Part-time jobs in govt hospitals

Star: KUALA LUMPUR: The Health Ministry is calling on private doctors around the country to take up 144 part-time vacancies in government clinics nationwide.
These vacancies are being offered to doctors in the private practice to serve on a locum basis.
Health Minister Datuk Seri Liow Tiong Lai, who extended the invitation yesterday, said the ministry had received only 18 applications in March.
“We hope more doctors will help fill this shortage,” he said during a working visit to Hospital Ampang.
Liow announced that the doctors would be paid RM80 an hour.
Sessional shift in the clinics are from 8am to 5pm on weekdays while locum consultation is from 5pm to 9.30pm on weekdays and 8am to noon on Saturdays.
Liow said the ministry had allocated RM31mil for this initiative.
He also said the ministry had been opening its doors to doctors from the private sector to serve in government clinics and hospitals since 2002. According to Liow, there were about 10,000 doctors in private practice in the country.
Another 15,000 are in government service. The offer is also open to specialists to serve in government hospitals.
“They will be paid RM100 an hour for consultation and RM120 an hour if they need to perform surgery,” Liow said.
“Currently, there are only 20 specialists providing their services on a sessional basis,” he added.
Doctors interested in applying must be registered with the Malaysian Medical Council and can register online at http://www.moh.gov.my/MohPortal/formDetails.jsp?action=load&id=55

95% of govt dispensaries serve patients within 30 minutes

Star: PETALING JAYA: Almost 95.4% of the 39.4 million prescriptions for outpatients at government hospitals and clinics last year were dispensed in less than 30 minutes, Health director-general Tan Sri Dr Ismail Merican said yesterday.
He said 93% of government hospitals and clinics achieved the Key Performance Indicator (KPI) set by the Health Ministry to ensure that waiting times at pharmacies be under 30 minutes.
Dr Ismail also said that pharmacy services were now more patient-oriented to ensure medicines dispensed were safe, of quality and effective.
This, he said, was done through special services like clinical pharmacokinetics, nutritional support, oncology pharmacy and nuclear pharmacy.
“Medicine prescribed through these special services are based on individual needs which could improve the quality of treatment and reduce any side-effect,” he said in a statement.
Dr Ismail also said that 74 main hospitals, 62 specialist hospitals, 14 district hospitals and 37 health clinics nationwide had implemented the Medication Therapy Adherence Clinic programme.
The programme allows for optimum compliance on medication dispensing to avert complications in patients.
The pharmacy services had also implemented new methods for drug dispensing such as the Integrated Drug Dispensing System, drive-through pharmacy, SMS alerts and appointment cards to make it easier for patients to get their medicine supply.
He said 87 hospitals and 38 clinics were now offering these services to their patients.
Dr Ismail said the SMS alert service had received good response from patients, whereby they were only required to send a text message to a government pharmacy before picking up their medication.
Last year, the Integrated Drug Dispensing System handled 115,086 prescriptions.
“The system enables patients to obtain their medicines from any hospital or clinic of their choice,” he said.

All hospitals must report medication errors, says D-G

Star: PETALING JAYA: To ensure that patients are exposed to minimal risk when seeking medical treatment, all health organisations are now required to report medication errors and hospital-acquired infections, to allow remedial programmes to be instituted.
Health director-general Tan Sri Dr Ismail Merican said the ministry remained dissatisfied with the reporting system practised by certain private health organisations.
“Some already have the mechanism while others do it for their internal consumption.
“We are very concerned about patient safety but things do not seem to be moving in the private sector,” he said yesterday.
A total of 2,572 medication errors were received by the Malaysian Medication Error Reporting System which started last year.
The Patient Safety Council, which seeks to enhance the safety of the healthcare system, recently drew up more measures to be implemented from this year.
He added that several of these measures would eventually be included in the Private Healthcare Facilities and Services Act.
Dr Ismail, who chairs the council, added all hospitals in the country must implement the safe surgery programme, which is being practised in major state hospitals.
“The director-general and his top management team will initiate a programme for regular, random inspection of healthcare facilities in government hospitals, including university hospitals as well as the private sector to identify opportunities for improvement,” he added.
He said that in order to protect healthcare workers, all stakeholders were encouraged to plan for the implementation of “needle-less sytems” in their clinical operations.
Such systems, he said have been shown to reduce the risk of communicable diseases being transmitted, besides reducing the cost of having to treat infected healthcare workers and patients.

9,698 health officers promoted under career advancement plan

Star: KUALA LUMPUR: A total of 9,698 health officers were promoted from Grade 44 up to Grade 54 following Prime Minister Datuk Seri Najib Tun Razak’s announcement on Tuesday on a comprehensive career advancement plan for the three services under the Health Ministry.
Chief secretary to the Government Tan Sri Mohd Sidek Hassan said they comprised 8,521 clinical/administrative medical officers, 650 dentists and 527 pharmacists.
For a start, 2,554 doctors on Grade UD44 were promoted to Grade UD48 right up to Grade UD54 effective Tuesday, he said in a statement on Friday.
For specialist doctors, 12 were promoted from Grade UD44 to UD48, 68 to UD52, and 321 to UD54. Of the non-specialist doctors on Grade UD44, 1,751 will be promoted to UD48, 312 to UD52 and 90 to UD54.
“The promotion of all Grade UD44 medical officers to the grade that they are eligible for will be implemented before March 31, 2010,” he said.
Sidek said that under this new career path, the promotion of medical, dental and pharmaceutical officers up to Grade 54 in the ministry would be based on the length of service and no longer on vacancies.
“The promotion of medical officers on Grade UD48 and UD52 as well as that of all eligible dental and pharmaceutical officers will be implemented in stages based on this career advancement plan,” he aded.
He said the medical officers concerned could check the plan via the ministry’s website at www.moh.gov.my
He said the government’s decision was in recognition of the contributions of the medical officers in raising the country’s health service level and to motivate them to continue providing quality service as well as to maintain their interest to serve longer in the public sector.
Najib, when announcing the plan, said it was aimed at providing opportunities for more attractive career advancement in a shorter period.
For example, he had said, a medical specialist could rise to Grade UD54 in nine years compared with 11 years now while for a clinical/administrative medical officer, it would take 12 years instead of 17.

Career Advancement Plan Will Help Retain Doctors In Public Sector

Bernama: KUALA LUMPUR, March 10 (Bernama) -- The Malaysian Medical Association (MMA), the country's premier organisation representing doctors, believes that the newly-announced comprehensive career advancement plan for doctors, dentists and pharmacists will help retain the doctors in the public sector.
Its president, Dr David Quek said this was also a vital move to maintain the number of doctors in the public sector, which currently was declining.
"It would certainly encourage more doctors working in the government hospitals and clinics to remain in the service rather than consider venturing out into private practice," he said in a statement here, on Wednesday.
The comprehensive career advancement plan was announced by Prime Minister Datuk Seri Najib Tun Razak yesterday.
The initiative, which involved an additional annual expenditure of RM200 million, was aimed at improving career advancement by giving them the opportunity to move up to Grade 54 within two to five years.
Dr Quek said MMA had been working closely with the government to improve the service, training opportunity, salary, allowance and other perks and benefits for the doctors in the public sector.
"Over the past many years, we have, through our Schomos (Section Concerning House Officers, Medical Officers and Specialists), liaised closely with the Health Ministry and the Public Service Department to improve the conditions of service.
"We are therefore very delighted that most of our requests have now been answered, and that so many doctors would now benefit from such upgrading service," he said.

Meanwhile, Malaysian Dental Association (MDA) president Dr Lee Soon Boon also agreed that the plan would stop the exodus of dentists from the public to the private sector.
Besides, he said, the initiative was also deemed appropriate due to the current situation where most doctors were also entrusted with heavier responsibilities.
At present, he said there were 3,606 dentists in the country, 53 per cent of whom were in the government service, while the rest were in the private sector.
Malaysian Pharmaceutical Society president Datuk Nancy Ho, on the other hand, said that the initiative clearly showed that the prime minister was serious in promoting the 1Malaysia concept.
"We appreciate the recognition from the government to pharmacists for doing a professional job. This also shows that they are concerned about the people and the professionals," she explained.
She also believed that the initiative would encourage pharmacists nationwide to discharge their duties to the best of their ability.
Meanwhile, Cuepacs president, Omar Osman said Cuepacs lauded the career advancement plan for the medical and education sector, but believed that the government should consider similar initiative for other sectors too, especially for workers of lower grade and those in the rural areas.
"Attention should also be given to those working in the rural areas because they are closer to the people," he said.

Faster Promotion For Doctors, Dentists And Pharmacists To Grade 54

Bernama: KUALA LUMPUR, March 9 (Bernama) -- Prime Minister Datuk Seri Najib Tun Razak Tuesday announced a comprehensive career advancement plan for public doctors, dentists and pharmacists, which expedites their promotion to Grade 54 by between two and five years.
He said the initiative, which involved an additional annual expenditure of RM200 million, was aimed at improving career advancement by giving them the opportunity to move up to Grade 54 within a more reasonable time frame.
For example, a medical specialist can progress to Grade 54 in nine years compared to 11 years now, and a (clinical/administrative) medical officer can move up in 12 years compared to 17 years now.
"Following this improvement in the career advancement plan, the government hopes that doctors, dentists and pharmacists in the Health Ministry will continue to provide excellent service to the people," he said in a statement.
Najib also said that the Public Service Department (PSD) and the Health Ministry were working out the promotion of eligible Grade UD44 medical officers to Grade UD48, and the majority of them were expected to be enjoy the benefit before the end of this month.
Najib said the improvement was in recognition of the role and contribution of those providing healthcare to the people, and it was felt that this would enhance their commitment and determination to fulfill the desire to raise the level of service at government hospitals.
Elaborating, the prime minister said that on Dec 5, 2007, the government agreed to promote directly to Grade UD44 all medical officers appointed from Jan 1, 2008 onwards, soon after completing their two-year housemanship and having registered with the Malaysian Medical Council.
To ensure that medical officers appointed prior to Jan 1, 2008 were unaffected by the decision, it was decided to promote these officers to Grade UD44, he said, adding that this involved promoting 9,871 medical officers in 2009.

The career advancement plan is as follows:
* Promotion to Grade 44 for dentists who have been on Grade 41 for two years, and for pharmacists after three years.
* Promotion to Grade 48 for doctors and dentists who have been on Grade 44 for three years or up to the date of gazetting as specialists, whichever is earlier; and for pharmacists who have been on Grade 44 for four years.
* Promotion to Grade 52 for (clinical/administrative) doctors and dentists who have been on Grade 48 for four years or subject to availability of vacant positions, whichever is earlier; also for medical specialists and dental specialists who have been on Grade 48 for two years or subject to availability of vacant positions, whichever is earlier, and subject to recommendation of the Specialists Evaluation Panel of the Health Ministry, and pharmacists who have been on Grade 48 for four years or subject to availability of vacant positions, whichever is earlier.
* Promotion to Grade 54 for (clinical/administrative) doctors and dentists who have been on Grade 52 for three years or subject to availability of vacant positions, whichever is earlier.

For medical specialists and dental specialists who have been on Grade 52 for two years or subject to availability of vacant positions, whichever is earlier, and subject to the recommendation of the Specialists Evaluation Panel.
For pharmacists who have been on Grade 52 for three years or subject to availability of vacant positions, whichever is earlier.
For medical specialists and dental specialists, the promotion from Grade 54 to Special Grade C and higher is subject to the recommendation of the ministry's Specialists Evaluation Panel.
For medical officers (clinical/administrative), dental officers (clinical/administrative) and pharmacists, the promotion from Grade 54 to Special Grade C and higher is subjection to availability of vacant positions.
Najib said that based on the career advancement plan, the maximum period for doctors, dentists and pharmacists eligible to be promoted up to Grade 54 had been shortened.

The average period for promotion to Grade 54 is as follows:
* Medical officers (Specialist) - nine years (now 11 years)
* Dental officers (Specialist) - nine years (now 11 years)
* Medical officers (Clinical/Administrative) - 12 years (now 17 years)
* Dental officers (Clinical/Administrative) - 12 years (now 17 years)
* Pharmacists - 14 years (now 17 years)

A bitter pill for GPs from MMA

Star: KUALA LUMPUR: General practitioners should re-engineer themselves in light of stiff competition from government and private hospitals and rapid medical science development, the Malaysian Medical Association (MMA) said.
Its president Dr David Quek, in his column in the latest MMA bulletin, said the role of general practitioners was increasingly depreciated and marginalised and they were “a marked and endangered species teetering on the brink of extinction.”
Doctors, he said, should realise that times and medical practice had changed and they should look within themselves to re-engineer their modus operandi.
“General practitioners have to emerge from their cocooned complacency that simply serving quietly and earnestly behind long hours of general practice would suffice. It will not,” he added.
Dr Quek said the MMA would assist general practitioners by organising a summit where all issues and their future challenges could be debated to prepare a comprehensive policy.
He said he hoped doctors in the public sector would also come forward to provide input for the betterment of the profession.
In the same bulletin, MMA member Dr H. Krishna Kumar said 4,000 new doctors were joining the profession every year and this posed great competition to private practitioners.
Another source of competition was the improvement of services provided by government hospitals, where there were now more locums to man the accident and emergency departments, thus reducing waiting time, he said.

Doctors wanted at 162 health clinics

Star: KUALA LUMPUR: The Health Ministry invites application from private doctors who are registered with the Malaysian Medical Council and fulfil the service requirement to serve at the 162 government health clinics nationwide.
Its director-general Tan Sri Dr Mohd Ismail Merican said they could work at the clinics on “sessional” or “locum” basis and be paid RM80 per hour.
The working hours is from 8am to 5pm on normal working days (sessional), while the extended time is from 5pm to 9.30pm on Monday to Friday and 8am to noon on Saturday (locum), he said in a statement.
Those keen to apply can obtain further information and the application form by surfing the ministry’s website www.moh.gov.my/MohPortal/categoryView.jsp

Increase in dengue cases

Star: PETALING JAYA: The dengue situation in the country is at an alarming level with 11 deaths recorded in the first three weeks of the month.
As of Saturday, 3,002 dengue cases were reported all over the country.
According to the Health Ministry’s Disease Control Division (national dengue operations room), Selangor recorded the highest number with 1,370 cases between Jan 1 and 23.
This was followed by Sarawak (645 cases), Kuala Lumpur/Putrajaya (246), Johor (166) and Sabah (106).
Seven out of the deaths were from Selangor.
As of yesterday, there were 31 hotspots throughout the country, of which 20 were in Selangor.
The ministry has issued a dengue alert to all states on Nov 26, last year.
Its deputy director-general Datuk Dr Hassan Abdul Rahman urged the people to ensure their homes, schools and workplaces were free of mosquito breeding grounds.
He said fogging was a temporary measure.
“As long as mosquito breeding grounds still exist, new adult mosquitoes will emerge and the infection will continue,” he said in an interview.
Of the 77,818 premises inspected the previous week, Dr Hassan said 1,549 (2%) were found to breed Aedes mosquitoes — an increase of 33% compared to the previous week.
Dr Xavier Jeyakumar, who is Selangor health, estate workers affairs, poverty eradication and caring government committee chairman, said dirty neighbourhoods contributed to the high number of dengue cases.
“High incidences of dengue in Selangor is nothing new. This is because of the large population living in places that are not clean,” he said.
“There is a dengue outbreak in the state every year,” he added.
In GEORGE TOWN, three residents in Jalan Pintasan Bahagia, Bayan Baru, contracted dengue fever while seven others in the same area have been suspected to have come down with the disease.
“The south-west health authorities had started fogging the affected area twice a day since the first case was confirmed last week,” Pantai Jerejak assemblyman Sim Tze Tzin said during a gotong-royong in Kampung Jawa yesterday.
Under the law, those found to be breeding Aedes mosquitoes will be slapped with a RM500 compound per breeding site, besides a possible fine or even a jail term under the Destruction of Disease Bearing Insects Act.

Utar set to produce doctors

Star: PETALING JAYA: There is now a new and affordable avenue for Malaysians to study medicine locally.
Universiti Tunku Abdul Rah-man’s (Utar) new Faculty of Medicine and Health Sciences will start its first intake in May for a course which will cost about RM50,000 a year, a fraction of what parents would have to pay for medical courses in other local private universities.
The Higher Education Ministry has approved the faculty’s Bache-lor of Medicine and Bachelor of Surgery (MBBS) programme. The faculty will accept an initial batch of 50 students this year.
Housed at the varsity’s Sg Long campus in Selangor, the MBBS programme will cost about RM250,000 for the entire five-year course. The amount is far smaller than similar programmes in traditional countries.
A Memorandum of Agreement (MoA) was also signed with the Health Ministry yesterday, formalising the placement of Utar medical and health sciences students at government hospitals.
With the MoA, Utar students will undergo their practicum, industrial training or clinical studies at the Kuala Lumpur Hospital, Ampang Hospital, Sultan Ismail Hospital in Johor Baru and Raja Permaisuri Bainun Hospital in Ipoh.
Commending Utar for its initiative, Health Minister Datuk Seri Liow Tiong Lai said that his ministry was excited to accept Utar into its pool of collaborating universities.
There are currently 25 universities’ training doctors in Malaysia.
Ten of them are public universities while private universities and university colleges make up the rest. “This is a historical event for Utar,” said Liow in a press conference after the signing ceremony.
“Based on Utar’s track record in producing quality graduates and commitment in promoting lifelong learning, I have no doubt that the university will attain the same level of excellence in their new venture.”
Established on Nov 16, last year, Utar’s Faculty of Medicine and Health Sciences also plans to offer three more degree programmes in Nursing, Physiotherapy and Traditional Chinese Medicine.
The application process for Utar’s MBBS course is open until the end of March and selected applicants will be interviewed in early April.
Utar president and chief executive officer Prof Datuk Dr Chuah Hean Teik told The Star that the interview process would test applicants’ maturity, passion, commitment and attitude.

More bite from March for national dental health care

Star: PUTRAJAYA: The Health Ministry will launch a nationwide dental health awareness campaign in March.
Minister Datuk Seri Liow Tiong Lai said a survey by the ministry found that 60% of 12-year-olds had dental caries (tooth decay or cavities), with the number rising to 75% among those aged 16 and 90% in adults.
He said this was despite the fact that Malaysia boasted comprehensive dental care services, including preventive efforts like free screening and educational programmes in pre-schools and schools.
He said the ministry had similar preventive programmes for the elderly and special children.
“The high number of people with dental problems is a cause for concern.
“Checks among children as young as six have found that 70% of them have dental caries.
“At that age, it is not too worrisome because their permanent teeth have not grown yet, but the lack of care continues as they grow older and we want to change this,” he said, adding that the campaign would be carried out in collaboration with the Malay-sian Dental Association (MDA).
Liow was speaking at a press conference after receiving a courtesy call from the Chinese Stomatological Association (CSA) delegation here yesterday.
He also said Malaysia was looking to increase the number of dentists it produced annually, from the current 250 to 800 over the next few years.
The aim, he said, was to change the current dentist-to-population ratio by 2018 from the current 1:7,840 to the World Health Organisation standard of 1:4,000.
On the CSA visit, he said it was to enhance collaboration between Malaysia and China in dental care.
CSA president Prof Dr Wang Xing led the delegation, which is in Malaysia to attend the International Dental Federation (FDI)-MDA Scientific Convention and Trade Exhibition starting tomorrow.

1Malaysia clinics to go ahead without docs

Star: KUALA LUMPUR: The 1Malaysia clinics will operate without doctors, and patients with serious illnesses would be referred to polyclinics and government hospitals.
Health Minister Datuk Seri Liow Tiong Lai said although he understood the concerns of the Malaysian Medical Association (MMA), the country was facing a shortage of doctors.
“It is our intention to have doctors at all clinics. But we do not even have enough doctors in hospitals. This does not mean the people should be deprived of medical services. Medical assistants and nurses can help out here,” he said.
MMA president Dr David Quek had expressed concern over the 1Malaysia clinics.
He said they should be manned by registered medical doctors, as clinics run by medical assistants and nurses could lead to a poorer standard of healthcare.
Liow said he met with MMA representatives on Jan 8 to address their concerns.
“The MMA and the Government have the same objective, which is to improve the standard of health services,” he added.
“We are short of doctors, even in hospitals and the big clinics. So doctors, and also locums, will be posted there. 1Malaysia clinics are only for illnesses such as coughs and colds.
“Patients with more serious illnesses should go to hospitals and polyclinics.
“We will stick with the first 50 and evaluate their performance. Forty-four have begun operating, and the remaining six will be opened by the end of the month,” he said, adding that the delay was due to renovation work.
Liow was speaking to reporters after handing out RM2mil each to the Tung Shin Hospital and the Chinese Maternity Hospital yesterday.

SMS to cut hospital wait

Star: JOHOR BARU: The Health Ministry is introducing an SMS-based system to notify patients of their appointments to reduce queues at hospitals.
Health Minister Datuk Seri Liow Tiong Lai said the pilot project had been implemented at the Mamodiah Outpatient Clinic here.
The queue management and appointment reminder would also send out an SMS when there are five patients before their turn.
“We are still fine tuning the system and once the kinks are ironed out, we will start implementing it at medical facilities with high patient rates,” he said, adding that the project was carried out in collaboration with Celcom.
“This system will also allow for updated statistics for hospital services in the country. Through the system, we will be able to monitor the number of patients, the illnesses they are being treated for, and even the duration at the various departments within the hospital and clinics.”
Liow said at present only 70% of local hospitals had achieved the 30-minute waiting limit set by the ministry last year.
“Although there has been progress, we hope that technology can help us further reduce patients’ waiting time,” he said after a briefing on the system here yesterday.
At another event, during the groundbreaking for a new block of the Southern College in Skudai, Liow said the ministry would propose a new Act to govern traditional and complementary medication (T&CM) at the next parliamentary seating.
“The Act would help to ensure the safety and quality of T&CM and help the industry to grow locally,” he said.

11,000 waiting for kidney transplants

Star: KUALA LUMPUR: A total of 11,000 patients are still waiting for kidney transplants while 29 others need livers, said Health Minister Datuk Seri Liow Tiong Lai.
He said another eight patients needed heart transplant surgery while 12 others had to undergo lung transplants and heart and lung transplants for two other patients.
“Up until Friday (Dec 11), we obtained 36 cadavers, 32 kidneys, four livers, 23 pairs of corneas, 19 heart valves tissues, seven bones and three skin.
“However, the number of patients waiting for organ transplants are far more than what we have obtained,” he told reporters at a press conference after the launch of the 3rd Global Bio-Herbs Economic Forum here Saturday.
Last year, he said, 56 kidney and five liver transplant surgeries had been carried out but there was no transplant of heart and lung.
He said by the end of last year, the cumulative organ transplant operations were kidney (1,264), liver (86), heart (19), lung (three) and heart and lung (one).
“The number of pledges for organ donation for this year is 13,546 while the accumulated pledges since 1997 is 135,847.
“We need more people to come forward to make the pledge so that we can save more lives,” he said, adding that 45% of them were male.
Liow said his ministry would send a thank you note to the parents of a 17-year-old boy from Kampar who consented to donate their son’s organs, including the heart, after the teenager was declared brain-dead after a road accident.
“We are sad over his demise but we also want to express our gratitude to his parents for making the decision to donate his organs,” he said.

Asia’s first valve implant without surgery

Star: KUALA LUMPUR: The National Heart Institute (IJN) achieved another milestone by performing the first heart valve implant in Asia without the need for open heart surgery.
The procedure has a 99% success rate.
Known as trans-catheter aortic valve implantation (Tavi), the procedure allows for problematic valves in the aorta to be replaced with an artificial one by using a catheter, a tube that is 6mm in diameter.
The tube is inserted either in the thigh or below the left collar bone and then slid through arteries to the heart.
“Patients, who have gone through Tavi, will be able to move around on the third day after the implantation but they will be required to lie down during the first 24 hours,” said IJN medical director Datuk Seri Dr Robaayah Zambahari during a press conference yesterday.
The procedure, which uses a device called CoreValve, causes less trauma to body tissues and enables a faster recovery compared to the conventional open heart surgery as only incisions are made at certain areas to insert the tube.
Dr Robaayah was part of the team of IJN consultants which performed the procedure on two patients on Nov 25; a 73-year-old man and a 77-year-old man, both of whom had severe narrowing of heart valves.
The third patient is National Laureate Datuk Shahnon Ahmad, 76, who was treated the next day.
Other team members were cardiologists Datuk Dr Rosli Mohd Ali, Dr Shaiful Azmi and cardiothoracic surgeons Datuk Dr Mohd Azhari Yakub, Dr Jeswant Dillon and anaesthesiologists Datuk Dr Mohamed Hassan Ariff and Dr Sharifah Suraya.
The procedure was assisted by Dr Ganesh Manoharan, a consultant interventional cardiologist from Ireland, who will oversee the operations of the next 12 to 15 patients currently on the waiting list.
The CoreValve device costs RM112,000 while another RM10,000 is needed for other operation costs.
Dr Robaayah hoped that the Health Ministry would support and subsidise the procedures for the public in future. The current ones were borne by the institute.
Dr Robaayah said there had yet to be any case of a patient rejecting the artificial valve, which is made out of a type of metal called Nitinol.
The procedure takes between 45 minutes and one-and-a-half hours.
“We took about two-and-a-half hours for the first patient because we were still learning about the procedure and wanted to be careful,” she said, adding that the method was only performed on high-risk patients such as the elderly.
Dr Ganesh said local anaesthesia was applied to the patients and they remained conscious during the procedure.
“It is not surprising to see patients smiling as we conduct the procedure on them,” he said.
Dr Ganesh said about 50 centres worldwide were using the technology, adding that it was suitable for Asians as their blood vessels were generally smaller.

90% don’t use condoms

Star: GEORGE TOWN: Some 90% of drug users do not use condoms and this is a source of worry because it can contribute to the rise of HIV/AIDS cases, said social activist Datin Paduka Marina Mahathir.
Marina, an Asia Pacific Leadership Forum on HIV/AIDS steering committee member, said drug users continued to neglect the use of condoms despite the contraceptives being distributed for free by some non-governmental organisations (NGOs).
“Condoms are 98% safe and it can present an affordable way to combat the spread of the disease,” she told reporters yesterday after the opening of the World HIV/AIDS Day national conference.
The two-day conference was launched by Health Minister Datuk Seri Liow Tiong Lai.
Marina said 24-hour convenience stores should be allowed to sell condoms off-the-shelf although some state governments were against it.
Malaysian AIDS Council vice-president Datuk Zaman Khan said the distribution of free condoms did not mean that NGOs were encouraging free sex.
In his speech, Liow said the country was on track towards achieving the United Nations Millennium Development Goal of halting and reversing the spread of HIV by 2015.
He said the disease remained a potent threat because of the increasing infection through sex and more women were becoming infected.
Liow said the notification rate of HIV/AIDS in the country had continued to fall each year after it peaked at 6,978 cases or 28.5% per 100,000 population in 2002.
Last year, it was 13.3% per 100,000 population and this year indication shows that it may drop to 11% per 100,000.
“I am optimistic that the country can arrest the spread of HIV/AIDS by 2015 based on current trends,” he said.

Brace for rise in H1N1 cases

Star: GEORGE TOWN: The recent increase of Influenza A(H1N1) cases in the northern hemisphere serves as a reminder for countries to be alert for a possible second wave of the flu.
Health Minister Datuk Seri Liow Tiong Lai said 95% of countries in the northern hemisphere had recorded a rise in new cases.
The ministry, he said, had stepped up efforts to ensure the second wave was kept at bay in Malaysia. He added that the country must remain vigilant as the outbreak was still at Level Six, the highest of the World Health Organisation’s pandemic alert scale.
‘‘We cannot take this lightly although the H1N1 outbreak has stabilised in the country.
“We must ensure, where possible, that a second wave does not hit us,” he told reporters yesterday after launching the World HIV/AIDS Day national conference.
As of yesterday, the death toll still stood at 77 out of 12,210 confirmed cases while four patients remained in critical condition. For the week ended on Nov 28, a total of 589 cases were reported for flu-like illnesses, of which 573 have been discharged, said Liow.
To prepare for the second wave, he said the ministry had vaccinated 6,617 frontliners.
He said the ministry had also upgraded its surveillance system by improving early detection in all states including having the main command centre operating around-the-clock, and stock-piling anti-viral drugs at its pharmacies.
He advised people, especially those travelling during the school holidays, to take extra precautions. Meanwhile, Health director-general Tan Sri Dr Ismail Merican said 10 patients tested positive for the A(H1N1) flu last week.

WHO: More women getting HIV from their husbands

Star: KUALA LUMPUR: About 30% of all new HIV cases in Malaysia are women, a 400% increase compared with five years ago.
“It is an alarming figure. This finding has changed the previous perception that homosexuals and drug users are more vulnerable to HIV/AIDS.
“It has brought a new set of issues that we need to deal with and it is becoming more complex now,” said the United Nations Resident Coor­dinator Kamal Malhotra at the launch of The Red Carnival in conjunction with World AIDS Day at Sungei Wang Plaza yesterday.
Organised by PT Foundation for the 11th year, the two-day event has brought people from all walks of life especially youths in efforts to boost awareness on HIV/AIDS.
The findings, revealed by a World Health Organisation study on women’s health around the world last month, necessitated a new approach in dealing with HIV/AIDS.
“It should be dealt with as more than a health issue, but with the religious and legal aspects as well,” he said.
As of today, there are 33.4 million people around the world who are infected and living with HIV.
There were nearly three million new cases last year.
In Malaysia, 85,000 people have been infected with the disease, with about 15 new cases daily.
Up to June, a total of 1,497 people were infected.
A total of 315 Malaysians have died from AIDS.
PT Foundation chairman Hisham Hussein said many women and children had been infected with HIV/AIDS in the last few years.
He said most of these women did not see themselves as the vulnerable group that could get infected.
“They believe that they would not get infected because they are not drug users nor do they have multiple sexual partners.
“Yet they get it from their husband,” he said.
Hisham had urged the public to change their attitude about HIV/AIDS and to reduce stigma and discrimination against those who are infected with the ailment.

Health Ministry issues nationwide dengue alert

Star: PETALING JAYA: The Health Ministry has announced a nationwide dengue alert following an increase of 99 reported dengue cases within a week with two deaths in Malacca and one in Penang.
Deputy health director-general Datuk Dr Hasan Abdul Rahman said that 819 cases were reported last week (Nov 15 to 21) compared with 720 the week before (Nov 8 to 14).
“We have issued a dengue alert to state health directors and doctors to keep a look out for the cases,” he said.
The total number of reported cases for this year until last week was 36,514 with 78 deaths compared with 41,034 and 90 deaths last year.
Dr Hasan said if the public did not take the necessary action to remove aedes breeding sites, the number of cases could double next month.
Explaning that the drastic increase in dengue cases was due to the rainy season, he said: “Despite our awareness programme, the response from the public has not been encouraging.”
Speaking at a dialogue session on 1Malaysia Fight Against Dengue yesterday, Dr Hasan said the ministry had carried out surveys and found that people were aware of where and how aedes breeds in the house and outside but most of them neglected to check on those areas.
“They tend to think that it’s the Government’s responsibility, but we need cooperation from the people,” he said.
In the last three months, Sarawak recorded the highest number of increase with 331 cases last week, making it a total of 2,847 cases this year.
In total, Selangor recorded the highest number of cases in the country at 16,984.
Dr Hasan said that the World Health Organisation (WHO) had also placed the country on avian influenza alert following some reported cases in neighbouring countries.
There were no cases recorded in Malaysia and the Veterinary Services Department was monitoring the situation throughout the country while the ministry exchanged information with other countries in Asean as well as with the WHO.
Universiti Malaya medical microbiology department professor Dr S. Shamala Devi, who also spoke at the dialogue, said that people might get both Influenza A(H1N1) and avian influenza at the same time if their immune system was weakened.

In Kota Kinabalu, Deputy Health Minister Datuk Rosnah Abdul Rashid Shirlin said there were 199 cholera cases as of yesterday in the two affected states – Terengganu (185) and Kelantan (14).
She said health officials were now using different antibiotics to treat patients following the detection of a new strain of cholera in Thailand.
“The two states are close to Thailand. We believe that it is due to water contamination,” she said, adding that the 17 cholera cases detected in Sabah earlier this month was due to the “usual” strain found in the country.
Rosnah said that the cholera patients in Terengganu and Kelantan were not from relief centres but other areas.
“Our officers are closely monitoring the health situation at the flood relief centres,” she said.
The first case of cholera was detected in Terengganu earlier this month.
One person has died from it.

Ensuring cheaper private healthcare

Star: PUTRAJAYA: The public can soon seek medical treatment at private clinics and not worry too much about high costs.
This is because the Government is considering paying a portion of the bill for treatment at private clinics under a proposed healthcare reform plan which is expected to be ready next year.
Health Minister Datuk Seri Liow Tiong Lai said the details and quantum of payment have not been worked out but the plan would ensure that the public could get quality medical service at their convenience.
“The plan is to pay a portion of the bill but there is a cap to the amount,” he told reporters yesterday after a courtesy call from World Health Organisation (WHO) director-general Dr Margaret Chan and Chinese deputy health minister Wang Guoqiang at his office here,
“The public will pay the remaining amount,” said Liow, adding that WHO had offered their expertise and advice.
Liow said the proposed healthcare reform would also see the Government introducing the national health financing scheme.
He said the ministry was studying several models implemented in other countries such as paying medical bills through deduction from the Employees Provident Fund or a tri-parte payment scheme were medical cost would be borne by the patient, his employer and the government.