Sunday, April 2, 2017

Eyeing awareness program to end Tuberculosis in Malaysia


Penyakit Tuberkulosis (tibi) atau dikenali juga sebagai ‘batuk kering’ telah lama wujud di negara kita. Pertubuhan Kesihatan Sedunia (WHO) menganggarkan 10.4 juta kes Tibi di seluruh dunia bagi  tahun 2015 dan 1.8 juta kematian yang disebabkan oleh penyakit Tibi.  Bagi Kuala Lumpur, pada tahun 2016, terdapat 1,903 kes Tibi telah dilaporkan, iaitu peningkatan sebanyak 4.6% berbanding 1819 kes yang dilaporkan pada tahun 2015. Jumlah kematian Tibi pada tahun 2016 di Kuala Lumpur adalah seramai 73 orang.

Hari Tibi Sedunia disambut di peringkat Wilayah Persekutuan Kuala Lumpur & Putrajaya setiap tahun adalah bagi tujuan meningkatkan kesedaran, komitmen serta sokongan pelbagai pihak terhadap usaha-usaha pencegahan dan kawalan penyakit Tibi yang dilakukan di seluruh negara di samping memperingati sejarah penemuan kuman Mycobacterium Tuberculosis oleh Dr. Robert Koch pada 24 Mac, 1882.Tema bagi sambutan hari Tibi sedunia adalah “Bersatu Ke Arah Malaysia Bebas Tibi”. Tema ini membawa maksud pihak kementerian menyeru komitmen semua pihak yang memberi perkhidmatan kesihatan berkaitan penyakit Tibi di negara ini termasuklah fasiliti kesihatan swasta, pertubuhan bukan kerajaan (NGOs), kerajaan tempatan dan masyarakat setempat untuk bersama-sama berganding bahu dalam membanteras penyakit Tibi serta menjamin rakyat sihat tanpa Tibi.

WHO di dalam End TB Strategy berhasrat untuk menjadikan dunia bebas Tibi pada tahun 2035 di mana Kadar Insiden Tibi akan diturunkan sebanyak 90% (berbanding  data tahun 2015); dan  jumlah kematian Tibi  akan diturunkan sebanyak 95% menjelang tahun 2035 (berbanding data pada tahun 2015).  Bagi memastikan Malaysia melangkah seiring dengan sasaran yang ditetapkan oleh WHO tersebut, kementerian telah merangka ‘Pelan Strategik Kawalan Tibi Kebangsaan (2016-2020)’.

Terdapat tiga (3) komponen utama pelan strategik ini. Komponen pertama adalah fokus kepada aspek diagnosis dan rawatan pesakit Tibi. Komponen kedua adalah fokus kepada komitmen politik, penglibatan agensi kerajaan, NGO, pengamal perubatan swasta dan komuniti di dalam aktiviti pencegahan penyakit Tibi. Sokongan daripada sukarelawan terlatih diperlukan bagi memastikan pesakit mengambil ubatan Tibi setiap hari selama 6 bulan dan tiada lagi kes terhenti rawatan. Analisa kohort 2015 mendapati sejumlah 1,296 pesakit Tibi telah terhenti rawatan. Pesakit terhenti rawatan ini berisiko mendapat penyakit Tibi resistant atau MDR-TB. Pesakit MDR-TB perlu mengambil ubatan anti- Tibi second line yang lebih lama iaitu satu hingga dua tahun dan kos rawatan adalah lebih tinggi. Pada tahun 2016, sejumlah 70 kes MDR-TB telah dikesan di negara kita. Komponen ketiga adalah kajian yang intensif dan inovasi amat digalakkan bagi membantu dalam program kawalan penyakit Tibi yang lebih berkesan dan efektif.

Penyakit tibi merebak melalui udara. Diantara tanda-tanda penyakit tibi adalah batuk-batuk yang berpanjangan melebihi dua (2) minggu, demam, berpeluh waktu malam, kurang selera makan, susut berat badan dan batuk berdarah. Orang ramai yang mempunyai tanda-tanda ini perlu tampil ke klinik-klinik kesihatan dan hospital yang berhampiran bagi melakukan pemeriksaan kesihatan dan ujian saringan penyakit Tibi iaitu pemeriksaan kahak di bawah mikroskop dan ujian x-ray dada. Menurut kajian, satu (1) pesakit Tibi smear positif yang tidak dirawat boleh menyebarkan kuman Tibi sehingga wujud pula 10 hingga 15 pesakit Tibi baru setiap tahun.

Masyarakat perlu lebih peka tentang tanda-tanda penyakit tibi dan memberikan kerja sama yang baik apabila diarahkan oleh pihak kesihatan untuk membuat pemeriksaan terutama di kalangan kontak atau keluarga pesakit. Ini kerana mereka berkemungkinan besar mempunyai “Latent Tibi” yang bermaksud mereka sudah terkena jangkitan namun belum menunjukkan gejala penyakit. Mereka ini berisiko tinggi untuk mengidap tibi kemudiannya.

Hebahan mengenai penyakit tibi akan diteruskan agar maklumat mengenai penyakit tibi dapat dihayati oleh segenap lapisan masyarakat. Dengan komitmen yang tinggi oleh anggota kesihatan di samping kerjasama yang erat dari segenap lapisan masyarakat, hasrat Malaysia untuk bebas Tibi menjelang tahun 2035 akan menjadi kenyataan.

Monday, January 30, 2017

Eyeing the E Card for temporary illegal foreign workers

PETALING JAYA: 
The registration can be made at all Immigration Department offices in the peninsula.Employers can start registering their illegal foreign workers under the Immigration Department’s E-kad programme starting Feb 15.
Equipped with a biometric security system, the E-kad registration will be free and valid for a year.
Department director-general Datuk Seri Mustafar Ali said last week that employers could apply for the E-kad between Feb 15 and June 30.
For the illegal foreign workers to qualify for the E-kad, they must be presently employed and adhere to the existing rehiring programme’s regulations.
Under the programme’s current regulations, only those below 45 years are allowed to apply.
Malay Merchants and Entre­preneurs Association vice-president Datuk Naim Mohamad welcomed the move, as it could save time and cost for employers.
“It is more beneficial compared to rounding up illegal immigrants and then deporting them to their home countries, as this could deprive employers of much needed workers,” he said.
Naim suggested that the authorities implement a proper tracking and monitoring system that could be established for those registered under the programme.
“This way, if their contract is extended, their data will be available for easy monitoring.
“This can address problems related to security issues and their possible involvement in criminal activities,” he said.
Naim also suggested that a similar approach be extended to Sabah and Sarawak.

Read more at http://www.thestar.com.my/news/nation/2017/01/30/raise-worker-ekad-age-limit-to-55-say-restaurant-owners/#G13O6J8B9UEi2rUa.99

Tuesday, January 3, 2017

Eyeing Isham Jalil's take on BR1M'S BIGGER PICTURE

"In the 80s and 90s, we were so busy building skyscrapers and mega projects we forgot to develop our social security system adequately. Although the poverty rate then was as high as thirty percent, only a handful of people received direct income supports from the government and none received income support when they were involuntarily out of work or faced with personal financial crisis."

"No wonder during the 1997-1999 economic crisis, when unemployment rate suddenly sprung up, hundreds of thousands of people went to the streets to protest led by the then sacked Finance Minister Datuk Seri Anwar
Ibrahim. The hundreds of thousands of people marched on the streets perhaps not because of Anwar, but because they had just lost their jobs and they were angry. And there was no social security net to help them. Anwar took the opportunity to gain mass support, and he rode the wave of mass dissent that was already there. Crime rate and incidence of violence shot up tremendously."

"Some experts have posited that though in 1999 many people applauded the then Prime Minister for steering the nation out of the worst economic crisis the country has ever seen, he and the sacked Finance Minister Anwar Ibrahim were actually responsible for causing the crisis in the first place. Also responsible, George Soros just took the opportunity on the weaknesses and cracks in the management of the Malaysian economy that had already been building up for months prior to the crisis."

"In the 80s and 90s there was also this belief that if you develop several big businesses, the benefits would trickle down to the people on the ground too. The thinking that if you help the few people at the top it would in turn translate into them helping the many poor at the bottom. During this era, the administration used this notion as a policy to justify channeling huge government resources to several selected businessmen to become big business tycoons. Many people at the top became richer, but unfortunately not much trickled down."

"Between 1989 and 1997, the share of total national income for the bottom forty- percent group dropped from 15 percent to 13 percent compared to an increase from 50 percent to 52 percent for the top twenty-percent group. As cliché as it may sound, the saying “the rich becomes richer and the poor poorer” had actually become true in that period."

"The current increase in cost of living is much affected by the policy of yesteryears in the 90s that becomes a legacy problem now. During the 90s much of infrastructure development such as highways and power plants were built through privatization policy and financed by committing the people to pay the private concessionaire companies for the use of the infrastructure decades into the future. In the early 90s, the economy was booming. Overestimates of income growth by the administration then had in turn committed the public to pay high payments to highway toll concessions and the independent power producers (IPPs)."

"At the end of the day, as a society we will be judged not by how we treat the richest and most fortunate among us, but by how we treat the poorest and least fortunate among us. And the exemplary manifestation of this belief is going to be the most important legacy of Prime Minister Najib Razak."