The elevation of waste generation subsequent to population growth has become a severe environmental topic in Malaysia. Since most of the waste is being dumped into a landfill, the open dumpsite, or unsanitary landfills which are not constructed with proper engineering plan, severe impacts on the environment result. The energy demand in Malaysia increased with the growing population, but reliance on fossil fuels to generate electricity has created another greenhouse gas contributor. Alternatively, waste-to-energy technology solves the problem of increasing waste by converting the waste to a renewable energy source. Malaysia has moved towards landfill gas recovery system and incineration for waste energy recovery. The recovery system and refuse-derived fuel plant achieved expectation; however, the incineration plants have failed due to the opposition of the public, lack of funding and technician expertise, and other technical issues. The solid waste management practices lacking separation and recycling sources, become an obstacle for development. The government puts effort into solving the current issue by promoting recycling in the public, enforcing the legislation, and approaching new technologies for better solid waste management practice in the future. This paper aims to discuss the application of energy recovery from municipal solid waste in Malaysia.

The evaluation of disease progression and onsite therapeutic care choices for community-acquired pneumonia (CAP) patients is vital for their well-being and the optimum utilization of healthcare resources. The current study was conducted to assess physicians’ adherence to clinical practice standards and antibiotic prescribing behavior for the treatment of CAP in older people. A prospective study that included 121 consecutive patients admitted for CAP was conducted at Kulim Hospital, Kedah, from March 2020 to August 2020. Medical records including demographic data, comorbidity, physical examination, laboratory or radiologic findings, and drugs used for the treatment of CAP were accessed from bed head tickets (BHT). The mean age for patients was 73.5 ± 6.2 years, 73 (60.3%) and 48 (39.6%) were males and females, respectively. Amoxicillin/clavulanate (19.8%) was the most prescribed antibiotic for non-severe pneumonia followed by ampicillin sodium/sulbactam sodium (6.6%), while in patients with severe CAP beta-lactam + beta lactamase inhibitors (BLIs) with a combination of macrolide were the most common antibiotics prescribed either in patients with (21.4%) or without co-morbidities (8.2%). The average length of stay in the hospital with severe pneumonia was 6–7 days for 23.9% of patients and < 5 days for 21.4% of patients. The duration of intravenous antibiotics in patients with severe pneumonia was 6–7 days for 32.2% of patients. The present findings revealed the adherence of antibiotic prescribing practices to the Malaysian National Antimicrobial Guideline 2019 for CAP therapy among geriatric patients and adherence to the CAP criteria for hospital admissions.