Tuesday, September 27, 2005

International Bodies Urged To Help Developing Countries Fight Avian Flu

KUALA LUMPUR, Sept 27 (Bernama) -- Malaysia wants international bodies to help developing nations in funding the fight against the ongoing avian flu which is threatening the poultry industry in the region.
"It is worrying, it is serious. Millions of chickens are killed in Indonesia and the FAO (Food and Agriculture Organisation), WHO (World Health Organisation) have issued stern warning," Agriculture and Agro Based Industry Minister Tan Sri Muhyiddin Yassin told reporters after opening the Livestock Asia 2005 Expo and Forum at the Mines Resort City near here Tuesday.
"International organisations and EU (European Union) should mobilise funds to be provided to lesser developed countries to handle the situation at home.
"Money is important. If there is an outbreak, millions of ringgit worth of chickens will be culled which is a loss to the industry and more importantly, the loss of human lives," he added.
Muhyiddin also said Malaysia was extremely concerned about the avian flu threat because it could undermine the recovering poultry industry which is expected to exceed RM7 billion this year.
At the national level, he said a joint committee established between his ministry and Ministry of Health would outline the strategy to contain the problem if there is an outbreak.
"The joint committee will look into various measures and a contingency plan will be put into action as soon as possible if there is an outbreak," he said.
At the regional level, he said a regional plan would be drawn up at the Asean Ministers of Agriculture and Forestry Meeting in Manila on Wednesday. This is to enable Asean members address the problem.
Meanwhile Thierry Rommel, Head of the Delegation of the European Commission (EU) based in Kuala Lumpur told reporters that the EC, FAO, World Bank and World Organisation for Animal Protection (OIE) would organise an international conference on avian flu and human transmission to be held later this year in Asia.
"The idea of the international conference is to mobilise more political commitment for this new challenge.
"Look at the number of small farmers in Vietnam and Indonesia, and even China, there is a need for compensation if you want them not to obstruct massive culling whenever culling is necessary," he said.
Rommel said some governments did not have adequate funds to compensate the affected farmers.
The conference is to assist developing countries to draft a strong international plan to combat avian flu and its transmission and also to support their plan financially and technical assistant.
He also said some of the international agencies do not have enough fund to face the new challenge.
"They don't have fund for that (to combat avian flu), so you are talking about a large amount of money. FAO and OIE do not have this amount of fund," said Rommel.

Army scholarships to get more doctors among ranks

Star: The armed forces is introducing a medical scholarship scheme to overcome the shortage of doctors among its ranks.
Chief of Defence Forces Admiral Tan Sri Mohamed Anwar Mohamed Nor said that the shortage was so acute that the armed forces now had to get army doctors from Pakistan.
“The armed forces medical team is still short of 40 doctors. To overcome the shortage, we have received 15 army doctors from Pakistan and eight more will be arriving soon,” he told reporters after inspecting a passing-out parade of 40 officers at the Armed Forces Health Training Institute at Terendak Camp in Sungai Udang here.
The officers comprised 24 medical officers, eight dental officers, five general duty officers and three special tasks officers.
Admiral Mohamed Anwar said armed forces doctors would have the opportunity to go abroad for specialist training and would be promoted accordingly.
They would receive incentives like military and critical call allowances, besides serving in battlefields.
He attributed the shortage of doctors in the armed forces to lack of interest among medical graduates to join the forces and ineffective marketing.
He also said there were 40 women doctors serving with the armed forces.

Cases continue to increase despite efforts by Selangor

Star: From fogging to making surprise checks and charging offenders, the Selangor government has done all it can to fight the dengue scourge - but the number of cases continue to rise.
One of the problems, according to state Consumer Affairs, Health and Tourism Committee chairman Datuk Dr Lim Thuang Seng, could be the “indiscriminate fogging” that has allowed the aedes mosquitoes to escape.
“We are now looking at using larvae traps to identify the potential breeding areas and using more effective methods.”
The weather has also “encouraged” the breeding, and irresponsible property owners who have “housed” the mosquitoes in their premises have not helped the situation.
From 9,600 reported dengue cases with 10 deaths last year, the figure has reached 9,300 with 17 deaths so far this year.

In Penang, there are now four dengue related deaths but the situation has oddly become a taboo subject with the authorities.
The latest state leader to decline comment is Chief Minister Tan Sri Dr Koh Tsu Koon.
There was no “gag order”, he said but “we have been advised that all statements on dengue will be made by the Health Ministry. It is the most appropriate authority to do so.
“This does not mean that the state is shirking its responsibility. This is to ensure that information is properly co-ordinated by a single authority,” he told reporters yesterday.

In Seremban, state Science, Technology and Innovation committee chairman Datuk Yu Chok Tow said five dengue related deaths had been reported since the beginning of the year, prompting the state government to intensify its preventive measures.
She said 964 cases were recorded since January and that this was a 22% drop compared with the same period last year.

In Ipoh, it was reported that five people in Perak have died of dengue haemorrhagic fever over the past nine months.
State Health and Environment Committee chairman Datuk Tan Chin Meng said: “A total of 349,633 premises were checked by the state health department and 2,291 were found to be breeding grounds for aedes mosquitoes.”

In Kuantan, Mentri Besar Datuk Seri Adnan Yaakob said that although he had not received any report of dengue cases, he had instructed the health department to intensify its checks and fogging activities.

Dengue deaths worrying Government

Star: Dengue fever is on the rise in the country. And the number of deaths related to the disease has got the authorities uneasy.
Although state health officials have been generally reluctant to give the actual number of deaths, the national toll for the first nine months of the year is said to be nearing the 67 recorded last year.
But only four states have released their death toll so far. They are Selangor (17), Perak (5), Negri Sembilan (5) and Penang (4). Others declined saying they were leaving it to the Health Ministry to announce them.
Besides the lackadaisical attitude of the people in keeping their surroundings free of breeding grounds, the fogging carried out by local authorities and health officials has also not been effective.
These have resulted in the number of dengue cases shooting up by 50% – from an average of 400 a week last year to 600 a week this year.
These developments have upset the authorities.
As an immediate measure, the Health Ministry announced yesterday a large-scale anti-dengue operation beginning Oct 1 with the focus on Kuala Lumpur, Selangor, Penang and Johor, which have registered a big number of dengue fever cases in recent weeks.
“Health teams will also be brought in from the less-affected states of Kedah, Perak, Kelantan, Terengganu, Pahang, Malacca and Negri Sembilan to join the operation in the four states,” said Dr Marzukhi Md Isa, Deputy Director of Disease Control, Division of Disease Control in the Health Ministry.
Meanwhile, Parliamentary Secretary to the Health Ministry Datuk Lee Kah Choon said local authorities had been asked to step up cleanliness campaigns, which include clearing clogged drains, removing rubbish and emptying containers of water.
“The people too must take a more proactive stand in safeguarding their housing areas,” he said yesterday.
“When a case is reported, we send a team to that area immediately. Even if it’s just a single case, we fog the affected area, killing mosquitoes that are alive at that point.
“After a week the team will return to the area to exterminate any mosquitoes that might have hatched from the larvae present in the water,” said Lee in an interview.
Besides that, he said, officers also go from house to house in the affected neighbourhood distributing leaflets to educate and raise awareness of this deadly menace.
The public too can assist in the fight against dengue, he added.
“Help yourselves by seeking and destroying breeding areas. Change the water regularly in your plants or add Abate to prevent mosquitoes from breeding.
“Don’t always just wait for others to come and clean up. If you step outside your house and see that your drains are clogged, please help unclog it. If everyone takes a small step to help, it will make a big difference,” stressed Lee.
“We have never considered the dengue epidemic over and we have been fighting it all the while.
“As mosquitoes can even travel through vehicles, there are no boundaries,” said Lee.

Nichinan to build KPJ medical centre

BT:MALAYSIA’S biggest private healthcare group, KPJ Healthcare Bhd, has signed a pact to manage a RM40 million medical centre in Johor, a project that will also incorporate some residential properties.
The first of its kind medical centre will be known as The Perling Specialist Hospital.
It will be built by property developer, Nichinan Corp (M) Sdn Bhd, within the Perling Healthcare Resort in Johor Baru. It would provide a range of medical and healthcare services within a residential resort setting.
The resort-style living cum healthcare facilities is targeted at the geriatric market, both locally and abroad.
Foreigners, especially those from Japan, will be encouraged to invest in the residential properties within the resort as their summer and weekend homes, availing themselves to the various medical facilities provided.
KPJ Johor Sdn Bhd, a unit of KPJ Healthcare, has signed a memorandum of understanding (MOU) with Nichinan to provide technical and hospital management expertise.
Under the MOU, Nichinan will design, plan and build the 150,000 sq ft specialist hospital, while KPJ Healthcare will manage the centre’s operations.
These would include consultation clinics and other basic private specialist hospital services such as anaesthesiology, gynaecology, dermatology, cardiology, neurology, urology and ophthalmic expertise.
General manager, Hospital Commissioning of KPJ Healthcare, Aminuddin Dawam, said The Perling Specialist Hospital will be a one-stop medical facility catering to the surrounding local and foreign communities.
The 120-bed Specialist Hospital will also have a 1.22ha site within the resort.
In addition to an international-standard medical centre, the resort development includes 400 units of resort-style apartments complete with club house, swimming pool and lawn bowling.
KPJ Healthcare believes this collaboration is a strategic move for the group as it enables it to better tap the healthcare tourism sector, and new growth areas such as healthcare resort living.
In addition, the Perling Specialist Hospital will complement KPJ Healthcare’s existing facilities, namely the Johor Specialist Hospital, Puteri Specialist Hospital and Penawar Hospital.
Other facilities that will be provided by the medical centre include a 24-hour accident and emergency ward, complete with ambulance services, diagnostic imaging, rehabilitation and physiotherapy centres.
Aminuddin added that this partnership will help strengthen its position and grow the healthcare tourism sector in Malaysia.

Monday, September 26, 2005

Large-Scale Anti-Dengue Ops Begins Saturday

KUALA LUMPUR, Sept 26 (Bernama) -- A large-scale anti-dengue operation will begin on Oct 1 with the focus on Kuala Lumpur, Selangor, Penang and Johor which have registered a big number of dengue fever cases in recent weeks.
Health teams will also be brought in from the less-affected states of Kedah, Perak, Kelantan, Terengganu, Pahang, Melaka and Negeri Sembilan to join the operation in the four states, said Dr Marzukhi Md Isa, Deputy Director of Disease Control, Division of Disease Control in the Health Ministry.
"Selangor and Kuala Lumpur always record the highest number of cases per week, exceeding 100 cases," he said. For the week ending Sept 17, Selangor registered 184 cases and Kuala Lumpur 116. For the week ending Sept 24, Penang had 154 cases and Johor 97.
"In the operation, larvicidal Bti (bacillus thuringiensis israeliensis) will be used to destroy larvae (of the Aedes mosquito, carrier of the dengue virus) in breeding grounds inaccessible to the teams," he said.
Dr Marzukhi said Selangor registered the highest number of 9,497 cases or 35.4 per cent of the accumulated number of cases with Kuala Lumpur next (4,188 or 15.6 per cent) and Penang third (1,749 or 6.5 per cent).
For the week ending Sept 17, the highest number of cases among districts was registered in Penang's Barat Daya District (77).
Dr Marzukhi said that a team of 24 health personnel from Terengganu and two teams from Pahang had begun an anti-dengue operation in the Johor Baharu District, Monday.
He said the ministry appealed to the people to extend their co-operation to health personnel or local authority personnel carrying out anti-dengue activities in their areas.
He also said that more frequent checks would be undertaken in places where a big number of cases had been registered, and enforcement would be intensified in housing estates, abandoned projects, shophouses, factories and idle land.
In TAIPING, Education Minister Datuk Seri Hishammuddin Tun Hussein said Monday schools considered to be at high risk of a dengue epidemic should be closed down immediately.
He said the state education department and the schools concerned could direct the schools to close to prevent the disease from spreading to more students.
"We know of schools in the high-risk category and are monitoring them with the local authorities and the Health Ministry," he told reporters after a meeting with the Perak Umno Youth.
Hishammuddin, who is Umno Youth Chief, said he had also instructed Umno Youth in the states to carry out anti-dengue campaigns and programmes in high-risk areas.

Many seeking foreign donors, dilemma faced by kidney patients

NST: Four out of five Malaysians needing kidney transplants are forced to seek donors abroad due to a shortage of organs in the country.
Besides the complications, medical and otherwise, arising out of surgery in a foreign land, they also return RM60,000 to RM100,000 poorer.
Health Ministry consultant nephrologist Datuk Dr Zaki Morad Mohd Zaher said those seeking surgery abroad had to pay far more than locally, besides risking infection.
Dr Zaki said some had to be re-operated upon here due to complications.
The situation has, however, improved over the past five years with fewer cases of complications and infection.
"Five years ago, at least 30 to 40 per cent returned with complications, mainly surgical problems, where doctors here had to re-operate.
"Although the number of complications, including infections and diabetes, has fallen over the past five years, patients must be careful where they do the transplant," he said.
He was speaking to reporters at a patient forum on "Coping with chronic kidney disease" organised by the National Kidney Foundation of Malaysia (NKF) at Crystal Crown Hotel.
Dr Zaki said some Malaysians going to China for transplants were given organs from criminals who were executed.
On kidney transplant patients, he said they had to be on life-long medication.
On efforts to boost the number of organ donors here, he said the National Transplant Co-ordinating Centre was doing its best to create awareness about organ donations.
He said the response was still not encouraging despite the repeated calls to Malaysians.
Dr Zaki said the survival rate for patients who underwent operations was 90 per cent for the the first year, 80 per cent (five years) and 70 per cent (10 years).
He said the majority of kidney transplants were done with organs from patient’s family members.
"Doing a transplant gives the patient a better qualify of life and in the long run it is cheaper than dialysis," Dr Zaki said.
He said cadaveric organs were preferred but were still difficult to get.
In the West, organs were normally taken from victims of road accidents, he added.
"Even Saudi Arabia, a conservative Muslim country, uses cadaveric organs for transplants but this is not so in Malaysia," he added.
There are some 12,000 kidney patients on dialysis with the Government spending almost RM300 million annually on them.

Lending a sympathetic ear may avert suicide

NST: Don’t be judgmental of family members, friends and colleagues especially when they are suffering from stress, depression or facing what may seem at first to be only a minor problem to a third party.
Instead, lending a sympathetic ear may avert suicide incidents, said Saras Pillay, the national president of Befrienders Malaysia.
She said Malaysian society was quite judgmental and quick to criticise others.
"This has inadvertently contributed to the rising number of suicides and self-inflicted injuries among people who are facing personal problems," she said in an interview with the New Straits Times here today.
Saras, who volunteers for the Penang Befrienders, said anyone could help their close ones overcome problems provided they were sincere in offering their help.
To provide effective help it was important to not be judgmental, in mind and heart, she said.
"Most of the time, the affected person just needs someone to confide in."
But Saras reminded that listeners should be mindful of what they say when responding as "negative" statements could aggravate the mental condition of the confiding party.
Some people attempt suicide because they cannot see an alternative.
Thus caregivers or listeners need to tread the path of providing advice carefully, she said.
Saras said when advice was misconstrued, the troubled person’s mental condition could worsen.
This was worrisome as the confiding party may interpret the statement as mirroring the uselessness of his or her situation.
This may then drive the affected party into thinking that the only way out was by committing suicide, she added.
Saras said the best that could be done in such a situation was for the listening party to persuade the confiding party to seek help from psychiatric professionals or to call the Befrienders.
She was concerned with the high number of suicides among Malaysians.
The NST recently reported that an average of seven people committed suicide daily with the total number of such deaths exceeding 2,500 a year.
The suicides were linked, among others, to poverty, loss of loved ones, breakdown in relationships, drug abuse and family history.
The Health Ministry has provided 27 hospitals nationwide with psychiatric service to deal with suicidal patients and those facing depression.
There are 85 psychiatrists, two clinical psychologists and 56 counsellors in these hospitals.
Saras said callers can contact the Befrienders at any of its four centres located in Kuala Lumpur (03-7956-8144/5), Ipoh (05-547-7955/33), Penang (04-281-1108/5161) and Malacca (06-284-2500).

Woman pregnant with twins dies of dengue

NST: Dengue has claimed another victim in the State: a woman pregnant with twins.
Fairuz Aziz, 26, died yesterday after she was admitted to the Penang Hospital on Thursday with dengue haemorrhagic fever.
Her seven-month-old foetuses also did not survive.
Fairuz, a housewife from Taman Sahabat in Teluk Kumbar, was in a critical condition when she was admitted. She died about 6am yesterday.
State Health, Welfare and Caring Society Committee chairman P.K. Subbaiyah said this was the third death caused by the virus this year.
"The situation is not very good," he said when asked on the seriousness of the dengue outbreak in the State.
There was one death early this year and another last week. The two who succumbed to the virus earlier were a 46-year-old woman in Bukit Gelugor and a 21-year-old man in Kampung Binjal in Bayan Lepas.
He said notices would be issued to land-owners whose properties had become breeding grounds for aedes mosquitoes.
"If they do not take action, then we, through the Penang Island Municipal Council (MPPP), will clean up their premises and charge them for doing so," Subbaiyah said.
He would be informing all state assemblymen in dengue-prone areas to organise more gotong-royong projects to rid the island of aedes mosquitoes.
"Bayan Lepas, Teluk Kumbar and Sungai Nibong are among the dengue-prone areas," he added.
Bayan Lepas state assemblyman Syed Amerrudin Syed Ahmad urged residents to notify the authorities if there were dengue-related deaths in the area.

Sungai Petani Hospital Advised To Be More Friendly With Patients

SUNGAI PETANI, Sept 25 (Bernama) -- Administrators of Sungai Petani Hospital have been advised to treat their patients with greater warmth to avoid misunderstanding that can blow up into public controversies like what happened recently.
Deputy Information Minister Datuk Zainuddin Maidin said he concluded from a meeting with the administrators today that recent media reports of cases in the hospital arose from misunderstanding by patients who then complained to the press.
"This problem can be avoided if the hospital staff adopt a more friendly attitude to the patients and their families by giving them accurate information.
"To the journalists, I urge them to confirm the facts with the hospital authorities so that their reports will be truthful, fair and balanced," he told reporters after a one-hour meeting with the hospital's director, Dr Harif Fadzilah Che Hashim, and several other administrators.
Zainuddin said recent reports carried by the media had damaged the reputation of the hospital.
He said the public was easily influenced by media reports and negative reports about the hospital could cause people to lose confidence in it although it had been providing good services before this.
Dr Harif Fadzilah said he hoped the recent problems between the hospital and the media would be resolved.
He said the hospital was taking measures to correct its weaknesses, and called for the media's co-operation to restore public confidence in the hospital's services.

Sunday, September 25, 2005

Two Would-be Grooms Test Positive For HIV

SHAH ALAM, Sept 25 (Bernama) -- Two would-be grooms tested positive for HIV -- the virus that causes AIDS -- in compulsory screening introduced last month by the Selangor government for Muslim couples planning to marry in the state.
The two men were drug addicts, said Selangor Menteri Besar Datuk Seri Dr Mohamad Khir Toyo Sunday.
He said the families of their respective intended partners had been informed of the test results.
"At the moment, it is not known whether they wish to proceed with the marriage plans. They are still discussing the matter," he told reporters after taking part in the Selangor Anti-Drug Run here.
He said the requirement for couples to undergo HIV screening before they could be married would be continued despite some quarters being unhappy with it.
Dr Mohamad Khir, who is also Malaysian Youth Council president, said he was concerned by the spread of drug addiction to very young victims.
This was shown by the 1,344 addicts detected in Selangor between January and June this year among whom was one in the 13-15 age group and six in the 16-18 age group.
He said the state government was setting up a special centre in Hulu Selangor to treat addicts by emphasising religious aspects and training them to fend for themselves.
"The inmates will only leave the centre when they are ready to face society," he added.

Little ones are watching

Star: If you think the police are the only ones watching you on the road, think again.
Besides the law, it is your little ones from the back seat who are watching and learning all your good and bad manners and behaviour behind the wheel.
“So don’t blurt out bodoh (stupid) no matter how angry you are as they will do the same or something worse when they grow up,” said Kuala Lumpur Hospital psychiatrist Dr Nor Hayati Ali.
She said aggressive driving behaviours could be habits acquired during childhood and children tend to learn from their parents and other adults, apart from picking up the wrong tips from other sources such as computer games.
“Sometimes it is okay to be angry but how you react is something you have to be careful of,” Dr Nor Hayati said at the National Conference on Crime Prevention 2005 yesterday.
She said it was usually out of frustration due to various reasons that people became aggressive.
Although many motorists admitted to being aggressive while driving, they do so with little or no menacing intent, she said.
“Instead, it is rather out of frustration as a result of unclear road priorities in which drivers disagree as to the right of way or it could be due to being late or environmental factors in which drivers tend to follow what others do,” she said.
Dr Nor Hayati said motorists with a history of disorderly behaviour, drink-driving, those disqualified from driving, fighting, theft, burglary, assault, drug use and firearms offences were prone to being easily angry on the road.
According to research, she said, males under 30 are likely to be offenders and victims of aggressive driving as they are relatively inexperienced drivers.
Dr Nor Hayati also drew comparisons to incidents of “road rage” which were usually given better coverage by the media than those of “aggressive driving.”
She also suggested that a hand signal be developed to recognise when someone wants to say “it’s my fault and I’m sorry.”

High Blood Pressure

NST: First the bad news: One in three Malaysians suffers from high blood pressure and less than a third are aware of their illness.
What is also alarming is that only a small fraction of the eight million Malaysians are keeping their hypertension under control.
Now the good news: A recent study showed that lives can be saved and heart attacks and strokes prevented by using a combination of new drugs.
National Heart Institute senior consultant cardiologist and department of cardiology head Datuk Seri Dr Robaayah Zambahari said hypertension was called the "silent killer" as there were usually no symptoms.
For adults aged 18 years and above, normal blood pressure should be 130/85 mmHg. A person is confirmed to be suffering from high blood pressure if his blood pressure reading on two or more occasions is 140/90 mmHg.
High blood pressure occurs when the force of blood against the artery walls is too strong.
Low blood pressure is an abnormal condition where a person’s blood pressure is much lower than usual, causing symptoms such as dizziness or lightheadedness.
Dr Robaayah said blood pressure was closely associated with the risk of cardiovascular disease. The higher the blood pressure, the greater the chance of heart attack, heart failure, stroke and kidney disease.
But clinical trials have shown that the risk of a stroke can be reduced by 35 to 40 per cent, heart attacks by 20 to 25 per cent and heart failure by more than 50 per cent if those suffering from hypertension are treated early.
While mild high blood pressure could be reduced by dietary changes and regular exercise, she said the majority of people suffering high blood pressure needed medication.
A recent Anglo-Scandinavian Cardiac Outcomes Trial or Ascot study revealed that many lives could be saved every year if a combination of newer drugs for high blood pressure were used.
Traditional drugs for treating high blood pressure are diuretics to remove excess fluid from the body and a beta blocker which reduces the strength of the heart beat.
The newer drugs, ACE inhibitors and calcium channel blockers, work in different ways but help blood vessels to relax so that less pressure is needed to pump blood.
Dr Robaayah, who attended the European Society of Cardiology’s annual conference in Stockholm two weeks ago, said the results of the study showed that heart attacks and strokes could be cut by half with treatment.
She, however, said the newer drugs were slightly more expensive than standard treatments.
"The practice of medicine today should be guided by evidence — evidence of risk of the disease and the safety and benefit of the different options of treatment."
She also stressed the importance of clinical trials, the results of which could be applied to clinical practice.
Kuala Lumpur Hospital consultant pulmonary and critical care physician Datuk Dr Jeyaindran Sinnadurai said some Malaysian doctors familiar with the Ascot study were already prescribing a calcium channel blocker-based regimen to patients.
"Government hospitals will not have problems dispensing the newer drugs as they are available in pharmacies."
It is learnt that the Malaysian Clinical Practice Guidelines of Management of Hypertension published in 2002 would be updated with the new findings.

Saturday, September 24, 2005

Virtual Post-mortem May Be Used As Alternative

SAN FRANCISCO, Sept 24 (Bernama) -- Physical post-mortems of people who die from illness or accident may be replaced by the virtual method using three dimensional technology (3D).
Science, Technology and Innovation Minister Datuk Seri Dr Jamaludin Jarjis said he would propose the method to the Malaysian government for consideration because it would resolve the issue of post-mortem in the death of a Muslim.
He said the 3D technology, which could be used as an alternative to the physical post-mortem, was developed by Silicon Graphics owner and president Bob Bishop, who is a member of the International Advisory Panel of the Multimedia Super Corridor.
Dr Jamaludin, who was here to attend the Biotechnology Round Table Meeting 2005 chaired by Prime Minister Datuk Seri Abdullah Ahmad Badawi on Monday, said Bishop had agreed to hold a demonstration of his method in Kuala Lumpur soon.
However, he said, the matter needed to be discussed at length with the authorities concerned such as the police, Attorney-General's Chambers, Health Ministry and Islamic religious departments to seek a consensus.
"It is up to the government agencies concerned to allow it to be considered as an alternative to the physical post-mortem," he said.
Normally Muslims did not want a post-mortem conducted on their kin, especially if they had died of illness, he said.
He added many developed countries were already using the technology and it had been proven effective.

RM100 Mln For Modern X-Ray Equipment In Govt Hospitals - Dr Noorimi

KUALA LUMPUR, Sept 24 (Bernama) -- More than RM100 million is needed to modernise the obsolete and outdated X-ray equipment being used in most government hospitals, Health Ministry Medical Development Director Datuk Dr Noorimi Morad said Saturday.
He said most of the X-ray equipment being used no longer complied with the upgraded safety features in line with the rapid advancement in the medical imaging technology.
"I cannot deny X-ray exposure in excess of its threshold can bring adverse effects like inflammation of the tissues and can also cause cancer.
"So, patients have to avoid getting exposed to X-rays unnecessarily," he told reporters after opening the Seventh Scientific Meeting on Medical Imaging hosted by the Malaysian Institute for Nuclear Technology Research.
Dr Noorimi said only a small number of the 131 government hospitals have the latest imaging technology.
He said a more sophisticated imaging technology like computed tomography or CT-Scan was available in most regional or government specialist hospitals.
Recently, government hospitals started using the positron emission tomography technology or PET-CT Scan which could detect ailments like early stage of cancer, he said.
Kuala Lumpur Hospital Imaging Specialist Dr P. Sathyamoorthy said most of the X-ray equipment in government hospitals were more than 15 years old and did not comply with the latest safety features.
He said the latest imaging technology could produce good images and reduce X-ray exposures.
More than 50 medical specialists are attending the one-day seminar to discuss the latest imaging technology.

Do not rely on bomohs or sinsehs

Star: Malaysian women should stop depending on a bomoh or sinseh to find out why they are sick.
Consultant obstetrician and gynaecologist Dr Nor Ashikin Mokhtar said more women could guard against diseases like diabetes, high-blood pressure, stroke and cancer if they consulted doctors.
“Due to the diversity of cultures here, many Malays, Chinese and Indians often seek advice from bomohs, sinsehs and homeopaths.
“Often, they are not given a good explanation about their illness," she said.
“With the advances in medical technology, many diseases can be cured by a proper diet, exercise, sufficient rest and self care, plus the right medication,” she added.
Dr Nor Ashikin was speaking at the launch of the three-day Wanita, Health and Lifestyle 2005 event, themed “Love Your Family, Celebrate Health", by Women, Family and Community Development Minister Datuk Seri Shahrizat Abdul Jalil at the Kuala Lumpur Convention Centre yesterday.
Dr Nor Ashikin is the organising chairman of the event, which is part of the Nur Sejahtera Women’s Healthcare Programme. Shahrizat said the programme was aimed at raising awareness on key health issues, adding that some 200,000 women and their families had benefited so far.
There are 50 Nur Sejahtera Clinics nationwide providing healthcare screening services at lower rates.
“We are also in the process of setting up eight Kasih Keluarga Complexes in Seremban 2 and Jempul (Negri Sembilan), Banchang and Jasin (Malacca), Bertam (Penang), Gombak (Selangor), Kota Baru (Kelantan) and Anak Bukit (Kedah)," said Shahrizat.

Community Support Key to Kicking Drugs

PENANG, Sep 23 (IPS) - Looking at Abdullah Mohd Isa today, it's hard to imagine that he was hooked on drugs for 10 years, injecting himself with diluted opium in desperation. Smiling and shirtless inside his home, he now looks the picture of health.
These days, he runs a drop-in centre that is helping a small therapeutic community of recovering drug addicts around the fishing village of Teluk Bahang in northwest Penang to kick the habit the holistic way.
But it is an uphill struggle. Even after 25 years of staying clean from drugs, Abdullah himself admits that he is still a ''recovering addict''. ''There is no cure for addiction--recovery takes a life-time,'' he says.
In a community of 70 heroin addicts, Abdullah has worked with 57 of them. After a few years, 25 of them made a clean recovery while 32 were put on the drug buprenorphine, used in drug substitution therapy to treat addicts. Out of these 32, 12 are leading fairly normal lives.
Abdullah seems pleased with the success rate of the holistic method, which involves the larger community, religious institutions, and the local police in the recovery process. ''Our treatment is oriented towards taking them away from artificial highs,'' he says.
As Abdullah speaks, a gaunt-looking man walks into his house along with a couple of Abdullah's assistants. His name is Ibrahim and he is a long-time addict. After three stints at government rehabilitation centres, relapsing each time soon after, Ibrahim has just decided to put himself under the supervision of Abdullah's team.
''This time, I want to turn over a new leaf. My two children, aged 22 and 24, are getting married soon and I fear I will bring shame to the family if I am still addicted,'' says the 57-year-old.
Although each stint at a rehab centre typically lasts just over a year, Ibrahim, now a divorcee, says ''it felt like 10 years''.
''I just couldn't stand it (the craving) and thought I would just take a little bit after coming out. By the third day (after coming out of the centre), I was hooked again,'' he says.
''They may be physically healed when they come out of the (government-run) centres, but mentally they are not,'' observes Abdullah.
Once they are released from these centres, recovering addicts are vulnerable to the temptation or cravings.
Addicts obtain illegal drugs from pushers on the streets. For Johari Mohamad, 41, the treasurer of the Teluk Bahang fishermen's association, and now Abdullah's right-hand man, the reason for this availability is obvious: ''If there is no corruption, there will be no drugs''. Other addicts resort to abusing legitimate drugs with , which to satisfy their craving.
Abdullah's methods are different from the usual way of treating addicts in Malaysia. Those nabbed by police are charged in court within 14 days if they test positive for drugs. Many are sent to one of 28 government-run rehabilitation centres.
Over 9,000 addicts, 98 percent of them male and 70 percent of them ethnic Malay, are confined at these government-run centres that dot the country.
Addicts typically spend just over a year at these rehab centres, first going 'cold-turkey' in a two-week detoxification programme and then receiving counselling and religious instruction. Civics courses to instil patriotism and training in skills like haircutting, woodwork, tailoring, and landscaping are part of the plan.
Each inmate receives individual counselling twice a month, according to a source familiar with one of these centres. Group counselling is carried out once a month in batches of about 10 inmates at a time.
For all the effort, only a small minority actually kick the habit.
Last year, Health Minister Chua Soi Lek conceded that despite the government spending 50 million ringgit (13 million US dollars) annually on its drug rehabilitation programmes at these centres, the number of drug addicts detected each year has not shown any sign of abating.
''In fact, anecdotal reports say that up to 70 percent of drug users who left the centres went back to drugs again,'' the minister said.
Even within the camps, some addicts crave tobacco and manage to smuggle in supplies. Occasionally, their stockpile is discovered and confiscated and this leads to unhappiness that sometimes triggers disturbances inside the camps, says Abdullah.
Critics question the government centres' methods. ''It's very regimented,'' recalls a source who researched rehabilitation centres some years ago. He remembers being startled by a smart salute from one of the inmates and believes strong regimentation and ineffective counselling contributes to high relapse rates.
Some say the centres should not be judged too harshly as the rehab success rates in more developed countries are not that high either.
One counsellor defended the counselling methods used: ''Counselling is just a tool, one aspect of helping them. It gives them an idea how to solve their problems. But it is up to the addicts to solve them''.
The relapse rates used to be a lot worse-- some say as high as 99 relapses for every 100 cases.
Abdullah's holistic method has caught the attention of the National Drug Agency, which has enlisted help from recovering addicts to provide fresh ideas on how the camps should be run.
Now the relapse rate has fallen to around 70-80 percent, says Abdullah, largely due to aftercare support such as drop-in centres, the 12-step therapy, and religious counselling.
Despite the best efforts, more than half of the more than 30,000 drug addicts detected nationwide every year are repeat or relapse cases. Officially, the reasons that addicts give for falling into the habit are peer pressure, curiosity and gratification or pleasure.
But there could be larger forces at work. The areas with the highest number of cases detected - Penang (20 percent), Kuala Lumpur (16 percent), Johor (13 percent), Perak (10 percent) and Selangor (8 percent)--are the most industrialised in Malaysia.
Not only are these areas with money, they are also within easy reach of the 'Golden Triangle' countries of Thailand, Burma and Laos which play a key role in global trafficking.
The break-up of the family unit as a result of industrialisation and rural-urban migration may have fuelled alienation, says physician Jeyakumar Devaraj, who has treated addicts in the past. The lack of recreational spaces and cramped low-income housing in urban areas may also be contributory factors, he said.
''Addiction is symptomatic of a larger problem. Our society is already dysfunctional and it is not in a position to help these addicts,'' he said.
A surgeon in a private hospital in Penang, for his part, argues that ''addiction should be decriminalised and addicts should be treated as patients not criminals''.
Frustrated by the low success rates, the government is now introducing methadone treatment for addicts, though critics say this is not without problems.
''I heard from a friend who is a doctor that he wanted to stop methadone treatment because some of the addicts were mixing it into cocktails and will do anything to get the next fix,'' a doctor in Kuala Lumpur told IPS. ''They are so dependent and overwhelmed''.
Devaraj believes that for drug addiction to be controlled, addicts need therapeutic communities where people accept them, where they are given jobs while they readjust to society
source

Ministry Unhappy Media Reports Tarnish Hospital's Image

KUALA LUMPUR, Sept 23 (Bernama) -- The Health Ministry has asked the media not to "play up" controversial reports in the Sungai Petani Hospital (HSP) as this could affect public confidence and the morale of the staff.
Deputy Health Minister Datuk Dr Abd Latiff Ahmad said it was important that the morale and service of the hospital staff who were doing their utmost to ensure an efficient "delivery system" were not affected, especially as the hospital was striving to regain the public confidence.
"We admit there were mistakes but the report on the latest case, that is the still-born baby was portrayed as 'something wrong' although the patient had said that she had received proper treatment the hospital," he told reporters after opening the Neurotrauma 2005 Brain Damage Wrecks the Country's Future, here, Friday.
Last Sunday, a man, Mohd Fauzi Omar, 23, had alleged that the hospital had postponed for two days his wife's delivery of a still-born baby on grounds that there was no specialist doctor available.
Mohd Fauzi was later called by the hospital management and board of directors to deny the story which was published on the front page of a mainstream newspaper last Wednesday.
Dr Abd Latiff also said the report on the results of the investigation on five "controversial" cases at the hospital involving the delivery of babies was completed and action on the matter would be known when the Health Minister Datuk Dr Chua Soi Lek returned from San Francisco next week.
The Deputy Minister also said his ministry planned to corporatise the ambulance service at Government hospitals to enable the hospitals to give greater focus to patients, adding that every year about 400 units of ambulance had to be replaced involving a cost of RM200 million.
Meanwhile, in SUNGAI PETANI, Health Ministry Director-General Datuk Dr Ismail Merican said the Sungai Petani Hospital administration would not be changed following the controversial reports.
He said he was satisfied with the service of the hospital's Director, Dr Harif Fadzilah Che Hashim and all other staff.
He asked the media not to publish complaints from patients without referring to the hospital first.
Dr Ismail was speaking at a press conference after meeting senior staff of the hospital.
He said however, that there was a little confusion in the tasks of some of the hospital staff which caused unhappiness among some patients.
He gave an assurance that the situation would be remedied and the doctors had carried out their duties well and according to the proper procedures.

Thursday, September 22, 2005

Don't Go Breaking Your Heart

KUALA LUMPUR, Sept 22 (Bernama) -- More Malaysians die of heart and blood vessel disease than any other single cause and many of those premature deaths are preventable.
Yet many people still ignore the warnings. Perhaps they think, "It won't happen to me" or believe they can afford to wait and see if they have a heart attack, then they would just have to go for a bypass and forget all the tedious diet.
Heart disease is more than a sudden heart attack. For many Malaysians, it means chest pain, breathlessness, fatigue and an effort to get through the day or night.
Deputy Prime Minister Datuk Seri Mohd Najib Tun Razak revealed on Aug 26 that over the 15-year period from 1985 to 2000, admissions into government hospitals for cardiovascular diseases had doubled from 59,000 to 110,000 cases.
Meanwhile, Health Minister Datuk Dr Chua Soi Lek disclosed on Aug 29 that ten years ago, the National Heart Institute (IJN) only received 50,000 outpatients a year and 8,000 warded patients. Now it has 122,000 outpatients a year and 12,000 patients in the wards.
According to Heart Foundation director and consultant cardiologist Datuk Dr Khoo Kah Lin, of the multiple contributors to heart disease, genetic and dietary factors appear to be the most important.
He noted that the risk of having an attack depends on factors that influence fatty plaque buildups in the coronary artery walls, formation of artery-clogging blood clots and the strength of the heart muscle itself.
Dr Khoo believes lifestyle plays a vital role in determining who is at higher risk of a heart disease.
People more prone to the disease are those who have high cholesterol, high blood pressure, a family history of heart disease, a very stressful life and diabetes.
Smokers are also in this high-risk group, he said.

WORLD HEART DAY
In view of that, the World Heart Federation organises World Heart Day to make people all over the world aware of just how extraordinary their heart really is, how to look after it and how to reduce the risk of damaging it.
More so, to enjoy life to the full, all we need is to maintain a healthy heart, healthy weight and body shape as this will dramatically reduces the risk factor for heart disease and stroke.
For that reason, World Heart Day 2005, taking place this Sunday, chose "a Healthy Weight, Healthy Shape" as its theme under the slogan "A Heart for Life."
World Heart Day aims to encourage the world's population to lead a healthier lifestyle by taking more physical exercise and reducing the risk of heart disease through smoke-free living, healthy nutrition and weight control.
This year, various activities have been planned to translate the objectives of World Heart Day especially to all Malaysians.
Those keen to find out about events taking place in their area could click on www.worldheartday.com. They can also access the Nutrition Society of Malaysia's website at http://nutriweb.org.my to know more about nutrition and the Heart Foundation of Malaysia's website at www.yjm.org.my to know take care of your sweet heart.

TOP 10 TIPS FOR A HEALTHY HEART
"A little change goes a long way and you can make a big difference just by making a little change," said Dr Khoo who offered some tips for a healthy heart and how to improve one's odds against the number one killer disease.

1. QUIT SMOKING, NOW!
Smoking can thicken the blood and increase its propensity to clot. Blood clots in the arteries leading to the heart can cause a heart attack, while blood clots in the arteries leading to the brain may cause a stroke.
Even chronic exposure to second-hand smoke increases heart-attack risk by about 30 percent. Encourage smoke-free homes and workplaces.

2. EAT WELL
It's one of life's joys. But think before you eat. Add more servings of fish into the diet. Eat a diet high in fresh fruits and vegetables but low in red meat and animal fats. This can help prevent hardening of the arteries, one of the main causes of high blood pressure, strokes and heart disease.
Restrict salt and sugar intake, drink at least 6-8 glasses of water per day and avoid junk food. Also use healthier cooking methods such as steaming, boiling, grilling and baking instead of deep fat-frying extra fat and develop healthy cooking skills within your family.
Be a good example to your children so that they don't develop bad health habits. Also say no to a second round of alcohol as heavy drinking has been known to cause heart failure, high blood pressure and irregular heart beats.

3. FIND OUT YOUR IDEAL BODY WEIGHT, STAY WITHIN THAT RANGE
Maintain the correct weight for height. Being overweight reduces your fitness and increase the load on your heart.

4. EXERCISE REGULARLY
Walking is the most popular form of physical activity. All it takes is a comfortable pair of shoes and some willpower. Try to accumulate 30 minutes of walking into every day -- walk to the shops instead of driving, take the stairs instead of the lift. Also find an activity you love doing such as swimming or gardening and incorporate it into your week.

5. LEAD A MORE CAREFREE LIFE
Stop the rat race. Learn to relax. Smile on life when you can and try to be as relaxed as possible, you won't just be happier, you'll be healthier too. Take up a hobby and make time for yourself. Aggressive and impatient people who live in the fast lane have a much higher incidence of heart disease.

6. HAVE YOUR BLOOD PRESSURE CHECKED TO FIND OUT IF YOU HAVE HYPERTENSION
Also find out if you have a family history of heart or blood vessel disease.

7. KNOW YOUR CHOLESTEROL LEVELS AND KEEP IT IN THE NORMAL RANGE
Go easy on egg yolks as it contains high amounts of cholesterol. You can have all the eggs you like, as long as you leave the yolks aside. Also give up organ meats. Though rich in iron and protein, these meats are also tremendously high in fat and cholesterol.

8. CHECK IF YOU HAVE DIABETES
If you are diabetic, you have a greater risk of heart disease if it is not adequately controlled.

9. HAVE AN OVERALL CHECK UP
Go to your doctor once a year for a check up - even if you are feeling fine as you may not have any noticeable symptoms. Your doctor will check you're really healthy.

10. HAVE A HEART FOR LIFE
Look after your heart so you can live better longer. The younger you start the better, but it is never too late to begin. Why not also show you have a heart by telling your family and friends.

Actually, life is not as depressing as it sounds. And a heart attack doesn't have to be the end of the world. You can't change your age, your gender, or your genes but you can adopt positive lifestyle changes and improve your heart health. All it takes is a change of mind-set.
The simple but powerful message about heart health is that much of the death, disability and illness caused by heart disease is preventable.
In fact, it's in your hands.

Pusrawi Spearheads "Hospitel" Concept In M'sia

KUALA LUMPUR, Sept 22 (Bernama) -- If you pass by Jalan Tun Razak here, you will see a new building, "Hotel Putra KL", beside the National Library.
The three-star hotel, developed together with the Pusat Rawatan Islam (Pusrawi) Hospital building, not only will be the new landmark in the city, but would be pioneering a new service concept in the health tourism industry currently being promoted in this country.
The "hospitel" concept, a combination of hospital and hotel, might be new to the Malaysian society but it would be spearheading the change in the country's health services in the future.
Hospitel could provide accommodation for the patients' family members, its outpatients, as well as for local and foreign tourists to stay at the hotel while receiving treatment.
Pusrawi Hospital Corporate Development Manager Mohd Azlan Md Arshad said Hospitel, among others, targetted tourists from Indonesia and West Asia.
He said Pusrawi Hospital, which was now operational at Jalan Ipoh here, was scheduled to expand its services when the new hospital and hotel buildings at Jalan Tun Razak began their operation by year end.
The new hospital is quite special because it offers medical services based on Islamic teachings and at the same time provides hotel facilities, he said.
Mohd Azlan said the hotel rooms would undoubtedly be a great convenience to the family and friends of patients from out of Kuala Lumpur, and it would also be open to other visitors who needed comfortable and affordable accommodation.
He said the hospital would have 250 beds as compared to 90 beds at the present hospital at Jalan Ipoh, while the hotel would provide 102 rooms.
The Hospitel construction project began with the first phase in 2000 and the second phase began in 2003, comprising the construction of a nine-storey hospital building and an 11-storey Hotel Putra KL which were linked to each other.
Owned by the Federal Territory Islamic Religious Council (MAIWP), the RM100 million project was leased to Pusrawi Hospital and Hotel Putra KL, who would be cooperating to promote health tourism, he said, adding that the cost was covered by a subsidiary of Tabung Haji Board, TH Properties Sdn Bhd.
Mohd Azlan said the hospital and hotel's location was very strategic as it was in the heart of the city and situated just in front of the National Heart Institute (IJN).
Indirectly, Hotel Putra KL would also be offering hotel accommodation to IJN visitors, he said.
"Hospitel, which adopts the Islamic concept, would be equipped with the latest facilities such as laboratories and blood bank, operation theatre, X-ray, pharmacy, circumcision services, creches and a 24-hour emergency service.
"The hotel would be offering facilities including seminar and meeting rooms, cafeteria and over 200 parking spaces," he said.
Mohd Azlan said the Islamic concept applied in the Hospitel services, would not be restricted to Muslim patients but to all patients regardless of religious or racial background.He said Muslim patients would be treated based on Islamic teachings such as the staff would say a prayer prior to a surgery and the hospital and hotel staff would always be dressed according to the Muslim way by covering their "aurat".
Non-Muslim patients would be treated like any normal hospital patients while discounts would be given to the needy but for Muslim patients from the low income group, they are entitled to apply for the wakaf fund aid, he said.
Meanwhile, Hotel Putra KL Senior Marketing Manager Normawati Zainal Abidin said the hotel would be offering a service which would suit the middle and low income groups.
She said the hotel had not decided on the room rates or whether it would be offering special rates for clients who were dealing with Pusrawi Hospital, but added that the room rates would be affordable and reflected the hotel's standard.