SGH bars children under 12

BorneoPost Online

KUCHING: Children under the age of 12 is now barred from visiting Sarawak General Hospital as the place is congested with patients, and kids typically have a weak immune system.

SGH director Dr Abdul Rahim Abdullah said the move had nothing to do with the recent case of a 71-year-old patient being infected by lung infection there.

He revealed that investigations into the case concluded that the infection was not due to the air quality in the hospital but caused by cross infection from another patient.

“Investigations have been conducted on the patient in the last few days and we found out the cause was not due to the air quality in the hospital. My doctors have talked to the family of the patient on this, and the patient is now being given antibiotics.

“We are still awaiting test results on whether the infection was TB (tuberculosis),” he said in a telephone interview yesterday.

He said this when asked about the notices which were broadcast over RTM local radio channels.

The Borneo Post yesterday received calls from concerned parents over the notices as they were worried whether the air quality in SGH had dropped or if it was a standard procedure for this time of the year.

Dr Abdul Karim confirmed there such notices had been issued to radio stations, but he stressed it was done because SGH was now congested with many patients.

“It is a general notice issued by hospitals because children generally have weaker immune system and thus exposed to air-borne diseases. Some hospitals are more relaxed with this ruling.

“But now SGH is congested and we have to issue such a notice because of the higher risk of infection to small children.”

Asked to elaborate further, he said small children would be disallowed from entering the hospital for visitations unless in special cases where they had to visit a critically-ill relative.

If the parents wanted to send their child for check up at the clinic, he advised them to go to the clinic at the SGH first where the family medicine specialist would advise them whether or not there is need to admit the child at the hospital.

SGH recently came into the media spotlight after Parti Keadilan Rakyat (PKR) Stampin branch raised concerns that the air quality in SGH could be contaminated by mold spores.

Its branch secretary Desmond Kho was quoted as saying that the 71-year-old patient was re-admitted for diarrhea and subsequently discovered to have a lung infection two weeks after being discharged from SGH following a leg complaint.

Wanita PKR vice chief Voon Shiak Ni, who is also the branch vice chief, had also claimed that the branch service centre received a number of complaints from families of patients who were admitted for other illnesses but contracted lung infection later on.

Assistant Minister of Public Health Dr Jerip Susil, meanwhile said the SGH’s Department of Infectious Diseases was carrying out investigations on the allegations of poor air quality in the SGH.

He advised patients and their family members to forward their complaints if they suspect of infection in the SGH through the proper channel.

Although he did not think the poor ventilation and air conditioning is to blame because SGH was just renovated, he stressed that a thorough probe would have to be done.

Primary prevention of NCD vital, says Health Minister

My Sinchew

PETALING JAYA, Dec 6 (Bernama) -- Health Minister Datuk Seri Liow Tiong Lai today spoke of the importance of primary prevention of non-communicable diseases (NCD) by all Malaysians to check the rise in the number of sufferers.

He said the Health Ministry was giving special focus to the wellness paradigm by disseminating information on preventive measures to inform the people of the dangers of NCD.

Data from the National Health and Morbidity Survey 2011 showed a high prevalence of NCD such as diabetes, cardiovascular diseases, cancer and chronic respiratory ailments in Malaysia and the rest of the world, he said.

"In 2011, diabetes was prevalent in 2.6 million of the Malaysian population aged 18 and above; hypertension, 5.8 million population; hypercholesterolaemia or high cholesterol, 6.2 million population; and obesity, 2.5 million population.

"These numbers are most worrying because the NCD can put pressure on the sufferers in terms of medical costs and jeopardise their daily life activities," he said when launching the "Medik TV Live Now" channel, here.

Also present at the event were Health Ministry secretary-general Datuk Kamarul Azaman Md Isa and Medic Media Network Sdn Bhd chairman Datuk Dr Rahman Ismail.

At a news conference after the launch, Liow said the ministry was more focused at one time on dissemination of information on the modes of treatment of diseases and enhancing the quality of medical equipment facilities.

"These efforts produced results, and the time has come for us to focus on preventive measures," he said.

"Medik TV", a channel disseminating information on health under the auspices of the ministry, will begin its broadcast at hospitals and 1Malaysia clinics in the country next month.

In his speech, Liow said the channel had begun broadcast at selected hospitals and clinics in the Klang Valley, Negeri Sembilan and Melaka.

"Under the first phase, we provided 1,612 television sets to carry the Medik TV broadcast at 252 locations, covering government hospitals and 1Malaysia clinics.

"Facilities for broadcast to the whole country are expected to be ready in January 2013," he said.

Meanwhile, Dr Rahman said Medik TV was seen as a good platform for more effective dissemination of health information.

Those aged between 19 and 39 make up bulk of HIV cases

The Star Online

KUALA LUMPUR: More than 70% of HIV/AIDS cases are comprised of those aged between 19 and 39 years old, says the Malaysian AIDS Council (MAC).

“Every year, one out of four new HIV cases reported in Malaysia involves a person aged between 13 and 29 years.

“Since 2011, transmission through sexual activity has overtaken what used to be the main driver for HIV in Malaysia, which was injecting drug users,” MAC president Datuk Dr Raj Karim said in her speech at an event to commemorate World AIDS Day 2012 here yesterday.

This year’s theme is “Getting to Zero: Zero Discrimination, Zero New HIV Infection, Zero AIDS Death”.

The Health Ministry’s director of infectious disease Dr Chong Chee Kheong, who launched the event, emphasised the Government’s com­mitment to tackle the spread of the disease.

“We are committed to providing more access to diagnosis, treatment, care and support for HIV patients.

“More than 16,000 people will be treated with anti-retroviral drugs by the end of this year, which is available for free to all HIV patients at government hospitals,” Dr Chong said.

Main - Malaysia - Health D-G demoted one grade over ‘khalwat’ case

MI

Dr Hasan pleaded guilty to committing ‘khalwat’ on November 14, 2012. — File pic

KUALA LUMPUR, Dec 3 — Director-general of Health Datuk Seri Dr Hasan Abdul Rahman, who was suspended following a “khalwat” (close proximity) case, has been demoted by one grade lower than his Medical Officer Staff II Main Grade, the Public Service Commission (PSC) announced today. 

PSC chairman Tan Sri Mahmood Adam said the decision was made at a meeting of the PSC today.

He said in a statement that the disciplinary action against Dr Hasan was taken under Regulation 33(1) of the Public Officers Regulations (Conduct and Discipline) 1993.

The PSC had decided on November 26 that Hasan be suspended pending a decision on the disciplinary action to be taken against him.

Mahmood also said that the PSC decided that Grade U41 nurse Wan Syarifah Nooraazmanita Wan Hassan, who was involved in the case, be subjected to a drop of three salary movements for a period of 12 months.

On November 14, Dr Hasan, 56, and Wan Syarifah Nooraazmanita, 36, were fined RM3,000 and RM2,900, respectively, by the Syariah High Court after they pleaded guilty to “khalwat” in a room at the Putrajaya Pullman Hotel here at 2.18am on that day. — Bernama

Senate Passes Traditional And Complementary Medicine Bill

Bernama

KUALA LUMPUR, Dec 3 (Bernama) -- The Dewan Negara Monday passed the Traditional and Complementary Medicine Bill 2012 which requires all traditional medicine practitioners to register with the Council of Traditional and Complementary Medicine.

Deputy Health Minister Datuk Rosnah Abdul Rashid Shirlin, in winding up debate on the bill, said the title of 'doctor' would only be given to qualified traditional and complementary medicine practitioners with a five-year basic degree who also fulfill the qualifications set by the council.

"The bill does not allow individuals who only attend a short course (in the discipline) to use the title of doctor, for example Dr (H) for a practitioner of homeopathy," she said.

Rosnah said 13,811 practitioners of traditional and complementary medicine had registered with the ministry in the country so far.

On Islamic medicine or Rukyah, she said the Health Ministry had published a book "Garis Panduan dalam Perubatan Islam" (Guide to Islamic Medicine) which must be adhered to by the practitioners.

The house will sit again Tuesday.

Liow: Malaysia needs more rheumatologists

New Straits Times

KUALA LUMPUR: Malaysia needs more rheumatologists if it is to fulfil the one for every 640 people ratio according to the World Health Organisation (WHO).

Health minister Datuk Seri Liow Tiong Lai said yesterday that currently there were 24 rheumatoid arthritis specialists in Malaysia, mostly in government hospitals.

He said early diagnosis was necessary to treat the disease because joint disfigurement could be delayed with proper treatment.

“Early diagnosis of rheumatoid arthritis can help prevent permanent damage to the joints of wrists, fingers, knees, feet and ankles,” he said at a press conference after launching the Fly My 1 Dream campaign aimed at creating awareness of chronic inflammatory conditions.

Liow said some 0.5 per cent of the Malaysian population was suffering from the disease and no one knows what causes it.

“It can be due to genetics, environment or hormones. This affects people in the middle age and also young children,” said Liow adding that women were more prone to the disease.

He added that those affected would need life-long treatment, which included expensive medication, and physical and mental therapy.

Meanwhile, the ministry’s rheumatology head Dr Muhaini Othman said the current lack of rheumatologists should not be a cause for worry as Malaysia was on the way to achieving the recommended WHO ratio.

She said 16 doctors were currently training to specialise in rheumatology while another eight were on the waiting list for training.

Dr Muhaini who is also the former president of Malaysian Society of Rheumatology (MSR) said she was proud of the fact that most rheumatologists were in government hospitals and only a handful in the private sector.

“So more people, especially the under privileged, will be able to receive treatment for this lifelong condition,” she said.

The campaign held at Taman Tasik Titiwangsa had about 500 patients and their families participating in the half day event which included a ride in the hot air balloon, which symbolised the campaign’s theme.

The Fly My 1 Dream campaign was organised by the ministry in collaboration with Arthritis Foundation Malaysia, Psoriasis Association Malaysia, Malaysian Society of Rheumatology and Abbott Laboratories (M) Sdn. Bhd to promote early awareness and detection of chronic inflammatory conditions affecting the joints (rheumatoid arthritis and juvenile idiopathic arthritis), the skin (psoriasis) and the gut (inflammatory bowel disease)

Many still not aware of rheumatoid arthritis

theSundaily

KUALA LUMPUR (Dec 1, 2012): Many people are not aware that they might be suffering from Rheumatoid Arthritis (RA) as symptoms are often regarded as not serious, said Health Minister Datuk Seri Liow Tiong Lai.

He said early symptoms include pain and stiffness in joints, especially in the morning, and also having difficulties to hold things since it most likely affected the fingers.

"It can affect any joint and wrist. Fingers, knees, feet and ankles are the most commonly affected. More women get RA than men," he told reporters after launching the 'Fly My 1 Dream' programme at Taman Tasik Titiwangsa here, today.

The programme was jointly organised by the Health Ministry, Arthritis Foundation Malaysia, Psoriasis Association Malaysia, Malaysian Society of Rheumatology and Abbot Laboratories (M) Sdn Bhd.

Liow also said that the disease often starts between 25 and 55 years and until today, the cause of the RA was still unknown but the genes, environment and hormones might contribute to it.

He added that it was important for the disease to be detected at an early stage since early aggressive treatment can delay joint destruction.

"The disease usually requires lifelong treatment, including medication, physical therapy, exercise and possibly surgery," he said.

Liow added that currently there were 24 rheumatologists at public hospitals throughout the country, except in Perlis, where such cases are managed by general physicians.

Among hospitals with rheumatologists are Hospital Kuala Lumpur, Hospital Serdang (Selangor), Hospital Raja Permaisuri Bainun (Perak), Hospital Raja Perempuan Zainab II (Kelantan), Hospital Umum Kuching (Sarawak) and Hospital Queen Elizabeth (Sabah).

Liow also said it was important for patients to receive strong support from family and friends as they might experience some degree of depression, anxiety and feeling of helplessness.

"Daily joint pain is an inevitable consequence. In some cases it can interfere with a person's ability to carry out normal activities, limit job opportunities or disrupt the joy of family life," he said. –Bernama

2,504 new HIV cases reported till Nov 2012

New Straits Times

KUALA LUMPUR: The Health Ministry has received 2,504 new Human Immunodeficiency Virus (HIV) notifications from January to November this year.

The Health Ministry's Director of Disease Control Dr Chong Chee Kheong said with the alarming number of HIV cases, all young people must know how to protect themselves from such ailment and start being responsible for their health.

"One out of four new HIV cases reported in Malaysia involve youngsters aged between 13 and 29 years and young adults aged between 20 to 39, constituting 70 per cent of the cumulative HIV cases.

"New cases in young adults through sexual transmissions are also expected to increase from year to year and its already overtaking what used to be the main driver for HIV in Malaysia which was Injecting Drug User," he said in his speech at the Red Ribbon Youth Club's "Celebrate World AIDS Day 2012" here, today.

He added that in 2011, Malaysia had witnessed a cumulative total of 94,841 HIV cases of which 17,686 progressed to Acquired Immunodeficiency Syndrome (AIDS), while at least 14,986 AIDS related deaths were reported.

Meanwhile, Honorary Secretary of the Malaysian AIDS Council (MAC) Hisham Hussein said it was timely for Malaysians to acquire knowledge and develop an integrated approach about sexual and reproductive health education and services,
especially to young adults.

"We must stay ahead to educate our young people, particularly at this critical juncture," he said on behalf of MAC President Datuk Dr Raj Karim.

In conjunction with World AIDS Day 2012 today that was themed Rising Up to Challenges of "Getting to Zero", Hisham said MAC was collaborating with the University of Malaya Medical Society to launch the two-day Red Ribbon Youth Club's Worlds Aids Day 2012 which started today.

The aim of the event is to increase public awareness and raise funds for HIV organisations in Malaysia. -- BERNAMA

Johor hospitals set for 12-12-12 requests

The Star Online

JOHOR BARU: Hospitals are expecting to receive requests from pregnant mothers to give birth via Caesarean section on Dec 12 (12-12-12).

Puteri Specialist Hospital public relations and marketing executive Nurul Dashireen Hashim said most requests are not because of superstitious or religious reasons.

“They just want their child to be born on a memorable date because 10-10-10, 11-11-11 and 12-12-12 only come once in a century,” she said here yesterday.

She said although the hospital had yet to receive any bookings for Caesarean section on Dec 12, they expected to start getting such requests soon.

Columbia Asia Hospital in Nusajaya marketing manager Christopher Konsaid that the hospital had received one such request from a mother-to-be to deliver on Dec 12.

Johor Specialist Hospital senior executive for quality and public relations Ramlah Amir said that the hospital would give out special hampers to mothers who deliver on Dec 12.

Liow: Target to reduce AIDS deaths may be reached earlier

The Star Online

PETALING JAYA: With rapidly improving statistics, Malaysia is likely to achieve zero AIDS-related deaths before the targeted 2015, said Health Minister Datuk Seri Liow Tiong Lai.

He said that since 1986 when the first HIV-related case was detected in Malaysia, the number of cases had dropped drastically from the highest number in 2002 of 6,978 new cases (or 28.5 cases in 100,000 people) to 2,544 new cases as of September.

“If the number of cases per month does not change, the number of new HIV cases recorded this year is 3,392 cases or 11.8 cases in 100,000 people. Looking at this, there is a big possibility that the 2015 target will be achieved earlier,” he said in a statement.

He added that among the efforts by the Government to reduce the number of AIDS-related deaths was providing antiretroviral (ARV) drug treatment.

“With the best ARV treatment, HIV patients are able to lead a longer and more meaningful life,” he said.

He urged those at risk of getting infected by HIV to come forward to be tested.

“Among other efforts was a programme to curb vertical transmission' by providing free ARV treatment to expecting mothers who are HIV-positive, as well as the prophylaxis drug to prevent other infections, with ARV, to their newborn babies,” he said.

KPJ Healthcare acquires stake in Thailand hospital

MI

JOHOR BAHARU, Nov 29 – KPJ Healthcare Bhd, a member of Johor Corporation (JCorp) Group, continues its aggressive expansion in the regional healthcare market by acquiring a substantial stake in a Thailand hospital.

Its Chairman Kamaruzzaman Abu Kassim said KPJ forked out RM63 million to buy 23 per cent of multi specialty private healthcare provider, Vejthani Hospital, in Bangkok.

The 500-bed hospital is famous for its specialty in orthopaedic treatment.

“The stake acquisition in a Thailand Hospital will expand KPJ’s reach within Asean’s healthcare market. The potential profit contribution from Vejthani Hospital is expected to enhance KPJ Group’s earnings in the future,” said Kamaruzzaman, who is also JCorp President and Chief Executive, to reporters after attending KPJ’s extraordinary general meeting.

He said the stake acquisition would be fulfilled via internal-generated funds but the transaction was expected to increase the company’s gearing by about six per cent by the second quarter of next year.

KPJ bought the stake from a private equity fund.

According to Vejthani Hospital’s website, it handled about 300,000 patients annually, with its share of international patients coming from 40 different countries worldwide.

He said efforts to grow KPJ’s medical tourism segment was continuing, with the company targeting to raise the revenue contribution from the segment to as high as 25 per cent by 2020.

“Today, KPJ’s health tourism patients are mainly from Indonesia, Australia, New Zealand, Somalia, Singapore, India and the Middle East,” he said.

Besides Malaysia where it owned 22 private specialist hospitals, KPJ also has a presence in Indonesia with two hospitals in Jakarta and a retirement and aged care resort called Jeta Gardens in Brisbane, Australia.

Meanwhile, Managing Director Datin Paduka Siti Sa’diah Sheikh Bakir, who was also present at the media conference, said apart from local parties, KPJ also received enquiries from foreign parties wanting the company to have a presence in their countries.

Today’s EGM was held to discuss three resolutions – proposed acquisition of 80 per cent equity interest in PT Khidmat Perawatan Jasa Medika (PT KPJ Medika) by Kumpulan Perubatan (Johor) Sdn Bhd, a wholly-owned subsidiary of KPJ from JCorp.

The acquisition’s total cost was RM15.8 million, said Kamaruzzaman.

The second resolution was on the proposed disposal of two pieces of land in Johor Baharu by KPJ’s wholly-owned subsidiary, Puteri Specialist Hospital (Johor) Sdn Bhd, to Al-’Aqar Healthcare REIT for a total cash consideration of RM3.6 million.

The last resolution in today’s EGM was on the proposed acquisition of a parcel of vacant commercial land in Mukim Tebrau, Johor Baharu, by Renalcare Perubatan (M) Sdn Bhd, a wholly-owned unit of KPJ from Johor Land Bhd for RM45 million.

The purchase of the land in Bandar Dato Onn was to enable KPJ to build a 150-bed private hospital, costing RM100 million, by early next year and be completed by 2015.

KPJ’s Bandar Dato Onn Hospital was one of the six hospitals the company planned to build throughout the country, which was under the ambit of the government’s Entry Point Projects (EPP). – Bernama

Another fake hospital scam

The Star Online

PETALING JAYA: Scammers are “injuring” another hospital by using its website to con unsuspecting expatriates, including doctors.

“Hartamas Medical Center” mirrors the website of Damai Service Hospital (HQ) (DSH) to hire foreigners by offering jobs with lucrative salaries and other perks.

The website, which is still running, lists several job vacancies, including for general surgeon, paediatrician, physiotherapist and nurse manager.

They have handphone numbers for people to contact although instead of a fake mailing address, the “hospital” lists the address of DSH on its website, which is about 5km away from the fake Dutamas Hospital, supposedly located in Solaris Dutamas, that was reported last week.

DSH officials were shocked when a doctor turned up claiming that he had been offered a job some weeks ago.

Chief operating officer Andy Soo, in denying any connection to the scam, said the expatriate doctor had a letter stating that he had been offered a job.

“But we do not send out official recruitment letters via e-mail,” he said yesterday. “We fear our reputation will be tarnished.”

Soo said reports with the police and the Malaysian Communica- tions and Multimedia Commission (MCMC) had been lodged.

He said the hospital lodged the police report on Nov 5 after it received e-mails that its website was being mirrored by scammers.

It was reported that “Dutamas Hospital” offered salaries of more than US$9,000 (RM27,000) per month for executive jobs, in addi-tion to holidays, accommodation and other perks, to lure victims.

They targeted prospective expatriates into parting with their money by getting them to pay thousands of ringgit as visa and contract fees.

“Dutamas Hospital” had taken information from Columbia Asia Hospital Setapak's website.

Meanwhile, a source revealed that an ayurveda doctor from India had been offered a job by “Hartamas Medical Center” in October.

The terms of appointment were the same as that in the “Dutamas Hospital” scam.

MCMC said the case was being investigated.

Ministry dismiss mandatory plan for female patients

New Straits Times

KUALA LUMPUR: The Health Ministry has dismissed a suggestion to make it mandatory for female patients to be treated by female medical officers and female gynaecologists only.

Its deputy minister Datuk Rosnah Shirlin said there were just not enough female gynaecologists to make the proposal feasible.

 

"However we have rules in place that if a female patient is examined by a male gynaecologist, a female medical officer must act as a chaperone for the patient," she said in parliament in response to Mohd Nasir Zakaria (PAS-Padang Terap).

 

She added that the ministry's priorities in placement of doctors was based on workload and not gender.

 

According to the statistics in 2011, 1.05 million patients sought the services of gynaecologists and the current national ratio of gynaecologists to patients was 1:4,695.

 

Rosnah revealed that up to Sept 10 this year, there were a total of 245 gynaecologists, of which 109 were males and 136 females.

 

In a bid to increase the number of specialists in the country, the ministry has increased Masters studies slots in public higher learning institutes from 450 to 600 in the 2010/2011 academic session intake and to 800 in the 2011/2012 intake.

 

The ministry also offers 150 scholarships every year for students to pursue sub-specialty studies.

Bogus hospital website uses RM27,000 bait to lure expats

The Star Online

PETALING JAYA: A “virtual hospital” is the latest scam targeting prospective expatriates into parting with their money by getting them to pay for Malaysian visas upfront.

The fake Dutamas Hospital offered salaries of more than US$9,000 (RM27,000) per month for executive jobs, in addition to holidays, accommodation and other perks to lure victims.

If they take the bait, they would be asked to pay thousands of ringgit upfront as visa and contract fees.

Its website, created early this month, displayed detailed information including address, contact numbers and a list of doctors.

Finally a taste of bitter medicine

The Star Online

SEREMBAN: A minimum RM500,000 fine and mandatory jail sentence of at least one year awaits any individual caught selling counterfeit or adulterated drugs under the proposed Pharmacy Bill to be tabled in Parliament soon.

A company involved in a similar undertaking will be slapped with a minimum RM1mil fine and its owner jailed for a minimum of one year under the proposed legislation set to replace a clutch of archaic pre-Independence laws.

The comprehensive Bill, which has been deliberated for close to a decade now, will replace the Registration of Pharmacist Act 1951, Poisons Act 1952, Sale of Drugs Act 1952 and the Medicines Act 1956 (Sale and Advertisement).

The Health Ministry is seeking feedback from the public, drugs and cosmetics industries, pharmaceutical companies, associations and academic institutions on the new legislation before tabling the Bill.

The public online engagement ends on Nov 29.

The ministry said the absence of specific provisions in the existing laws made it difficult to check the flooding of fake and unregistered drugs, including traditional medicines, in the market.

“We hope the new legislation will be a deterrent to those who hope to benefit from the loopholes in the existing laws,” the ministry said.

Under the Sale of Drugs Act, people arrested for selling fake drugs are only liable to a RM50,000 fine or a jail term not exceeding three years. Companies may only be fined up to RM100,000 for a similar offence.

Under the new Bill, individuals caught selling unregistered medicines may be fined up to RM100,000 as against RM25,000 at present.

Also, those found to have sold psychotropic pills are now only liable to a fine of up to RM10,000.

The ministry said the new Bill also proposes the setting up of a National Pharmacy Council to formulate new regulations on drug classification, prohibited and controlled items and fees for the various licences.

Minister Datuk Seri Liow Tiong Lai cited statistics which showed that 22,970 SSFFC (substandard/spurious/false label/falsified/counterfeit) drugs worth RM27,461,997 were seized last year.

In 2010, the ministry seized 16,862 SSFFC drugs worth RM22,000,047 and 12,825 SSFFC drugs worth RM13,596,290 in 2009, he said.

“The trade of such drugs has been a growing problem because of the limitations of old legislation ... heavier penalties will give the ministry more teeth in tackling the problem,” he added.

It was reported that some counterfeit drugs like sex stimulants, painkillers, eye drops and cough mixtures are dangerous and can kill.

The ministry's Pharmaceutical Services Division director Mohd Hatta Ahmad said most of these drugs were brought in illegally and sold in traditional medicine and sundry shops and roadside stalls.

The public can check whether a medicine is counterfeit via several methods like using a Meditag decoder found in licensed pharmacies to check the autenticity of the hologram label on the product.

Another way is to verify the registration number printed on the outer packaging by going to www.bpfk.gov.my and searching the “registered product” bar.

Progressing towards using telehealth

NST

SINGAPORE: REMOTE CARE: A growing ageing population, shortage of doctors and nurses are leading to change

Telehealth will not take away the personal interaction with hospital staff.

1 / 1

HOSPITALS in Malaysia should consider investing more in telehealth to improve healthcare delivery and efficiency in the country.

Telehealth or telemedicine involves the use of proprietary software and electronic devices with audio and visual capabilities to assist in the provision of medical care to patients.

"With only 30 intensivists (intensive care unit specialists) in Malaysia, remote areas with less developed healthcare facilities, for example in East Malaysia, can capitalise on the expertise available in the peninsula by centrally managing patients across the nation.

"This would help improve the overall healthcare quality across the whole country," said Philips Healthcare Asia Pacific senior vice-president and commercial leader Wayne Spittle in an interview during a healthcare session at the Philips Asia Media Summit here recently.

Spittle said telehealth solutions would not take away the personal interaction between patients and hospital staff as it still provides the human touch through its audio and visual capabilities.

"There is immediate medical attention throughout the day, unlike the standard mode of operation today, where patients need to wait to receive medical attention because of travel time between wards and across the entire hospital."

Several countries have begun capitalising on telehealth.

At a general hospital in Orange, New South Wales, Australia, beds have been linked to a clinical information portfolio computer system to give staff immediate access to patients' conditions from a central location.

Singapore hospitals have invested in ICU IT solutions to enable critical care medical staff to actively monitor patients in ICUs from remote locations.

The Hanh Phuc International Women and Children hospital in Vietnam has a central maternal-fetal monitoring station as well as wireless foetal monitoring solutions which provide clinicians with vital information to track patients throughout the labour and delivery period.

Surgeons at the Methodist Hospital in Houston, the United States, use a robotic system controlled from a remote location to unblock the arteries of patients with blocked peripheral arteries. Using video and integrated medical devices, medical experts are now providing services to communities in the most remote areas.

Industry analyst Datamonitor estimated that this year, the global spending on overall telehealth market (including home telehealth) will exceed US$6 billion (RM18.4 billion).

Spittle said with a growing ageing populations, the rise of chronic non-communicable diseases and the shortage of doctors and nurses, hospitals would lead the shift to telehealth solutions.

Public-private partnership to improve facilities at Sarawak General Hospital

The Star Online

KUCHING: The Government has approved a project under public-private partnership (PPP) programme to improve facilities at Sarawak General Hospital (SGH).

Health Minister Datuk Seri Liow Tiong Lai said the programme would involve building, among other things, multi-storey car parks, daycare centre, pathology laboratory, medical apartment, and a blood bank at a total cost exceeding RM300mil.

“The most important is the multi-storey car parks due to the congestion in the hospital compound. The project tender will be called soon.

“As for the cost breakdown for each project, it has not been ascertained yet,” he told reporters after a working visit to SGH yesterday.

He said the programme was a priority under Budget 2013 which had allocated RM193mil for 35 approved healthcare development projects in the state next year.

“A lot of these projects including clinics under the Budget are already going on as they are under the rolling plan,” he said.

Under the Budget, the Government had approved an allocation of RM1.9bil for 257 projects nationwide.

Besides these projects, Liow also revealed that a RM35mil clinical research centre and a RM3mil acute psychiatric ward at SGH would be ready by next year.

The RM32mil Petra Jaya Health Clinic and a new RM5.5mil state-of-the-art mortuary with a good forensic service will also be ready by the end of the year.

Liow said the services at the SGH would be further enhanced with additional beds, with two vacant floors at the SGH Heart Institute in Kota Samarahan to be used for the purpose.

“The hospital has seen an improved performance as the number of beds has increased to 934 now compared to about 700 in 2009,” he said.

He said the Government had never neglected the healthcare services in the state.

“We have a lot of clinics here with eight more 1Malaysia Clinics to be built in the state next year.

“We also have the mobile clinics and flying doctor services.

“There will be more doctors to be sent here as there are 3,500 newly trained doctors every year,” he said.

He said doctors posted to the state were encouraged to serve in rural areas as it was a national call that they should take up.

“We give them incentives and promotional opportunities after two years of service and we have even shortened the period to six months for the specialists.

“In fact, a lot of these doctors have stayed back after that and some are even willing to serve in rural areas,” he said.

On a question about hospital security, he said money had been allocated to it.

Health Ministry looks to lure doctors to 1 Malaysia clinics @ Sun Nov 11 2012

MI

ERANTUT, Nov 11 — The Health Ministry is implementing two pioneer projects to encourage doctors from the private sector to serve at the 1 Malaysia Clinics.

Minister Datuk Seri Liow Tiong Lai said the two pioneer projects were carried out at the 1 Malaysia Clinics in Malacca and Kerinchi in Kuala Lumpur to test their effectiveness.

“We will co-operate with doctors from the private sector at the two clinics and see if we get good response from them,” he said after opening the Jerantut 1 Malaysia Clinic, here, today.

Liow (picture) said every private medical practitioner would be paid RM80 an hour for their services at the clinics.

“We encourage them to serve at the 1 Malaysia Clinics, and it is up to them if they want to serve for one or two hours,” he said.

He said there were currently 22 1 Malaysia Clinics where the ministry placed doctors at clinics receiving more than 100 patients a day to avoid congestion at the hospitals and health clinics.

According to Liow, there were about 150 1 Malaysia Clinics nationwide and the ministry targeted to create 20 more by the year-end.

“Next year, as announced by the prime minister, we will add another 70 1 Malaysia Clinics,” said Liow.

Meanwhile, he said the ministry allocated RM10 million to build quarters for health clinic personnel in Kuala Tahan, Damak and Kampung Bantal, all in Jerantut.

He said the construction of the quarters would commence soon and was expected to be completed next year. — Bernama

Liow: 800 doctors pursuing specialist courses

New Straits Times

KUALA LUMPUR: The Health Ministry is sponsoring some 800 doctors to pursue specialist and subspecialist training to address the shortage of such professionals in the country.

Its minister, Datuk Seri Liow Tiong Lai, said the figure was an increase from only 400 in 2010, with over 90 subspeciality programmes.

"The ministry has been sending doctors to local and foreign institutions to further their medical education up to the Masters and PhD level upon which they can specialise and sub-specialise overseas," he told reporters after launching the First Stem Cell Congress here yesterday.

"This is to tackle the shortage of specialist doctors in government hospitals."

The popular areas of study included nephrology, cardiology, gastroenterology, rheumatology, urology, breast and endocrine surgery, intensive care, spine orthopaedics as well as neonatology. It was noted that there were currently 5,000 specialists nationwide of which 3,000 were serving in the public sector.

Liow said a specialist wishing to sub-specialise would be required to undergo supervised training under a consultant for two to three years locally, followed by additional exposure in overseas training centres for about a year.

"The ministry has been sending doctors for specialist training to, among others, the United Kingdom, Australia, and Europe."

He also highlighted a new development in postgraduate medical speciality training, an agreement with the Royal College of Physicians Ireland accepting about 80 students a year, with the first batch to start next year.

He said as of this month, there were 333 trainees in the training programme and the number of new intakes varied between 100 to 130.

"Local universities have also been training a lot of doctors under the masters programme and they are given the opportunity to go overseas for subspeciality training. We also urge private hospitals to train specialists on their own to assist the government in tackling the shortage of specialist doctors in the country."

The country's 30 medical schools were producing an estimated 4,000 to 5,000 doctors annually.

Liow said there were 35,000 doctors in the country and the government hoped the ratio of one doctor to 400 people could be achieved by 2020.

On the proposed 1Care Health Plan, Liow said the public should not be worried about the plan as nothing was finalised.

Health ministry orders products to be taken off shelves

AsiaOne

GEORGE TOWN, MALAYSIA - The Health Ministry has ordered all Ayamas products in the same batch that was found to contain a banned antibiotic be taken off the market.

Minister Datuk Seri Liow Tiong Lai said yesterday his ministry had ordered the withdrawal of the products pending tests.

"I am now waiting for the results of the tests done on the samples. We view this seriously and that is why we decide to withdraw the batch from the market."

However, he said Ayamas products that were not from the same batch could continue to be sold. Liow was commenting on the Sarawak Veterinary Authority's immediate ban on all Ayamas products following a random test where traces of Chloramphenicol were found.

Chloramphenicol is used to treat animals but is not safe for human consumption and, therefore, cannot be used in food processing.

On Saturday, Sarawak Assistant Agriculture Minister Mong Dagang said he believed the problem could lie in the source of the chickens and not during the processing part.

Chloramphenicol is banned in most Western countries although it is available in Southeast Asia. The drug is known to cause blood disorders such as aplastic and hypoplastic anaemia.

Any interactions between Chloramphenicol and diabetic medicines, or even vitamin B12 supplements, may cause allergic reactions, including stomach upset, diarrhoea, headache, nausea and vomiting.

Boost for healthcare and well-being

The Star Online

THE Government has allocated RM19.3bil for healthcare management and development services next year. This is a 15% increase compared with last year.

Datuk Seri Najib Tun Razak said the 1Malaysia Clinics would begin to offer cholesterol and glucose testing services as well as urine tests for those who needed them.

As for the reduced sugar subsidy, he said this was done as 2.6 million Malaysians were diabetic.

“The Government urges retailers not to burden fellow Malaysians by increasing prices. Instead, reduce the content of sugar,” he said.

Najib added that the subsidy reduction was supported by consumers groups and health practitioners.

The Prime Minister said that the Government would still be subsidising sugar at 34 sen per kilo, totalling RM278mil.

Interests groups welcomed the reduction of sugar subsidy but some of them were not happy that the 1Malaysia Clinics are affecting private practice.

For instance, Malaysian Medical Association president Dr S.R. Manalan said they were disappointed that the Government did not include the request of private doctors to incorporate their services in the 1Malaysia Clinic scheme.

“We have mentioned to the Government that the programme had affected the livelihood of many private doctors.

“The Government said the doctors could sign up for slots in general hospitals but these slots were always full, filled up by their own doctors,” he said.

Dr Manalan also said that breast cancer had become more common among those aged 40 and below, thus allocations should be made for them for other forms of screening such as ultrasound.

On the RM200mil allocation for Socso to enable 1.4 million workers to go for free check-ups, he said it was a good effort but there must be follow-up efforts to their cases.

Fomca deputy president Muhammad Sha’ani Abdullah said the Government should engage private practitioners for 1Malaysia Clinics instead of creating more clinics by renting new premises and employing additional medical assistants and staff.

He noted that there was no mention of the healthcare financing scheme, which was needed in view of Malaysia becoming an ageing population.

“This must come as soon as possible because healthcare cost has escalated and affecting consumers,” he said.

Govt to get tough on smokers

The Star Online

SEREMBAN: With an estimated 100,000 Malaysians dying every year from smoke-related illnesses, the Government may resort to having each cigarette stick printed with the words Smoking is hazardous to health.

In another drastic move to discourage people particularly the young from picking up the habit, cigarette manufacturers may also be barred from making claims regarding tobacco grade, quality and flavour of their product.

These and other new provisions are likely to be included in the Control of Tobacco Product Regulations 2004 when the Government intensifies its enforcement to make public places in the country absolutely smoke-free.

A government source told The Star that the Health Ministry would, in the next two weeks, seek public feedback online on its tough plan to discourage Malaysians from ruining their health through smoking.

The source said the proposed amendments are in line with the Global Adult Tobacco Survey (GATS) Malaysia 2011 carried out recently, in which 83.5% of the respondents want 100% smoke-free public places.

“Under the ministry's proposal, the words Merokok Membahayakan Kesihatan should be clearly printed on every cigarette stick to remind existing and potential smokers on the dangers of lighting up,” the source said.

“With some 4,000 chemicals in cigarettes and cigarette smoke which, among others, have carcinogenic effects, the ministry also wants the tar and nicotine levels in cigarettes to be further cut,” he said.

It is learnt the ministry is proposing for the nicotine levels to be cut from 1.5mg to 1.25mg per stick and from 20mg to 15mg for tar content.

It wants this to be further reduced to 1mg (nicotine) and 10mg (tar) in due course.

The source said tobacco companies have, however, requested that the nicotine levels in cigarettes be reduced to only 1.3mg and tar levels to 15mg from 2014 and to 1mg and 10mg respectively by 2018.

“Also on the cards are provisions to compel manufacturers to increase the size of pictorial health warnings on their packs on the effects of smoking, from at least 40% currently to 50%,” the source said.

“The ministry is already looking at the Australian model, where tobacco companies are allowed only to sell their products in plain packaging; thus, being unable to use the strength of their brandname to market their product,” he said.

Under the plain packaging method, tobacco companies are not allowed to display their brand colours or logos on the packs.

The source said tobacco companies and importers will also be required to officially write in to the ministry each time they revise the retail price of their product.

“Another amendment states that smokers will also no longer be allowed to light up along the five-foot way or in any covered area which is part of a premises.

“In other words, if there is a perimeter wall outside a building, smokers will not be allowed to light up within the area,” he said.

100 doctors overseas want to come home to serve

The Star Online

KULIM: About 100 Malaysian doctors and medical specialists working overseas have expressed their interest to return to serve the country, said Health Minister Datuk Seri Liow Tiong Lai.

He said the number was obtained during road shows conducted byTalent Corp, a Government-owned agency that has been mandated to recruit and nurture talent locally and abroad.

The doctors and medical specialists were currently residing in Taiwan, Australia and United Kingdom, he said.

Liow said he was told that Talent Corp received many enquiries during visits to Taiwan and Australia recently.

“More importantly, many of them have expressed keen interest to come back. Some of them are well-known in their fields. We are happy and touched,” he said after a visit to the Kulim Hospital yesterday.