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Private hospitals urged to provide more assistance to govt hospitals

PETALING JAYA: Private hospitals are asked to put profits aside for now and in the name of service, support the Health Ministry in combating the Covid-19 pandemic.

Federation of Malaysian Consumers Association (Fomca) CEO Datuk Dr Paul Selvaraj said in this time of crisis, private hospitals, especially those run by government-linked companies, should give their utmost to assist the government given that public hospitals are called to treat the rising number of Covid-19 patients.

“Put service as priority and put aside profits for now,“ he told theSun today.

Suaram adviser Kua Kia Soong suggested that private hospitals step forward to take some of the burden off the public sector by providing some sort of subsidised charges or no cost at all. They should also help with cases which are not related to the viral pandemic, fill the need for special wards, offer intensive care unit space and equipment such as ventilators and oxygen supply.

“In the best of times, private hospitals reap the benefits of the much touted Malaysian product known as ‘medical tourism’ and attract the best medical talents from the public sector.

“Now that we are in the worst of times, private hospitals don’t seem to be doing too badly either.

“According to the Affin Hwang Capital Research, the coronavirus pandemic is likely to have only a muted impact on private hospital operators as they are required to report such cases to public hospitals and the national infection centre,“ Kua said in a statement today.

Meanwhile, in response to the many questions broached of late, president of the Association of Private Hospitals Malaysia (APHM) Datuk Dr Kuljit Singh said they (private hospitals) have made available 51 ventilators to the Health Ministry.

“We will be accepting non Covid-19 cases from the Health Ministry hospitals too. Discussions on taking on cases are in the final stages,“ he said in a statement on Tuesday.

He also said the APHM and its member hospitals see this as an opportunity for the private hospitals to work with the Health Ministry and the government in facing this national crisis.

“We have the support of all private hospitals in cancelling electives and reducing non urgent consultation while some private hospitals have even started Covid-19 screening for walk-ins and drive-ins,“ he added.

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https://www.thesundaily.my/local/private-hospitals-urged-to-provide-more-assistance-to-govt-hospitals-GN2179989

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March 25, 2020
Spain overtakes China virus toll with 3,434 deaths: Govt

MADRID: Spain’s coronavirus death toll overtook that of China on Wednesday, rising to 3,434 after 738 people died over the past 24 hours, the government said.

Across the world, only Italy now has a higher death toll than that of Spain. In China, where the virus emerged late last year, 3,281 people have died.

The spiralling number of deaths came as Spain entered the 11th day of an unprecedented lockdown to try and rein in the Covid-19 epidemic that has now infected 47,610 people, the health ministry said.

As the authorities stepped up testing, the number of cases showed a 20 percent increase on the figures for Tuesday, while the death toll showed a 27 percent rise over the same period.

Despite the national lockdown imposed on March 14, which is to be extended until April 11, both deaths and infections have continued to mount, with officials warning this week would be particularly bad.

“We are approaching the peak,“ the ministry’s emergencies coordinator Fernando Simon said in announcing the figures.

Health authorities are hoping it will soon become clear whether the lockdown is having the desired effect.

The Madrid region has suffered the brunt of the epidemic with 14,597 infections – just under a third of the total – and 1,825 deaths, or 53 percent of the national figure.

With hospitals on the brink of collapse from the surge in patients, troops have set up a massive field hospital in Madrid’s vast IFEMA exhibition centre which currently has 1,500 beds but which could be expanded to take in up to 5,500 people – making it the largest hospital in Spain.

And with the city’s funeral services overwhelmed, officials have commandeered the Palacio de Hielo ice skating rink to serve as a temporary morgue. – AFP

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https://www.thesundaily.my/world/spain-overtakes-china-virus-toll-with-3434-deaths-govt-NN2179861

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March 25, 2020
Most deaths due to late treatment: Dr Noor Hisham

PUTRAJAYA: Most of the Covid-19-related deaths in the country are due to late treatment, according to Health director-general Datuk Seri Dr Noor Hisham Abdullah (pix).

He said there were five stages of Covid-19 infection but most of them came to hospital when they were already at stage three.

“Stage one is where a person is asymptomatic but positive, while stage two is positive with mild symptom and stage three is when a patient has some form of pneumonia but does not require oxygen aid.

“In stage four, a patient will require oxygen therapy and the last stage (stage five) is when patients cannot breathe well and we need to intubate them and put them on ventilator,” he told a media briefing today.

Dr Noor Hisham also explained that in most stage four patients, their health would deteriorate fast to move to stage five.

“For example, the latest death, the patient already had breathing difficulty for the last three days,” he said.

He also said that besides late for treatment, age and comorbidities were also among factors that contributed to the Covid-19-related death.

“Some of the death cases had comorbidities and most of them were above 70 years old,” he said.

Meanwhile, Dr Noor Hisham said the MOH would enhance its case detection activities.

“It means we will find the case, we test the case, and if it is confirmed, we isolate the case and give treatment.

“We will continue to do our best to look into the focus group. For example, now we know that 60% of the infection are among the tabligh group. We will go and find them and test them,” he said, adding it was to ensure the individuals from the group would not infect others. – Bernama

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https://www.thesundaily.my/local/most-deaths-due-to-late-treatment-dr-noor-hisham-HB2175988

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March 24, 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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https://www.who.int/news-room/detail/19-03-2020-dracunculiasis-eradication-intensifying-surveillance-amid-continued-zero-human-cases-in-ethiopia-and-mali

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March 20, 2020
Police rescind requirement for interstate travel permit

KUALA LUMPUR: The special police permit requirement for interstate travel on the commencement of the partial lockdown on Wednesday was revoked late on Tuesday – just five hours after the order was issued by police.

The reversal of the order was announced by Inspector-General of Police Tan Sri Abdul Hamid Bador at about 11pm after a high number of police stations nationwide were filled to the brim with those planning to travel during the two-week lockdown period.

“The public is in the opinion that it can carry out movements if they obtain police approval. As a result of this, there was a large influx of them at police stations and bus stations although only those who meet certain conditions are given approval for any interstate travel. As an early step to overcome this, we are postponing this need to get a permit under the movement control order,” he said last night.

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https://www.thesundaily.my/local/police-rescind-requirement-for-interstate-travel-permit-CC2141721

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March 17, 2020
Govt to convene special Covid-19 meeting tomorrow to discuss further measures

JOHOR BARU: The government will convene a special Covid-19 meeting tomorrow to discuss further measures needed to contain infections, following the spike in cases to a total of 428 recorded until noon today, since the beginning of infections in the country.

Health Minister Datuk Seri Dr Adham Baba (pix) said apart from Health Ministry representatives, Prime Minister Tan Sri Muhyiddin Yassin and representatives of the Defence Ministry are also expected to attend.

“We (Malaysia) have now entered the ‘late containment’ phase”, he said, in view of the 428 cases recorded so far.

He told reporters this after observing the situation at the Customs, Immigration and Quarantine (CIQ) Complex at Bangunan Sultan Iskandar here today. Also present was Johor Health Director Dr Aman Rabu and state Health and Environment Committee chairman R. Vidyananthan.

Adham said initial investigations indicated that most of the latest cases were linked to the ‘tabligh’ rally cluster – the rally had taken place at Masjid Jamek Sri Petaling in Kuala Lumpur, from Feb 27 to March 1.

He said a total of 190 new cases of the coronavirus had been reported until noon today, bringing the total number of cases to 428.

Adham added that the Health Ministry would invoke section 15 (1) of the Prevention and Control of Infectious Diseases Act 1988 to track down and enforce health screening on rally participants who have refused to come forward to health authorities for testing.

“The ministry calls on those who were at the Sri Petaling mosque to contact the nearest District Health Office for further action,“ he said.

The minister added that from Jan 5 until today, a total of 6.8 million people comprising foreigners and Malaysians had undergone health screening at all entry points in Johor, and so far, no positive Covid-19 cases had been detected through the screening.

He also stressed that premises with individuals who have been confirmed to have been infected with Covid-19, should be closed by operators without waiting for instructions from the ministry. — Bernama

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https://www.thesundaily.my/local/govt-to-convene-special-covid-19-meeting-tomorrow-to-discuss-further-measures-XI2129022

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March 15, 2020
BREAKING: 190 new coronavirus cases reported today, most linked to mosque event

PETALING JAYA: The Health Ministry has recorded a sudden spike in the number of patients who have tested positive for Covid-19, with 190 positive cases recorded in one day as of 12pm today.

Health Minster Datuk Seri Dr Adham Baba said based on early

investigations, all 190 cases are related to a tabligh gathering that

was conducted at the Seri Petaling mosque.

“This brings the total number of cases since the Covid-19 outbreak

started to 428 cases, with nine people in the intensive care unit

(ICU) and we are currently on the late containment stage,“ he said at

a press conference after visiting the CIQ complex in Johor today.

He also said with the situation now, he will discuss with the Prime

Minister and Defence Ministry on the next move.

Adham also said that seven people have since recovered from Covid-19

and have been discharged, bringing the total of those discharged to 42

people.

He also said that as of Jan 5 until now, 6.8 million people have

gone through the immigration gates bordering Johor and Malaysia, and

there has not been any positive case detected so far.

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https://www.thesundaily.my/local/breaking-190-new-coronavirus-cases-reported-today-most-linked-to-mosque-event-NJ2128708

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March 15, 2020
Women’s health and rights: 25 years of progress?

The 1995 Beijing Declaration and Platform for Action remains the world’s most progressive blueprint for advancing gender equality worldwide. Twenty-five years after it was affirmed by 189 countries, what progress has been made in raising this blueprint
off the page?

On International Women’s Day the World Health Organization, United Nations University – International Institute for Global Health and the British Medical Journal have launched a special series marking ‘Beijing+25’.

It shines a spotlight on health, education, environment, work and other critical foundations of life as they empower or restrict the rights and well-being of girls and women.

Women’s rights are human rights

Every person’s right to control their sexuality and sexual and reproductive health is linked to their human rights. This makes sexual and reproductive health and rights a cornerstone of the Beijing strategy: both as a driver towards gender equality,
and a fundamental part of it.

The first article in the series, ‘25 years after the Beijing Declaration we need to reaffirm that women’s rights are human rights,’ highlights recent advances in gender equality and celebrates
the rise of a new and determined generation of activists, working together to empower girls and women.

It also expresses concern that progress has been superficial and not fast enough. Some critical areas of work have slowed or even been pushed back, such as comprehensive sexual and reproductive health information, services and rights.

The authors ask for increased and direct investment in women and girls, to meet their specific health needs and accelerate equal rights for all.

Uneven progress in sexual and reproductive health and rights

The Beijing Declaration affirms that the human rights of women cannot be separated from the universal human rights of every person – but that without concrete actions to strengthen them, they will remain rights in name only.

Some advances in this area since 1995 can be measured by health outcomes, including a reduction in both maternal mortality and rates of female genital mutilation. Positive change is also reflected in public awareness: concepts of period poverty and sexual
harassment, once taboo, are being taken up in day-to-day language.

And yet today, sexual and reproductive health conditions remain one of the leading causes of mortality and morbidity for women and girls. Violence against women and girls is the most frequent human rights abuse worldwide.

Twenty-five years on, the Beijing agenda is still relevant and still unfinished.

Defending the defenders of women’s health and rights

Although The Platform for Action is repeatedly affirmed in international and governmental forums, women and girls still face social, political and cultural barriers to controlling their sexuality, sexual and reproductive health.

Their decisions cannot be free from coercion, discrimination and violence if they are made in the context of power imbalances, harmful gender norms and inequalities.

The authors from HRP, the Institute on Inequalities in Global Health, the Supreme Court of Nepal, the WHO and Women Deliver call for a system of protection for women’s human rights defenders everywhere.

They celebrate new communities of frontline defenders, civil society movements holding governments to account, and vibrant coalitions such as Generation Equality as drivers of achievements in girls and women’s rights over the last twenty-five years.

An anniversary is an opportunity for change

Governments are preparing for the 64^th Commission on the Status of Women in late March, where they will review implementation of the Beijing Declaration and Platform for Action and challenges affecting full realization of the 2030 Agenda for
Sustainable Development.

They will recognize that no country has fully achieved equality, and that women and girls who experience multiple forms of discrimination throughout their lives are still the most held back.

If this collective reflection can be shifted into action, 2020 will become a new anniversary: a pivotal year for the accelerated realization of gender equality and the empowerment of all women and girls, everywhere.

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https://www.who.int/news-room/detail/08-03-2020-women-s-health-and-rights-25-years-of-progress

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March 8, 2020
Lufthansa further slashes flight plan over virus

German airline group Lufthansa said Monday it was extending flight cancellations on Iran and China routes until late April, part of a broader rollback because of the novel coronavirus.

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March 2, 2020
WHO Global Initiative for Childhood Cancer: progress on all fronts

Peru shows the way forward and the courage of Ander Martinez

“When Ander was diagnosed, I didn´t have the possibility to cover the cost of the treatment. It was very expensive, and I had nothing,” says Rosalina Tocto, 29 years mother of Ander Martínez Tocto. Ander had just been diagnosed with acute leukemia at the young age of 6 years. From the beginning, the odds were stacked against him. He and his family lived in a rural town, six hours from the nearest city. His parents did not have a formal job, placing the family under financial strain.

Ander and his family were not alone in this situation. “In Peru, nearly 1800 children and adolescents are diagnosed with cancer every year; however, up to 70% will have a late stage, often metastatic due to delays in diagnosis,” says Dr. Juan García, medical chief of the Pediatric Department of in the National Institute of Neoplastic Diseases (INEN) in Lima, Peru. “Most of our patients come from outside Lima and the majority of parents do not have formal employment and therefore do not have any type of insurance.”

Fortunately, Peru has made a strong commitment to Universal Health Coverage. In 2009, a law was passed to improve access to care by introducing a mandatory health insurance system and registering everyone living in extreme poverty under Seguro Integral de Salud (SIS), regardless of age or circumstance.

Dr. Reina Bustamante, Executive Director of the Division of Prevention and Control of Cancer of the MINSA says “UHC is an important step in public health particularly for those who lack public or private insurance like Ander. In this context, we are trying to follow WHO guidance to achieve UHC and ensure all individuals and communities receive the health services they need without suffering financial hardship.”

In 2019, Peru was selected as a focus country for the WHO Global Initiative for Childhood Cancer as the first focus country in the Region. The Global Initiative aims to improve survival for all children with cancer to at least 60% by 2030 while reducing suffering, altogether with the potential to save an additional one million lives.

Four main goals were formulated for the national pediatric cancer plan: (1) improve early diagnosis of childhood cancer, (2) decrease treatment abandonment, (3) implement a national pediatric cancer registry and (4) improve the quality of services in pediatric oncology units.

Dr. Liliana Vasquez, pediatric oncologist who works as an external consultant for the Division of Prevention and Control of Cancer of MINSA said, “Ten working groups have been established to achieve the goals.”

Dr. Vivian Perez, advisor of the Non-Communicable Diseases Office in PAHO-Peru added “the initial focus for the Initiative will be on six cancers selected as tracers for monitoring progress across the health system, alongside engagement of at least six focus countries with a record of strong political commitment and foundational efforts supporting children with cancer.”

For Ander, his health care team, the commitments from the government of Peru and partners and Global Initiative have made it possible to be successfully treated and will now allow him to dream of a healthy future though better access to surveillance monitoring and psycho-oncological support aimed at childhood cancer survivors.

Peru is showing what is possible for all countries. By concerted action and promoting universal health coverage, every child in the world can have access to high-quality care with the greatest likelihood of survival, and every family should be protected from financial hardship. We can do more together.

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https://www.who.int/news-room/detail/14-02-2020-who-global-initiative-for-childhood-cancer-progress-on-all-fronts

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February 27, 2020