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Annals of Marine Biology and Research

A Preliminary Observational Study on Coastal Outfalls from Selected Coastal Water of Port Dickson

Research Article | Open Access | Volume 8 | Issue 1

  • 1. Department of Biology, University Putra Malaysia, Malaysia
  • 2. INTI International University, Malaysia.
  • 3. Kobe University, Japan
  • 4. Universiti Malaysia Sabah, Malaysia
  • 5. Universiti Malaysia Terengganu, Malaysia.
  • 6. Department of Environmental Science, Universitas Sebelas Maret, Indonesia.
  • 7. Universitas Sebelas Maret, Indonesia.
  • 8. Humanology Sdn Bhd, Malaysia.
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Corresponding Authors
Chee Kong Yap, Department of Biology, University Putra Malaysia, Malaysia
Abstract

Research background: The coast of Port Dickson (PD), a popular tourist destination, is known for its recreational purposes. However, even some of the tourist beaches have coastal outfalls. These outfalls, known to discharge both treated and untreated water due to their cost-effectiveness as a sewage disposal method, could potentially disrupt the delicate balance of the marine ecosystem, making this research all the more crucial.

Purpose: The objective of this study was to observe and discuss outfalls as potential pollution sources for the coastal environment and ecosystem in four different coastal areas at Pantai Cermin, Tanjung Biru, Teluk Kemang, and Pantai Purnama, in PD.

Methodology: All photos were taken on November 5th, 2023, using a smartphone (Huawei Mate 20 Pro) in four different coastal areas of PD. The smartphone was lowered into the opening of the outfall, and photos were taken from different angles.

Findings: In total, 14 outfalls were recorded in the four selected coasts. None of the outfalls emitted strong odours except for the outfall near a mangrove area in Pantai Tanjung Biru. Another outfall at the same site was releasing black water directly into the beach. Drainage in Pantai Cermin leading to an outfall was filled with a dark green liquid, which could signify eutrophication. Most of the outfalls were found to have plastic debris within or nearby. Fouling organisms were found attached within and on the structure’s exterior part. They could benefit from the outfall as it provides motion of water, acts as a substrate or habitat, and nutrients are discharged from it. However, the weekly number of visitors to the beach remains unaffected.

Significance: Even though this is a preliminary observational study, the present findings provided a significant gap in knowledge towards what was observed and its potential negative impacts on the environment at the coastal waters of PD. In the future, water, sediment, and biological samples should be collected near the selected outfalls to immediately assess pollutants such as plastic, metals, and pathogens. Fouling organisms could be used to assess the same pollutants to determine the potential effect of outfall on the coastal areas of PD. Continuous monitoring should be done to understand the impact of the coastal outfall on the environment.

Keywords

• Outfall

• Port dickson

• Coastal water

• Observations

• Pollution

CITATION

Chew JM, Yap CK, Kumar K, Cheng WH, Syazwan WM, et al. (2024) A Preliminary Observational Study on Coastal Outfalls from Selected Coastal Water of Port Dickson. Ann Mar Biol Res 8(1): 1033.

INTRODUCTION

The Straits of Malacca, located between the Malay Peninsula and the Indonesian island of Sumatra, hold immense strategic importance in global trade and security. As one of the busiest shipping lanes in the world, the Straits of Malacca serve as a crucial maritime route for trade between Europe, the Middle East, and the Asia-Pacific region [1-3]. The Straits of Malacca was also the next to the Indian Ocean and the Pacific Ocean, making it a vital passage for global maritime transportation. Its location also makes it a strategic chokepoint, prone to potential security threats such as piracy and terrorism [4] and coastal development [5].

Port Dickson (PD), located on the western coast of Peninsular Malaysia in the Straits of Malacca, holds significant importance in various aspects. From a tourism perspective, PD is a popular beach and resort destination, attracting local and international tourists. Additionally, PD plays a vital role in the region’s economic development, particularly through its thriving oil and gas industry. PD’s oil and gas industry contributes to the country’s energy needs and provides employment opportunities for local communities. The strategic location of PD, with its access to deep waters and proximity to major shipping routes, also positions it as an important port for trade and maritime activities. Moreover, PD serves as a crucial hub for importing and exporting goods, supporting domestic and international trade [2]. Furthermore, PD’s well-developed industrial parks, highways, and rail infrastructure provide opportunities for effective operations of the seaports [6]. Overall, the importance of PD lies in its contributions to tourism, economic development, trade, and maritime activities. Hence, PD is a vital hub for tourism, economic development, trade, and maritime activities. However, many studies reported the anthropogenic activities on the coastal waters of PD [7-13].

The population increase and the town’s rapid development have increased the district’s pollution and wastewater production [14,15]. Outfalls are created to manage the increasing waste. Outfalls are pipes or tunnels that discharge treated or untreated wastewater into natural water bodies. They are the preferred method of sewage disposal because of their low costs compared to land-based treatment plans [16,17]. Besides their cost, outfalls are known to reduce the bacterial contamination of sewage released by 26 to 99% naturally after 32 months [18]. The outfalls rely on the natural disinfection of organic matter, bacteria, and other pollutants with the help of sunlight, predatory microorganisms, and salinity [19]. The sewage is expected to be diluted naturally by the dispersion of ocean currents. They rely on the natural assimilation potential of the coastal water environment. Hence, it is less energy-demanding and uses less land space [20].

Outfall discharges can be treated or untreated [21,22]. The discharge can be domestic wastewater, thermal effluents, or industrial wastewater. According to the Department of Environment [23], major sources of coastal water pollution were land-based pollution activities such as agricultural run-offs, industrial discharges, and sewage. The coastal settlements and industrial activities are also known to increase the concentration of suspended solids [24]. Pollution from the land enters the drainage pipes into coastal outfall through rainfall or storm water runoff [25,26]. Since the pollution source can be affected by rainfall, it is known to be a nonpoint source (NPS) pollution [27].

The major water contaminants of marine water were suspended solids, Escherichia coli,   and   oil   and   grease. These contaminants can be found in sewage and have been known to degrade the water quality of the coasts by causing eutrophication, releasing excessive amounts of nutrients and bacteria, and reducing dissolved oxygen in the water [28-30]. Tourism can contribute to littering, which can also potentially cause environmental degradation [26]. A study in Thailand found that tourist beaches and hotels during tourist seasons increased nutrient levels and chlorophyll concentration, and sewage outfalls increased sediments and nutrients [25]. The reef and water quality improved as the distance from sewage discharge increased. The negative effects of wastewater were not concentrated near the outfall but transported by currents and aggravated during the wet seasons [25].

Furthermore, Alkhalidi et al. [14], stated that domestic sewage, industrial effluents, and agricultural runoff were not properly mixed and distributed to deeper water due to the slow tidal currents. So, the non-biodegradable organic matter and pollutants will accumulate and remain immobile in the basin during low tides. Coastal outfalls were also found to be releasing hospital wastes and being used to discharge prohibited wastes [26]. The water temperatures were high near outfalls in shallow bays. The high temperature reduced dissolved oxygen levels, an indicator of marine water health. The changes in physiochemical parameters caused by the outfall have resulted in the death of fish in the area [26].

Aside from sewage discharge, Weng [31], found that thermal effluents from Tuanku Ja’afar Power Station (TJPS), located near the coastal town of PD, were discharged directly into the sea. The abundance and diversity of marine diatoms and bacteria decreased in areas less than 200 m away from the outfall by 56% and 96%, respectively, while areas further out were not affected by the thermal effluent discharge from the outfall.

The objective of this study was to observe and discuss outfalls as potential pollution sources for the coastal environment and ecosystem in four different coastal areas of PD (Pantai Cermin, Tanjung Biru, Teluk Kemang, and Pantai Purnama).

METHODOLOGY

All photos were taken on the date 5th of November, 2023, using a smartphone (Huawei Mate 20 Pro). The smartphone was lowered into the opening of the outfall, and photos were shown from different angles. They were taken in four sites: Pantai Cermin, Pantai Tanjung Biru, Pantai Teluk Kemang, and Pantai Purnama (Figure 1 and Table 1).

Sampling sites (QGIS, 2023

Figure 1: Sampling sites (QGIS, 2023

Table 1. Sampling sites and their coordinates.

Sites

Longitude

Latitude

1. Pantai Cermin, Batu 10, Jalan Pantai, 71050 Port Dickson, Negeri Sembilan

02°41’46” N

101°85’87” E

2. Pantai Tanjung Biru, Jalan Pantai, 71050 Port Dickson, Melaka

02°41’55” N

101°85’60” E

3. Pantai Teluk Kemang, 23, Jalan 3/10, Taman Intan Perdana, 71050 Port Dickson, Negeri Sembilan

2°45’46” N

101°85’51” E

4. Pantai Purnama, Jalan Kemang 12, Tanjung Tanah Merah, 71050 Port Dickson, Negeri Sembilan

2°44’44” N

101°85’59” E

Pantai Teluk Kemang, Pantai Cermin, Pantai Tanjung Biru, and Pantai Purnama are all well- known tourist beach with resorts and residential built nearby. They were also part of the studies done by [11,28].

The fouling organisms were identified by comparing their morphological features to photographs from the iNaturalist website [32]. Tourists and locals were found at the beach near some of the outfalls. In this study, a total of 14 outfalls were found.

RESULTS AND DISCUSSION

Outfall as potential source of eutrophication

Photos in Figure 2 were taken from Pantai Cermin. Figure 2 shows the open sewer of nearby residents was dark green in colour, with algae and dead insects floating. Figure 2 also shows solid debris of bread and plastic take-out containers. This drainage pipe directly connects to an outfall that discharges its content to the coastal water.

 Cloudy green water from drainage to outfall at the Port Dickson beaches.

Figure 2: Cloudy green water from drainage to outfall at the Port Dickson beaches.

The open sewer seen in Figure 2 is possibly showing a phenomenon of eutrophication, where there is a burst of algae growth. The immense growth of the algae population in the drainage is likely the cause of the dark green colouration in the outfall and drainage pipe. Eutrophication often occurs due to excessive amounts of nutrients in water bodies, such as phosphorus and nitrogen. The usual sources of phosphorus and nitrogen are agricultural wastewater, urban wastewater, stormwater runoff and septic tanks [33-35]. No agricultural field was nearby, so the eutrophication could come from urban wastewater, stormwater runoff and septic tanks. Septic tanks are underground chambers used for basic sewage treatment. The increase in housing development near the coast of Pantai Cermin could have also increased the number of septic tanks. According to the United States Environmental Protection Agency [34], the presence of multiple septic tanks in a small can cause nitrogen contamination into groundwater and cause eutrophication. Also, there could have been recent heavy rain, which flushed the fertilizer content into the open sewer.

Outfall as a potential source of plastic pollution

Photos in Figure 3 show an outfall seemingly releasing black water into the coast.

Figure 3 Outfalls effluent with plastic debris released directly into Port Dickson’s beaches.

Figure 3: Outfalls effluent with plastic debris released directly into Port Dickson’s beaches.

According to Tervahauta et al. [36], the black water is likely a mixture of sewage and toilet water. The toilet water consists of urine and faeces. Tervahauta et al. [36], stated that faeces and urine from toilet water could have heavy metals because humans can accumulate heavy metals from ingesting contaminated food and water. Faeces are known to be the main source of heavy metal loading, but they only contribute to 10% of the sewage. Therefore, reducing livestock manure and using artificial fertilizers reduce heavy metal content and faecal release [36]. Aside from the black water, many plastic bags and bottles flow out of the outfall. This can be a source of plastic pollution and faecal microorganisms such as faecal coliform released into the coastal water.

In Figure 3, plastic bags and a broken piece of glass can be seen coming out of a small outfall. The water of this outfall is clear, but there is still littering of plastic and glass. Narayanan’s study [37], found that PD’s beaches are filled with solid waste such as plastic. His studies found that 41% of the debris collected was hard & film plastic, 27% was fabric & fibre, 21 % was foamed plastic, 4% of polymer and wood, and 1% of glass and ceramics, metals, and wood. Surface water and drainage of PD are still suffering from a plastic littering problem, which can lead to microplastic pollution in coastal areas [38].

Biofouling organisms

The photos were taken in Figure 4 by lowering the smartphone camera into the opening of the outfall.

Figure 4 The inside of various outfall

Figure 4: The inside of various outfall

The photograph was taken from the top of the outfall, so obtaining clear photos from different angles is difficult. Figure 4 shows two different outfalls at Teluk Kemang. They are both green in colour but not murky at all. Therefore, this shows the presence of algae. In contrast, Figure 4 from Pantai Cermin has a faint colour of yellow in its water, most likely caused by suspended sediments. In the photos in Figure 4, there is evidence of fouling organisms. Figure 4 also shows a fouling of green algae on the top and side of the outfall. There is also an unidentifiable crab with purple claws and red algae seen at the side of the inner outfall. Many unidentifiable barnacles were found attached at the side of the outfall. Figure 4 also shows an outfall from Pantai Cermin with a few remains of juvenile oysters (family Ostreidea) and an abundance of Cthamalus sinensis.

Figure 5 shows an outfall completely covered by biofouling organisms such as oysters and barnacles. Judging from their appearance, the oysters are likely Saccostrea sp.

Figure 5 The inside view of various outfalls at Port Dickson’s beaches.

Figure 5: The inside view of various outfalls at Port Dickson’s beaches.

Outfall as potential ecological trap

In Figure 6, two small school of fish were found at the entrance of the outfall found in Teluk Kemang.

Organisms found near outfall at Port Dickson beaches.

Figure 6: Organisms found near outfall at Port Dickson beaches.

Figure 5 also shows rocks near the outfall at Pantai Cermin covered in Saccostrea sp. shells. All photos in Figure 6 were taken from Pantai Tanjung Biru near a massive outfall. This specific outfall was next to mangrove trees. There is a pungent foul smell near this outfall, and many mollusks were seen. Figure 6 shows shells of Saccostrea sp. can be seen all over the rocks near the outfall and even on the nets holding the rocks together. Figure 6 also shows the point of discharge of this outfall. Figure 20 shows cluster of Prinella sp. crawling around. The aggregation of this species could be due to presence of resources such as food in the area.

It has been observed that fishes and shellfish were more abundant near the coastal outfalls. This could be due to the outfall acting as an ecological trap [39]. Bivalve, and barnacles were found to be abundant at power plant discharge pipe [25]. Outfall structure both inside and outside are used as a habitat for fouling organisms as seen in Figure 5. This phenomena was observed in a report by Stark et al. [40], where various marine organisms used pipeline structures as their substrate or habitat. Despite effluents from outfall is a major contributor to environmental degradation, highest fish abundance was found in the site nearest to the outfalls [39]. The wastewater will cause endocrine disruption, and reduced fertilization success rate in aquatic organisms. It was found that fish abundance, richness and diversity increased near the outfall only during winter for its warm effluent [37].

In the desalination outfall, it was found that barnacles proliferated and dominated the community while polychates, bryozoans and sponges reduced in population. It was concluded that the increased flow of water created by the outfall discharge favor the growth of barnacles [38]. Another study by Kohan stated that two fouling species Amphibalanus amphirite (a barnacle) and Saccostrea cucullata (an oyster) were capable of reducing nitrogen, phosphorus and phytoplanktom from aquaculture effluents that was causing eutrophication. They were found to be improving water quality individually but not when used together. Wastewater and nutrients found in the outfalls are potentially being consumed by the two species for their growth, which is why there is an aggregation of fouling organisms on outfall in PD’s beaches.

GENERAL DISCUSSION

Solid waste pollution has been reported in the PD beaches [41], in addition PAH pollution [42], fecal coliform bacteria [21,20], nutrient pollution [43], organic or sewage pollution [44,45], and plastic debris [46,47].

PD beaches have been recorded to have 82 wastewater pipelines that discharge sewage from hotels and houses into the sea directly [28]. Hashin [28], reported that that number of Escherichia coli (E. coli), and fecal streptococci at Public Teluk Kemang beach (Pantai Teluk Kemang) and Blue Lagoon beaches (Pantai Tanjung Biru), were higher than the suggested limit of 100 MPN (most probable number) 100 mL-1 limit for E. coli, and 35 CFU (Colony forming unit) 100mL-1 for fecal streptococci, in marine water that is used for recreational activities [28].

A water quality study done by Kamarudin et al. [24], on coastal water of PD 2021 stated that the concentration of ammonia, faecal coliform, oil, and grease decreased by 82.4%, 90.26%, and 99.9%, respectively. However, the total suspended solids increased compared to data from 2020. This was speculated to be due to the COVID-19 pandemic and the enforcement of movement control orders.

Sewage discharge has health risks to beachgoers. A study by Praveena et al. [11], investigated the total coliform concentration and E. coli in the beach water of Teluk Kemang. The microbiological water quality in Teluk Kemang Beach is generally safe, except for the sampling location near the outfall. Another study by Praveena et al. [11], assessed the contamination of Escherichia coli in tropical beach sands of PD Coastline (Malaysia). The concentration of E. coli was found to be high near former sewage outlets in nearby hotels. The most common health symptoms found in beachgoers were skin symptoms, and the exposure duration was significantly correlated to the health symptoms. Similar results were obtained by Hashin [28], where Pantai Cermin and Pantai Tanjung Biru (Blue Lagoon) were found to have more than 100 CFU of E. coli colonies per 100 g of sand, and skin symptoms were commonly reported.

CONCLUSIONS

This study only provides preliminary information based on observation. The water coming out of the outfall varied; some were green, and others were black. Green colouration is most likely caused by algae, while black water is most likely caused by toilet water. There was no pungent smell near each outfall, and tourists did not avoid staying near the outfall. Fouling and other marine organisms were found within the outfall structure and on its exterior. Coastal outfall could be an ecological trap or act as a beneficial substrate for bivalves and barnacles. More knowledge is needed regarding what was observed and its impact on the environment. However, outfalls are a potential nonpoint source of pollution in PD. Most literature studied microbiological colonies near outfalls, but perhaps other pollutants, such as microplastics and heavy metals, could also be assessed. In the future, water, sediment, and biological samples should be collected near the selected outfalls to immediately assess pollutants such as plastic, metals, and pathogens. Fouling organisms could be used to assess the same pollutants to determine the potential effect of outfall on the coastal areas of PD. Continuous monitoring should be done to understand the impact of the coastal outfall on the environment.

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Chew JM, Yap CK, Kumar K, Cheng WH, Syazwan WM, et al. (2024) A Preliminary Observational Study on Coastal Outfalls from Selected Coastal Water of Port Dickson. Ann Mar Biol Res 8(1): 1033.

Received : 08 May 2024
Accepted : 27 May 2024
Published : 31 May 2024
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Launched : 2016
JSM Cardiothoracic Surgery
ISSN : 2573-1297
Launched : 2016
JSM Bone and Joint Diseases
ISSN : 2578-3351
Launched : 2017
JSM Bioavailability and Bioequivalence
ISSN : 2641-7812
Launched : 2017
JSM Atherosclerosis
ISSN : 2573-1270
Launched : 2016
Journal of Genitourinary Disorders
ISSN : 2641-7790
Launched : 2017
Journal of Fractures and Sprains
ISSN : 2578-3831
Launched : 2016
Journal of Autism and Epilepsy
ISSN : 2641-7774
Launched : 2016
JSM Health Education & Primary Health Care
ISSN : 2578-3777
Launched : 2016
JSM Communication Disorders
ISSN : 2578-3807
Launched : 2016
Annals of Musculoskeletal Disorders
ISSN : 2578-3599
Launched : 2016
Annals of Virology and Research
ISSN : 2573-1122
Launched : 2014
JSM Renal Medicine
ISSN : 2573-1637
Launched : 2016
Journal of Muscle Health
ISSN : 2578-3823
Launched : 2016
JSM Genetics and Genomics
ISSN : 2334-1823
Launched : 2013
JSM Anxiety and Depression
ISSN : 2475-9139
Launched : 2016
Clinical Journal of Heart Diseases
ISSN : 2641-7766
Launched : 2016
Annals of Medicinal Chemistry and Research
ISSN : 2378-9336
Launched : 2014
JSM Pain and Management
ISSN : 2578-3378
Launched : 2016
JSM Women's Health
ISSN : 2578-3696
Launched : 2016
Clinical Research in HIV or AIDS
ISSN : 2374-0094
Launched : 2013
Journal of Endocrinology, Diabetes and Obesity
ISSN : 2333-6692
Launched : 2013
Journal of Substance Abuse and Alcoholism
ISSN : 2373-9363
Launched : 2013
JSM Neurosurgery and Spine
ISSN : 2373-9479
Launched : 2013
Journal of Liver and Clinical Research
ISSN : 2379-0830
Launched : 2014
Journal of Drug Design and Research
ISSN : 2379-089X
Launched : 2014
JSM Clinical Oncology and Research
ISSN : 2373-938X
Launched : 2013
JSM Bioinformatics, Genomics and Proteomics
ISSN : 2576-1102
Launched : 2014
JSM Chemistry
ISSN : 2334-1831
Launched : 2013
Journal of Trauma and Care
ISSN : 2573-1246
Launched : 2014
JSM Surgical Oncology and Research
ISSN : 2578-3688
Launched : 2016
Annals of Food Processing and Preservation
ISSN : 2573-1033
Launched : 2016
Journal of Radiology and Radiation Therapy
ISSN : 2333-7095
Launched : 2013
JSM Physical Medicine and Rehabilitation
ISSN : 2578-3572
Launched : 2016
Annals of Clinical Pathology
ISSN : 2373-9282
Launched : 2013
Annals of Cardiovascular Diseases
ISSN : 2641-7731
Launched : 2016
Journal of Behavior
ISSN : 2576-0076
Launched : 2016
Annals of Clinical and Experimental Metabolism
ISSN : 2572-2492
Launched : 2016
Clinical Research in Infectious Diseases
ISSN : 2379-0636
Launched : 2013
JSM Microbiology
ISSN : 2333-6455
Launched : 2013
Journal of Urology and Research
ISSN : 2379-951X
Launched : 2014
Journal of Family Medicine and Community Health
ISSN : 2379-0547
Launched : 2013
Annals of Pregnancy and Care
ISSN : 2578-336X
Launched : 2017
JSM Cell and Developmental Biology
ISSN : 2379-061X
Launched : 2013
Annals of Aquaculture and Research
ISSN : 2379-0881
Launched : 2014
Clinical Research in Pulmonology
ISSN : 2333-6625
Launched : 2013
Journal of Immunology and Clinical Research
ISSN : 2333-6714
Launched : 2013
Annals of Forensic Research and Analysis
ISSN : 2378-9476
Launched : 2014
JSM Biochemistry and Molecular Biology
ISSN : 2333-7109
Launched : 2013
Annals of Breast Cancer Research
ISSN : 2641-7685
Launched : 2016
Annals of Gerontology and Geriatric Research
ISSN : 2378-9409
Launched : 2014
Journal of Sleep Medicine and Disorders
ISSN : 2379-0822
Launched : 2014
JSM Burns and Trauma
ISSN : 2475-9406
Launched : 2016
Chemical Engineering and Process Techniques
ISSN : 2333-6633
Launched : 2013
Annals of Clinical Cytology and Pathology
ISSN : 2475-9430
Launched : 2014
JSM Allergy and Asthma
ISSN : 2573-1254
Launched : 2016
Journal of Neurological Disorders and Stroke
ISSN : 2334-2307
Launched : 2013
Annals of Sports Medicine and Research
ISSN : 2379-0571
Launched : 2014
JSM Sexual Medicine
ISSN : 2578-3718
Launched : 2016
Annals of Vascular Medicine and Research
ISSN : 2378-9344
Launched : 2014
JSM Biotechnology and Biomedical Engineering
ISSN : 2333-7117
Launched : 2013
Journal of Hematology and Transfusion
ISSN : 2333-6684
Launched : 2013
JSM Environmental Science and Ecology
ISSN : 2333-7141
Launched : 2013
Journal of Cardiology and Clinical Research
ISSN : 2333-6676
Launched : 2013
JSM Nanotechnology and Nanomedicine
ISSN : 2334-1815
Launched : 2013
Journal of Ear, Nose and Throat Disorders
ISSN : 2475-9473
Launched : 2016
JSM Ophthalmology
ISSN : 2333-6447
Launched : 2013
Journal of Pharmacology and Clinical Toxicology
ISSN : 2333-7079
Launched : 2013
Annals of Psychiatry and Mental Health
ISSN : 2374-0124
Launched : 2013
Medical Journal of Obstetrics and Gynecology
ISSN : 2333-6439
Launched : 2013
Annals of Pediatrics and Child Health
ISSN : 2373-9312
Launched : 2013
JSM Clinical Pharmaceutics
ISSN : 2379-9498
Launched : 2014
JSM Foot and Ankle
ISSN : 2475-9112
Launched : 2016
JSM Alzheimer's Disease and Related Dementia
ISSN : 2378-9565
Launched : 2014
Journal of Addiction Medicine and Therapy
ISSN : 2333-665X
Launched : 2013
Journal of Veterinary Medicine and Research
ISSN : 2378-931X
Launched : 2013
Annals of Public Health and Research
ISSN : 2378-9328
Launched : 2014
Annals of Orthopedics and Rheumatology
ISSN : 2373-9290
Launched : 2013
Journal of Clinical Nephrology and Research
ISSN : 2379-0652
Launched : 2014
Annals of Community Medicine and Practice
ISSN : 2475-9465
Launched : 2014
Annals of Biometrics and Biostatistics
ISSN : 2374-0116
Launched : 2013
JSM Clinical Case Reports
ISSN : 2373-9819
Launched : 2013
Journal of Cancer Biology and Research
ISSN : 2373-9436
Launched : 2013
Journal of Surgery and Transplantation Science
ISSN : 2379-0911
Launched : 2013
Journal of Dermatology and Clinical Research
ISSN : 2373-9371
Launched : 2013
JSM Gastroenterology and Hepatology
ISSN : 2373-9487
Launched : 2013
Annals of Nursing and Practice
ISSN : 2379-9501
Launched : 2014
JSM Dentistry
ISSN : 2333-7133
Launched : 2013
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