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Do not take RTK test for Covid-19 without doctor’s advice: MOH

KUALA LUMPUR: The Health Ministry (MOH) has called on the people not to undergo rapid test kit (RTK) tests arbitrarily without seeking the advice of medical practitioners.

Health director-general, Datuk Dr Noor Hisham Abdullah (pix) said it has the potential to a give wrong interpretation from the result obtained.

“The test via RTK technique which is now available in the market is to detect antibodies produced by the body as a result of an infection. The antibodies will appear in the body in five to eight days after infection.

“The RTK test which detects antibodies, cannot detect virus and it is administered for quick confirmation. As such it cannot help in the detection of initial Covid-19 cases. Therefore, RTK test is not recommended for diagnosing Covid-19,” he said in a statement today.

Elaborating further, Dr Noor Hisham said MOH is using the Real-Time Reverse Transcription Polymerase Chain Reaction (rRT-PCR) technique at government health laboratories to detect the presence of Covid-19 virus found in the body of patients.

If the rRT-PCR COVID19 test is found positive, it means the individual has been infected by Covid-19 virus.

“The result of the rRT-PCR technique is very important in managing Covid-19 patients effectively,” he said.

In this regard, Dr Noor Hisham advised the people not to discriminate members of the tabligh congregation following the spread of Covid-19 from the cluster and should in fact assist MOH in tracing close contacts among them.

“We should not blame tabligh members, do not discriminate them, we should not stigmatise the tabligh congregation. What is important is for us to assist, trace and treat Covid-19 infection among tabligh members, their families and their contacts,” he said.

Apart from that. Dr Noor Hisham said KKM is cooperating with MERCY Malaysia to provide psychosocial support to the people especially frontliners and individuals emotionally affected by Covid-19.

They can obtain the service by contacting 011-63996482 / 011-63994236 / 03-29359935 from 8am to 5pm daily.

Members of the public can also contact the virtual health advisory team for a webinar session daily from 9am onwards at http://www.doctoroncall.com.my/coronavirus. – Bernama

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March 24, 2020
New WHO recommendations to prevent tuberculosis aim to save millions of lives
Geneva – New World Health Organization (WHO) guidance will help countries accelerate efforts to stop people with tuberculosis (TB) infection becoming sick with TB by giving them preventive treatment.

A quarter of the world‘s population is estimated to be infected with TB bacteria. These people are neither sick nor contagious. However, they are at greater risk of developing TB disease, especially those with weakened immunity. Offering them TB
preventive treatment will not only protect them from becoming sick but also cut down on the risk of transmission in the community.

As we mark World TB Day 2020, the disease remains the world’s top infectious killer. In 2018, 10 million people fell ill with TB worldwide and 1.5 million people lost their lives to this disease.

“COVID-19 is highlighting just how vulnerable people with lung diseases and weakened immune systems can be,“ said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “The world committed to end TB by 2030; improving prevention is key
to making this happen. Millions of people need to be able to take TB preventive treatment to stop the onset of disease, avert suffering and save lives”.

Dr Tedros highlighted the importance to continue efforts to tackle longstanding health problems, including TB during global outbreaks such as COVID-19. At the same time, programmes already in place to combat TB and other major infectious diseases
can be leveraged to make the response to COVID-19 more effective and rapid.

Although some progress has been made towards targets set at the UN high-level Meeting on TB in 2018, TB preventive treatment has been largely neglected. Global leaders committed to ensuring access to TB preventive treatment to at least 24 million contacts
of people with active TB and 6 million people living with HIV by 2022. To date only a fraction of that target has been reached, with countries putting less than 430,000 contacts and 1.8 million people on TB preventive treatment in 2018.

TB remains the top cause of death among people with HIV. TB preventive treatment works synergistically with antiretroviral therapy to prevent TB and save lives. Reinvigorated efforts by governments, health services, partners, donors and civil society
will be needed to increase access to TB preventive treatment to the levels targeted.

The new consolidated guidelines recommend a range of innovative approaches to scale up access to TB preventive treatment:
- WHO recommends a scale-up of TB preventive treatment among populations at highest risk including household contacts of TB patients, people living with HIV and other people at risk with lowered” immunity or living in crowded settings.
- WHO recommends an integration of TB preventive treatment services into ongoing case finding efforts for active TB. All household contacts of TB patients and people living with HIV are recommended to be screened
  for active TB. If active TB is ruled out, they should be initiated on TB preventive treatment.
- WHO recommends that either a tuberculin skin test or interferon-gamma release assay (IGRA) be used to test for TB infection. Both tests are helpful to find people more likely to benefit from TB preventive treatment
  but should not become a barrier to scale-up access. Testing for TB infection is not required before starting TB preventive treatment in people living with HIV, and children under 5 years who are contacts of people with active TB.
- WHO recommends new shorter options for preventive treatment in addition to the widely used 6 months of daily isoniazid. The shorter options that are now recommended range from a 1 month daily regimen of rifapentine plus isoniazid
  to 3 months weekly rifapentine plus isoniazid, 3 months daily rifampicin plus isoniazid, or 4 months of daily rifampicin alone.
“As people around the globe come together to commemorate World TB Day, WHO is calling on governments, affected communities, civil society organizations, health-care providers, donors, partners and the industry to unite forces and step up
the TB response – notably for TB preventive treatment – to ensure no one is left behind,” said Dr Tereza Kasaeva, Director of WHO’s Global TB Programme. “The new WHO guidance shows the way forward for millions to rapidly
access new tools and shorter, safer options for preventive treatment. The time for action is now.”

TB preventive treatment is an affordable intervention that can prevent families from sliding into poverty and preserve the health and economy of whole communities. WHO anticipates that as new and safer drugs come onto the markets, and as prices
fall, it will become a highly-cost effective way to save millions of lives.

NOTES FOR EDITORS:

WORK BY WHO AND PARTNERS

WHO works closely with Member States including the US Government and technical and funding partners such as UNITAID to enhance access to shorter TB preventive treatment regimens. UNITAID-supported projects such as IMPAACT4TB and Cap-TB projects
enabled by WHO with partners in Brazil, Cambodia, Cameroon, Côte d’Ivoire, Democratic Republic of Congo, Ethiopia, Ghana, India, Indonesia, Kenya, Lesotho, Malawi, Mozambique, South Africa, Uganda, United Republic of Tanzania and
Zimbabwe are leading the way. The new treatment options are also now more affordable, thanks to the significant price drop of rifapentine – a key drug – facilitated recently by UNITAID, the Global Fund to Fight AIDS, Tuberculosis and Malaria
and global biopharmaceutical company Sanofi, along with forthcoming arrangements underway with generic manufacturers.

MORE ABOUT THE GUIDELINES

The new consolidated WHO guidelines come with an operational handbook to help guide countries step-by-step as they take TB preventive treatment to scale. This includes guidance on how to prioritize and invest from demand creation for TB prevention
to supervision and monitoring of the programme.

The guidelines and operational handbook are also accompanied by an innovative mobile application – Prevent TB –to help health-care workers manage TB preventive treatment in their communities. Its online dashboard allows programme
managers to visualize and monitor data in real time. The application can be customized by countries to suit their specific settings and is currently being adopted in India and Philippines.

WORLD TB DAY

The new guidelines and tools are being released ahead of World TB Day. World TB Day is observed on March 24 each year to raise public awareness and understanding about the world’s deadliest infectious killer – TB and its devastating
health, social and economic impact on people around the world. Under the theme “It’s Time”, the spotlight this year is on urgently accelerating the TB response to save lives and end suffering.

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March 24, 2020
BREAKING: Buhari’s Chief Of Staff, Abba Kyari, Reportedly Sick, Suspected Of Contracting Coronavirus

Abba Kyari, Chief of Staff to Nigeria’s President, Muhammadu Buhari, is said to be seriously ill and in fact suspected of being infected with Coronavirus.

A top government source told SaharaReporters on Monday that Kyari has been seriously “down” since returning from a trip abroad.

Kyari visited Germany and Egypt and only returned this week, giving credence to the fact that he may have indeed been infected with the virus.

Egypt has 327 confirmed cases of Coronavirus and 14 deaths while Germany has 29,056 infections and 123 deaths.

Though coughing severely, Kyari is said to have been attending meetings including with Buhari, Vice President, Yemi Osinbajo, ministers and other members of the Federal Executive Council.

Executive Chairman of Nigerian Electricity Regulatory Commission, Prof James Momoh, was said to have accompanied Kyari on the trip to both countries.

The latest development comes hours after a leaked memo showed Kyari telling Nigerian legislators, who recently returned from foreign trips, to submit themselves for Coronavirus test.

It also comes after Aisha Buhari, wife of Nigeria’s President, disclosed that one of her daughters was in self-isolation after returning from the United Kingdom, one of the high risk countries for the virus.

On Monday, Nigeria confirmed its first Coronavirus death after a former Managing Director of Pipelines and Products Marketing Company, a subsidiary of Nigerian National Petroleum Corporation, Suleiman Achimugu, succumbed to the virus in Abuja.

Earlier, the Nigerian Center for Disease Control announced a total of 36 confirmed cases but with Kyari’s suspected infection, that figure may have now risen to 37.

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March 24, 2020
King expresses sadness, concern about healthcare workers infected with Covid-19

KUALA LUMPUR: The Yang di-Pertuan Agong Al-Sultan Abdullah Ri’ayatuddin Al-Mustafa Billah Shah has expressed his sadness and concern over the news that several healthcare workers from the Ministry of Health (MOH) and private healthcare facilities have been infected with Covid-19.

Comptroller of the Royal Household of Istana Negara Datuk Ahmad Fadil Shamsuddin said Al-Sultan Abdullah was extremely concerned about the situation as the healthcare workers were the frontliners who have spent most of their time and energy to help contain the pandemic.

“As at March 21, the MOH has confirmed that 19 of its staff and five from the private healthcare facilities have been infected with Covid-19, while as at noon today, 212 new positive Covid-19 cases were reported, bringing the total to 1,518.

“Two of the 19 MOH staff are currently receiving treatment in the intensive care unit (ICU) and investigations found that all of them were close contacts to the first and second generations of the tabligh clusters,” he said in a statement here today.

As of March 22, a total of 460 MOH healthcare workers had been tested negative for Covid-19, while the remaining 190 were awaiting results.

As of this afternoon, MOH confirmed that the Covid-19 total deaths in Malaysia stood at 14.

Ahmad Fadil said in this regard, His Majesty called on the people to be honest and truthful with health personnel in giving information about their travel history and close contacts to determine the source of infection thus containing the spread of the disease.

“It is important to be honest when undergoing the screening as the information given is vital to the MOH. This will also prevent MOH frontline personnel from getting infected.

“Al-Sultan Abdullah also urged those who had close contacts with confirmed Covid-19 cases and had developed symptoms of the disease to immediately go the nearest government health facilities for examination. Don’t take symptoms lightly,” he said.

Ahmad Fadil said the King also expressed his appreciation for the sacrifice, commitment and dedication of Covid-19 frontliners including personnel of MOH, government agencies as well as private healthcare facilities.

“His Majesty hopes that all of them will continue to remain resilient in carrying out their responsibilities for the safety of the people and our beloved country,” he added.

Al-Sultan Abdullah reiterated his advice for the people to comply with the Movement Control Order and follow the guidelines issued by the MOH to end the pandemic.

His Majesty also conveyed his condolences to family members of those who have died of Covid-19 and called on Malaysians to continue praying so that the Covid-19 situation can be tackled as soon as possible. – Bernama

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March 23, 2020
Maritime community begins to adhere to MCO

LANGKAWI: The Kedah and Perlis Malaysian Maritime Enforcement Agency’s continued monitoring has seen the maritime community in the region increasingly adhere to the Movement Control Order (MCO), enforced since March 18 to curb the spread of Covid-19 infection.

Its deputy director Maritime Capt Zulinda Ramly said in the early days of the MCO enforcement, there were still tour boats in the island’s waters carrying out their activities.

“But the numbers have declined due to our continuous monitoring. During the implementation of the MCO, we monitor target groups such as fishermen, commercial ships and yachts,” she told Bernama today.

She said based on today’s surveillance, no banned activities were detected in Langkawi waters

She said two assets with 30 personnel are deployed to carry out surveillance in the region during the enforcement of the MCO.

“The surveillance is to ensure that the maritime community complies with the directive which prohibits them from conducting non-essential activities at sea. At the same time, we still carry out our regular duties, including search and rescue operation if needed,” she said. – Bernama

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March 22, 2020
MMA calls on Nadma to resolve shortage of face masks

KUALA LUMPUR: The Malaysian Medical Association (MMA) is calling on the National Disaster Management Agency (Nadma) and relevant ministries to resolve the shortage of face masks for healthcare workers.

Its president Dr N. Ganabaskaran said some doctors had gone to the extent of recycling their masks while seeing patients and some had chosen to close their clinics because there are no face masks and hand sanitizers to protect themselves and their patients.

“The issue of face mask shortage has been highlighted since the outbreak in early February 2020, it has made national news and every citizen is aware about this. Personal Protection Equipment (PPE) like face masks are a basic necessity when seeing patients who may carry this infectious disease.

“It is a requirement to provide hand rubs and face mask when seeing patients under investigation and it is indeed frustrating and not to mention unsafe not to have these items,” he said in a statement today.

He said healthcare workers in the private sector be it general practitioners, specialists, dental surgeons, nurses, pharmacists, radiographers, high-risk patients undergoing hemodialysis are all exposed to possible infection due to the inaction by the relevant ministries in addressing this issue.

Dr Ganabaskaran added, the failure to address this issue will result in higher risks of infections among patients and healthcare workers at healthcare facilities where people should feel safe.

“MMA wishes to reiterate that combating Covid-19 is a collective responsibility and not solely the responsibility of our health ministry,“ he said. — Bernama

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March 21, 2020
Six PDRM personnel positive for Covid-19: IGP

KUALA LUMPUR: Inspector-General of Police Tan Sri Abdul Hamid Bador (pix) today confirmed six police personnel have tested positive for Covid-19 while their 335 family members are waiting for test results.

He said the cases highlighted the risks the Royal Malaysia Police (PDRM) personnel had to face in carrying out their duties while the country was facing Covid-19 outbreak.

“To date, six of my men have tested positive for Covid-19 … (and) we continue to give the rest of them encouragement and motivation to carry out their jobs,” he said in an exclusive interview, aired on Astro Awani today.

In another development, Abdul Hamid said as the Movement Control Order (MCO) enters its fourth day today, people are beginning to adhere to the directive by restricting their movement.

He said police continued to advise those a few who were still doing outdoor activities.

“We are not giving up as we are still at a stage where we want to create awareness and we use various tactics and technics for the purpose,” he said.

Police had launched Op Covid-19 on March 18 by conducting hundreds of roadblocks among others to ensure people observe the MCO announced by the government to break the chain of Covid-19 infection. — Bernama

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March 21, 2020
Agong calls on the people to help contain spread of Covid-19

KUALA LUMPUR: Calling on all Malaysians to unite and play their part in the fight to contain the spread of Covid-19, the Yang di-Pertuan Agong Al-Sultan Abdullah Ri’ayatuddin Al-Mustafa Billah Shah (pix) today urged the people to cancel their plans to return to their hometowns and to always observe good personal hygiene.

“I ask that you cancel your balik kampung plans, and not to gather or attend social activities out of your homes,” His Majesty said in his Royal address on the Movement Control Order telecast on local television stations tonight.

Al-Sultan Abdullah said the fight against Covid-19 starts with good personal hygiene by washing hands frequently, the use of hand sanitisers and face masks as well as practising social distancing.

“The people are urged to comply with the Movement Control Order implemented by the government from March 18-31, and do not leave home if there are no pressing matters,” His Majesty said.

Al-Sultan Abdullah advised the people to also postpone marriage ceremonies until the situation has improved, this to prevent large gatherings that could risk more Covid-19 infections.

Urging the people to lend their fullest cooperation to help the government contain the pandemic in the two-week period, His Majesty also called on Malaysians not to panic as there is sufficient stock of essential items.

Al-Sultan Abdullah also advised the people to adhere to directives issued by the authorities and not spread false information.

“Let us all play our part to help contain this outbreak, Insya-Allah,” His Majesty said.

Prime Minister Tan Sri Muhyiddin Yassin on Monday announced that the MCO will take effect from March 18-31 to break the chain of the Covid-19 infection.

A total of 130 new positive Covid-19 cases were recorded in the country as of noon today, bringing the tally up to 1,030 cases. — Bernama

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March 20, 2020
Third casualty from Covid-19 as 58-year-old-man from Tawau dies

PETALING JAYA: Sabah’s first Covid-19 patient, a 58-year-old man from Tawau who had been admitted to Hospital Tawau after attending the Seri Petaling mosque tabligh gathering, has died today.

Health director-general Datuk Dr Noor Hisham Abdullah confirmed this in a Facebook post, saying the man had died at 6.27pm today.

He said the man, who is case 152, is a Malaysian who was admitted to Hospital Tawau on March 9 after experiencing Severe Acute Respiratory Infection symptions.

“He was given the assistance using the ventilator and was admitted into intensive care unit on the same day. His health deteriorated day by day and he was confirmed dead on March 20, 6.27pm,“ he said, while expressing his condolences to his immediate family.

This makes the death toll rise to 3 cases, after a 60-year-old pastor from Sarawak and a 34-year-old man from Johor had died due to Covid-19 infections. The 34-year-old man had also attended the same tabligh gathering.

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March 20, 2020
Dracunculiasis eradication: intensifying surveillance amid continued zero human cases in Ethiopia and Mali

A total of 54 human cases of dracunculiasis (guinea-worm disease) were reported to the World Health Organization (WHO) in 2019, with Chad reporting 48 out of the 54 cases.

In Chad, Ethiopia, Mali and South Sudan, trained volunteers are supporting surveillance and detection of infections in domestic dogs and cats. Surveillance has been heightened, as evidenced by the increase in reports of rumoured human cases which in 2019 peaked at 108 207 out of which 106 678 were investigated within 24 hours.

“We are working with the broader scientific community to understand the epidemiology of animal infections, mainly in dogs in Chad, where the highest number of human cases were reported in 2019,” said Dr Dieudonné Sankara, who leads WHO’s eradication and elimination team in the Department of Control of Neglected Tropical Diseases. “Interestingly, there have been no human cases in Ethiopia and Mali, and 4 human cases in South Sudan in 2019, compared with 10 in 2018.”

In Mali, the number of animals infected with Dracunculus medinensis (the guinea-worm) has decreased from 20 animals in 2018 to 8 dogs and 1 cat in 2019. However, insecurity remains a challenge to freely accessing some endemic areas in Mali.

Conversely, Chad reported 1935 infections in dogs and 46 in cats in 2019, an increase of 85% from 2018, and a 176% increase among humans.

Angola reported only 1 human case in 2019. Community-based surveillance is being reinforced mainly in Cunene Province where a case was reported in 2018.

In South Sudan, integrated surveillance activities have been carried out with the trachoma and onchocerciasis control programmes, in accordance with WHO’s recommendation that programmes collaborate, integrate and co-implement activities, whenever possible, to strengthen surveillance.

In order to strengthen cross-border surveillance, WHO led a mission to Cameroon in November 2019 to investigate circumstances around an “imported” case in the country’s Far North Region. Discussions were held with the health authorities to establish active surveillance in all villages in the area, including training for application of temephos.[1]

Also, in 2019, and with the support of trained field workers, vector control was intensified to larvicide ponds and water sources in more than 400 villages, compared with 72 villages in 2018.

In late 2019, WHO supported cross-border meetings with officials of national dracunculiasis eradication programmes from Mali, Burkina Faso and Côte d’Ivoire in West Africa; between Ethiopia and South Sudan in East Africa, and between Angola and Namibia in Southern Africa, to share experiences and plan joint surveillance activities across the borders to prevent transmission of the disease.

The disease

Dracunculiasis is a crippling parasitic disease caused by infection with D. medinensis, a long, thread-like worm. It is usually transmitted when people drink stagnant water contaminated with parasite-infected water fleas.

WHO works with Member States and in partnership with The Carter Center and the United Nations Children’s Fund to support efforts to eradicate the disease. WHO provides technical guidance, works with national programmes to coordinate surveillance in dracunculiasis-free areas, and monitors and reports on the progress achieved.

WHO is the only Organization mandated to certify countries as free of transmission of the disease following the recommendations of the International Commission for the Certification of Dracunculiasis Eradication.

Since 1995, WHO has certified a total of 199 countries, territories and areas, including 187 Member States, as free of dracunculiasis transmission.

[1] Temephos is a cyclopicide used to kill water fleas (cyclops) that carry the infective guinea-worm larvae.

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March 20, 2020