Diabetes among children on the rise

Star: KUALA LUMPUR: More young people, some as young as seven, are suffering from Type 2 diabetes (T2D), a disease that generally hits those in their 50s.
Doctors say more primary school students have been diagnosed with T2D in the last decade, a fact that is alarming since the disease is usually linked to those much older.
The doctors found that the young diabetics were usually obese, and their condition could be traced to eating too much unhealthy food and having a sedentary lifestyle.
They said the disease was not just about having excessive sugar in the blood system but could also affect the patient’s vital organs like the heart, kidneys, nerves and eyes.
“The children’s bad dietary habits of eating burgers, nuggets, fried chicken, fries and carbonated drinks are also contributing factors,” Universiti Kebangsaan Malaysia Medical Centre senior consultant paediatrician and paediatric endocrinologist Prof Dr Wu Loo Ling said, adding that long hours of homework, watching television and playing computer games added to the problem.
“Cases of children and teenagers with diabetes are increasing at a faster rate,” said Dr Wu. “Between 30% and 40% of children in Western countries are overweight and the problem of overweight Malaysian children is also on the rise.”
Endocrinologist Dr Lim Soo San said T2D was more apparent in people aged between 18 and 29.
“We even came across children who are below 10 years old and have T2D ,” Dr Lim said.
The Registry on Diabetes in Children and Adolescents (2006-2007) showed that 56% of the 42 T2D cases involved obese individuals.
Dr Lim said parents continued to feed their children with “junk food” due to their lack of awareness of the disease.
Dietician Mary Easaw-John said apart from bad eating habits, irregular eating hours had also contributed to the rising trend of T2D among younger people.
“People tend to eat out instead of packing food from home nowadays. And fried food is common in eateries,” said Easaw, who is Dietetics Food Services of the National Heart Institute senior manager.
The Third National Health and Morbidity Survey, conducted in 2006, showed that there was a high prevalence of overweight primary school children, and over 20% of them were obese.
Statistics pointed that Malaysia had the fourth highest number of diabetes cases in Asia, with 800,000 in 2007. The number is expected to jump to 1.3 million cases this year.
The recent survey also revealed that more than 43% of Malaysian adults were overweight or obese, twice the figure a decade ago.

National health plan still in first gear

The Sun A WOMAN with a 7cm tumour was referred by the Sungai Buloh Hospital to the Kuala Lumpur Hospital (KLH). A biopsy needed to be done to ascertain if the growth was malignant. She was given a date to see the oncologist at KLH – Feb 2011!

One does not need to refer to Paul the octopus to know that by then it may be too late for her. But the story of this woman, tragic as it sounds, is not unique.

Take a stroll along the corridors of the consultation rooms of KLH or University Hospital and you will meet patients who were given six months to a year for follow-ups, including those pertaining to serious and terminal diseases.

With the limited resources of drugs, equipment and professionals, it is a given that our hospitals just cannot cope.

As Health Minister Datuk Seri Liow Tiong Lai explains: "The government has limited resources, 50% are with the government and another 50% are private healthcare. But the 50% in government healthcare handles 80% of the population."

But the question is not so much do we have sufficient resources, but whether we are managing them well and whether we have our priorities right? The government spends only 7% of its national budget on healthcare. In Budget 2010, there was even an almost 5% slash from RM13.8 billion to RM13.1 billion. The Malaysian Medical Association had said we spend only US$400 (RM1,280) per patient in healthcare. Our neighbours spend in excess of US$1,000 (RM3,200) per patient.

The use of a PET Scan machine to detect tumours costs around RM8,000 at a private hospital, but only RM500 at the Putrajaya Hospital. However, by the time your turn comes, you could be dead. If you survive the one-to-six-month waiting period, it could be too late.

Such machines cost RM8 million – only RM112 million to supply one to each general hospital in the 14 states – far, far less than the RM800 million it would cost to construct a new parliament building!

And while 97% of our pharmaceutical cost is subsidised, one wonders if the annual cost of RM800 million could be lowered if a Sdn Bhd was not given the monopoly to import and distribute drugs to public healthcare institutions.

While we are very much ahead in access to public healthcare, in contrast with many developing nations, the fact remains that our most vulnerable are still not getting the healthcare they deserve.

The minister’s announcement yesterday that the proposed National Health Financing Scheme (NFHS) will not involve the insurance industry is welcome, as at least we know it is not another profit-oriented scheme.

But here again, we have another example of how public healthcare is a continuously tried and tested animal, without any conceivable means of making it fair, comprehensive and yet not lead us into bankruptcy. Sihat Malaysia, e-Kesihatan and now NFHS just go to show that when it comes to a solid national health plan, we are still unable to move forward.

When you talk about getting the EPF to subsidise one’s medical costs, the criticism is that if one needs to dig into one’s life savings for medical treatment, then there is something seriously wrong with our health policy.

Britain’s National Health Scheme, which even the US is trying to emulate, is not in want of flaws but seems like a good option – the only thing is that it would mean getting Malaysians to pay more in taxes. And knowing Malaysians, we hate spending a sen more on even the most crucial things.

But like it has proven in the scheduled reduction of subsidies, the government is capable of making non-populist decisions. However, if such decisions are accompanied by or culminate in improved service and care, it would definitely have done right by the people. Now if only the government could give us an AAA guarantee that our money will be used for our welfare …

Health Ministry Replacing Old Hospitals And Clinics

PANTAI REMIS, July 19 (Bernama) - The Health Ministry will intensify efforts to upgrade health services including the construction of new hospitals and clinics to replace old buildings and those incapable of catering for increased patients.

Health Minister Datuk Seri Liow Tiong Lai said such measures were necessary to ensure that the health services provided were complete and comprehensive.

"The Health Ministry is always committed towards providing high quality service that can satisfy the people and is easily available especially in the rural areas. Under the Ninth Malaysia Plan (9MP), the ministry had approved a significant allocation to enable health infrastructure to be increased and expanded," he said at the official opening of the Pantai Remis Health Clinic, here Monday.

The RM10.24 million building was opened by the Regent of Perak, Raja Dr Nazrin Shah.

"The new building can serve 120 patients every day compared with 80 patients at the old building.

"Besides assigning two medical officers and assisted by 42 trained staff, the clinic also has various sophisticated equipment for the patients' comfort," he added.

Squads to collect pledged organs

Star: BENTONG: The Government will soon form teams of specialist doctors in each state to speed up the harvest of donated organs.
Minister Datuk Seri Liow Tiong Lai said the squads would comprise specialists of different organs and that health director-general Tan Sri Dr Ismail Merican was studying how best to implement the system.
“Not just any doctor can harvest all the organs. The heart specialist may only be able to harvest the heart. He may not be able to harvest the kidney or other organs,” he said after launching the Bentong Health Carnival yesterday.
He explained that there were delays currently in harvesting pledged organs after a donor passed away, especially if they were outside of Selangor.
Currently, there is only one team based in Kuala Lumpur Hospital that specialised in organ harvesting, he said.
“If someone in Pahang donated his organ, the team has to fly there by helicopter to harvest the organ. We need to set up teams at state level and look into the networking on how to harvest the organs in the shortest possible time,” he said.
In Malacca later, Liow said Malaysia and China would work towards medical cooperation in research and development on communicable diseases through the setting up of a research laboratory at the Institute of Medical Research in Kuala Lumpur.
He described the cooperation as a step forward following the close ties forged during the Influenza A(H1N1) outbreak last year when both countries shared information about the disease.
Speaking to reporters after hosting a luncheon for his Chinese counterpart, Dr Chen Zhu, during a one-day visit to Malacca, Liow said the research would cover a wide range of communicable diseases, including that of dengue and malaria.
Apart from this, he said a centre of excellence in traditional Chinese medicine would also be set up in Malaysia through collaboration with China.
He also said that all hospitals would be directed to only allow senior doctors to carry out examination of suspected dengue cases.
This was to avoid such cases being turned away by hospitals, he said.
He was asked to comment on a report that a patient was turned away by Malacca Hospital on Friday after tests carried out by doctors failed to detect that she had contracted dengue.
The woman later admitted herself in a private hospital where she was confirmed to have the virus.
Liow said earlier that state health directors had been told to form at least 1,000 communication behavioural impact (Combi) teams to combat the surge in the illness.
“We hope all Rukun Tetangga can form Combi volunteer teams in residences and urban areas. This is the best method to wipe out dengue.”
He said that 25,942 cases of dengue have been recorded as of July 14 with 82 deaths.

Suspected dengue patients shouldn’t be sent home: Liow

Star: PUTRAJAYA: Doctors are urged not to send suspected dengue patients home pending blood test results, but keep them under observation in hospitals.
Health Minister Datuk Seri Liow Tiong Lai, expressing concern over the management of dengue cases in hospitals, said he had received complaints that some suspected dengue patients were sent home while waiting for the test results, instead of being placed under observation.
"I see a number of cases where the dengue patient died in the hospital just after one, two or three days of being warded. I want them (doctors) to look into the cases of death, how to minimise death.
"Once you place them in the ward, it would be easy to monitor. Apart from that, the monitoring should be carried out more closely and efficiently, every four hours. Don't send the suspected dengue patient back," he told Bernama in an interview.
Liow said efforts would also be intensified to fight dengue as the ministry targeted to implement up to 1,000 Communication for Behavioural Impact (Combi) programmes nationwide to reduce dengue cases.
Combi is a programme designed and recommended by the World Health Organisation to reduce dengue cases, with participation of the community. "We will get the NGO (non-governmental organisations) help, send officers to monitor all the Combi (programmes) so that they can be efficient," he said.
Apart from Combi, the ministry has also implemented its five-year 'Nasional Strategic Plan' to control dengue since last April, for the 2009-2013 period.
The target of the strategic plan is to lower the number of cases by 10% annually, with a 50% reduction target, from 49,335 last year to 21,430 this year.
"The dengue problem is very serious because the number of cases is still considered high as the ministry has been encouraging more community participation in the dengue control programme," he said.
Liow reiterated that the fight against dengue was everyone's responsibility as fogging with insecticides alone, would not be able to control it.
For as long as there was Aedes breeding, new mosquitoes would emerge after fogging and spread the disease, he cautioned.

1Malaysia mobile clinics to serve remote areas

Star: KUALA LUMPUR: After the success of the 1Malaysia clinic, the Government now plans to launch 1Malaysia mobile clinics as part of its continuous efforts to provide quality and affordable healthcare services to the people.
Prime Minister Datuk Seri Najib Tun Razak said the mobile clinics, which would use buses fitted with facilities for medical treatment and equipped for minor surgeries, would serve remote areas with limited access to clinics.
“I believe with the launch of the mobile clinics, more people living in the rural areas, traditional kampung, estates and new villages can have access to better and quality healthcare,” he said at the Malaysian Medical Association’s 50th anniversary dinner here last night.
Besides this, the Government also planned to open more 1Malaysia clinics under the 10th Malaysia Plan, following the increasing popularity of these clinics among the people.
Najib also said the Government would provide better healthcare services for the urban poor, especially since 70% of the country’s population lived in towns and cities.
“Those living in the metropolitan areas, especially the urban poor should not be denied access to quality healthcare services,” he said.
He also said that although the Government was putting greater emphasis on health tourism, the healthcare and medical needs of Malaysians would not be neglected.
The Government, he said had set the target of achieving a ratio of one doctor to 600 people by 2015 from the current ratio of one doctor to 900 people.

Flat rate for all under new healthcare system mulled

Star: KUALA LUMPUR: The rich, like everybody else except the very poor, need only contribute a “flat rate” to enjoy quality healthcare under the planned National Health Financing Scheme.
“It’s not like the higher your salary, the higher you pay. It’s a flat rate. It’s a minimal amount,” said Health Minister Datuk Seri Liow Tiong Lai.
The scheme is not likely to be split into various sub-schemes to make people of different income levels pay differently, he told a press conference after opening a healthcare seminar here yesterday.
However, he said, those with higher incomes could opt to buy extra insurance to protect themselves if they want better medical services.
“If the rich want to have better service on top of what they already have, they can buy extra insurance,” he added, reiterating that the very poor would be exempted from contributing to the scheme.
“We always take care of the poor, they will not need to contribute. The Government will take care of their healthcare,” said Liow when commenting on a recent report that quoted him as saying that it would take another year before the scheme, designed to make healthcare affordable, can be implemented.
He had reportedly said that this was because it involves reviewing the Medical Act 1972.
Liow had announced in December last year that the Health Ministry was working on a plan to allow the public to seek medical treatment at private clinics without having to pay high medical fees.
He said the Government was considering paying a portion of the bill under the proposed plan.
Liow invited the public to give their views through the ministry’s website at www.moh.gov.my or his blog at www.liowtionglai.com

Wet season brings danger

Star: KUALA LUMPUR: Malaysians have more to fear from dengue than from the Influenza A(H1N1) virus, especially during the current raining season, said Health Minister Datuk Seri Liow Tiong Lai.
He said 10 deaths had been recorded from dengue in the past two weeks while the last A(H1N1) victim – the 89th death since the outbreak last year – died on June 23.
He said although the ministry would continue to monitor the virus, dengue was serious with the increase in the number of fatalities.
“As at July 4, there were 24,240 cases with 81 deaths, as compared to 25,234 cases with 62 deaths in the same period last year. Selangor has the highest number – 10,699 cases with 34 deaths.
“Although the number of cases has dropped slightly, fatalities have increased. We are concerned about it,” he said, adding that there were 88 deaths from 41,486 dengue cases last year.
Liow told reporters after launching Faber Medi-Serve Sdn Bhd’s coffee table book that he had instructed all hospitals and doctors to be on high alert following the rise in fatalities during the raining season.
“Dengue cases always peak during the raining season. The months of June, July and end of the year always record the highest number of dengue cases. This is the trend.
“Doctors should take more initiative and act faster when treating patients with dengue fever. Patients should not take the disease lightly and seek treatment at once,” he said, adding that 26% of those who died last year only sought treatment three days after coming down with high fever.
“Dengue patients have a chance of recovering if proper treatment is given on time. Do not drag on until it is too late,” he said.
Liow said the ministry would launch its Let’s Destroy Aedes Campaign in Kajang this Satur­day to get the public involved in combating dengue; such as carrying out gotong-royong activities to eliminate mosquito breeding grounds in villages, housing estates and towns.
He had also instructed enforcement officers to conduct checks at all construction sites to prevent Aedes mosquitoes from breeding.
He added that the ministry worked closely with local councils in combating the dengue problem.
Besides the health alert and the enforcement on construction sites, he said the ministry’s operations room would now be open on weekends as well.
Liow said the ministry also wanted the public to be aware that besides dengue, the rainy season could likely bring about cases of chikugunya and malaria, both of which were also mosquito-borne diseases.

His warning came on the back of an announcement by the World Meteorological Organisation (WMO) yesterday that La Nina had developed in tropical Pacific and was likely to strengthen in the coming months.
The weather phenomenon – the opposite of El Nino, which brings about drier conditions – can bring about strong rainfall in Indonesia, Malaysia and Australia as well as drought in South America.
The last time La Nina hit in 2008, icy conditions across Europe claimed dozens of lives.
“Following the rapid dissipation of El Nino in May this year, cool neutral to weak La Nina conditions have developed in the Pacific. These conditions are more likely than not to strengthen into a basin-wide La Nina over the coming months,” the WMO said on its website.
However, the United Nations weather agency said the “timing and magnitude of such an event this year are yet uncertain”.

Liow: Act fast on dengue

Star: GEORGE TOWN: Doctors should show more initiative and act faster when treating patients with dengue fever, said Health Minister Datuk Seri Liow Tiong Lai.
He said no one should take the disease lightly.
“As of Tuesday, we have recorded 23,626 cases with 80 deaths compared to 24,817 cases with 62 deaths for the same period last year.
“Although we managed to bring down the number of cases slightly, the number of dengue fatalities has increased,” he told a press conference after visiting the newly-completed quarters for Penang Hospital at Jalan Utama here yesterday.
Liow said Selangor had the highest number of recorded dengue cases.
As for Penang, he said the state managed to bring down the number of cases to 579 this year compared to 1,562 for the same period last year.
He said there were four types of dengue and that the complications kept changing.
Liow urged Village Development and Security Committees (JKKKs) and non-governmental organisations (NGOs) to set up Communica­tion Behavourial Impact (Combi) volunteer groups to help curb the rise in dengue cases.
Earlier, Liow said the healthcare industry in Malaysia was expected to generate RM11bil for the national economy in 2020, 10% more than the initially projected RM10bil.
Liow revealed the new target yesterday after a working visit to Info Kinetics lab at Eureka Complex in Universiti Sains Malaysia.
He said the ministry had so far identified five sectors — clinical research centre, pharmaceutical, health tourism, production of medical appliances and training of specialists – to concentrate on in order to reach the target.
On another matter, he said Malaysia had identified a piece of land in Cyberjaya for China to set up a centre of excellence for traditional Chinese medicine (TCM).

Malaysia to set up traditional Chinese medicine hub

Star: SHANGHAI: Malaysia plans to set up a centre of excellence for traditional Chinese medicine (TCM) in the country in a joint venture with China.
Health Minister Datuk Seri Liow Tiong Lai said the cooperation would be between Malaysian and Chinese institutions as part of Malaysia’s bid to raise its standard in TCM.
“That will move us ahead faster as we can provide training, treatment and research and development at the same place,” he said after visiting the Shanghai Shuguang TCM Hospital on Saturday.
He added that both countries planned to allow the resources at the centre to be shared by other Asean, Japanese and South Korean counterparts.
Liow said that during the World Health Assembly meeting in Geneva last month, Chinese Health Minister Chen Zhu had preliminarily agreed to pursue the matter and that they would discuss it further when Chen visits Malaysia on July 15.
Currently, Malaysian students pursue TCM at five institutions in Malaysia that are affiliated with their Chinese counterparts.
Many Malaysians also opt to study at eight Malaysian Medical Council-certified Chinese universities for bachelor of medicine and surgery programmes in China.
Liow said there were about 10,000 TCM practitioners in Malaysia but the country needed to train more.
“We have sent full-fledged doctors to China to learn short and long-term TCM courses. We will send more in future. Those who return from the stint will help us set up proper TCM centres,” he added.
When the new Traditional Medi-cine Act is in place later this year, he said it would give the ministry more bite to monitor the quality of TCM practitioners and provide them with grants.
To address the safety issue of drug and health and cosmetic products imported from China, Liow said the ministry was also in talks with both the Chinese State Food and Drug Administration and State Admini­stration of Traditional Chinese Medicine to extend cooperation in regulatory control of the trade of drug products.
“We buy a lot of Chinese medicine from China. We will have a memorandum of understanding to ensure what we certify as safe in Malaysia can be exported to China, and what they certify as safe can be imported to Malaysia,” he said.

KK to get fourth govt hospital

Star: KOTA KINABALU: Construction of a government hospital, which will be the fourth for the state capital, will begin next year, said Deputy Health Minister Datuk Rosnah Abdul Rashid Shirlin.
She said the hospital, which would have between 600 and 800 beds, would be constructed on a 20.2ha site at Bukit Padang, about 5km from the city.
“This will not be an upgrading or an extension of the Bukit Padang psychiatric hospital,” Rosnah said after attending the bersanding ceremony of Sabah Puteri Umno chief Musliati Moslimin and Mohd Nizam Nazib yesterday.
She said the new medical facility was among the eight general hospitals planned under the 10th Malaysia Plan that was unveiled last week by Prime Minister Datuk Seri Najib Tun Razak.
The new hospital and the upgrading of the Queen Elizabeth Hospital (QEH) would ensure sufficient medical facilities to meet the needs of the people here, she said.
Apart from the QEH, the other government hospitals are the Likas Women and Children’s Hospital and the Sabah Medical Centre in Luyang.

Health DG: Private hospital fees exorbitant; to be revised

Star: KUALA LUMPUR: The government will revise the fees charged by private sector hospitals and clinics, Health Director-general Tan Sri Dr Mohd Ismail Merican said.
“The exorbitant fees now charged by private hospitals has been brought to my attention many times and the current schedule drawn by the Malaysian Medical Association (MMA) was not as comprehensive as it should be.
“As such I have made it a point to call for a meeting soon with MMA to develop a comprehensive fee schedule that was acceptable to all,” he said in a special interview published in the latest issue of the MMA newsletter.
He reminded doctors that the main reason for them to choose the profession was not merely to make money and profits, although there was nothing wrong with it, but to help the sick.
“Therefore doctors have to give a level of care that would reduce the morbidity and mortality and provide comfort to the patients,” he added.
He said doctors were respected by society because they had earned it, however, it was not their right to demand respect as it was a privilege.

Touching on the medical curriculum, he said there was an urgent need to revamp the medical curriculum in local universities to make it more relevant to the country’s current health and medical sector.
He said at present, what was being offered has been deemed insufficient for young doctors to function effectively, and added that the view was derived from a number of interviews he had conducted with primary healthcare specialists and was not satisfied with the outcome.
A related area of concern, he added, was the aspect of technology substituting the human touch.
“Doctors do not examine patients the way they used to do and they substitute it with technology,” he said.
He reminded doctors that patients came to see them because they wanted to talk to them about their problems, but doctors were too busy doing other things, and were not listening.
Dr Ismail was also concerned with the mushrooming of medical schools which was beyond the jurisdiction of the Health Ministry.
“My advice to doctors and specialists in the face of this challenge is to train these young doctors,” he said.
Dr Ismail said the onus in terms of quality of young doctors was in the ability of a specialist, to train them.
“There have been many instances where housemen experienced mental anguish, depression, anxiety, stress and suicidal tendencies while undergoing training and this is no laughing matter.”
As such, he advocated a two-way assessment system where not only the specialist and doctors provide feedback, but the houseman would also be given an opportunity to provide feedback on their trainers.
On the criteria for promotion of public service doctors, Ismail said it was based on five main aspects, namely service, training, research, one’s standing in the eyes of peers and the 360 degree perception.
He explained that the 360 degree perception, meant a positive reaction and recognition from patients, students and peers which reflected upon the dedication, commitment and quality care of the doctor.

Miros: Make child restraint systems in vehicles a must

Star: PETALING JAYA: The Malaysian Institute of Road Safety Research (Miros) wants child restraint systems in vehicles to be made compulsory.
Miros director-general Prof Dr Ahmad Farhan Mohd Sadullah said there were no legal provisions currently to make it mandatory for adults ferrying children to use child restraint systems.
“One of the primary areas being looked into is the need for children to be kept safe in vehicles,” he said in a statement yesterday.
Research has shown that the safest place in a car for a child is the rear seat.
“Parents and adults in a vehicle must always ensure that children of all ages are properly secured when travelling, either in a dedicated child seat, infant seat or buckling up their seat belts,” Dr Farhan said.
He said road accident statistics revealed a high number of road fatalities involving children.
Children between one and 15 years old accounted for 410 fatalities in 2008, with 2,797 having suffered slight to serious injuries.
“Of the figure, 43% involved children travelling on motorcycles,” Dr Farhan added.
He said residential areas were also becoming increasingly dangerous in terms of road accidents involving children.
“In the same year, 75 children were killed, 192 seriously injured and 424 sustained slight injuries from road accidents that occurred within housing areas.”
Unrestrained children could be flung out of vehicles, thrown against the front windscreen or dashboard and result in serious injury or death, he said.
“A child in the front seat, on the lap of a parent, can be crushed between the parent and the dashboard in the event of a collision,” he added.

Medicinal researchers urged to come up with real studies instead

Star: KUALA LUMPUR: Malaysians researchers must move away from doing “humdrum” research work on medicine and instead explore new frontiers, the Health Ministry said.
Health director-general Tan Sri Dr Ismail Merican said Malaysia needed more researchers but quality work should matter more than quantity.
“Stop doing duplicative, humdrum research but move forward and do earth-shattering ones,” he said.
To do this, researchers should ask important research questions, be kept informed of the latest findings and collaborate with other researchers in the world, he added.
Dr Ismail said the ministry received RM90mil for research alone, under the Ninth Malaysia Plan, but it was still inadequate.
“We have proposed an ambitious and robust research agenda but financially, the Government is going through some challenges.
“So we’ll have to wait,” he said after the 13th NIH Scientific Meeting yesterday.
The ministry had applied for RM100mil to finance research work for the 10th Malaysia Plan, and it would focus on diseases such as dengue, tuberculosis, malaria and H1N1, he added.
Dr Ismail said two organisations — the TDR, which is a Special Programme for Research and Training in Tropical Diseases ba­­sed at the World Health Organisation, and Drugs for Neg­lected Diseases Initiative — had expressed their intention to work with the ministry to carry out research on the diseases.

On another matter, Dr Ismail said the Cabinet had its reasons for the delay on the ban of 14-stick cigarette packs to Jan 1 next year.
On reports of some clinics running out of H1N1 vaccine, Dr Ismail said the clinics could ask the ministry for replenishment.
He also said the ministry would complete distributing the H1N1 vaccines first and would use the three-in-one vaccine if there was a need.
Deputy Health director-general Datuk Dr Hasan Abdul Rahman said seven new influenza A (H1N1) cases occurred in six clusters cases in four states on Tuesday, making it a total of 14,850 cases nationwide.
Currently, 575 patients were warded for influenza-like illness and out of that, 56 were found to be positive with A (H1N1).
The number of deaths still remains the same at 87, he added.

1Care scheme for better healthcare

Star: MALACCA: The Health Minis-try is in talks with the Malaysian Medical Association (MMA) to implement a 1Care scheme that will see government and private clinics working together to provide better healthcare for the people.
Minister Datuk Seri Liow Tiong Lai said the scheme, once approved, would have an immediate impact on improving the country’s healthcare system while also addressing the scarce distribution of government clinics in Sabah and Sarawak.
At present, there are 800 government health clinics nationwide with 6,500 general practitioners.
“If we work together with the private clinics, we will be able to increase this number to more than 7,000 doctors nationwide,” Liow said at the MMA’s 50th annual general meeting on Friday night.
Liow said the ministry was in discussion with MMA to iron out details of the tie-up.
“I have briefed the Prime Minister on the proposal and he is very excited about it as it would help improve the healthcare service for the people,” he added.
Liow also said the Govern-ment was mulling over the possibility of imposing a moratorium on private medical colleges following MMA’s concerns about a possible glut in poorly train-ed doctors within the next decade.
“We have agreed to put a stop to it. A moratorium has to be set up to allow us to produce quality doctors,” he said.
He said there were currently 31,273 registered doctors nationwide with the Government focusing on achieving a ratio of 1:600 by 2015.
He was responding to the issue raised by MMA president Dr David Quek that the number of doctors in the country would swell to between 45,000 and 50,000 by 2015 and 75,000 and 80,000 by 2020.
In view of the glut, Quek said that MMA was concerned about the quality and standard of such doctors.
As of this month, there are 28 approved private institutions offering 37 medical courses that produce between 2,000 and 3,000 doctors annually exclu-ding the estimated 2,000 graduates returning from abroad.

Doc: It is preventing early treatment of cancer patients

Star: PETALING JAYA: Seventy per cent of the 50,000 newly-detected cancer patients in Malaysia each year need care from oncologists. However, there are only 60 such cancer specialists in the country qualified to treat them.
Universiti Malaya Medical Centre (UMMC) senior lecturer and clinical oncologist Dr Daniel Wong Wai Yan said the waiting list in government hospitals was between a month and six weeks.
There are currently only 15 oncologists with Health Ministry hospitals where a majority of patients seek treatment.
Apart from the long queue, he said patients also had to travel far for treatment as many hospitals did not have oncology services.
“Some of the patients may be dead or too sick to see a doctor when they finally get their turn to see an oncologist,” said Dr Wong, who is also a member of the Clinical Oncology Speciality Committee for Universiti Malaya.
He added that the remaining 30% of patients diagnosed were either at the early stage of the disease and could be treated by specialists from related disciplines or those who were at the end-stage where the treatment was to reduce their suffering before they died.
Dr Wong, however, added that oncologists were now able to detect the exact location, stage of the cancer and assess its development.
“With the availability of more options of drugs and high-tech radiotherapy facilities nowadays, we need to spend more time to plan treatment with our patients,” Dr Wong said, adding that an oncologist treats about 300 patients a year.
Deputy Health Minister Datuk Rosnah Abd Rashid Shirlin said patients could also seek treatment at teaching hospitals like UMMC and Hospital Universiti Kebangsaan Malaysia, and private hospitals.
“Government hospitals without resident oncologists have visiting oncologists from nearby hospitals to help out,” she said, adding that some cancer patients were also treated by specialists from related disciplines.

New influenza drug is effective, assures doctor

Star: KUALA LUMPUR: The new trivalent influenza drug in the market is effective against Influenza A (H1N1), the Malaysian Society of Infectious Disease and Chemotherapy (MSIDC) said.
Available since March, the drug can fight against H1N1, H3N1 and Influenza B strains. The fight against H1N1 is now included in the seasonal influenza vaccination.
“Those especially in the high-risk group are encouraged to get their vaccination,” MSIDC member Dr Christopher Lee said, adding that high risk individuals included those with underlying medical conditions as well as pregnant women, those above 65 years old and children above six months old.
At government hospitals and clinics, the vaccination for monovalent H1N1 virus strain was currently offered, he told a media conference on Annual Influenza Vaccination with New Southern Hemisphere Formulation yesterday.
Dr Lee said that based on past trends, the most common symptoms for Malaysians hit by influenza were cough, fever and sore throat and not many suffered from diarrhoea.
Asked to comment about the possibility that people might have a fever after getting the jab, Dr Lee said the vaccination was generally safe with mild side effects.
Prof Datin Dr Che Ilina Che Isahak of the Asia Pacific Advisory Committee on Influenza said the vaccine did not contain live virus. “Even if one gets a fever from the jab, it is usually mild.”
In PUTRAJAYA, health authorities were alerted of six Influenza-like Illness (ILI) cluster cases – four of them in schools – in Pahang, Malacca and Johor over the past 24 hours.
Of the cases, two were tested positive for H1N1 and were administered with anti-viral medication.
Health director-general Tan Sri Dr Ismail Merican said the cases were reported at SK Kemendor in Jasin, Malacca, involving six people, SM Sains Sultan Ahmad Shah in Kuantan, Pahang (nine students), SMK Tekek in Rompin, Pahang (five) and SK Cheng in Malacca (nine).
Four members of a family in Bandar Baru Uda, Johor Baru, and three members of another family in Kampung Maju Jaya, also in Johor Baru, showed symptoms of ILI.
Dr Ismail said as of Monday, 31 new cases of H1N1 were reported nationwide, adding that there were now 606 ILI patients being treated in hospitals.

Poor response to H1N1 jabs

Star: PETALING JAYA: The poor res-ponse to the free Influenza A(H1N1) vaccine jabs is likely due to the people’s worry about the possible side effects.
Deputy Health Minister Datuk Rosnah Abdul Rashid Shirlin said that some people might come down with fever for several days after the vaccinations.
“This could be a reason why people are not coming for the jabs,” she said.
A total of 104 health clinics are offering vaccines against H1N1 throughout the country. However, the response has been poor although the jabs are given free.
Rosnah described the public response as slow, adding that Malaysians should remain cautious as H1N1 was still prevalent.
“It is better to have protection and get yourself vaccinated,’’ she said in an interview yesterday.
She encouraged the public to check the ministry’s website to find out which health clinics offered the vaccines.
It was reported that 175,747 people had been vaccinated although the ministry had ordered 400,000 doses.
Of those who had received the jabs, about 49,727 or 28.3%. were people in the high-risk category.
The rest who were vaccinated were the ministry’s frontliners (76,613 or 43.6%), frontline staff of other government agencies such as police and immigration officers (49,407 or 28.1%).
Health director-general Tan Sri Dr Ismail Merican also called on people in the high-risk category to get vaccinated at the 104 health facilities.
These would include people with diabetes, hypertension, asthma, heart and lung diseases. Those who are obese, pregnant or intending to travel overseas should also be vaccinated.
“Although the number of people getting vaccinated has increased over the past one month, we want more to come forward,” he said.
Infectious diseases expert Dr Christopher Lee said private clinics also offerred seasonal flu vaccines covering three strains of flu including A(H1N1).
The cost is believed to range from RM60 to RM300.
As at 8am on Friday, the ministry has not received any new report on new cluster Influenza-like Illness (ILI).
So far, there are 35 confirmed A(H1N1) cases reported, which meant that total cases stood at 13,744.
The death toll remains at 81.

No more nursing schools from July

Star: KUALA LUMPUR: The mushrooming of private nursing colleges will soon be a thing of the past. Applications to set up new institutions will not be accepted from July.
Higher Education Minister Datuk Seri Mohamed Khaled Nordin said a moratorium was necessary to prevent an oversupply of nurses and other problems arising from graduate unemployment.
“The move will also prohibit the launch of new diploma programmes in nursing as the ministry wants existing providers to concentrate more on degree courses.
“There will be no more private institutions providing nursing courses as we are already on the right track to achieve the recommended World Health Organi­sation nurse to population ratio of 1:200,” he said in a press conference at Hotel Istana yesterday.
“The moratorium will be in place as long as the supply of nurses meets market demand.”
Malaysia’s current nurse to population ratio is 1:490.
Speaking after launching Masterskill Education Group Sdn Bhd’s prospectus in conjunction with its proposed listing on the main market of Bursa Malaysia, Mohamed Khaled said Malaysia had enough institutions to achieve the ideal ratio.
“There are 106 higher education institutions that train nurses in the country and we (the ministry) want them to concentrate on improving quality,” he said.
“Currently, most programmes in nursing and the allied health sciences are at diploma level and Malaysia requires more trainers and students at degree levels in these fields,” he added.
Of the 106 institutions, 66 are private providers, 11 are public institutions and the rest are run by the Health Ministry.
He added that established private higher education providers like Master­skill could contribute to Malay­sia’s aspiration of becoming the region’s education hub by recruiting more international students.

Docs not keen to return home

Star: PUTRAJAYA: Efforts to lure home several hundred Malaysian doctors working overseas have met with lukewarm success, said Deputy Health Minister Datuk Rosnah Abd Rashid Shirlin.
The ministry had contacted the doctors but only a small number had responded to the call to return home.
“We will not lose heart. We have come up with several policies aimed at making the return offers more attractive.
“At the same time, we are working on ways to keep future doctors here,” Rosnah said at a press conference here yesterday.
She had earlier witnessed the signing of a memorandum of understanding between the ministry and Newcastle University of Medicine here for the utilisation of the Health Ministry’s facilities.
Rosnah said one way to keep future doctors here was to provide more places at local institutions of higher learning.
On the doctor-patient ratio, she said the figure last year stood at 1:905 compared to the 1:600 yardstick set by the United Nations.
She added that the ratio now was a vast improvement from the 1:1,400 in 2000.
However, Rosnah said it was not balanced as a majority of the doctors worked in big cities like Kuala Lumpur, where the ratio was 1:513; while other states such as Kelantan has a ratio of 1:2,003.
“It is even worse in Sabah where the ratio is 1:2,248, but we are working to balance it by posting new doctors to these areas.
“We have decided to implement a rotation system that requires doctors to serve there for a year,” she said.
“Unless there is a need to extend the posting, they can return after their term is up,” Rosnah added.