

No answer 28 23.0

Total 122 100.0

Table 6.5.6.1(d): Distribution of Household Members Surveyed by Age Groups.

Malaysia Age group Number Percent (2016)1

Children (<1 year old) 18

Children (1 – 4 years old) 35 28.8 24.5

Children (5 – 14 years old) 120

Adults (15 – 64 years old) 406 67.6 69.4

Adults (65 years old and 22 3.6 6.1 above)

Total 601 100.0

Source : Malaysia health facts 2017.

6.5.6.1.3 Housing

Table 6.5.6.1(e) shows the type of respondents’ houses. A majority (72.1%) of the respondents lived in detached kampong type house. Another 18.1% lived in single storey or double storey terrace houses. A small percentage (4.9%) lived in detached modern or bungalow houses.

Table 6.5.6.1(f) gives the information of house ownership. Most (71.3%) of the houses are owned by the respondents or their family members. A majority (72.1%) of the houses were not air conditioned. Most (68.0%) of the homes have household members who smoked.

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Table 6.5.6.1(e) : Type of Respondents’ Houses.

Number of Type of house Percent houses Detached modern 6 4.9

Detached kampong type 88 72.1

Single storey terrace 20 16.4 house Double storey terrace 2 1.7 house Others 1 0.8

No answer 5 4.1

Total 122 100.0

Table 6.5.6.1(f) : House Ownership.

House ownership Number of respondents Percent

Own house 87 71.3

Rented house 21 17.2

Staying with relative 8 6.6

Others 2 1.6

No answer 4 3.3

Total 122 100.0

6.5.6.1.4 Environmental Sanitation Status

Table 6.5.6.1(g) shows the type of toilets in the houses surveyed. A majority (86.9%) of the houses had proper toilets in the form of pour-flush or flush toilets. However, 12.3% of the houses surveyed still used unhygienic toilets in the form of pit latrine.

Table 6.5.6.1(h) gives the sources of water supply to the houses surveyed. Almost all (99.2%) of the houses surveyed had access to safe water supply in the form of tube well, gravity feed or treated piped water. Only 1 (0.8%) obtained supply from an open well.

Table 6.5.6.1.(i) shows the garbage disposal practices by the households surveyed. Most (89.3%) of the households practised good garbage disposal practices of garbage collection by the municipality. However, 8.2% of the households still practised unsanitary practices like throwing into a drain, river or beach and burning only. Such practices may lead to the breeding of pests like mosquitoes, flies and rodents which can transmit diseases.

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Table 6.5.6.1(g) : Type of Toilets in the Houses Surveyed.

Type of toilet Number of houses Percent

Pit latrine 15 12.3

Pour-flush latrine 6 4.9

Flush toilet 100 82.0 No answer 1 0.8

Total 122 100.0

Table 6.5.5.1(h): Sources of Water Supply in the Houses Surveyed.

Source of water supply Number of houses Percent

Open well 1 0.8

Tube well 1 0.8

Gravity feed system by MOH 1 0.8

Piped from JBA 119 97.6

Total 122 100.0

Table 6.5.5.1(i) : Garbage Disposal Practices by the Households Surveyed.

Disposal practice Number of households Percent Throwing into a drain, river or on a 3 2.5 beach Burning only 7 5.7 Collection by municipality 109 89.3 No answer 3 2.5 Total 122 100.0

Table 6.5.6.1(j) shows the pest problems experienced by the households surveyed. A significant proportion of the households surveyed experienced all types of pest problems, but their biggest problems were against mosquitoes (78.7%) and ants (50.0%).

Table 6.5.5.1(j) : Pest Problems Experienced by the Households Surveyed (N=122).

Number of Pest problem Percent households Mosquitoes 96 78.7

Flies 50 41.0

Cockroaches 52 42.6 Ants 61 50.0 Rodents 50 41.0

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In summary, the housing status of the communities are considered satisfactory with respect to the types of houses and house ownership. None of the respondent lived in a squatter house. As for the environmental sanitation status, it was considered satisfactory with the water supply in the houses as only 1 house used an open well. However, it was not too satisfactory with respect to the toilet facility as 12.3% of the houses still used the unhygienic pit latrine. The garbage disposal practices of the community was considered fair as 8.2% of the households still practised unsanitary practices like throwing into a drain, river or beach and burning only. Pest problems were also unsatisfactory as a significant proportion of the households surveyed experienced all types of pest infestation.

6.5.6.1.5 Community Health Status

Table 6.5.6.2(a) gives the prevalence rates of selected diseases that have been diagnosed by doctors within the last 1 year, among the 601 household members from the 122 households that were surveyed. The highest prevalence rates were for hypertension (2.8%) and diabetes mellitus (2.7%). The prevalence rates for these 2 diseases were however, well below the national rates. Similarly, asthma has a prevalence rate (2.5%) that is lower the national prevalence rate.

As shown by Table 6.5.6.2(b), the main reasons household members seeked medical treatments at hospitals or clinics within the last 3 months were for cold or cough (11.6%) and fever (9.0%). These would be common illnesses experienced by most communities in Malaysia.

Table 6.5.5.2(a) : Household Members Diagnosed with Selected Diseases by Doctors within the Last Year (N=601).

Disease Number Prevalence (%) National prevalence (%)

4.5 (adults)a Asthma 15 2.5 7.1 (children)a Other respiratory disease 3 0.5 Hypertension 17 2.8 30.3b Stroke 1 0.2 Heart problem 6 1.0 Diabetes mellitus 16 2.7 17.5b Dengue 1 0.2 Kidney disease 2 0.3 Other disease 1 0.2

Sources : a Ministry of Health Malaysia, 2008

b Ministry of Health Malaysia, 2015

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Table 6.5.5.2(b) : Reasons for Seeking Medical Treatments by Household Members within the Last 3 Months (N=601).

Disease/health Prevalence (%) Number problem Asthmatic attack 5 0.8

Fever 54 9.0

Cold/cough 70 11.6

Bloody cough/ sputum 32 5.3

Wheezing 4 0.7 Shortness of breath 5 0.8 (Dyspnea) Chest pain (Angina) 6 1.0

Diarrhea 12 2.0

Vomiting 6 1.0

Skin disease 4 0.7

Eye infection 3 0.5

Other disease 3 0.5

6.5.7 Morbidity Statistics

Morbidity statistics on diseases related to the environment were obtained from Klinik Kesihatan Kijal, Klinik Kesihatan Batu 2.5 and Hospital Kemaman for a period of 1 year from January to December 2018. Table 6.5.7(a) shows the disease cases related to air pollution seen at Klinik Kesihatan Kijal in 2018. Eye and respiratory diseases as represented by conjunctivitis, upper respiratory tract infections, asthma and tuberculosis made up 5.3% and 16.7% of all adult and children cases, respectively. Cardiovascular diseases as represented only by hypertension made up 8.7% of all adult cases.

Table 6.5.7(b) gives the disease cases related to water pollution seen at Klinik Kesihatan Kijal in 2018. Only one food poisoning case was reported at the clinic which made up only 0.006% of all adult cases. Therefore, waterborne and foodborne diseases are not very common in the area.

Animal vectors and reservoirs may be associated with a poorly managed environment. Often, discarded containers that are improperly disposed or the presence of water within homes and surroundings may become excellent breeding sites for the mosquitoes which transmit diseases. Table 6.5.7(c) gives the disease cases related to animal vectors and reservoirs seen at Klinik Kesihatan Kijal in 2018. Only two dengue fever cases were reported, and they made up only 0.01% of all adult cases. Therefore, vectorborne diseases are also uncommon in the area.

Table 6.5.7(d) gives the skin disease cases seen at Klinik Kesihatan Kijal in 2018. Of all these skin diseases, dermatitis and eczema, and urticaria are allergic forms of skin reactions that may be exacerbated by allergens and irritants that may be present in air pollution or dust. The skin disease cases made up 1.5% and 6.4% of all adult and children cases, respectively. The most common skin disease reported was disorders of skin appendages.

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Table 6.5.7(e) shows the disease cases related to air pollution seen at Klinik Kesihatan Batu 2.5 in 2018. Eye and respiratory diseases as represented by conjunctivitis, upper respiratory tract infections, influenza, asthma, tuberculosis and pneumonia made up 6.6% and 22.7% of all adults and children cases, respectively. Cardiovascular diseases as represented by hypertension, heart failure, ischaemic heart disease and cerebrovascular accident made up 0.2% of all adult cases.

Table 6.5.7(f) gives the disease cases related to water pollution seen at Klinik Kesihatan Batu 2.5 in 2018. There was no water pollution related disease reported in this area for both adult and children. Table 6.5.7(g) shows the diseases cases related to animal vectors and reservoirs seen at Klinik Kesihatan Batu 2.5. Only dengue fever cases were reported which made up only 0.02% and 0.009% of all adult and children cases, respectively.

Table 6.5.7(h) give the morbidity statistics on skin disease cases seen at Klinik Kesihatan Batu 2.5 in 2018. Dermatitis and eczema were the most common types of skin diseases reported among adults, while cutaneous abscess/ furuncle and carbuncle, and cellulitis were the common types of skin diseases reported among children in this area. These skin diseases made up of 1.6% and 3.6% of all adults and children cases, respectively.

The following morbidity statistics are regarding diseases related to the environment which were obtained from Hospital Kemaman for a period of one year, from January 2018 until December 2018. Table 6.5.7(i) shows the disease cases related to air pollution seen at Hospital Kemaman in 2018. Eye and respiratory diseases as represented by conjunctivitis, upper respiratory tract infections, asthma, tuberculosis, pneumonia and lung cancer made up 6.3% and 7.6% of all adults and children cases, respectively. Cardiovascular diseases as represented by hypertension, heart failure, ischaemic heart disease and cerebrovascular accident made up of 2.0% and 0.03% of all adult and children cases, respectively.

Table 6.5.7(j) gives the disease cases related to water pollution seen at Hospital Kemaman in 2018. The water pollution related diseases as represented by dysenteries and food poisoning made up of 0.5% and 3.8% of all adult and children cases, respectively. Compared to adult, children reported a higher percentage of water pollution related diseases.

Table 6.5.7(k) shows the diseases cases related to animal vectors and reservoirs seen at Hospital Kemaman. Dengue fever and malaria disease cases were reported, in which dengue fever is the most common vector borne disease reported. These animal vector and reservoir related disease cases made up of 1.1% and 1.0% of all adult and children cases, respectively.

Table 6.5.7(l) give the morbidity statistics on skin disease cases seen at Hospital Kemaman in 2018. The skin diseases as represented by cutaneous abscess/ furuncle and carbuncle, cellulitis, urticaria, disorders of skin appendages and erythemas made up of 0.1% and 0.06% of all adults and children cases, respectively.

Table 6.5.7(m) shows the prevalence rates of selected communicable diseases in Daerah Kemaman in 2018, in comparison with the prevalence of these diseases in Malaysia in 2017. The prevalence rates for the waterborne, foodborne, vectorborne and zoonotic diseases were generally much lower than the nation’s rate. This means that these communicable diseases are not major health issues reported in this district.

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(a) : Disease Cases Related to Air Pollution Seen at Klinik Kesihatan Kijal in 2018.

Conj. URTI Inf. Asth. TB Pneu. Bron. Emphy Lung HPT HF IHD CVA *Total Ca (all patients) Year Month A C A C A C A C A C A C A C A C A C A C A C A C A C A C J 10 5 22 42 0 0 28 32 1 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 1770 439 F 10 14 21 58 0 0 23 15 2 0 0 0 0 0 0 0 0 0 124 0 0 0 0 0 0 0 1690 414 M 14 14 26 29 0 0 15 19 0 0 0 0 0 0 0 0 0 0 103 0 0 0 0 0 0 0 681 388 A 22 10 17 15 0 0 21 22 0 0 0 0 0 0 0 0 0 0 118 0 0 0 0 0 0 0 1851 379 M 34 15 15 10 0 0 21 21 0 0 0 0 0 0 0 0 0 0 116 0 0 0 0 0 0 0 1103 324 J 35 7 23 10 0 0 25 15 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 1015 295

2018 2018 J 23 8 39 37 0 0 28 28 0 0 0 0 0 0 0 0 0 0 172 0 0 0 0 0 0 0 1422 300 A 19 11 28 29 0 0 17 13 0 0 0 0 0 0 0 0 0 0 128 0 0 0 0 0 0 0 1734 371 S 15 17 35 23 0 0 25 15 0 0 0 0 0 0 0 0 0 0 121 0 0 0 0 0 0 0 1547 379 O 16 3 35 28 0 0 24 16 1 0 0 0 0 0 0 0 0 0 113 0 0 0 0 0 0 0 757 330 N 18 10 44 47 0 0 27 16 0 0 0 0 0 0 0 0 0 0 108 0 0 0 0 0 0 0 1552 398 D 19 10 37 45 0 0 27 15 0 0 0 0 0 0 0 0 0 0 119 0 0 0 0 0 0 0 1306 319

Total 235 124 342 373 0 0 281 227 4 0 0 0 0 0 0 0 0 0 1434 0 0 0 0 0 0 0 16428 4336 Conj. : Conjunctivitis Emphy. : Emphysema URTI : Upper respiratory tract infections Lung Ca : Lung cancer Inf. : Influenza HPT : Hypertension Asth. : Asthma HF : Heart failure TB : Tuberculosis IHD : Ischaemic heart disease Pneu. : Pneumonia CVA : Cerebrovascular accident/stroke Bron. : Chronic bronchitis

*Total (all patients): Total attendance of all patients at the clinic during that month. A: Adult C: Children

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(b) : Disease Cases Related to Water Pollution Seen at Klinik Kesihatan Kijal in 2018.

Year Month *Total Dys. Chol. Typ. Hep. A Polio. Food (all patients) A C A C A C A C A C A C A C Jan 0 0 0 0 0 0 0 0 0 0 0 0 1770 439 Feb 0 0 0 0 0 0 0 0 0 0 0 0 1690 414 Mar 0 0 0 0 0 0 0 0 0 0 0 0 681 388 Apr 0 0 0 0 0 0 0 0 0 0 0 0 1851 379 May 0 0 0 0 0 0 0 0 0 0 0 0 1103 324 June 0 0 0 0 0 0 0 0 0 0 0 0 1015 295 2018 July 0 0 0 0 0 0 0 0 0 0 0 0 1422 300 Aug 0 0 0 0 0 0 0 0 0 0 0 0 1734 371 Sep 0 0 0 0 0 0 0 0 0 0 0 0 1547 379 Oct 0 0 0 0 0 0 0 0 0 0 1 0 757 330 Nov 0 0 0 0 0 0 0 0 0 0 0 0 1552 398 Dec 0 0 0 0 0 0 0 0 0 0 0 0 1306 319 Total 0 0 0 0 0 0 0 0 0 0 1 0 16428 4336 Dys. : Dysenteries Chol. : Cholera Typ. : Typhoid and paratyphoid Hep. A : Hepatitis A Polio. : Acute poliomyelitis Food. : Food poisoning

*Total (all patients): Total attendance of all patients at the clinic during that month. A: Adult C: Children

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(c) : Disease Cases Related to Animal Vectors and Reservoirs Seen at Klinik Kesihatan Kijal in 2018. *Total Year Month YF DF DHF Mal. Typ. Plag. Rab. (all patients) A C A C A C A C A C A C A C A C Jan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1770 439 Feb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1690 414 Mar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 681 388 Apr 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1851 379 May 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1103 324 June 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1015 295 2018 July 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1422 300 Aug 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1734 371 Sep 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1547 379 Oct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 757 330 Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1552 398 Dec 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1306 319 Total 0 0 2 0 0 0 0 0 0 0 0 0 0 0 16428 4336 YF : Yellow fever DF : Dengue fever DHF : Dengue haemorrhagic fever Mal. : Malaria Typ. : Typhus Plag. : Plague Rab. : Rabies

*Total (all patients): Total attendance of all patients at the clinic during that month. A: Adult C: Children

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(d) : Skin Disease Cases Seen at Klinik Kesihatan Kijal in 2018.

Year Month Cutan. Cell. Derm. Psor. Urti. Dis. Eryth. Rad. *Total (all patients) A C A C A C A C A C A C A C A C A C Jan 0 0 0 0 0 0 0 0 6 2 11 22 0 0 0 0 1770 439 Feb 1 0 0 0 0 1 0 0 9 3 13 11 0 0 0 0 1690 414 Mar 0 0 0 0 0 1 0 0 3 0 12 19 0 0 0 0 681 388 Apr 0 0 1 0 0 0 0 0 5 2 15 17 0 0 0 0 1851 379 May 0 0 0 0 0 0 0 0 7 6 16 24 0 0 0 0 1103 324 June 0 0 0 0 0 0 0 0 4 5 19 19 0 0 0 0 1015 295 2018 July 0 0 0 0 0 0 0 0 3 2 13 12 0 0 0 0 1422 300 Aug 0 0 0 0 0 0 0 0 1 4 17 19 0 0 0 0 1734 371 Sep 0 0 1 0 0 0 0 0 5 3 11 21 0 0 0 0 1547 379 Oct 0 0 0 0 0 0 0 0 8 2 19 27 0 0 0 0 757 330 Nov 0 0 0 0 0 0 0 0 3 3 19 22 0 0 0 0 1552 398 Dec 0 0 0 0 0 0 0 0 5 3 21 29 0 0 0 0 1306 319 Total 1 0 2 0 0 2 0 0 59 35 186 242 0 0 0 0 16428 4336 Cutan. : Cutaneous abscess/furuncle and carbuncle Urti. : Urticaria Cell. : Cellulitis Dis. : Disorders of skin appendages Derm. : Dermatitis and eczema Eryth. : Erythemas Psor. : Psoriasis Rad. : Radiodermatitis and other radiation-related disorders of the skin and subcutaneous tissue

*Total (All Patients): Total attendance of all patients at the clinic during that month.

A: Adult C: Children

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(e) : Disease Cases Related to Air Pollution Seen at Klinik Kesihatan Batu 2.5 in 2018. Conj. URTI Inf. Asth. TB Pneu. Bron. Emphy Lung HPT HF IHD CVA *Total Ca (all patients) Year Month A C A C A C A C A C A C A C A C A C A C A C A C A C A C J 7 3 157 154 17 22 1 1 1 0 8 5 0 0 0 0 0 0 5 0 0 0 0 0 1 0 3932 872 F 10 5 189 150 16 19 2 1 0 0 6 7 0 0 0 0 0 0 10 0 0 0 0 0 0 0 5348 1449 M 9 4 199 201 14 19 1 0 2 0 9 5 0 0 0 0 0 0 8 0 1 0 1 0 0 0 4017 1309 A 11 2 201 215 20 20 3 3 1 0 5 4 0 0 0 0 0 0 6 0 0 0 2 0 3 0 5078 1451 M 12 5 178 198 23 23 2 5 1 0 7 8 0 0 0 0 0 0 6 0 0 0 1 0 0 0 3400 1451 J 9 4 213 211 19 21 1 4 1 0 4 7 0 0 0 0 0 0 5 0 0 0 0 0 2 0 2088 499

2018 J 10 5 199 187 21 34 0 1 1 0 4 9 0 0 0 0 0 0 7 0 0 0 1 0 1 0 3567 1109 A 5 1 193 176 23 32 2 2 0 0 6 8 0 0 0 0 0 0 8 0 0 0 2 0 0 0 4242 509 S 7 2 145 137 24 56 1 0 1 0 5 7 0 0 0 0 0 0 1 0 0 0 1 0 0 0 3151 610 O 11 2 156 187 25 32 1 4 0 0 4 5 0 0 0 0 0 0 5 0 0 0 0 0 1 0 2365 753 N 10 4 167 199 21 26 0 3 0 0 5 4 0 0 0 0 0 0 4 0 1 0 0 0 1 0 3188 773 D 5 1 183 156 19 29 2 1 2 0 3 3 0 0 0 0 0 0 3 0 0 0 0 0 0 0 2644 777 Total 106 38 2379 2171 242 313 16 25 10 0 66 72 0 0 0 0 0 0 68 0 2 0 8 0 9 0 43020 11562 Conj. : Conjunctivitis Emphy. : Emphysema URTI : Upper respiratory tract infections Lung Ca : Lung cancer Inf. : Influenza HPT : Hypertension Asth. : Asthma HF : Heart failure TB : Tuberculosis IHD : Ischaemic heart disease Pneu. : Pneumonia CVA : Cerebrovascular accident/stroke Bron. : Chronic bronchitis

*Total (all patients): Total attendance of all patients at the clinic during that month.

A: Adult C: Children

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(e) : Disease Cases Related to Air Pollution Seen at Klinik Kesihatan Batu 2.5 in 2018. Conj. URTI Inf. Asth. TB Pneu. Bron. Emphy Lung HPT HF IHD CVA *Total Ca (all patients) Year Month A C A C A C A C A C A C A C A C A C A C A C A C A C A C J 7 3 157 154 17 22 1 1 1 0 8 5 0 0 0 0 0 0 5 0 0 0 0 0 1 0 3932 872 F 10 5 189 150 16 19 2 1 0 0 6 7 0 0 0 0 0 0 10 0 0 0 0 0 0 0 5348 1449 M 9 4 199 201 14 19 1 0 2 0 9 5 0 0 0 0 0 0 8 0 1 0 1 0 0 0 4017 1309 A 11 2 201 215 20 20 3 3 1 0 5 4 0 0 0 0 0 0 6 0 0 0 2 0 3 0 5078 1451 M 12 5 178 198 23 23 2 5 1 0 7 8 0 0 0 0 0 0 6 0 0 0 1 0 0 0 3400 1451 J 9 4 213 211 19 21 1 4 1 0 4 7 0 0 0 0 0 0 5 0 0 0 0 0 2 0 2088 499

2018 2018 J 10 5 199 187 21 34 0 1 1 0 4 9 0 0 0 0 0 0 7 0 0 0 1 0 1 0 3567 1109 A 5 1 193 176 23 32 2 2 0 0 6 8 0 0 0 0 0 0 8 0 0 0 2 0 0 0 4242 509 S 7 2 145 137 24 56 1 0 1 0 5 7 0 0 0 0 0 0 1 0 0 0 1 0 0 0 3151 610 O 11 2 156 187 25 32 1 4 0 0 4 5 0 0 0 0 0 0 5 0 0 0 0 0 1 0 2365 753 N 10 4 167 199 21 26 0 3 0 0 5 4 0 0 0 0 0 0 4 0 1 0 0 0 1 0 3188 773 D 5 1 183 156 19 29 2 1 2 0 3 3 0 0 0 0 0 0 3 0 0 0 0 0 0 0 2644 777 Total 106 38 2379 2171 242 313 16 25 10 0 66 72 0 0 0 0 0 0 68 0 2 0 8 0 9 0 43020 11562 Conj. : Conjunctivitis Emphy. : Emphysema URTI : Upper respiratory tract infections Lung Ca : Lung cancer Inf. : Influenza HPT : Hypertension Asth. : Asthma HF : Heart failure TB : Tuberculosis IHD : Ischaemic heart disease Pneu. : Pneumonia CVA : Cerebrovascular accident/stroke Bron. : Chronic bronchitis

*Total (all patients): Total attendance of all patients at the clinic during that month.

A: Adult C: Children

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(f) : Disease Cases Related to Water Pollution Seen at Klinik Kesihatan Batu 2.5 in 2018.

Year Month *Total Dys. Chol. Typ. Hep. A Polio. Food (all patients) A C A C A C A C A C A C A C Jan 0 0 0 0 0 0 0 0 0 0 0 0 3932 872 Feb 0 0 0 0 0 0 0 0 0 0 0 0 5348 1449 Mar 0 0 0 0 0 0 0 0 0 0 0 0 4017 1309 Apr 0 0 0 0 0 0 0 0 0 0 0 0 5078 1451 May 0 0 0 0 0 0 0 0 0 0 0 0 3400 1451 June 0 0 0 0 0 0 0 0 0 0 0 0 2088 499 2018 July 0 0 0 0 0 0 0 0 0 0 0 0 3567 1109 Aug 0 0 0 0 0 0 0 0 0 0 0 0 4242 509 Sep 0 0 0 0 0 0 0 0 0 0 0 0 3151 610 Oct 0 0 0 0 0 0 0 0 0 0 0 0 2365 753 Nov 0 0 0 0 0 0 0 0 0 0 0 0 3188 773 Dec 0 0 0 0 0 0 0 0 0 0 0 0 2644 777 Total 0 0 0 0 0 0 0 0 0 0 0 0 43020 11562 Dys. : Dysenteries Chol. : Cholera Typ. : Typhoid and paratyphoid Hep. A : Hepatitis A Polio. : Acute poliomyelitis Food. : Food poisoning

*Total (all patients): Total attendance of all patients at the clinic during that month. A: Adult C: Children

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(g) : Disease Cases Related to Animal Vectors and Reservoirs Seen at Klinik Kesihatan Batu 2.5 in 2018.

*Total Year Month YF DF DHF Mal. Typ. Plag. Rab. (all patients) A C A C A C A C A C A C A C A C Jan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3932 872 Feb 0 0 2 0 0 0 0 0 0 0 0 0 0 0 5348 1449 Mar 0 0 1 0 0 0 0 0 0 0 0 0 0 0 4017 1309 Apr 0 0 1 0 0 0 0 0 0 0 0 0 0 0 5078 1451 May 0 0 1 1 0 0 0 0 0 0 0 0 0 0 3400 1451 June 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2088 499 2018 July 0 0 1 0 0 0 0 0 0 0 0 0 0 0 3567 1109 Aug 0 0 2 0 0 0 0 0 0 0 0 0 0 0 4242 509 Sep 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3151 610 Oct 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2365 753 Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3188 773 Dec 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2644 777 Total 0 0 9 1 0 0 0 0 0 0 0 0 0 0 43020 11562 YF : Yellow fever DF : Dengue fever DHF : Dengue haemorrhagic fever Mal. : Malaria Typ. : Typhus Plag. : Plague Rab. : Rabies

*Total (all patients): Total attendance of all patients at the clinic during that month. A: Adult C: Children

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(h) : Skin Disease Cases Seen at Klinik Kesihatan Batu 2.5 in 2018.

*Total Year Month Cutan. Cell. Derm. Psor. Urti. Dis. Eryth. Rad. (all patients) A C A C A C A C A C A C A C A C A C Jan 13 8 14 9 23 11 1 0 22 10 0 0 3 2 0 0 3932 872 Feb 10 9 11 7 18 6 2 0 17 9 0 0 2 3 0 0 5348 1449 Mar 11 10 12 11 17 7 0 0 19 7 0 0 1 4 0 0 4017 1309 Apr 15 13 16 12 19 4 2 0 15 5 0 0 1 2 0 0 5078 1451 May 14 18 15 10 17 8 2 0 14 6 0 0 3 4 0 0 3400 1451 June 13 11 18 9 18 9 1 1 12 8 0 0 2 3 0 0 2088 499 2018 July 12 7 15 6 16 6 0 0 13 4 0 0 1 2 0 0 3567 1109 Aug 11 9 13 8 20 4 3 0 10 5 0 0 4 1 0 0 4242 509 Sep 13 6 14 5 18 2 2 1 09 3 0 0 3 0 0 0 3151 610 Oct 11 10 12 9 19 5 1 1 11 4 0 0 2 3 0 0 2365 753 Nov 12 15 12 14 17 7 2 0 14 5 0 0 2 1 0 0 3188 773 Dec 13 12 18 11 23 8 1 0 13 6 0 0 1 2 0 0 2644 777 Total 124 128 111 111 225 77 17 3 169 73 0 0 25 26 0 0 43020 11562 Cutan. : Cutaneous abscess/furuncle and carbuncle Urti. : Urticaria Cell. : Cellulitis Dis. : Disorders of skin appendages Derm. : Dermatitis and eczema Eryth. : Erythemas Psor. : Psoriasis Rad. : Radiodermatitis and other radiation-related disorders of the skin and subcutaneous tissue

*Total (All Patients): Total attendance of all patients at the clinic during that month.

A: Adult C: Children

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(i): Disease Cases Related to Air Pollution Seen at Hospital Kemaman In 2018. Conj. URTI Inf. Asth. TB Pneu. Bron. Emphy Lung HPT HF IHD CVA *Total Ca (all patients) Year Month A C A C A C A C A C A C A C A C A C A C A C A C A C A C J 0 0 6 13 0 0 25 35 0 0 45 13 0 0 0 0 5 0 9 1 7 0 0 0 9 0 1081 579 F 0 0 6 7 0 0 24 31 0 0 60 8 0 0 0 0 1 0 7 0 5 0 1 0 4 0 921 539 M 0 0 6 4 0 0 22 24 0 0 38 8 0 0 0 0 0 0 8 0 2 0 1 0 12 0 1077 613 A 0 0 6 2 0 0 13 25 0 0 45 7 0 0 0 0 1 0 3 0 1 0 0 0 10 0 1075 574 M 0 0 7 2 0 0 23 18 0 0 24 23 0 0 0 0 0 0 4 0 8 0 0 0 9 0 1086 559 J 0 0 4 3 0 0 21 33 0 0 27 8 0 0 0 0 2 0 5 0 6 1 0 0 10 0 1017 569

2018 2018 J 0 0 1 2 0 0 21 41 1 0 45 16 0 0 0 0 0 0 4 0 3 0 0 0 9 0 1117 666 A 1 0 0 4 0 0 20 21 0 0 22 21 0 0 0 0 0 0 8 0 5 0 0 0 13 0 1101 638 S 0 0 0 2 0 0 20 20 0 0 37 8 0 0 0 0 2 0 11 0 4 0 0 0 13 0 1118 584 O 0 0 4 4 0 0 26 29 1 0 39 17 0 0 0 0 1 0 8 0 5 0 0 0 6 0 1154 635 N 0 0 2 4 0 0 31 35 0 0 41 21 0 0 0 0 3 0 11 0 10 0 0 0 12 0 1130 645 D 0 0 3 4 0 0 20 21 0 0 66 12 0 0 0 0 1 0 7 0 8 0 2 0 6 0 1123 571

Total 1 0 45 51 0 0 266 333 2 0 489 162 0 0 0 0 16 0 85 1 64 1 4 0 113 0 13000 7172 Conj. : Conjunctivitis Emphy. : Emphysema URTI : Upper respiratory tract infections Lung Ca : Lung cancer Inf. : Influenza HPT : Hypertension Asth. : Asthma HF : Heart failure TB : Tuberculosis IHD : Ischaemic heart disease Pneu. : Pneumonia CVA : Cerebrovascular accident/stroke Bron. : Chronic bronchitis

*Total (all patients): Total attendance of all patients at the clinic during that month.

A: Adult C: Children

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Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(j): Disease Cases Related to Water Pollution Seen at Hospital Kemaman in 2018.

Year Month *Total Dys. Chol. Typ. Hep. A Polio. Food (all patients) A C A C A C A C A C A C A C Jan 2 15 0 0 0 0 0 0 0 0 0 0 1081 579 Feb 10 20 0 0 0 0 0 0 0 0 0 0 921 539 Mar 4 20 0 0 0 0 0 0 0 0 0 0 1077 613 Apr 3 7 0 0 0 0 0 0 0 0 0 1 1075 574 May 1 6 0 0 0 0 0 0 0 0 0 0 1086 559 June 9 7 0 0 0 0 0 0 0 0 0 0 1017 569 2018 July 5 22 0 0 0 0 0 0 0 0 0 0 1117 666 Aug 6 24 0 0 0 0 0 0 0 0 0 0 1101 638 Sep 9 26 0 0 0 0 0 0 0 0 0 0 1118 584 Oct 4 33 0 0 0 0 0 0 0 0 0 0 1154 635 Nov 9 43 0 0 0 0 0 0 0 0 0 0 1130 645 Dec 4 45 0 0 0 0 0 0 0 0 0 0 1123 571 Total 66 268 0 0 0 0 0 0 0 0 0 1 13000 7172 Dys. : Dysenteries Chol. : Cholera Typ. : Typhoid and paratyphoid Hep. A : Hepatitis A Polio. : Acute poliomyelitis Food. : Food poisoning

*Total (all patients): Total attendance of all patients at the clinic during that month. A: Adult C: Children

Chemsain Konsultant Sdn Bhd Page | C6-58 Revision No. : 0 CK/EV703/7024/18 Date : August 2019

Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.6(k): Disease Cases Related to Animal Vectors and Reservoirs Seen at Hospital Kemaman in 2018.

*Total Year Month YF DF DHF Mal. Typ. Plag. Rab. (all patients) A C A C A C A C A C A C A C A C Jan 0 0 4 8 0 0 0 0 0 0 0 0 0 0 1081 579 Feb 0 0 5 8 0 0 0 0 0 0 0 0 0 0 921 539 Mar 0 0 10 18 0 0 0 0 0 0 0 0 0 0 1077 613 Apr 0 0 12 7 0 0 0 0 0 0 0 0 0 0 1075 574 May 0 0 7 4 0 0 0 0 0 0 0 0 0 0 1086 559 June 0 0 15 3 0 0 0 0 0 0 0 0 0 0 1017 569 2018 July 0 0 9 3 0 0 0 0 0 0 0 0 0 0 1117 666 Aug 0 0 14 4 0 0 3 0 0 0 0 0 0 0 1101 638 Sep 0 0 12 4 0 0 0 0 0 0 0 0 0 0 1118 584 Oct 0 0 11 1 0 0 0 0 0 0 0 0 0 0 1154 635 Nov 0 0 18 10 0 0 0 0 0 0 0 0 0 0 1130 645 Dec 0 0 24 5 0 0 0 0 0 0 0 0 0 0 1123 571 Total 0 0 141 75 0 0 3 0 0 0 0 0 0 0 13000 7172 YF : Yellow fever DF : Dengue fever DHF : Dengue haemorrhagic fever Mal. : Malaria Typ. : Typhus Plag.: Plague Rab. : Rabies *Total (all patients): Total attendance of all patients at the clinic during that month. A: Adult C: Children

Chemsain Konsultant Sdn Bhd Page | C6-59 Revision No. : 0 CK/EV803/8026/18 Revision Date : July 2019

Feb

ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(l): Skin Disease Cases Seen at Hospital Kemaman in 2018.

*Total Year Month Cutan. Cell. Derm. Psor. Urti. Dis. Eryth. Rad. (all patients) A C A C A C A C A C A C A C A C A C Jan 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1081 579 Feb 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 921 539 Mar 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1077 613 Apr 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1075 574 May 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1086 559 June 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1017 569 2018 July 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1117 666 Aug 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1101 638 Sep 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1118 584 Oct 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1154 635 Nov 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1130 645 Dec 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1123 571 Total 3 0 5 3 0 0 0 0 5 0 3 0 1 1 0 0 13000 7172 Cutan. : Cutaneous abscess/furuncle and carbuncle Urti. : Urticaria Cell. : Cellulitis Dis. : Disorders of skin appendages Derm. : Dermatitis and eczema Eryth. : Erythemas Psor. : Psoriasis Rad. : Radiodermatitis and other radiation-related disorders of the skin and subcutaneous tissue

*Total (All Patients): Total attendance of all patients at the clinic during that month.

A: Adult C: Children

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ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

Table 6.5.7(m): Prevalence Rates of Selected Communicable Diseases in Daerah Kemaman in 2018.

Prevalence rates in Disease Number of cases Malaysia (2017)a 2018

Waterborne and Foodborne Diseases

Cholera 0 0 0.01 Typhoid 0 0 0.59 Hepatitis A 0 0 0.47 Dysentery 0 0 0.37 Poliomyelitis 0 0 Food poisoning 1 0.47 42.25 Vectorborne and Zoonotic Diseases

Dengue fever 32 1.49 257.60 Dengue haemorrhagic 0 0 1.25 fever Chikungunya 0 0 NA Malaria 10 0.47 12.70 Filariasis 0 0 NA Typhus 0 0 0.06 Plague 0 0 0.02 Rabies 2 0.94 13.48 Leptospirosis 32 1.49 257.60

Note: Population of Daerah Kemaman in 2018: 214,200.

Source: a Ministry of Health Malaysia (2018).

Chemsain Konsultant Sdn Bhd Page | C6-61 Revision No. : 0 CK/EV703/7024/18 Date : August 2019

Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

6.6 Infrastructure and Utilities

6.6.1 Road Network

The TKIE is readily accessible from the major town of Kuantan and regional port and airport by the main coastal trunk road, Jalan Pintasan Kuantan (Federal Route 14) and the East Coast Highway (LPT) (E8).

6.6.2 Airport

Kuantan Airport is the closest airport and is located about 80 km from Teluk Kalong and Terengganu Airport about 160km. This airport supports the domestic and some international aviation needs of Pahang and Terengganu State.

6.6.3 Electricity

The electricity supply in the Teluk Kalong is provided by Tenaga Nasional Berhad (TNB).

6.6.4 Water Supply

The water supply network for Kemaman is managed by the Syarikat Air Terengganu (SATU).

6.6.5 Telecommunication

Major telecommunication provider in the Kemaman District is Telekom Berhad while other mobile providers are also available.

6.6.6 Solid Waste Disposal

Solid waste generated from Kemaman District is managed by Alam Flora and the nearest landfill is Bukit Jemalang Landfill, Kemaman.

Chemsain Konsultant Sdn Bhd Page | C6-62 Revision No. : 0 CK/EV703/7024/18 Date : August 2019

Feb ENVIRONMENTAL IMPACT ASSESSMENT FOR PROPOSED CLINICAL WASTE TREATMENT PLANT AT TELUK KALONG INDUSTRIAL ESTATE, KEMAMAN, TERENGGANU FOR RADICARE (M) SDN BHD CHAPTER 6– EXISTING ENVIRONMENT

6.1 INTRODUCTION ...... 1 6.2 PHYSICAL ENVIRONMENT ...... 1 6.2.1 Topography ...... 1 6.2.2 Geology and Soil ...... 2 6.2.3 Hydrology and Drainage System...... 2 6.2.4 Meteorology ...... 3 6.2.4.1 Surface Wind ...... 3 6.2.4.2 Temperature ...... 7 6.2.4.3 Relative Humidity ...... 7 6.2.4.4 Rainfall ...... 8 6.2.5 Environmental Baseline ...... 9 6.2.5.1 Surface Water Quality ...... 9 6.2.5.2 Ambient Air Quality ...... 12 6.2.5.3 Ambient Noise Level ...... 14 6.3 BIOLOGICAL ENVIRONMENT ...... 16 6.4 LAND USE ...... 17 6.4.1 Existing Land Use within 5 km radius from Project Site ...... 17 6.4.2 Future Land Use ...... 28 6.4.3 Environmental Sensitive Receptors ...... 28 6.5 HUMAN ENVIRONMENT ...... 29 6.5.1 Population ...... 29 6.5.2 Ethnic Groups ...... 29 6.5.3 Gender, Household and Living Quarters ...... 29 6.5.4 Age Distribution ...... 31 6.5.5 Socioeconomic and Stakeholder Engagement ...... 32 6.5.6 Existing Public Health Status ...... 40 6.5.7 Morbidity Statistics ...... 46 6.6 INFRASTRUCTURE AND UTILITIES ...... 62 6.6.1 Road Network ...... 62 6.6.2 Airport ...... 62 6.6.3 Electricity ...... 62 6.6.4 Water Supply ...... 62 6.6.5 Telecommunication ...... 62 6.6.6 Solid Waste Disposal ...... 62

Chemsain Konsultant Sdn Bhd Page | C6-63 Revision No. : 0 CK/EV703/7024/18 Date : August 2019

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