I’ve been there X2.
IMO CPRC have little sense of what’s happening at CAC.
Since Feb 2021, none from CPRC visited this biggest & busiest CAC except on 12/5/2021.
The CAC TOR is vague.
One only feels & emphatize with the burden when one sees the insanity at CAC Stadium Melawati
Logistics were haywire.
KKM could not even provide air-conditioning to the stadium!
Imagine volunteers & drs boiling in the PPEs!
And our sick patients in the sizzling hot Stadium. @ProfAdeeba et al sought CSR from GLCs and secured air-con within 24 hrs!
I did not wanna interfere. But suggested the following ideas: 1. Get a few senior drs to walk OUT into the long queue. 2. Interview cases & if need be do a focused physical exam. 3. If clinically diagnose Cat 1 or 2 allow home.
4. Equip them with:
a. Guidelines for Home Isolation.
b. Fix them with SELangkah or UM COSMOS home monitoring.
c. Clear instructions to seek medical assistance if condition deteriorates. m.malaysiakini.com/news/557120
5. This way you:
a. Relieve up to 80% of Cat 1 & 2 cases from entering the Stadium.
b. Do not expose them esp the kids, pregnant, young, no co-morbids to the “toxic air” inside the stadium.
6. By triaging in the open air the risk of COVID transmission is 18X less than in the closed Stadium 7. Our drs can focus on sicker Cat 3-5 cases 8. And our volunteers & Pusat Kesihatan staff can balik earlier!
• • •
Missing some Tweet in this thread? You can try to
force a refresh
22 nations in Global BLS Movement
1️⃣ Australia 🇦🇺
2️⃣ Philippines 🇵🇭
3️⃣ Malaysia 🇲🇾
4️⃣ Indonesia 🇮🇩
5️⃣ Pakistan 🇵🇰
6️⃣ India 🇮🇳
7️⃣ Jordan 🇯🇴
8️⃣ Kenya 🇰🇪
9️⃣ South Africa 🇿🇦
🔟 Ghana 🇬🇭
@FIMAweb
@imamalaysia
@imaret_my
@BritishIMA
Catch-up Pneumococcal Vaccination for Children born in 2018 & 2019
✅From June 2023-May 2024
✅Don’t miss this 1 shot of PCV13 vaccine
✅Walk in at Health Centers OR
✅Register on My-Sejahtera
✅Please inform all parents with kids born in 2018 & 2019 who have not received the 1 dose Pneumococcal Vaccine (PCV13) to get it ASAP at all our KKM Health Centers.
✅Protect against Pneumococcal meningitis, pneumonia, ear infections, sinusitis.
#CatchUpPCV13
#BeWiseImmunise
The ABC of Vaccination: 1. Coverage 2. Coverage 3. Coverage
Coverage of PCV for 2020 birth cohort from Jan-Sept 2021:
1st dose: 95%
2nd dose: 93%
Dropped during pandemic 🥵
Let’s target coverage at least >70% for herd immunity
Setakat 19 Ogos 2023 (7.5 bln) ▶️23 kematian Pertussis!
Tertinggi sejak 2011
Melebehi 22 kematian pada tahun 2018.
19/22 (86%) kematian 2018 berumur <6 bln.
Audit terperinci mesti dikongsi untuk intervensi kesihatan umum yg tepat.
Susah nak cari data KKM
Boleh share di-DOSM?
Kebanyakan kes Pertussis:
✅Terlalu muda untuk vaksin (un-vaccinated) ✅Tak cukup dos vaksin untuk umur (under-vaccinated)
Solusi untuk ⬇️ kes dan kematian Pertussis:
✅Vaksin Tdap (Tetanus-Diphteria-Pertussis) ibu hamil utk melindungi bayi
✅Vaksin 6 serangkai (termasuk Pertussis) 2,3,5,18 bulan yang pertama
✅Vaksin tambahan untuk remaja dan dewasa
Just thinking!
The issues in the MOH are
✅Chronic maybe 10-20 yrs
✅With an acute on chronic crisis
✅Due to the acts of omission or commission
✅Mainly by technocrats warming seats in Putrajaya
✅Who marginalised the best & bold brains in MOH who dared to open their mouths
✅But of course the jurassic political stewardship is like hopeless with no roadmap for the future of healthcare
✅But despite lousy political masters, I’ve served under 2 excellent DG’s who made MOH a class act
✅Undoubtedly the current YBMK can do better.
✅But if one has a mediocre set of technocrats, one is compromised in one’s health deliverables.
✅And mind you, this technocrat malaise is not just in the MOH
✅The paucity of ideas, imagination, motivations & skill sets is pervasive in the civil service-kinda open secret la!
Calibration from the perspective of Maqasid (Higher Objectives) Shari’ah:
⬆️No of lives saved: Hifz an-Nafs
▶️To live another day to repent & improve: Hifz ad-Deen
⬇️Morbidities to preserve their intellect & progeny: Hifz al-Aql & Hifz an-Nasl
⬆️Cost-savings: Hifz al-Maal
1980s- Heroin abuse considered a🇲🇾national threat
Drug rehab programs failed miserably!
Criminal & punitive centric👊
Prevalence:
Malay IVDU▶️87% (2009)
Majority▶️20-29 yr (2009)
IVDU Quality of Life (QOL)
❌Very poor QOL
❌Frequently ill
Since 1998 I’ve cared for women & children living with HIV/AIDS in @imamalaysia Rumah Solehah
I have some insight into the problem though not as great @adeeba@ummuafeera whose passion & dedication I totally admire & respect!
✅Unfortunately, many who dabble in the PrEP issue have virtually no hands on experience in dealing with this most painful, sensitive & explosive issue.
✅They lack empathy and more crucially, they lack rahmah, compassion & love for the marginalised communities
✅They stigmatise further these vulnerable groups mainly young Muslims, instead of engaging with them to decrease their risky behavior & saving them from being infected with HIV/AIDS
✅You don’t achieve abstinence with one turn-over camp or 1-2 sessions of dr consult!