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Anyone concealing family members exposed to Covid-19 will face action: Home Ministry

KUALA LUMPUR: The Home Ministry warned today that those who conceal family members who have been exposed to the Covid-19 virus clusters from the authorities will face stern action.

Home Minister Datuk Seri Hamzah Zainuddin said this latest action is to send out a clear and stern message to those who continue harbouring high-risk individuals who have been exposed.

“We are into the second week of the movement control order (MCO) and this is our first warning,” he said at a press conference after a meeting with Inspector-General of Police Tan Sri Abdul Hamid Bador and other police top brass at Bukit Aman this evening.

“Those who know of family members who were exposed to the clusters, such as the Tabligh event, and have not disclosed this to us will face severe action. They should come forward and get themselves tested for the virus. We are not going to arrest them, we just want them to get tested.”

When asked on action to be taken, Hamzah declined to elaborate but said: “When we do, the media can come and see for itself what action we take.”

He said although the police have identified about 10,000 people who attended the tabligh even at a mosque in Sri Petaling, there are still an undetermined number of those who are yet to come forward.

Hamzah said the authorities are focusing on the tabligh event cluster as those infected there make up more than 50% of the current recorded cases of the disease.

The minister also warned those who stoke disarray among the races by associating the disease with any particular race.

“The Covid-19 does not target a particular race, religion, position or social status. It can infect anyone. We also wish to warn those who post hurtful or sensitive comments that can cause chaos and disunity among the multi-races that we will take action on them as well. We as Malaysian must stand by each other regardless of race. We want to build and develop this nation together,“ he said.

Hamzah said he also discussed with police ways to enhance enforcement of the MCO as there are still many who are defying the order.

He said among the plans was to increase the number of roadblocks nationwide, adding that 3,125 people have been arrested for defying the MCO, of which 246 have been charged in court.

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March 31, 2020
Interplay Between Social Media and Your Blog

Social media has become the latest method to improve marketing results for internet marketing efforts and SEO purposes. By using social media outlets to generate interest in your blog, you can increase organic backlinks and website traffic…

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March 31, 2020
New WHO Guide to help countries expand access to essential medicines
WHO’s new user guide for countries, ‘Selection of medicines at country level’, is based on the WHO Model List of Essential Medicines. It sets out the key actions countries should undertake to develop and update their own
national essential medicines lists based on the treatment needs of their populations and their capacity to reimburse payments for medicines.

The document also aims to support countries in progressing towards universal health coverage. Today, approximately half of the world’s population is unable to access essential medicines. The large majority of these people live in poorer countries,
but rising prices of new medicines are also becoming a challenge for health systems in wealthy countries.

A careful selection of essential medicines is the first step in ensuring a population can obtain the quality-assured medicines it needs at an affordable price. Countries need to do more to ensure that all people and communities can access highly
effective medicines. WHO’s new manual is a resource to do just that.

The document, intended for policy makers in charge of national medicines and reimbursement lists, aims to increase transparency on how essential medicines are selected. Most national lists of essential medicines have several differences when compared
with WHO’s model list, which lists only medicines of proven safety and efficacy. Some national lists include medicines that bring little extra benefit to patients. Decision-makers should refer to the WHO global list to gauge the public health
value of listing certain medicines for their populations.

The essential medicines concept

Essential medicines are:
- those that satisfy the priority health care needs of the population
- selected with due regard to disease prevalence and public health relevance, evidence of efficacy and safety, and comparative cost-effectiveness
- intended to be available within the context of functioning health systems at all times in adequate amounts, in the appropriate dosage forms, with assured quality and adequate information, and at a price the individual and community can afford.
The essential medicines concept is global and forward-looking. It incorporates the need to regularly update medicines selections to reflect new therapeutic options and changing therapeutic needs; the need to ensure drug quality; and the need for continued
development of better medicines, medicines for emerging diseases and medicines to meet changing resistance patterns.

Achieving universal health coverage and equity in public health depends on access to essential, high-quality and affordable health related technologies for all. To achieve access for all by 2030, at least two billion more people will need to have access
to essential health services by 2030.

In an effort to make the Model List of Essential Medicines more readily accessible, WHO recently developed an electronic version of the list, bringing the traditional EML to computer screens, tablets and smartphones in a freely accessible, downloadable,
online database.

Link to manual: Selection of essential medicines at country level

Link to e-EML: Model List of Essential Medicines

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March 31, 2020
WHO releases guidelines to help countries maintain essential health services during the COVID-19 pandemic

The COVID-19 pandemic is straining health systems worldwide. The rapidly increasing demand on health facilities and health care workers threatens to leave some health systems overstretched and unable to operate effectively.

Previous outbreaks have demonstrated that when health systems are overwhelmed, mortality from vaccine-preventable and other treatable conditions can also increase dramatically. During the 2014-2015 Ebola outbreak, the increased number of deaths caused
by measles, malaria, HIV/AIDS, and tuberculosis attributable to health system failures exceeded deaths from Ebola
^[1,2].

“The best defense against any outbreak is a
strong health system,” stressed WHO Director-General Tedros Adhanom Ghebreyesus.
“COVID-19 is revealing how fragile many of the world’s health systems and
services are, forcing countries to make difficult choices on how to best meet
the needs of their people.”

To help countries navigate through these challenges, the World Health Organization (WHO) has updated operational planning guidelines in balancing the demands of responding directly to COVID-19 while maintaining essential health service delivery, and mitigating
the risk of system collapse. This includes a set of targeted immediate actions that countries should consider at national, regional, and local level to reorganize and maintain access to high-quality essential health services for all.

Countries should identify essential services that will be prioritized in their efforts to maintain continuity of service delivery and make strategic shifts to ensure that increasingly limited resources provide maximum benefit for the population. They
also need to comply with the highest standard in precautions, especially in hygiene practices, and the provision of adequate supplies including personal protective equipment This requires robust planning and coordinated actions between governments
and health facilities and their managers.

Some examples of essential services include: routine vaccination; reproductive health services including care during pregnancy and childbirth; care of young infants and older adults; management of mental health conditions as well as noncommunicable diseases
and infectious diseases like HIV, malaria and TB; critical inpatient therapies; management of emergency health conditions; auxiliary services like basic diagnostic imaging, laboratory services, and blood bank services, among others.

Well-organized and prepared health systems can continue to provide equitable access to essential service delivery throughout an emergency, limiting direct mortality and avoiding increased indirect mortality.

The guidelines stress the importance of keeping up-to-date information. This requires frequent transparent communications with the public, and strong community engagements so the public can maintain trust in the system to safely meet their
essential needs and to control infection risk in health facilities. This will help ensure that people continue to seek care when appropriate, and adhere to public health advice.

1. Elston, J. W. T., Cartwright, C., Ndumbi, P., & Wright, J. (2017). The health impact of the 2014–15 Ebola outbreak. Public Health, 143, 60-70.

2. Parpia, A. S., Ndeffo-Mbah, M. L., Wenzel, N. S., & Galvani, A. P. (2016). Effects of response to 2014–2015 Ebola outbreak on deaths from malaria, HIV/AIDS, and tuberculosis, West Africa. Emerging infectious diseases, 22(3), 433.

For interviews please contact: Tarik Jasarevic

To access the full guidance please visit: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/maintaining-essential-health-services-and-systems

For further information and guidance on COVID-19 please visit: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

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March 31, 2020
Work together, practise social discipline to curb Covid-19: Health DG

PUTRAJAYA: Malaysians must work together and practise social discipline in order to flatten the Covid-19 infection curve, said Health director-general Datuk Dr Noor Hisham Abdullah.

He said that in the past two weeks Malaysia had recorded around 150 to 200 positive Covid-19 cases daily and the Ministry of Health (MOH) had been monitoring the trend closely to ensure there is no exponential spike.

“Now we have completed two weeks, so another two weeks to go. It is up to us and if all of us come together and we practise and embrace (the advice) that you stay at home, and we, MOH, will continue our public health activity like active case detection, increase testing, finding targeted groups and isolate them early, then we can actually break the chain of Covid-19 transmission in this country.

“So the next two weeks is all up to you and me; if we can all have a social discipline, I am sure that we can actually flatten the curve to avoid the exponential spike. If not, we may see a surge in Covid-19 positive cases in mid-April like (that) predicted by JP Morgan and the Malaysian Institute of Economic Research,“ he said at a press conference on Covid-19, here today.

Dr Noor Hisham said that thanks to MOH’s active case detection, Malaysia had not recorded any exponential spike like 900 to 1,000 cases in one day.

“That means we continue to go to the community identified as a high-risk group through targeted approach and then test them. There will be some cases that will be detected as positive; our detection of positives is about 8%,“ he said.

Dr Noor Hisham also urged all Malaysians returning from overseas to home-quarantine for 14 days.

“We fear that the second wave is all imported cases. Malaysians coming back from overseas, that is the group that we are worried about as we fear they may bring back the Covid-19.

“Although they are negative, we still have to quarantine them for 14 days. Those positive we isolate them in our hospitals,“ he said.

He said MOH was aware that some Malaysians who returned from overseas broke the home quarantine rule.

When asked about the possibility of the MCO being extended until Ramadan, he said it was too early to make any conclusions now.

“We will only know after the first week of April. If we continue to flatten the curve or there is no exponential increase, then I think we can safely make a decision.

“In terms of the Ramadan bazaars, they need to follow MOH standard operating procedure or guideline and have to take all precautionary measures to break the Covid-19 infection chain,” he added.

Asked on calls for the imposition of Enhanced Movement Control Order (EMCO) in red zones, he said this would be done if there is a rapid increase in positive cases in these areas.

The government enforced the EMCO in the area from Batu 21 to Batu 24 Sungai Lui, Hulu Langat, Selangor, yesterday, the second area to be placed under such restrictions after Simpang Renggam, Johor where Kampung Dato’ Ibrahim Majid and Bandar Baharu Dato’ Ibrahim Majid were subjected to similar curbs for 14 days beginning Friday. – Bernama

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March 30, 2020
156 new Covid-19 cases as of noon today, tally now 2,626: Health DG (Updated)

PETALING JAYA: There were 156 new Covid-19 cases, with three deaths recorded at noon today, which brings the total number of infected and deceased cases to 2,626 and 37, respectively.

“To date, (out of the 2,626 new cases), 94 are being treated in intensive care and of these, 62 cases require breathing assistance,” Health director-general Datuk Dr Noor Hisham Abdullah said in a statement.

He also noted that the country saw a record number of 91 patients having recovered and discharged in one day. This brings the number of those who have recovered to 479.

There was no drastic increase of Covid-19 cases here so far.

He explained that recording 150 to 200 cases a day is considered stable and attributes the number to active case inspections according to the ministry.

“We have been observing cases closely and have compared the figures to other countries, to which we can say there has been no significant increase so far.”

“What we fear is a sudden surge of between 900 to 1,000 cases in a day,“ he said.

Hisham also shared that the Health Ministry has managed to increase the number of hospitals providing Covid-19 screening services across the nation, from 57 to 70 hospitals.

The number of hospitals equipped to treat Covid-19 cases has also been increased from 26 to 38, thanks to cooperation from the Malaysian Armed Forces and the University of Malaya University Medical Center.

“Seven of these hospitals are specialised in treating Covid-19 patients,” he said.

Of the three fatalities, the 35th victim was a 57-year-old woman with a history of diabetes who had travelled to Indonesia. She was treated at the Sungai Buloh Hospital.

Case 36 was a 47-year-old Malaysian, treated at the Sarawak General Hospital on March 23.

Case 37 was A 46-year-old female. She had a history of high blood pressure and an autoimmune disease. She was hospitalised at the Miri Hospital in Sarawak.

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March 30, 2020
10 Income Streams You Can Add to Your Business (And Increase Your Bottom Line)

In a nutshell, multiple streams of income means your business has more than one way to make money. For instance, you sell products and you sell services. Those are different streams of incomes. But that’s just the beginning. Here are 10 ideas of different income sources you can use to increase your business’s bottom line:…

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March 30, 2020
More temporary hospitals to be opened if Covid-19 cases spike

PUTRAJAYA: The Ministry of Health (MOH) will open more temporary hospitals if Covid-19 cases increase drastically.

Health director-general Datuk Dr Noor Hisham Abdullah (pix) said the temporary hospitals would be for patients who did not need respiratory aid.

“For example today we have 150 new cases. If we look at the daily situation, there is a sudden increase in new cases, we might open more temporary hospitals at halls and stadiums, if necessary.

“If we receive 1,000 cases a day, we would probably use the temporary hospitals for cases of non-symptomatic but tested positive or patients tested positive with mild symptoms, which do not involve respiratory aid,“ he told a media conference on the development of Covid-19 today. – Bernama

More to Follow

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March 29, 2020
Group Tells Nigerians To Report Cases Of Domestic Violence While Observing Stay-at-home Order

Women at Risk International Foundation, a non-profit organisation focused on reducing the prevalence of gender-based violence in Nigeria, has urged Nigerians to report any case of domestic or gender-based violence that may occur during the period of stay-at-home order by the government.

WARIF expressed fear that as the number of Coronavirus cases continue to increase across Nigeria and with stringent measures being put in place for individuals to quarantine and self-isolate, people might be at risk of being harmed by their abusers during the period.

Founder of WARIF, Dr Kemi Da-Silva Ibru, urged all affected adults and caregivers of young children to make use of its 24-hour confidential help line to report any case of sexual abuse.

Ibru said, “As borders close down in many countries, and governments institute mandatory lock downs and families are sequestered; children and women at risk will be locked in and quarantined with their abusers in very volatile home environments, we envisage an increase in the cases of domestic and sexual violence as abusers now see this as an opportunity to cause harm to these groups.

“We urge all individuals at risk to please make use of our 24 hours helpline 0809 210 0009 or send messages to our social media platforms on @Warif_ng.”

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March 29, 2020
Gardenia increases production by 5% to meet high demand

SHAH ALAM: Gardenia Bakeries (KL) Sdn. Bhd has increased its production to 2.2 million loaves of bread a day through its five factories operating 24 hours a day.

Its senior general manager Desmond Tan said the production was a five per cent increase in total production before the implementation of the Movement Control Order (MCO).

“This supply is able to meet 60% of the demand for bread from all over Peninsular Malaysia, other bread brands have also been in high demand since the Movement Control Order was implemented,“ he said after welcoming Deputy Minister of Domestic Trade and Consumer Affairs (KPDNHEP), Datuk Rosol Wahid who visited the factory here today.

He said despite the increase in bread production, it has always complied with standards set including aspects of cleanliness, delivery and date of expiry.

In the meantime, Rosol has agreed that retailers carry out their own limited bakery purchases according to the needs of their localities so as to look after the welfare of others. — Bernama

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March 28, 2020