Dengue forces city-based clinics to open longer

The Malay Mail Online

PETALING JAYA, Jan 30 — Clinics located primarily within major cities could soon be open later at night due to the increase of dengue cases.

Health Minister Datuk Seri Dr S. Subramaniam said longer clinic operating hours are currently being discussed but will be finalised next week.

“This effort of extra operating hours for clinics will lessen the burden (on accident and emergency departments).

“Not all dengue cases require patients to be admitted into hospitals, so depending on the severity (of the case), clinics can also provide appropriate healthcare,” he said.

There were 2,229 reported dengue cases in week four (Jan 20 — 26), making a total of up to 7,370 cases and nine deaths so far this year.

Subramaniam said the ministry had decided to increase the ‘Dengue Prevention Programme’ primarily within the Petaling district. 
He believed the cause of dengue was primarily from within homes, not just outdoors.

“Mosquitoes can breed anywhere and in places we do not expect.

“We are currently dealing with a different kind of dengue mosquito.

“They have a stronger ability to infect people. They can even breed on a leaf. The government is doing its best,” he added.

Subramaniam stressed that the government would require the cooperation of the public in order to overcome this problem.

Meanwhile, Subramaniam also stressed on the importance of information technology with healthcare. He said that with technological advancements today, people can easily monitor and acquire health information from various sources and detect illnesses at early stages.

Dengue cases skyrocket

The Star Online

KAJANG: There has been an alarming rise in dengue cases in the country – more than three times the number recorded over the same period last year.

As of Wednesday, a total of 6,155 cases were reported, an increase of 243% over the same period in 2013.

The number of deaths has also doubled, with 10 reported so far compared with only five in January last year.

Health Minister Datuk Seri Dr S. Subra­maniam said Selangor had the most number of dengue cases with 3,168, making up 51% of the total number of cases.

“Two of the 10 deaths were in the Hulu Langat district,” he told reporters after a visit to dengue hotspots here yesterday.

Kuala Lumpur and Putrajaya recorded 666 and 502 cases respectively. There were 333 cases in Negri Sembilan, Malacca (241), Kelantan (173), Penang (166), Sabah (110), Terengganu (100), Sarawak (85), Kedah (66), Pahang (53) and Perlis (20).

He said the sharp increase of cases was worrying and urged the public to be more vigilant in ensuring homes and surroundings were not breeding grounds for Aedes mosquitos.

“Generally, people are highly aware of the dangers of dengue but they tend to overlook places that may turn out to be Aedes breeding grounds,” he said.

The latest figures indicate that the rise in dengue infections might be worse this year, if efforts to destroy the Aedes mosquitoes were not intensified,

A total of 43,346 cases were recorded last year, with 92 deaths.

“Selangor had the highest number of cases with 23,852 or 55% with 25 deaths,” Dr Subramaniam said, adding that Petaling, Hulu Langat and Gombak districts had been categorised as dengue hotspots.

More than four million premises were checked nationwide and about 15,000 compounds were issued amounting to RM7.7mil.

“The ministry will step up its efforts, particularly in dengue hotspots through its on-going Ops Gempur Aedes, to destroy mosquito breeding grounds,” said Dr Subramaniam.

“From Jan 1 to 22, about 168,000 premises were checked nationwide and 411 compounds were issued with the fines amounting to RM205,500,” he said.

the measures being taken to address the dengue menace includes biological control using Bacillus thuringiensis israelensis (a type of bacteria) spray to kill mosquito larvae.

“We will use more temephos spray (a pesticide) to kill larvae and adult mosquitos, and autocidal traps (a new method to trap and kill larvae and mosquitos),” he said.

The ministry’s Vector Borne Disease Sector head Dr Rose Nani Mudin told The Starthat the increase in dengue cases was due to various factors.

“Of late, there have been more cases globally and the disease is being spread faster because of human mobility.

“Another factor is the weather. Rainwater collected in rubbish bins, even as little as one teaspoonful, is enough for Aedes mosquito to breed,” she said.

Dr Rose said about 70% of Aedes breeding grounds were in residential areas as the mosquitos were attracted to highly populated areas.

Socso baffled

the Sun Daily

KUALA LUMPUR (Jan 22, 2014): An overwhelming majority of the 1.9 million workers registered with the Social Security Organisation (Socso) appear uninterested in using the organisation's free health screening facility.

"This is appalling. It is an opportunity given to workers to be screened for free but only a fraction, or 326,690, took up the offer," Socso deputy chief executive (operations) Datuk Dr Mohammed Azman Aziz Mohammed told theSun.

Azman said 65% of those who used the voucher for the health screening did so for the first time in their life – with startling results: 222 women who had a mammogram for the first time found suspicious-looking lumps, 37.9% were overweight, 18% obese, 16.1% diabetic, 39.9% had high blood pressure and 58.9% high cholesterol.

"If these people had not gone for the health screening, they would not have known that they were victims of these non-communicable diseases (NCDs)," he said, adding that the vouchers were given to workers aged above 40.

Socso allocated RM200 million to finance the one-off health screening of workers at 3,068 clinics nationwide under their Health Screening Programme (HSP) for early detection of NCDs.

"The validity of the voucher was until Dec 31 last year but with the very poor take-up rate, we have decided to extend the period to June this year," said Azman, adding that workers must be serious in using the free voucher especially with the number of NCDs going up alarmingly in the working population due to unhealthy lifestyle habits.

Last year, Socso also took the initiative to go to 112 companies under a joint programme with them to do health screening for the workers.

The objective of the HSP is to promote health awareness of NCDs, ensure early detection of NCDs, prevent disability and death due to NCDs, prevent the loss of income due to NCDs and improve human capital resource and productivity through a vibrant business environment besides stimulating nation's economy.

This year another 257,000 workers who attained the age of 40 years were issued the vouchers.

"Our biggest challenge is to get the workers to participate in the HSP and I strongly urge all those who have not done the health screening to do so immediately as probably it could either save your life or your quality of life," said Azman.

He also urged employers to play a proactive role by getting employees who received the vouchers to go for the health screening as they too would benefit in the long run.

Health Ministry formulates policy to control diabetes

New Straits Times

PUTRAJAYA : The Health Ministry is to publish policy briefs outlining current issues, challenges, opportunities for improvement and action to be taken to empower the diabetes control programme in Malaysia.

Minister Datuk Seri Dr S. Subramaniam said the policy was important and must be published to boost the knowledge and spirit of diabetics as it could better clarify steps that could be taken to control the disease. 

"Diabetic patients play an important role in making a positive behavioural change towards achieving the target of treatment, reducing the risks of complication from diabetes and ensuring a good quality of life," he told a media conference after attending a Diabetes Policy Round Table Series Meeting at the ministry, here, today. 

The inaugural meeting was organised by the ministry and the Danish Embassy in Malaysia. It was opened by Princess Benedikte of Denmark who was on an official visit to Malaysia from Jan 11 to today.  

Subramaniam said the main objective of the meeting was to get the views and inputs from the participants, who comprised doctors, nurses, dietitians and specialists, to seek the best method to boost the diabetes control programme in Malaysia. 

"Until to date, the ministry has recorded 2.6 million diabetics in Malaysia and the number is expected to go up. 

"There is a possibility that some of diabetics do not get complete and proper treatment and so this policy will be important for them," he said. 

Among the factors contributing towards diabetes is food intake, and in this regard, the people of Malaysia must adopt a healthy intake of food, especially by reducing consumption of sweet foods for optimum healthcare, he said.-- BERNAMA

Entry requirements for medical school may be tightened, says Subramaniam

The Malay Mail Online

KUALA LUMPUR, Jan 17 — The government may tighten the minimum entry requirement for students who want to pursue higher education in medicine, in future.

Health Minister Datuk Seri Dr S. Subramaniam(picture) said a study and discussion with the Education Ministry had been carried out on this matter.

He said the proposal was to ensure that only truly qualified students would take up medicine and in the long-run, would control the number of new medical graduates entering the job market.

“Now it’s (minimum entry requirement) 4Bs. We may raise it because a lot of students are getting A’s now. We will also make this mandatory for students who are taking up medicine overseas,” he told reporters after the Thaipusam celebration at Batu Caves, near here, today.

There are currently 33 medical schools in the country which produce about 5,000 new medical graduates each year and causing an influx of new doctors in the job market.

“Our ratio has almost reached one doctor per 600 population and as far as training is concerned, the Health Ministry ensures that everybody will get adequate amount of training. We won’t compromise on the level of training and exposure,” he said.

Dr Subramaniam said the government had also frozen the registration of new medical schools in the country and applications to increase the student intake into their medical programmes.

Earlier, Dr Subramaniam who is also MIC deputy president, said Thaipusam at Batu Caves this year had attracted some one million visitors over the past 10 days.

He said a medical team from the ministry, assisted by members of the Red Crescent Society and St. John Ambulance as well as the Fire and Rescue Department, had been on duty at the site to provide medical help to those in need.

Up to today, the medical camp had registered 85 cases of visitors seeking medical help, he added. — Bernama

School-in-hospital expanded

New Straits Times

KUALA LUMPUR: The "Hati Nuraini" committee plans to extend its school-in-hospital (SDH) initiative to three more hospitals this year following good response.

Its patron, Puan Sri Noorainee Abdul Rahman, who is the wife of Deputy Prime Minister Tan Sri Muhyiddin Yassin, said two of the schools would be set up in East Malaysia.

"We plan to introduce the programme at Sarawak General Hospital in Kuching and Children and Women Hospital (Hospital Likas) in Sabah. Both hospitals will house the first SDH in East Malaysia.

"We also plan to introduce another SDH at Tuanku Jaafar Hospital in Negri Sembilan," she said after visiting University Malaya Medical Centre's SDH, which began its first schooling session here yesterday.

Noorainee hoped the three schools could be set up before the end of this year to ensure that children who were hospitalised would not be left out in their education.

At present, she said, 10 hospitals ran the SDH programme, which had 19,240 participants since it was introduced in July 2011. Serdang Hospital recorded the highest number of student enrolment with 3,173 pupils.

Besides the UMMC and Serdang Hospital, other hospitals offering the SDH programme are Selayang Hospital, Kuala Lumpur Hospital, Ampang Hospital, Sultanah Aminah Johor Hospital, Universiti Sains Malaysia Hospital in Kubang Krian, Universiti Kebangsaan Malaysia Medical Centre, Sultan Haji Ahmad Shah Hospital in Temerloh and Sultanah Fatimah Specialist Hospital in Muar.

"The response to the programme has been encouraging. The SDH programme offers a fun learning concept," Noorainee said.

"Children can attend class, gain knowledge and participate in fun activities during their stay at the hospital."

"Hati Nurani" is under the Nurul Yaqeen Foundation, which is collaborating with the Education and Health Ministries to realise the SDH goal.

Selangor to Health Ministry: Review cleaner’s contract

The Malay Mail Online

PETALING JAYA, Jan 10 — The Selangor government has asked the Health Ministry to review its contract with Radicare (M) Sdn Bhd.

Selangor executive councillor for health, entrepreneurship development, science and innovation for health Dr Daroyah Alwi said it was time for the ministry to review the contract, given the recent decision by Radicare to terminate its contract with a sanitation service sub-contractor had resulted in five hospitals in the state facing major hygiene issues.

“If Radicare said it terminated Alam Bersih Sdn Bhd’s contract because the company was not able to carry out its job, then it goes to show that Radicare has been negligent,” she said.

“They (Radicare) should have carried out proper background checks on Alam Bersih before hiring them. 

“The company has put public health at risk as a result of its negligence.”

Dr Daroyah said the ministry should review Radicare’s contract and allow other companies to bid for the work to avoid a monopoly. 

“Hospital operators should have their own sanitation department or be able to engage small companies to carry out the job,” she added.

Selangor health department director Dr Azman Abu Bakar said five out of 10 hospitals were affected by Radicare’s decision to terminate its agreement with the sub-contractor, leaving medical staff in the affected hospitals to take over cleaning duties. 

“It’s ridiculous as my medical staff were forced to sweep the floor, clean toilets and discard thrash, among other things,” he said.

“Banting Hospital was the worst hit as there was only one worker on duty instead of the usual 35.”

Dr Azman said the department will not hesitate to take action against Radicare for the fiasco. 

Government hospital cleaning contractor Radicare Sdn Bhd moved yesterday to assure the public the situation at hospitals in Selangor would be back to normal today.

A spokesman said it had re-appointed its former sub-contractor Harta Maintenance Sdn Bhd to carry out cleaning services.

“As of now, Harta Maintenance will take up its former responsibilities and operate according to the ministry’s health and safety regulations.

“Alam Bersih lacked the manpower to deal with the demand and workload at certain hospitals. They also lack the skills to dispose of clinical waste.”

The spokesman, however, decline to comment on why the company had appointed Alam Bersih to carry out the job in the first place. 

Radicare began offering sanitation and waste disposal services to hospitals nationwide in 1996.

Ministry To Implement Health Transformation Plan - Subramaniam

Bernama

PUTRAJAYA, Jan 8 (Bernama) -- The Health Ministry will implement its Health Transformation Plan this year with the aim of providing the best health care for Malaysians.

Health Minister Datuk Seri Dr S.Subramaniam said the plan was among its efforts and commitment to ensure that the people received optimum health services.

He said Malaysia has been internationally recognised at 18th place as an effective healthcare provider by Bloomberg in its August 2013 report.

"There are four core aspects to the Malaysian Health Transformation Plan. First, to strengthen basic health care and promote a healthy lifestyle.

"Second, to improve the services and management system; third, to develop a human resource master plan to enhance the skills of doctors and ensure there are enough doctors nationwide," he told a press conference here Wednesday.

The fourth aspect involves implementing an infrastructure master plan for facilities in hospitals including adding 15,000 beds in government and private hospitals nationwide, he said.

Also present was Deputy Health Minister Datuk Seri Dr Hilmi Yahaya.

"At present there are 50,000 beds in both government and private hospitals and it's inadequate to accommodate the expected increase in patients," he said.

Subramaniam said to date the ministry handled 1,831 community clinics, 178 1Malaysia clinics, 919 health clinics, 106 mother and child clinics and 140 hospitals nationwide.

On a separate note, he said following the high incidence of dengue last year, the ministry would continue its prevention and awareness campaign on the dangers of the fever and distribute larvicides (Abate), particularly in Selangor and the Federal Territory which recorded the highest number of cases.

-- BERNAMA

20pc of children are depressed

NST

KUALA LUMPUR: THE number of children with poor mental health is rising,   with 20 per cent found to be suffering from stress, anxiety and depression in the latest National Health Morbidity Survey (NHMS).

The survey, conducted in 2011, said there were more children aged between 5 and 15 suffering from mental health issues or were prone to mental disorders, compared with the number from the NHMS conducted in 2006.

Deputy director-general of Health (Public Health) Datuk Dr Lokman Hakim Sulaiman told the New Straits Times the NHMS revealed that the figure stood at 13 per cent in 1996.

"It was at 19.4 per cent in 2006 and reached 20 per cent in 2011.

"Stress, anxiety and depression are the common mental health conditions from which students suffer.

"Some also suffer from schizo-phrenia, a severe form of mental illness."

The NHMS used to be conducted every 10 years, but has been held every five years since 2006.

Dr Lokman said the Healthy Mind Programme survey conducted last year revealed seven per cent of 19,919 Form Four students from 157 schools showed signs of severe and extremely severe stress, anxiety and depression.

The mental health screening was carried out based on the Depression, Anxiety and Stress Scale, where students answered a set of questionnaires.

The growing number has compelled the authorities to extend the screening programme in schools to cover Forms Two to Five students. Previously, it only covered Form Four students.

Dr Lokman said poor mental health could be the result of pressure on students from the high expectations of parents and teachers in academic excellence and individual personality, as well as social, family and interpersonal problems.

"Mental health problems cause major changes in a person's thinking, emotional state and behaviour, and disrupt the person's ability to work and carry on with personal relationships.

"Children and adolescents are assets to the nation's development.

"To achieve maximum potential, students have to develop self-identity, good self-esteem and be ready to accept life challenges in preparation for adulthood."

Poor mental health, he said, could be identified through emotional and behavioural symptoms.

"Students with poor mental health have low self-esteem, suffer from sadness or restlessness, show poor performance in school and have relationship problems.

"There are also mental and behavioural problems, like truancy, bullying, vandalism, substance abuse, tendency to self-harm and suicidal behaviour, that are tell-tale signs."

Dr Lokman said there were resources to support students who had poor mental health, including counselling and psychological and social service programmes by schools.

"For example, the Education Ministry has a school counsellor to student ratio of 1:500.

"It also has a referral system to health facilities."

He said schools should incorporate the Healthy Mind Policy in the existing school policy and conduct the Mental Health Awareness Week programme, which would see the participation of parent-teacher associations.

"Schools should provide social support to children through peer education groups and occasionally conduct courses on parenting skills."

On why the screening programme was not extended to cover all primary school pupils and secondary school students, Dr Lokman said the screening tools available were only suitable for those between 13 and 17.

"For primary schools, mental health promotion activities are carried out through other programmes, such as 'Pembimbing Rakan Sebaya'."

Dr Lokman said the Health Ministry would train more school counsellors and healthcare providers to detect early symptoms of mental health problems and suicidal behaviour.

He stressed that family and good parenting played a vital role in helping children and adolescents deal with mental health issues.

"This is because conflicts between parents and in the family environment, domestic violence and physical, emotional or sexual abuse can cause mental and emotional disturbances."

On Dec 13, Health Minister Datuk Seri Dr S. Subramaniam said school counsellors would be given extra training to increase their expertise in counselling students to tackle mental health problems.

Health Ministry to stub out illegal cigs

The Star Online

PETALING JAYA: The Health Ministry will be carrying out a series of integrated enforcement activities to clamp down on the sale or purchase of illicit cigarettes.

The ministry’s disease control division director Dr Chong Chee Kheong said to circumvent the shortage of manpower in enforcing the amendment to the Control of Tobacco Product Regulations 2004, they would work together with agencies such as the Customs Department, Domestic Trade, Co­ope­ratives and Consumerism Ministry and the Malaysian Mari­time En­­forcement Agency.

“The enforcement activities will be conducted thoroughly at the state and district level with the collaboration of these inter-agencies,” said Dr Chong in an e-mail interview.

Effective Jan 1, Regulation 15(4A) states that no person shall sell or offer for sale, buy or has in his possession any packet or carton of cigarette that is not printed with the text required and health warning images as specified in this regulation.

“Regulation 15 is the requirement for the labelling and packaging for the packet or carton of cigarettes. Any packets or cartons of cigarettes which do not comply with this requirement are considered as illegal or contraband cigarettes,” he said.

To date, the Health Ministry has conducted a briefing session with all personnel from the non-communicable disease section, inspectorate and legal officers to ensure that everyone is familiar with this requirement, he said.

He added that integrated and routine enforcement activities were part of the National Strategic Action Plan on Tobacco Control, which was developed by the ministry and would be carried out between 2014 to 2018.

Dr Chong said the police and local authorities would also assist in activities targeting illegal or contraband cigarettes, cigarettes sold below the retail selling price, and cigarettes without the pictorial health warning.

Harm reduction plans successful

New Straits Times

PUBLIC health policies that the government put in place seven years ago to assist those who inject drugs are found to avert new HIV infections, save lives and reduce health care costs, according to a new study funded by the World Bank.

In 2006, Malaysia launched two programmes of “harm reduction” interventions, initially on a limited scale — the Needle & Syringe Programme, where those who inject drugs are offered clean needles and syringes, and Methadone Maintenance Therapy, offering heroin addicts enrolment in rehabilitation therapy where heroin is replaced with synthetic methadone.

These harm reduction programmes have succeeded, and Malaysia has now expanded them nationwide.

“We would like to congratulate the Malaysian Government for taking the lead in implementing these cost-effective and cost-saving harm reduction interventions targeting people who inject drugs,” said Ulrich Zachau, World Bank country director for Malaysia.  “We hope this study will inspire policymakers in other countries in the Asia-Pacific region that face similar HIV epidemics among people who inject drugs.”

According to new research, both harm reduction programmes have also been cost-effective. The new research was led by the Centre of Excellence for Research in AIDS at the University of Malaya, in collaboration with the Kirby Institute, University of New South Wales.

Such interventions are estimated to avert 23,241 new HIV infections as well as result in savings of RM210 million in direct health care costs. The study estimated that 12,653 HIV infections were successfully averted since 2006 with the implementation of both  programmes, targeting people who inject drugs.

These averted infections have resulted in savings of RM47.1 million in direct health care costs, which the government would have had to spend on treatment and monitoring.

Foreign workers blamed for rise in TB cases

The Star Online.

LABUAN: The influx of foreign workers is among the major reasons for the spread of tuberculosis (TB) in the country.

Based on statistics, about 18,000 cases were reported in 2010, rising to 20,000 in 2011 with 1,600 fatalities.

Deputy Health Minister Datuk Dr Hilmi Yahaya said efforts to monitor the spread of the disease had been enhanced with foreign workers being required to undergo mandatory health screenings.

He said that out of 30,000 foreign workers brought into the country, 20,000 had failed the health screening carried out by the ministry.  

Datuk Dr Hilmi Yahaya 

"Foreign workers wishing to work in this country must undergo two health screenings, one in the country of their origin and the other in Malaysia, before they are issued with a working visa," he told reporters after a one-day working visit to Labuan Sunday.

Dr Hilmi also said there were foreign workers who had passed the health screening carried out at home but failed the test here. Most of these workers were from Indonesia, Nepal, Bangladesh, Myanmar and the Philippines. 

He said foreign workers who failed the health screening here would be repatriated home. -Bernama

Health Ministry bans Taiwan-made pimple cream

The Star Online

KUALA LUMPUR: The Health Ministry has banned cosmetic product 'Sensual Meiji Skin Renewer Cream' which was found to contain the scheduled poison azelaic acid.

Senior Director of Pharmaceutical Services, Datuk Eisah A. Rahman, said the Taiwan-made product had been tested and contained the prohibited poison and was no longer allowed to be sold in Malaysia.

She said the product, which contained azelaic acid, must be registered with the ministry's Drug Control Authority aimed at reducing inflammation effects in treating acne vulgaris (pimples) and could only be used upon advice from health professionals.

"It is feared that the application of acid without expert advice from health professionals can produce undesired effects such as the part of the face which was exposed to the acid feeling burnt, itchy, turning red, and becoming flaky," she said.

She said the company responsible for notifying the product had been directed to stop the immediate sale or supply of the product and to withdraw all stocks of physical products from the market within 72 hours.

Consumers suffering any side effects or serious problems from using any cosmetic product are advised to contact the National Pharmaceutical Control Bureau at telephone numbers 03-8835532/5533/5537. - Bernama

Denggi deaths up by 151%

The Star Online

PUTRAJAYA: Dengue fever killed 88 victims up to Dec 21, an increase of 151 per cent from the 35 cases during the same period last year.

Except for Terengganu and the Federal Territory of Labuan, the other states had reported fatalities with Selangor reporting the highest figure of 24 fatal cases, followed by Johor with 21 fatalities.

As for the other states, Malacca had nine fatalities; followed by Kuala Lumpur and Putrajaya (8); Penang (7); Perak, Sarawak and Sabah (four each), Kelantan and Pahang (two each); while Perlis, Kedah and Negeri Sembilan had one death each.

Health director-general Datuk Dr Noor Hisham Abdullah said the rise in dengue cases had been significant in 12 states compared with last year, which included Malacca with 229 per cent; Johor (191 per cent); Selangor (152 per cent); Negeri Sembilan (100 per cent); Perak (42 per cent), Labuan (40 per cent); Kuala Lumpur and Putrajaya (39 per cent); Penang (31 per cent); and Perlis (30 per cent). 

He said a total of 41,226 cases were reported up to Dec 21 throughout the country, a jump of 92 per cent or 19,782 cases, compared with the 21,444 cases reported during the same period of last year. - Bernama

Penang wants Putrajaya to decentralise healthcare systems

The Malay Mail Online

Dr Afif said he can foresee the current system of placing all healthcare systems under Putrajaya’s full control continue on to the next millennia that will result in less efficiency in the distribution of healthcare services throughout the states. — Picture by K.E.OoiGEORGE TOWN, Dec 17 — The healthcare systems in the country should be decentralised for better efficiency, said Penang Health state executive councillor Dr Afif Bahardin.

He said currently, everything related to health is fully under the control of Putrajaya, which leaves the states powerless when there are insufficient healthcare services.

“We need to decentralise the healthcare systems and empower respective state governments so that there will be better distribution of health services to the people,” he said in a press conference in Komtar this morning.

He added that he can foresee the current system of placing all healthcare systems under Putrajaya’s full control to continue on to the next millennia, resulting in less efficiency in distribution of healthcare services statewide.

Referring to the recent announcement by Deputy Health director-general Datuk Dr S. Jeyaindran that the Health Ministry had stopped issuing licences for new dialysis centres, he said this is another centralised move that will only make it difficult for the state to set up more dialysis centres for patients with kidney failure.

Penang recently set up its first CAT dialysis centre in Balik Pulau here to meet the need for more of such centres due to a long waiting list at government hospitals.

A second CAT dialysis centre, located at Seberang Jaya, is now in the process of being set up.

Dr Afif said the move to stop issuing new licences for dialysis centres will negatively affect the patients who have no where else to go especially if they could not afford to go to private dialysis centres.

“We need more dialysis centres, especially in rural areas, to meet the needs of patients in rural areas who could not afford private healthcare,” he said.

He acknowledged the ministry’s concerns that there are dialysis centres that do not meet specifications and are operating illegally.

“Instead of freezing the issuance of licences, the ministry should impose tighter regulations and conduct aggressive enforcement against unlicensed dialysis centres,” he said.

Dr Jeyaindran had revealed that there are now 560 haemodialysis centres nationwide run by non-governmental organisations and private firms but only 326 have licences from the ministry.

Environment, Welfare and Caring Society state executive councillor Phee Boon Poh said there is a reason why there are so many dialysis centres nationwide.

“The ministry had failed in healthcare and health education which led to the increase in the number of patients with kidney failure from 1,204 patients in 1993 to 26,404 patients in 2012,” he said

“All these dialysis centres exist because there is a demand and need that the ministry had failed to meet,” he added.

Phee said it takes a centre about three years to get a licence and some of these centres may not fulfil technical requirements, not medical requirements, so they were not issued licences.

“Does this mean the patient have to wait for three years to get dialysis treatment?” he asked.

He said the ministry had taken a very drastic move to impose a blanket freeze on all centres due to a few isolated cases of contamination.

“This is very irresponsible as not all dialysis centres do not fulfil medical requirements but were not issued licences due to technicalities,” he said.

Yesterday, Dr Jeyaindran had said new licences for dialysis centres will not be issued while existing centres that do not meet requirements will be closed down.

- See more at: http://www.themalaymailonline.com/malaysia/article/penang-wants-putrajaya-to-decentralise-healthcare-systems#sthash.UZDOkekZ.dpuf

Health ministry to set up disaster response squads

BorneoPost Online

KEMAMAN: The Health Ministry will set up special disaster response squads made up of medical personnel who will be equipped with skills to deal with disasters.

Its minister, Datuk Seri Dr S Subramaniam said members of the squads would undergo training provided by relevant agencies to prepare them for disaster relief missions.

“The medical personnel involved will not only be provided with medical training, but also safety training such as rescuing flood victims,” he told reporters after visiting the Kemaman Health Office here yesterday.

He said the squads, which would be placed in several disaster-prone areas, would also be assisted by other medical personnel during disasters.

Meanwhile, he said the ministry had not receive any reports on outbreak of diseases in flood-hit states in the East Coast.

Subramaniam said the ministry was also bracing for the second waves of floods predicted to hit the East Coast. — Bernama

More Die from Dengue in Malaysia As Cases Spike

WSJ

KUALA LUMPUR, Malaysia—At least five people have died from dengue fever this month in Malaysia, where authorities are struggling to contain an outbreak of the mosquito-borne virus that claims hundreds of lives annually in Southeast Asia.

Agence France-Presse/Getty Images

A municipal council worker dispensing insecticide using a fogging machine among residential houses in Gombak, on the outskirt of Kuala Lumpur on Nov. 5.

The total number of dengue deaths for the year now stands at 79, more than double the 34 deaths recorded in 2012.  Cases of the virus have also spiked, with 37,698 dengue cases reported as of Dec. 7, an 85% increase from the 20,387 cases reported in the same period a year earlier, according to data from Malaysia’s Health Ministry.

Selangor state, which borders the capital city of Kuala Lumpur, has been hit the hardest, with 20,209 cases reported and 19 deaths, the Ministry said. The southern state of Johor, just across the Johor strait from Singapore, has recorded 4,421 cases.

Four of those who died recently were college students, Lokman Hakim, deputy director general at Malaysia’s Ministry of Health, said in a statement.

The virus, which is transmitted by the Aedes aegypti mosquito, causes severe fever, headaches, rashes and muscle and joint pain. Severe forms can cause hemorrhagic fever. No vaccine is currently available, and treatment is limited to intravenous rehydration.

In Selangor, the government has identified 69 hotspots where pools of stagnant water serve as breeding sites for the Aedes mosquitoes.

To keep the mosquito population in check, Malaysia’s Health Ministry is searching thousands of premises around the country to identify potential breeding grounds and is urging the public to drain stagnant water from around their houses. It has also pressed non-profit organizations to boost efforts to educate the public about keeping their premises clean and mosquito free.

On November 12 the authorities searched 14,092 premises, identified 111 areas as breeding grounds and fined residents whose premises had stale pools containing Aedes’s larve with penalties totaling 55,500 Malaysian ringgit ($17,156).

According to law, people found to have breeding grounds on their property can be fined a minimum of 500 ringgit. Those who fail to pay could be fined as much as 10,000 ringgit, face up to two years in jail, or both for a first offense.  Repeat offenders can be fined five times as much or face five years imprisonment.

Government health workers routinely conduct checks at construction sites, where tiny pools of water often gather, and are fumigating schools and other public places. Mr. Lokman also urged citizens of states that recently experienced seasonal flooding to swiftly drain stagnant water that could host Aedes mosquitoes.

Neighboring Singapore has also been struggling to contain a dengue outbreak, with seven deaths and 21,324 cases of the virus reported as of Dec. 13, according data from Singapore’s National Environment Agency.

Ministry says no to new dialysis centres

The Star Online

PUTRAJAYA: The Health Ministry has stopped issuing new licences for dialysis centres and will close down existing ones that do not meet requirements and endanger patients’ safety.

There are now 560 haemodialysis centres nationwide run by NGOs and private firms but only 326 have licences from the ministry.

Deputy Health director-general Datuk Dr S. Jeyaindran said the centres that failed to meet standards would be closed down in stages after being given enough time for compliance.

The ministry would also find suitable alternative centres to relocate patients.

“Two haemodialysis centres, one in Kuala Lumpur and the other in Penang, were closed down recently,” he said.

Health woes: A patient receiving haemodialysis treatment at the CAT Dialysis Centre in Balik Pulau, Penang. 

Out of the 234 unlicensed centres, 114 had structural problems, were run without proper policies and did not submit applications for approval.

The issuance of licences to 80 centres was deferred because the operators did not comply with requirements as promised while another 40 centres did not have trained staff.

The pinching of staff also meant that some centres, whose employees had left, were unable to meet the requirements.

Operating licences of haemodialysis centres are renewable every two years, subject to meeting the ministry’s criteria.

Last month, The Star highlighted the plight of haemodialysis patients whose approvals for a government subsidy of RM600 per month were delayed.

An estimated 5,000 new kidney patients were diagnosed with end-stage kidney failure each year over the last three years. About half the patients going to NGO-run centres need treatment subsidy from the Government.

Dr Jeyaindran said the ministry had given out almost RM45mil (RM2mil in subsidy for dialysis and RM21mil in subsidy for erythropoietin injections each year), not including aid given by other government agencies.

Erythropoietin is a hormone produced by the kidneys and controls red blood cell production.

Click on graphic for larger view. 

He said the ministry was looking for companies to donate dialysis machines to ensure that the lower income group also received haemodialysis treatment with patient safety adhered to, as done by Maybank and Tabung Haji.

“We have the capacity for 1,700 dialysis slots but we only have 1,500 machines and need 200 more,” he said.

He said sponsorship from non-government entities was in keeping with the Prime Minister’s call for a public-private partnership, which encouraged optimum utilisation of resources.

On the training of renal staff, he said the ministry and the Malaysian Society of Nephrology had started a 200-hour programme on dialysis management for 60 doctors and also increased the number of renal nurses being trained.

There will be three more programmes to ensure an adequate number of trained doctors and nurses by the end of next year.