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Malaysia braces for local transmission

kiwibird

Editor, Senior Moderator
http://www.nst.com.my/Current_News/NST/Friday/Frontpage/20090612093350/Article/index_html
H1N1 PANDEMIC: Malaysia braces for local transmission
By : Lydia Gomez

KUALA LUMPUR, Fri:

The World Health Organisation declared last night a level 6 influenza A pandemic, putting the world on the highest alert for the disease in 40 years.But Malaysia is prepared for it.



Health Minister Datuk Seri Liow Tiong Lai said the health authorities were geared up to face the threat, with heightened health measures already in place.

The WHO met late last night to assess the global H1N1 outbreak. A level 6 alert means the disease has become widespread globally. The disease has spread to more than 70 countries with about 27,000 infections.

WHO has repeatedly tried to avert panic by stressing the "mildness" of the disease as the death rate is now one per cent. After a level 6 alert, orders would go out for pharmaceutical factories to stop production of seasonal flu vaccines and start production of the H1N1 vaccine.

Liow told Bernama last night that the Health Ministry would activate the inter-ministerial influenza pandemic committee that coordinated all efforts to tackle the outbreak of H1N1 in the country.

He said health authorities were bracing for local transmission as two more new cases were reported in the country.

Although all 11 cases were foreign visitors or Malaysians returning from overseas, Liow said the authorities could not rule out the possibility of local transmission as some of the patients tested positive had been going about freely in public areas before they were quarantined.

Liow voiced frustration that the countries which had local transmission of the disease were cool towards an Asean proposal that exit screenings be carried out.

"There has been no action. Maybe the (foreign) authorities will consider it when level 6 is declared," Liow said.

With a global pandemic is declared, the Health Ministry may take screening to schools and kindergartens.

"Now, we are screening people at all entry points and airports. If it gets worse, we will go to schools and kindergartens, but we will not close them," Liow said when asked if Malaysia would follow Hong Kong's move to close schools and kindergartens to stem the spread of the disease.

"We will take drastic measures if we have to in order to keep it from spreading."

This included vaccinating frontliners under the National Influenza Pandemic Preparedness Plan.

In the event of a local transmission, the movements of affected people will be monitored closely to prevent infection.

"Although the fatality rate is just one per cent, we cannot take things for granted. Who knows how deadly the next wave of this virus will be?" Liow said.

Liow has confirmed that a 17-year-old girl and a 41-year-old woman were admitted to the Sungai Buloh Hospital and Penang Hospital after returning home from overseas.

The teenager, who returned from Melbourne on flight MH148 on Tuesday after a family visit, was sent to hospital after thermal scanners indicated that she had fever.

The hospital confirmed that she had H1N1 late on Wednesday. The woman returned from a holiday in Manila on Singapore Airlines flight SQ192 on June 6 and was hospitalised when found to have fever.

Liow said 178 passengers from both planes had been quarantined, but none had shown symptoms of the disease
 
Re: Malaysia braces for local transmission

H1N1: Who will enforce rules?
By WILLIAM DENNIS, Subang Jaya

2009/06/22

I REFER to the report on the health form rules announced by Deputy Prime Minister Tan Sri Muhyiddin Yassin on Thursday ("Compulsory to fill health form" -- NST June 19). This should have been implemented and enforced at least a few days after the first case of H1N1 infection surfaced in the country.

But in this case, it is better late than never.

According to the report, there were then 25 cases of H1N1 in the country.

Now the authorities say that anyone flying into Malaysia will have to fill a mandatory health declaration form which will be given to them on board the flight.

Failure to do so could result in a jail term of up to two years and fine of up to RM10,000.

This ruling should be enforced by the authorities. Airlines should also make sure that forms in various languages are available.

It would be pointless to carry more forms in Mandarin when the flight is not from a destination in China.

Action should be taken against the airline concerned if it can't provide the forms.

It is the responsibility of the airline concerned to provide the forms. To say that it does not have forms in its office is no excuse.

These forms should be completed on board the flight and submitted to health officers on arrival before the Immigration counter and checked to ensure that the forms were filled up and the passenger does not have any symptoms.

Submitting these forms to the Immigration officer at his counter would defeat the purpose of the exercise.

It is not his job to check the forms. This should be the function of health officers.

On June 12, I travelled on AirAsia flight AK 663 from Manila to Kuala Lumpur.

The carrier did not have sufficient forms in English. Instead, it had more forms in Mandarin. Arriving passengers had to pick up the forms at the Low-Cost Carrier Terminal.

This added to the congestion at the LCCT.

There was no health officer to check whether the forms were correctly filled. Malaysians, including myself, who cleared the Immigration formalities at the counter submitted their forms to the Immigration officer.

My form was not even looked at by him.

Well, he should not be blamed as it is not his job to check whether it was correctly filled or whether I had any symptoms.

Malaysians on AK 663 who used the scanning machines to clear their passports went through without anyone asking them for the forms.

There are laws and regulations in the country. All are implemented but I am not wrong to say that many are not enforced.

The health authorities have to ensure that the ruling is enforced.

We can't afford to have anyone shirking his responsibility if we are to keep the number of H1N1 cases low.

http://www.nst.com.my/Current_News/NST/Monday/Letters/20090622082531/Article/index_html
 
Re: Malaysia braces for local transmission

nfluenza A(H1N1): Virus spread still 'under control'

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KUALA LUMPUR, Mon:

THE spread of the Influenza A (H1N1) virus in Malaysia is still under control, and ministerial contingency plans in the event of an uncontrollable outbreak need not be implemented as yet.
Health Minister Datuk Seri Liow Tiong Lai, in giving this assurance to reporters at the Parliament lobby today, said that even though the increased number of infected Malaysians had caused the ministry some pressure, it was still manageable.

"Of course we have contingency plans. If it spreads within a community, we will close all schools. We will all use our social distancing programme, namely isolation to prevent interaction or large-scale programmes within the community.

"We have not resorted to this yet because we can still control the situation. If not, if there's a wide (out)break, social distancing measures will be implemented," he said.

He said 20 new cases were reported today with four of them due to local infection, and he urged the public to impose self-quarantine should they return from the six countries that had been identified as H1N1 high-risk countries.
He added that up till now, most of the cases of infection had happened outside Malaysia and the source of origin had been identified, making it manageable. - BERNAMA

http://www.nst.com.my/Current_News/NST/Monday/NewsBreak/20090629191114/Article/index_html
 
Re: Malaysia braces for local transmission

A full article on an A/H1N1 case in Johor:

Virus alert in Johor, Selangor

JOHOR BARU, Malaysia: The health authorities are on alert in Johor and Selangor after a student home on holiday from studies in Melbourne, Australia, was found to be infected with the influenza A (H1N1) virus.

The 20-year-old student had spent two days in Shah Alam, Selangor, with her uncle's family.

She took the bus at 3pm on June 26 from Shah Alam, Selangor, and arrived in Johor Baru at about 8pm.

Johor health director Dr Mohd Khairi Yakub said the victim had boarded the Air-Asia D2723 flight from Melbourne on June 23 and arrived at the Low-Cost Carrier Terminal in Sepang on June 24.

She was then picked up by her uncle who lived in Shah Alam, and stayed with his family before taking the bus to Johor Baru two days later.
On reaching Johor Baru, she took a ride home with her father to Kota Tinggi.

At home, she showed symptoms of coughing and fever and was taken to a clinic.

She was then placed at an isolation ward in Sultanah Aminah Hospital on Saturday.

Yesterday, the student was confirmed to be H1N1 positive.

Both her family and her uncle's family have been instructed to undergo home quarantine.

The health authorities in Selangor have been informed of the matter.

There are now three confirmed cases of H1N1 in Johor. The second case was detected on Saturday, where the victim was an 11-year-old Indonesian girl on a holiday trip with her family in Johor.

In Kuala Lumpur, the Health director-general said Malaysia is not considered to be in a critical stage even with new cases of influenza A (H1N1) being reported daily.

Tan Sri Dr Ismail Merican said every country was also reporting new cases of the virus daily and the number in Malaysia was not as many as in other countries.

Speaking at a press conference yesterday, he cautioned, however, that the new cases being reported should not be taken lightly and he urged everyone to be responsible.

"The message is that if we are complacent, the cases will increase and we will have to be worried about the second- and third-generation transmission stages."

As of yesterday, 12 new cases were reported, with one being a locally-transmitted case involving a 15-month-old baby.

The baby contracted the virus from his mother, the country's 86th case after she came back from visiting Phuket in Thailand.

The number of confirmed cases in the country had risen to 124 yesterday, with 106 imported cases and 18 locally-transmitted ones.

Besides Melbourne, London and the United States, he said there were also now confirmed cases from people returning from Jakarta.

While the current situation does not warrant the government issuing travel restrictions, Dr Ismail advised Malaysians to postpone their trips overseas.

"I'm sure the Tourism Ministry, airline companies and our own ministry are worried. But, if you go to places like Melbourne and Jakarta, you run the risk of getting the disease." -NST

http://health.asiaone.com/Health/News/Story/A1Story20090629-151510.html
 
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