<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">OJMS</journal-id><journal-title-group><journal-title>Open Journal of Marine Science</journal-title></journal-title-group><issn pub-type="epub">2161-7384</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/ojms.2017.74035</article-id><article-id pub-id-type="publisher-id">OJMS-79753</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Earth&amp;Environmental Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Health Risk Assessment Due to Heavy Metals Exposure via Consumption of Bivalves Harvested from Marudu Bay, Malaysia
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Delta</surname><given-names>Jenetty Denil</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Ching</surname><given-names>Fui Fui</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Julian</surname><given-names>Ransangan</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Borneo Marine Research Institute, University Malaysia Sabah, Kota Kinabalu, Malaysia</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>liandra@ums.edu.my(JR)</email>;</corresp></author-notes><pub-date pub-type="epub"><day>07</day><month>08</month><year>2017</year></pub-date><volume>07</volume><issue>04</issue><fpage>494</fpage><lpage>510</lpage><history><date date-type="received"><day>12,</day>	<month>July</month>	<year>2017</year></date><date date-type="rev-recd"><day>17,</day>	<month>October</month>	<year>2017</year>	</date><date date-type="accepted"><day>20,</day>	<month>October</month>	<year>2017</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  
    Concern over health risk from consumption of bivalves originating from Marudu Bay is escalating due to the rapid agricultural development surrounding the bay. This has motivated us to estimate the health risk index (HRI) of heavy metals from four commercially important and highly exploited bivalve species which are abundant in the bay. Samples (n = 30) of green mussel (
   <em>Perna viridis</em>), Asiatic hard clam (
   <em>Meretrix meretrix</em>), Pacific oyster (
   <em>Crassosstrea gigas</em>) and marsh clam (
   <em>Polymesoda expans</em>) were acquired from fishermen in Kg. Teritipan, Marudu Bay. These bivalves were analyzed for heavy metals content using the Inductively Couples Plasma-Optical Emission Spectroscopy (ICP-OES). The study found that the mean contents of Arsenic (As) and Manganese (Mn) in all analyzed bivalves exceeded the permissible limits as well as copper (Cu), lead (Pb) and zinc (Zn) in Pacific oyster, and Zn in marsh clam. It was also noticed that consumption of different bivalve species may bring about health risk from different metals as indicated by varied Total Hazard Index (THI) values. Consumption of the four bivalves was noticed to promote high health risk from As intoxication. Although metal pollution index (MPI) analysis revealed that the bivalves from the bay are currently not seriously impacted by heavy metal pollution, vigorous efforts should be taken to preserve the natural condition of the bay for years to come. There are several ways to minimize health issues from bivalve consumption which include keeping the bivalve natural habitat away from heavy metals pollution by strictly enforcing environmental laws and policies, establishing zones for bivalve fisheries, monitoring heavy metals concentration in bivalve on a regular basis and making depuration process a compulsory requirement in every seafood restaurant throughout the country. 
  
 
</p></abstract><kwd-group><kwd>Health Risk Assessment</kwd><kwd> Heavy Metal</kwd><kwd> Bivalves</kwd><kwd> Marudu Bay</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Health risk assessment on heavy metals is usually carried out to assess the total exposure of heavy metals among the population in a particular place. It helps to formulate preventive measures in order to take care of the public health [<xref ref-type="bibr" rid="scirp.79753-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref2">2</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref3">3</xref>] . Many health risk assessments have been conducted on bivalves due to its high adaptability to various levels of contaminations [<xref ref-type="bibr" rid="scirp.79753-ref4">4</xref>] . Despite being a good source of low-cost protein, accumulated heavy metals in bivalves can cause major concern to consumer’s health. One of the prominent sites for bivalve fishing in Sabah is Marudu Bay. The bay is located in Kota Marudu district on the northern part of Malaysian Borneo and included in the Tun Mustapha Marine Park, the largest marine protected area within the Malaysian Coral Triangle region. The bay has been known to house at least 22 species of invertebrate fauna including bivalves [<xref ref-type="bibr" rid="scirp.79753-ref5">5</xref>] . In fact, the bay has been alienated for bivalve aquaculture development zone by the Fisheries Department of Sabah.</p><p>However, a study by [<xref ref-type="bibr" rid="scirp.79753-ref6">6</xref>] revealed that the farmed green mussel in the bay contained manganese (Mn) that exceeds the permissible limit of 5.4 mg/kg [<xref ref-type="bibr" rid="scirp.79753-ref7">7</xref>] . Although previous study by [<xref ref-type="bibr" rid="scirp.79753-ref8">8</xref>] concluded that the heavy metal level in Marudu Bay was still within the permissible limit, the same study, however, reported high content of Mn in the surface sediment of the bay. Perhaps, one of the possible reasons for this situation is the rapid coastal development around the bay especially human settlement and oil palm plantation.</p><p>The ability to identify the sources of heavy metal pollutant is useless without measuring its effects to human health. Hence, health risk assessment is required in order to determine the probability of human health risk due to heavy metals following the consumption of bivalves originating from a collection site. To the best of our knowledge, green-lipped mussel (Perna viridis), Asiatic hard clam (Meretrix meretrix), Pacific oyster (Crassosstrea gigas) and marsh clam (Polymesoda expansa) are the most commercially exploited bivalve species in Marudu Bay. In this paper we estimated the health risk index (HRI) due to heavy metals in relation to the consumption of these bivalve species originating from the bay.</p></sec><sec id="s2"><title>2. Materials and Methods</title><sec id="s2_1"><title>2.1. Sample Collection</title><p>A total of 30 specimens of each bivalve species including green-lipped mussel (P. viridis), Asiatic hard clam (M. meretrix), Pacific oyster (C. gigas) and marsh clam (P. expansa) were acquired from fishermen who harvest different species of bivalves in the Marudu Bay (<xref ref-type="fig" rid="fig1">Figure 1</xref>). The specimens were transported to the laboratory in polystyrene box containing ice cubes. The specimens were then dissected by using acid washed stainless steel knife. The whole soft tissues were kept in zip-lock bag then stored in −80˚C ultralow freezer (U570-86, New Brunswick). Prior to further analyses, the specimens were oven-dried at 105˚C for 24 hours [<xref ref-type="bibr" rid="scirp.79753-ref9">9</xref>] . Then grounded to powder using mortar and pestle, and kept in zip-lock bags until analysis.</p></sec><sec id="s2_2"><title>2.2. Sample Digestion</title><p>Sample digestion was carried out in hot block digester (Tecator Digestor Auto 8, FOSS) according to the method described by [<xref ref-type="bibr" rid="scirp.79753-ref10">10</xref>] . Prior to digestion, all glassware were first rinsed with 1 N nitric acid. Then, 0.5 g of powdered sample was weighed using electronic balance (Pecisa 404A) and placed in digesting tubes. 15 ml of 65% nitric acid (Merck) and 2.5 ml of 70% - 72% perchloric acid (Merck) were added in the tubes. The tubes were heated at 140˚C for 10 minutes in hot block digester. Then, 5 ml of 37% hydrochloric acid (AR Grade, Qrec) was added in the tubes. Subsequently, the temperature was raised to 200˚C and digestion process proceeded for 3 hours. When digestion completed, the tubes were left to cool at room temperature before adding 1.25 ml of 65% nitric acid and 10 ml of double distilled water. The solution was filtered using Whatman filter paper (No. 1001-110) and top-up to 35 ml with double distilled water. Finally, the filtrates were kept in 20 ml glass vials and stored at 4˚C until heavy metal analysis.</p></sec><sec id="s2_3"><title>2.3. Heavy Metal Determination</title><p>Heavy metal content in the bivalve samples was determined by using the Inductively Couples Plasma-Optical Emission Spectroscopy (ICP-OES), Perkin Elmer Optima 5300DV. Quality Control Standard 21 (Perkin Elmer Pure) was used as Standard Reference Material (SRM1646a) for instrument recovery. Triplicate readings were obtained for every sample. Assessment of measurement quality and precision was achieved by running blank samples and certified standard materials Dogfish liver DOLT-5 (National Research Council Canada) alongside with the bivalve samples.</p></sec><sec id="s2_4"><title>2.4. Health Risk Assessment</title><p>Health risk assessment was carried out by calculating the Hazard Quotient (HQ) according to [<xref ref-type="bibr" rid="scirp.79753-ref4">4</xref>] and [<xref ref-type="bibr" rid="scirp.79753-ref11">11</xref>] (<xref ref-type="table" rid="table1">Table 1</xref>). Health risk assessment of the toxicants was interpreted based on the values of HQ and Total Hazard Index (THI) [<xref ref-type="bibr" rid="scirp.79753-ref12">12</xref>] .</p><p>HQ = ( EF ) ( ED ) ( IR ) ( C ) ( RFD ) ( WAB ) ( TA )</p><p>The THI is the sum of HQ of respective heavy metal in the sample. Where, HQ<sub>n</sub> is the hazard quotient for metal n in the sample.</p><p>THI = ∑ HQ = HQ 1 + HQ 2 + HQ 3 + ⋯ + HQ n <sub> </sub></p><p>Values of HQ and THI below 1.0 indicate no risk of adverse health effect and the greater the value, the greater the risk level of the heavy metal intoxication [<xref ref-type="bibr" rid="scirp.79753-ref12">12</xref>] .</p></sec><sec id="s2_5"><title>2.5. Metal Pollution Index</title><p>To compare the heavy metal contents in different bivalves, metal pollution index was calculated by using the following formula [<xref ref-type="bibr" rid="scirp.79753-ref15">15</xref>] .</p><p>MPI = ( Cf 1 , Cf 2 , ⋯ , Cf n ) 1 / n</p><p>where Cf<sub>n</sub> is the concentration of the metal n in the sample. The MPI index value was adapted from [<xref ref-type="bibr" rid="scirp.79753-ref2">2</xref>] as shown in <xref ref-type="table" rid="table2">Table 2</xref>.</p></sec><sec id="s2_6"><title>2.6. Statistical Analysis</title><p>The SPSS Windows Statistical Package (version 22.0) was used for all statistical analyses. All data were subjected to one-way ANOVA with all variables tested for normality and homogeneity of variances. Significance level was set at p &lt;</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Values used to calculate Hazard Quotient (HQ)</title></caption><table><tbody><thead><tr><th align="center" valign="middle" ></th><th align="center" valign="middle" >Unit</th></tr></thead><tr><td align="center" valign="middle" >EF, exposure frequency</td><td align="center" valign="middle" >days/year</td></tr><tr><td align="center" valign="middle" >ED, exposure duration</td><td align="center" valign="middle" >years</td></tr><tr><td align="center" valign="middle" >IR, ingestion rate</td><td align="center" valign="middle" >0.082 kg/day/person, [<xref ref-type="bibr" rid="scirp.79753-ref13">13</xref>]</td></tr><tr><td align="center" valign="middle" >C, metal content in edible part</td><td align="center" valign="middle" >mg/kg</td></tr><tr><td align="center" valign="middle" >RFD, oral reference dose,</td><td align="center" valign="middle" >mg/kg/day</td></tr><tr><td align="center" valign="middle" >WAB, average body weight</td><td align="center" valign="middle" >62.6 kg, [<xref ref-type="bibr" rid="scirp.79753-ref14">14</xref>]</td></tr><tr><td align="center" valign="middle" >TA, average exposure</td><td align="center" valign="middle" >365 days/year x ED</td></tr></tbody></table></table-wrap><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> MPI index value adapted from [<xref ref-type="bibr" rid="scirp.79753-ref2">2</xref>] </title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Index Value</th><th align="center" valign="middle" >Degree of Pollution</th></tr></thead><tr><td align="center" valign="middle" >MPI &gt; 2</td><td align="center" valign="middle" >Not impacted</td></tr><tr><td align="center" valign="middle" >2 &lt; MPI &lt; 5</td><td align="center" valign="middle" >Very low contamination</td></tr><tr><td align="center" valign="middle" >5 &lt; MPI &lt; 10</td><td align="center" valign="middle" >Low contamination</td></tr><tr><td align="center" valign="middle" >10 &lt; MPI&lt; 20</td><td align="center" valign="middle" >Medium contamination</td></tr><tr><td align="center" valign="middle" >20 &lt; MPI &lt; 50</td><td align="center" valign="middle" >High contamination</td></tr><tr><td align="center" valign="middle" >50 &lt; MPI &lt; 100</td><td align="center" valign="middle" >Very high contamination</td></tr><tr><td align="center" valign="middle" >MPI &gt; 100</td><td align="center" valign="middle" >Extreme contamination</td></tr></tbody></table></table-wrap><p>0.05. One-way ANOVA was performed and followed by the Tukey multiple comparison test (Tukey HSD) to make specific contrast of heavy metals content in the bivalves. A multivariate analysis (Principal component analysis) was performed to highlight the relationship between heavy metals. Varimax rotation was performed to help interpret the principal components.</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. Heavy Metals Content in Bivalves</title><p>The heavy metals contents in the four bivalve species collected from Marudu Bay are as shown in <xref ref-type="table" rid="table3">Table 3</xref>. It was noted that the As and Mn contents in all species of bivalves exceeded the permissible limits. The same was noticed to Cu, Pb and Zn in Pacific oyster and Zn in marsh clam (<xref ref-type="table" rid="table3">Table 3</xref>).</p></sec><sec id="s3_2"><title>3.2. Health Risk Assessment of Bivalves</title><p>Hazard Quotient (HQ) exceeding 1.0 is considered threatening human health [<xref ref-type="bibr" rid="scirp.79753-ref1">1</xref>] . In this study, HQ for Fe andLi was not calculated because its oral reference dose and permissible limits have not been specified by any international standard providers. The calculated HQ of heavy metals in the four bivalve species is given in <xref ref-type="table" rid="table4">Table 4</xref>. Based on the HQ cut-point, it showed that all four bivalves can promote health risk due to As intoxication as the HQ values were greater than 1.0.The cumulative effect of HQ of the respective heavy metals was indicated by the value of THI. It was found that the THI values for all species of bivalves were greater than 1.0. The THI value, in decreasing order, of the respective bivalve begins with Pacific oyster (5.07) follows by green-lipped mussel (4.40), marsh clam (1.86) and Asiatic hard clam (1.60).</p></sec><sec id="s3_3"><title>3.3. Metal Pollution Index of Bivalves</title><p><xref ref-type="table" rid="table5">Table 5</xref> shows the MPI of bivalves obtained from Marudu Bay. The highest MPI was obtained from Pacific oyster (15.03) followed by green-lipped mussel (8.31), marsh clam (6.86) and Asiatic hard clam (5.79).</p></sec><sec id="s3_4"><title>3.4. Principal Component Analysis</title><p>The results of principal component analysis (PCA) of the heavy metals content</p><table-wrap id="table3" ><label><xref ref-type="table" rid="table3">Table 3</xref></label><caption><title> Heavy metals content (mg/kg) in bivalves obtained from Kota Marudu</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Bivalve</th><th align="center" valign="middle" >As</th><th align="center" valign="middle" >Cd</th><th align="center" valign="middle" >Cu</th><th align="center" valign="middle" >Fe</th><th align="center" valign="middle" >Li</th><th align="center" valign="middle" >Mn</th><th align="center" valign="middle" >Ni</th><th align="center" valign="middle" >Pb</th><th align="center" valign="middle" >V</th><th align="center" valign="middle" >Zn</th></tr></thead><tr><td align="center" valign="middle" >Asiatic hard clam</td><td align="center" valign="middle" >2.40 &#177; 0.99</td><td align="center" valign="middle" >b.d.l</td><td align="center" valign="middle" >6.57 &#177; 9.07</td><td align="center" valign="middle" >276.5 &#177; 230.3</td><td align="center" valign="middle" >1.12 &#177; 0.49</td><td align="center" valign="middle" >6.92 &#177; 4.63</td><td align="center" valign="middle" >4.92 &#177; 2.63</td><td align="center" valign="middle" >0.90 &#177; 1.43</td><td align="center" valign="middle" >1.11 &#177; 0.72</td><td align="center" valign="middle" >45.25 &#177; 19.2</td></tr><tr><td align="center" valign="middle" >Pacific oyster</td><td align="center" valign="middle" >5.49 &#177; 1.24</td><td align="center" valign="middle" >2.34 &#177; 1.38</td><td align="center" valign="middle" >74.9 &#177; 24.8</td><td align="center" valign="middle" >285.5 &#177; 94.0</td><td align="center" valign="middle" >3.20 &#177; 1.29</td><td align="center" valign="middle" >20.3 &#177; 6.37</td><td align="center" valign="middle" >4.23 &#177; 1.40</td><td align="center" valign="middle" >2.77 &#177; 0.65</td><td align="center" valign="middle" >3.41 &#177; 1.40</td><td align="center" valign="middle" >822.9 &#177; 281.1</td></tr><tr><td align="center" valign="middle" >Marsh clam</td><td align="center" valign="middle" >1.95 &#177; 0.82</td><td align="center" valign="middle" >0.24 &#177; 0.13</td><td align="center" valign="middle" >6.42 &#177; 1.68</td><td align="center" valign="middle" >783.0 &#177; 284.4</td><td align="center" valign="middle" >2.16 &#177; 0.48</td><td align="center" valign="middle" >66.1 &#177; 77.1</td><td align="center" valign="middle" >2.58 &#177; 3.41</td><td align="center" valign="middle" >0.95 &#177; 0.30</td><td align="center" valign="middle" >2.09 &#177; 0.49</td><td align="center" valign="middle" >135.5 &#177; 53.6</td></tr><tr><td align="center" valign="middle" >Green-lipped mussel</td><td align="center" valign="middle" >5.72 &#177; 1.88</td><td align="center" valign="middle" >2.72 &#177; 1.53</td><td align="center" valign="middle" >11.29 &#177; 17.2</td><td align="center" valign="middle" >313.6 &#177; 216.8</td><td align="center" valign="middle" >6.76 &#177; 9.27</td><td align="center" valign="middle" >28.81 &#177; 19.9</td><td align="center" valign="middle" >3.10 &#177; 2.47</td><td align="center" valign="middle" >0.56 &#177; 1.06</td><td align="center" valign="middle" >2.23 &#177; 1.79</td><td align="center" valign="middle" >37.92 &#177; 13.2</td></tr><tr><td align="center" valign="middle" >Safe limit (mg/kg)</td><td align="center" valign="middle" >1.0<sup>(1)</sup></td><td align="center" valign="middle" >3.0<sup>(2)</sup></td><td align="center" valign="middle" >30.0<sup>(1)</sup></td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >5.4<sup>(3)</sup></td><td align="center" valign="middle" >75<sup>(2)</sup></td><td align="center" valign="middle" >1.0<sup>(2)</sup></td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >100<sup>(1)</sup></td></tr><tr><td align="center" valign="middle" >Rfd (mg/kg/day)</td><td align="center" valign="middle" >0.0003</td><td align="center" valign="middle" >0.001</td><td align="center" valign="middle" >0.04</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >0.033</td><td align="center" valign="middle" >0.02</td><td align="center" valign="middle" >0.004</td><td align="center" valign="middle" >0.009</td><td align="center" valign="middle" >0.30</td></tr></tbody></table></table-wrap><p>Note: b.d.l = below detection limit, Rfd = oral reference dose (USEPA IRIS, 2006), n.a = value not available, 1) MFR (1985), 2) EU (2002), 3) FAO/WHO (1984).</p><table-wrap id="table4" ><label><xref ref-type="table" rid="table4">Table 4</xref></label><caption><title> HQ and THI of heavy metals in bivalves</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Bivalve</th><th align="center" valign="middle" >As</th><th align="center" valign="middle" >Cd</th><th align="center" valign="middle" >Cu</th><th align="center" valign="middle" >Fe</th><th align="center" valign="middle" >Li</th><th align="center" valign="middle" >Mn</th><th align="center" valign="middle" >Ni</th><th align="center" valign="middle" >Pb</th><th align="center" valign="middle" >V</th><th align="center" valign="middle" >Zn</th><th align="center" valign="middle" >THI</th></tr></thead><tr><td align="center" valign="middle" >Asiatic hard clam</td><td align="center" valign="middle" >1.49</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >0.03</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >0.04</td><td align="center" valign="middle" >0.05</td><td align="center" valign="middle" >0.04</td><td align="center" valign="middle" >0.02</td><td align="center" valign="middle" >0.03</td><td align="center" valign="middle" >1.60</td></tr><tr><td align="center" valign="middle" >Pacific oyster</td><td align="center" valign="middle" >3.41</td><td align="center" valign="middle" >0.44</td><td align="center" valign="middle" >0.35</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >0.11</td><td align="center" valign="middle" >0.04</td><td align="center" valign="middle" >0.13</td><td align="center" valign="middle" >0.07</td><td align="center" valign="middle" >0.51</td><td align="center" valign="middle" >5.07</td></tr><tr><td align="center" valign="middle" >Marsh clam</td><td align="center" valign="middle" >1.21</td><td align="center" valign="middle" >0.04</td><td align="center" valign="middle" >0.03</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >0.37</td><td align="center" valign="middle" >0.02</td><td align="center" valign="middle" >0.04</td><td align="center" valign="middle" >0.04</td><td align="center" valign="middle" >0.08</td><td align="center" valign="middle" >1.86</td></tr><tr><td align="center" valign="middle" >Green mussel</td><td align="center" valign="middle" >3.56</td><td align="center" valign="middle" >0.51</td><td align="center" valign="middle" >0.05</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >0.16</td><td align="center" valign="middle" >0.03</td><td align="center" valign="middle" >0.03</td><td align="center" valign="middle" >0.05</td><td align="center" valign="middle" >0.02</td><td align="center" valign="middle" >4.40</td></tr></tbody></table></table-wrap><p>Note: n.a = value not available. Values of HQ greater than 1.0 are highlighted in bold indicating presence of adverse health effect associated with respective heavy metal.</p><table-wrap id="table5" ><label><xref ref-type="table" rid="table5">Table 5</xref></label><caption><title> Metal pollution indexes of bivalves obtained from Marudu Bay</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Bivalve</th><th align="center" valign="middle" >MPI</th><th align="center" valign="middle" >Index Value</th><th align="center" valign="middle" >Degree of Pollution</th></tr></thead><tr><td align="center" valign="middle" >Asiatic hard clam</td><td align="center" valign="middle" >5.79</td><td align="center" valign="middle" >5 &lt; MPI &lt; 10</td><td align="center" valign="middle" >Low contamination</td></tr><tr><td align="center" valign="middle" >Pacific oyster</td><td align="center" valign="middle" >15.03</td><td align="center" valign="middle" >10 &lt; MPI &lt; 20</td><td align="center" valign="middle" >Medium contamination</td></tr><tr><td align="center" valign="middle" >Marsh clam</td><td align="center" valign="middle" >6.86</td><td align="center" valign="middle" >5 &lt; MPI &lt; 10</td><td align="center" valign="middle" >Low contamination</td></tr><tr><td align="center" valign="middle" >Green-lipped mussel</td><td align="center" valign="middle" >8.31</td><td align="center" valign="middle" >5 &lt; MPI &lt; 10</td><td align="center" valign="middle" >Low contamination</td></tr></tbody></table></table-wrap><p>in the four bivalve species are illustrated in <xref ref-type="table" rid="table6">Table 6</xref>. It showed that heavy metals reduced into four factors with the total variation explained of 35.1%, 18.2%, 17.2% and 10.8% for Factor 1, Factor 2, Factor 3 and Factor 4, respectively. Strong positive correlations were observed between 1) metals As, Cd, Cu, Pb, V and Zn with Factor 1; 2) Fe and Mn with Factor 2; 3) Cd and Li with Factor 3 and 4) Ni with Factor 4. On the other hand, opposite correlations were noticed between a) Fe and Mn with Factor 1; b) As, Cd and Li with Factor 2; c) Cu, Ni, Pb and Zn with Factor 3, and d) Cu, Mn and Zn with Factor 4.</p><table-wrap id="table6" ><label><xref ref-type="table" rid="table6">Table 6</xref></label><caption><title> Principal component analysis: Varimax rotated component matrix</title></caption><table><tbody><thead><tr><th align="center" valign="middle" ></th><th align="center" valign="middle" >Factor 1</th><th align="center" valign="middle" >Factor 2</th><th align="center" valign="middle" >Factor 3</th><th align="center" valign="middle" >Factor 4</th></tr></thead><tr><td align="center" valign="middle" >As</td><td align="center" valign="middle" >0.75</td><td align="center" valign="middle" >−0.03</td><td align="center" valign="middle" >0.48</td><td align="center" valign="middle" >0.13</td></tr><tr><td align="center" valign="middle" >Cd</td><td align="center" valign="middle" >0.71</td><td align="center" valign="middle" >−0.14</td><td align="center" valign="middle" >0.60</td><td align="center" valign="middle" >0.00</td></tr><tr><td align="center" valign="middle" >Cu</td><td align="center" valign="middle" >0.82</td><td align="center" valign="middle" >0.00</td><td align="center" valign="middle" >−0.26</td><td align="center" valign="middle" >−0.39</td></tr><tr><td align="center" valign="middle" >Fe</td><td align="center" valign="middle" >−0.28</td><td align="center" valign="middle" >0.90</td><td align="center" valign="middle" >0.13</td><td align="center" valign="middle" >0.04</td></tr><tr><td align="center" valign="middle" >Li</td><td align="center" valign="middle" >0.20</td><td align="center" valign="middle" >−0.19</td><td align="center" valign="middle" >0.72</td><td align="center" valign="middle" >0.09</td></tr><tr><td align="center" valign="middle" >Mn</td><td align="center" valign="middle" >−0.15</td><td align="center" valign="middle" >0.86</td><td align="center" valign="middle" >0.30</td><td align="center" valign="middle" >−0.15</td></tr><tr><td align="center" valign="middle" >Ni</td><td align="center" valign="middle" >0.25</td><td align="center" valign="middle" >0.05</td><td align="center" valign="middle" >−0.39</td><td align="center" valign="middle" >0.79</td></tr><tr><td align="center" valign="middle" >Pb</td><td align="center" valign="middle" >0.72</td><td align="center" valign="middle" >0.20</td><td align="center" valign="middle" >−0.41</td><td align="center" valign="middle" >0.04</td></tr><tr><td align="center" valign="middle" >V</td><td align="center" valign="middle" >0.70</td><td align="center" valign="middle" >0.36</td><td align="center" valign="middle" >0.04</td><td align="center" valign="middle" >0.35</td></tr><tr><td align="center" valign="middle" >Zn</td><td align="center" valign="middle" >0.77</td><td align="center" valign="middle" >0.16</td><td align="center" valign="middle" >−0.35</td><td align="center" valign="middle" >−0.37</td></tr><tr><td align="center" valign="middle" >Total Variation Explained (%)</td><td align="center" valign="middle" >35.1</td><td align="center" valign="middle" >18.0</td><td align="center" valign="middle" >17.2</td><td align="center" valign="middle" >10.8</td></tr></tbody></table></table-wrap></sec></sec><sec id="s4"><title>4. Discussion</title><sec id="s4_1"><title>4.1. Heavy Metal Content in Bivalves</title><p>Bivalves are known to have the ability to accumulate great level of heavy metals in their body [<xref ref-type="bibr" rid="scirp.79753-ref16">16</xref>] . This makes them good candidates for bio-indicator to assess the level of metal pollutants in an aquatic system. However, the contents of heavy metals in bivalves are affected by numerous factors. It was noted that intrinsic factors such as species, age, size, metabolic demand, spawning process [<xref ref-type="bibr" rid="scirp.79753-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref18">18</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref19">19</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref20">20</xref>] and extrinsic factors such as type of heavy metals, location and various environmental factors [<xref ref-type="bibr" rid="scirp.79753-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref20">20</xref>] can affect the heavy metal content in bivalves. Many human activities (<xref ref-type="table" rid="table7">Table 7</xref> and <xref ref-type="table" rid="table8">Table 8</xref>) and natural sources such as rocks weathering, runoff of mineralized rocks and hydrological conditions are known to contribute to heavy metals load in the aquatic environment [<xref ref-type="bibr" rid="scirp.79753-ref18">18</xref>] . In the present study, we observed that surface runoff [<xref ref-type="bibr" rid="scirp.79753-ref21">21</xref>] , domestic wastewater [<xref ref-type="bibr" rid="scirp.79753-ref22">22</xref>] and boating activities [<xref ref-type="bibr" rid="scirp.79753-ref23">23</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref24">24</xref>] may contribute to the heavy metals deposition in the bay and caused the As and Mn contents in the bivalves to exceed the permissible limits (<xref ref-type="table" rid="table3">Table 3</xref>).</p></sec><sec id="s4_2"><title>4.2. Health Risk Assessment</title><p>Although the As and Mn contents in all analyzed species exceeding the permissible limits, only the HQ value of As was greater than 1.0, which indicates presence of adverse health effects due to As intoxication. The HQ value is not only attributed to the extent of heavy metal content in the food, but also influenced by the exposure frequency as well as the ingestion rate of the contaminated food [<xref ref-type="bibr" rid="scirp.79753-ref25">25</xref>] . Furthermore, the differences in oral reference dose of the respective metal may also affect the HQ value. Upon consumption, the bio-accumulated heavy metals in bivalves body can eventually transferred to human [<xref ref-type="bibr" rid="scirp.79753-ref26">26</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref27">27</xref>] . Inhalation and dermal contact are other recognized routes of heavy metal exposure [<xref ref-type="bibr" rid="scirp.79753-ref28">28</xref>] in human. As reviewed elsewhere [<xref ref-type="bibr" rid="scirp.79753-ref29">29</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref30">30</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref31">31</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref32">32</xref>] , heavy metals and</p><table-wrap id="table7" ><label><xref ref-type="table" rid="table7">Table 7</xref></label><caption><title> Source(s) and effect(s) of heavy metals for As, Cd, Cr, Cu, Fe, Li and Ni</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Heavy metal</th><th align="center" valign="middle" >Sources</th><th align="center" valign="middle" >Effect(s) to human health</th><th align="center" valign="middle" >References</th></tr></thead><tr><td align="center" valign="middle" >As</td><td align="center" valign="middle" >Weathering of natural mineral, production of paints, dyes and soaps, arsenical pesticides and fertilizers.</td><td align="center" valign="middle" >Lungs, liver, bladder and skin cancer, cardiovascular disease, neurological problems, diabetes mellitus, reduced erythrocyte and leucocyte production, hypertension, nausea and vomiting, skin lesion (pigmentation and keratosis).</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.79753-ref40">40</xref>]</td></tr><tr><td align="center" valign="middle" >Cd</td><td align="center" valign="middle" >Production of Cu, Pb and Zn, production of alkaline batteries and electrode components, production of pigments, plastic stabilizers, fertilizers.</td><td align="center" valign="middle" >Kidney and skeletal damage, disturbance in Zn metabolism, reduced haemoglobin and haematocrit concentration, stomach irritation, vomiting and diarrhea.</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.79753-ref34">34</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref40">40</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref54">54</xref>]</td></tr><tr><td align="center" valign="middle" >Cu</td><td align="center" valign="middle" >Fossil fuel combustion, mining activities, smelting and refining process of copper, industry of copper-based material.</td><td align="center" valign="middle" >Kidney and liver damage, anaemia, gastrointestinal problems.</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.79753-ref55">55</xref>]</td></tr><tr><td align="center" valign="middle" >Fe</td><td align="center" valign="middle" >Mining activities, weathering process.</td><td align="center" valign="middle" >DNA damage, gastrointestinal problems.</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.79753-ref40">40</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref56">56</xref>]</td></tr><tr><td align="center" valign="middle" >Li</td><td align="center" valign="middle" >Ceramic and glass industry, production of aluminium and batteries, production of pharmaceutical drugs.</td><td align="center" valign="middle" >Kidney failure.</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.79753-ref57">57</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref58">58</xref>]</td></tr><tr><td align="center" valign="middle" >Ni</td><td align="center" valign="middle" >Oil spillage, combustion of coal and fuel oil, steel industry, forest fire, rocks weathering.</td><td align="center" valign="middle" >Various kinds of cancer, various respiratory problems, heart disorders, birth defects.</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.79753-ref54">54</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref59">59</xref>]</td></tr></tbody></table></table-wrap><table-wrap id="table8" ><label><xref ref-type="table" rid="table8">Table 8</xref></label><caption><title> Source(s) and effect(s) of heavy metals Mn, Pb, Sr, V and Zn</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Heavy metal</th><th align="center" valign="middle" >Sources</th><th align="center" valign="middle" >Effect(s) to human health</th><th align="center" valign="middle" >References</th></tr></thead><tr><td align="center" valign="middle" >Mn</td><td align="center" valign="middle" >Rocks weathering, wastewater discharges.</td><td align="center" valign="middle" >Disturbances in circulatory system, brain damage, promote tumour development, hypotension, and retard foetus development.</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.79753-ref56">56</xref>]</td></tr><tr><td align="center" valign="middle" >Pb</td><td align="center" valign="middle" >Production of batteries, smelting and metal plating process, exhaust from vehicles, pigment additives, gasoline, fertilizers and herbicides.</td><td align="center" valign="middle" >Brain and kidney damage, hypertension, arthritis, mental retardation, birth defects, autism, hyperactivity, psychosis, dyslexia, hallucinations, insomnia, dizziness, muscular weakness, fatigue, allergies, headache, appetite loss, weight loss.</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.79753-ref40">40</xref>]</td></tr><tr><td align="center" valign="middle" >V</td><td align="center" valign="middle" >Weathering of earth crust, volcanic emissions, metallurgical works, crude oil and coal burning.</td><td align="center" valign="middle" >Potent inhibitor of many enzymes and cholesterol biosynthesis, reduce plasma cholesterol level, respiratory irritation.</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.79753-ref59">59</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref60">60</xref>]</td></tr><tr><td align="center" valign="middle" >Zn</td><td align="center" valign="middle" >Mining activities, smelting process, steel production, coal burning.</td><td align="center" valign="middle" >Nausea, vomiting, epigastric pain, lethargy, and fatigue.</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.79753-ref61">61</xref>]</td></tr></tbody></table></table-wrap><p>metalloids have been reported to cause disturbances at cellular level especially in 1) promoting oxidative stress due to the initiation of reactive oxygen species (ROS), 2) causing DNA damage and impair its repair mechanisms, 3) hindering normal function of cell membrane and the assimilation of nutrient and 4) promoting malfunction of proteins. Moreover, most metals are known to form covalent bonds with carbon and resulting in metal-organic compounds which then interfering the normal functions of various organ systems [<xref ref-type="bibr" rid="scirp.79753-ref33">33</xref>] .</p><sec id="s4_2_1"><title>4.2.1. Arsenic</title><p>Arsenic is one of the most toxic heavy metals that extensively studied and reviewed regularly by the international bodies [<xref ref-type="bibr" rid="scirp.79753-ref34">34</xref>] . The immediate effects of acute As intoxication including vomiting, abdominal pain and diarrhea. These symptoms are often followed by numbness, muscle cramps and may also lead to death, in extreme cases [<xref ref-type="bibr" rid="scirp.79753-ref35">35</xref>] . Other than that, it can cause skin cancers and various skin problems, suppress the erythrocyte and leucocyte production and hypertension (<xref ref-type="table" rid="table7">Table 7</xref>). The possible sources of As in the environment could be originated from mineral weathering, arsenic-based pesticides and fertilizers as well as production of paints, dyes and soap (<xref ref-type="table" rid="table7">Table 7</xref>). In case of Marudu bay, the leaching of fertilizers residue may promote the accumulation of As in the analyzed bivalves at the extent where it exceeds the permissible limit. Subsequently, presenting the risk of As intoxication to human consumers.</p></sec><sec id="s4_2_2"><title>4.2.2. Copper</title><p>Copper is an essential metal required in various metabolic activities and is well regulated not only in the human body [<xref ref-type="bibr" rid="scirp.79753-ref36">36</xref>] but also in plants [<xref ref-type="bibr" rid="scirp.79753-ref37">37</xref>] . However, prolonged exposure of Cu above tolerable limit may lead to kidney and liver failure, anaemia and gastrointestinal problems (<xref ref-type="table" rid="table7">Table 7</xref>). According to [<xref ref-type="bibr" rid="scirp.79753-ref38">38</xref>] , Cu could be accumulated in Marudu Bay because it receives inputs from river discharge and surface runoff from the surrounding areas. In the current study, Cu content in Pacific oyster harvested from Marudu Bay has exceeded safe level. Human consuming excessive amount of Pacific oyster may primarily be exposed to adverse health effects of Cu intoxication. Fang and colleagues [<xref ref-type="bibr" rid="scirp.79753-ref39">39</xref>] noticed that oysters (C. rivularis) accumulate higher level of Cu compared to green mussel (P. viridis) and clam (Ruditapes philippinarum).</p></sec><sec id="s4_2_3"><title>4.2.3. Lead</title><p>The lead content in Pacific oysters originating from the bay was found greater than the permissible limit. Among the known toxic effects of Pb to human, include brain and kidney damage, muscular weakness, hypertension and arthritis (<xref ref-type="table" rid="table8">Table 8</xref>). Lead also causes mental retardation and birth defects especially to vulnerable populations such as children and pregnant women [<xref ref-type="bibr" rid="scirp.79753-ref40">40</xref>] . Pb is a non-essential metal and considered hazardous to human and animals even at low level. The possible sources of Pb in Marudu Bay include residues of fertilizers and herbicides from oil palm plantation and gasoline from fishing boats [<xref ref-type="bibr" rid="scirp.79753-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref41">41</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref42">42</xref>] .</p></sec><sec id="s4_2_4"><title>4.2.4. Manganese</title><p>Kota Marudu holds a history of being a former Mn mining area in the late 1903 [<xref ref-type="bibr" rid="scirp.79753-ref43">43</xref>] . Aris and colleagues [<xref ref-type="bibr" rid="scirp.79753-ref41">41</xref>] claimed that metal dispersion, including Mn, might come from the former railway that has been damaged several times during heavy flooding. Other than that, discharge from various domestic wastes is one of the main contributors of Mn in the aquatic system [<xref ref-type="bibr" rid="scirp.79753-ref44">44</xref>] . The suitability of usage of several rivers in Kota Marudu have been doubted by [<xref ref-type="bibr" rid="scirp.79753-ref41">41</xref>] due to high level of contamination from domestic waste discharge. Although Mn is an essential enzyme activator [<xref ref-type="bibr" rid="scirp.79753-ref45">45</xref>] , exposure to high level of Mn, however, disturbs the central nervous system, causes tumor, hypotension and affects fetus development. The content of Mn in all analyzed bivalves were exceeding the permissible limits and may promote potential health risk if frequently consumed despite HQ value was below than 1.0.</p></sec><sec id="s4_2_5"><title>4.2.5. Zinc</title><p>In marine environment, Zn could be attributed to the weathering process or various human activities such as mining, smelting process, steel production and coal or forest burning (<xref ref-type="table" rid="table8">Table 8</xref>). As an essential metal, Zn responsible for the normal function of various enzymatic activities and promoting wound healing [<xref ref-type="bibr" rid="scirp.79753-ref45">45</xref>] . However, excess intake or exposure to Zn can cause nausea, vomiting, abdominal pain, lethargy and fatigue. In the present study, we noticed that the content of Zn in Pacific oyster and marsh clam were exceeding the permissible limits. Studies have shown that oysters have the ability to accumulate many heavy metals [<xref ref-type="bibr" rid="scirp.79753-ref46">46</xref>] . Meanwhile, marsh clam has been reported to capable of accumulating the highest level of heavy metals among 13 species of clams collected from 34 sites on the Malaysian coasts [<xref ref-type="bibr" rid="scirp.79753-ref47">47</xref>] .</p></sec></sec><sec id="s4_3"><title>4.3. Metal Pollution Index</title><p>Metal Pollution Index (MPI) is used to identify the extent of heavy metal pollution [<xref ref-type="bibr" rid="scirp.79753-ref48">48</xref>] either in non-biota or biota. According to [<xref ref-type="bibr" rid="scirp.79753-ref25">25</xref>] , variation in MPI values noted in different species of organisms is attributed to the differences in feeding habits. However, variation in MPI can also be influenced by season [<xref ref-type="bibr" rid="scirp.79753-ref48">48</xref>] .</p><p>In the present study, it was shown that Pacific oyster exposed to medium contamination while the other species were categorized under low contamination. Previous study has reported that, oyster C. virginica, was unable to eliminate accumulated metals from their soft tissue even after depuration [<xref ref-type="bibr" rid="scirp.79753-ref49">49</xref>] . This condition is attributed to the presence of metallothionein, a cysteine-rich protein that has high affinity to heavy metals [<xref ref-type="bibr" rid="scirp.79753-ref50">50</xref>] which accumulate inside the cells in a non-toxic form [<xref ref-type="bibr" rid="scirp.79753-ref49">49</xref>] . Metallothioneins are responsible in the homeostasis of essential metals (Zn and Cu), detoxification of toxic metals (especially Cd) as well in scavenging free radicals [<xref ref-type="bibr" rid="scirp.79753-ref51">51</xref>] . They were known to be rapidly induced in the liver by a wide range of metals, drugs and inflammatory mediators [<xref ref-type="bibr" rid="scirp.79753-ref52">52</xref>] .</p></sec><sec id="s4_4"><title>4.4. Principal Component Analysis</title><p>Principal Component Analysis (PCA) was applied in order to highlight the relationship among the heavy metals. Metal elements belong to the same groups are usually considered to be originated from the same source [<xref ref-type="bibr" rid="scirp.79753-ref53">53</xref>] . In the present study, As, Cd, Cu, Pb, V and Zn which are dominant variables on Factor 1, are likely to be originated from fertilizers, pesticides and herbicides [<xref ref-type="bibr" rid="scirp.79753-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref41">41</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref42">42</xref>] . These substances are known to be used extensively in oil palm plantation. Leaching of heavy metals from contaminated soil may also occur during surface runoff. Moreover, despite various possible sources of Fe and Mn, both metals could have been originated from the same source of weathering process or from the domestic wastewater discharge. This was evident in current study where Mn and Fe were grouped together under Factor 2. Cd and Li were dominant variables on Factor 3. These elements can be naturally found in rocks minerals, thus weathering process as well as the sand dredging activities which have been reported to have taken place in some rivers flowing into the Marudu Bay [<xref ref-type="bibr" rid="scirp.79753-ref41">41</xref>] may contribute to such finding. Last but not least, oil residue from fishing boats, residues from forest burning during land clearing for agricultural purposes within and in the vicinity areas of study site could have been responsible for the dominance of Ni in Factor 4.</p></sec><sec id="s4_5"><title>4.5. Reducing Health Risk of Heavy Metal in Bivalves</title><p>Water is crucial for the longevity of aquatic organisms. Despite its importance, it receives various environmental threats originating from agricultural activities, effluents from industries and households, and others [<xref ref-type="bibr" rid="scirp.79753-ref62">62</xref>] [<xref ref-type="bibr" rid="scirp.79753-ref63">63</xref>] . Upon the discharge of these wastes, heavy metals and other contaminants are loaded into the aquatic environment. Consequently, these heavy metals will be accumulated in the marine organisms, especially in bivalves following their exposure. This situation can harm human because those metals and other contaminants can be transferred to human through food chain.</p><p>Heavy metal contamination can be overcome or removed by mean of bioremediation [<xref ref-type="bibr" rid="scirp.79753-ref64">64</xref>] . It involves the use of living organisms such as algae, bacteria or plants to convert or reduce heavy metals into less toxic forms. The application of microbial bio-sorption to remove or recover heavy metals from aquatic environment has been reviewed by [<xref ref-type="bibr" rid="scirp.79753-ref65">65</xref>] . Risk of heavy metal intoxication and infection of various pathogens arising from the consumption of bivalves can also be reduced by mean of depuration [<xref ref-type="bibr" rid="scirp.79753-ref66">66</xref>] . Depuration is a process whereby bivalves are immersed in clean water environment for a certain period of time to allow purging of biological contaminants and physical impurities from them. El-Gamal [<xref ref-type="bibr" rid="scirp.79753-ref67">67</xref>] noticed that Zn, Pb, Ni, Mn, Cu, Cr and Cd can be reduced by 44%, 23%, 25%, 17%, 61%, 41% and 75% in clam, Paphia undulata after immersion in clean artificial seawater for 24 hours, respectively. The same author also showed that depuration process reduced the presence of Vibrio sp. (75%), Shigella sp. (31%), Escherichia coli (68%) and Salmonella sp. (36%) in the clam. Subjecting the newly caught bivalves to depuration process for more than 24 hours in clean water environment before consumption will help reduce health risk from contaminants including heavy metals.</p><p>Besides, strict enforcement of environmental law and policies in the bivalve natural habitat also help keep them away from being exposed to heavy metal contaminants. In Malaysia, the Ministry of Natural Resources and Environment has recognized the important of public participation in the effort to mitigate environmental pollution by providing an online complaint service for public to report any environmental polluting activities occurring in their surroundings [<xref ref-type="bibr" rid="scirp.79753-ref68">68</xref>] .</p></sec></sec><sec id="s5"><title>5. Conclusion</title><p>The present study has shown that the levels of As and Mn in the four bivalve species originating from Marudu Bay exceeded the permissible limits. It also found that Pacific oyster in the bay seemed to experience medium heavy metal contamination while the green-lipped mussel, marsh clam and Asiatic hard clam were subjected to low level of heavy metal contamination. Overall, the current study suggests that consumption of bivalves originating from Marudu Bay at high frequency could elevate the risk of heavy metal intoxication particularly from Asernic. Although, thorough analysis is still required, there is already a convincing evident that presence of heavy metals in Marudu Bay is likely to be escalating in the future due to the intense anthropogenic activities. As a step to reduce health risk from heavy metal intoxication associated with bivalve consumption, environmental laws and policies related to wastewater discharge into the aquatic system particularly the natural habitat for bivalve should be strictly enforced, zones for bivalve fisheries should be established, monitoring metals concentration in bivalve on regular basis and last but not least is to make depuration a compulsory requirement in every seafood restaurant.</p></sec><sec id="s6"><title>Acknowledgements</title><p>This study was financially supported by a research funding (NRGS0003) from the Ministry of Higher Education (MOHE), Malaysia.</p></sec><sec id="s7"><title>Cite this paper</title><p>Denil, D.J., Fui, C.F. and Ransangan, J. (2017) Health Risk Assessment Due to Heavy Metals Exposure via Consumption of Bivalves Harvested from Marudu Bay, Malaysia. 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