DG MOH 1991-2001:
“many questions had been raised by the suspension of Parliament, adding that the rationale behind it was not clear to him”
“must ensure that all his decisions were made with professionalism rather than political considerations. freemalaysiatoday.com/category/natio…
God gave him a golden opportunity to save 32 million people.
To save a whole nation in crisis and engulfed in a deadly pandemic.
Instead he chose to save one person.
An unprecedented dereliction of trust & responsibility.
Dishonouring a doctor’s oath Primum Non Nocere
Parlimen: 1. 90% vaccinated ie Herd Immunity
2. Positive rate 0.8% Very much less than WHO 5% threshold
Parlimen one of the safest place on earth after NZ!
Science: Parlimen boleh bersidang
Vigilant Surveillance:
1 Ensure aides, reporters, support staff kept to bare minimum ie WFH
2 MPs and these staff should be
a. vaccinated 2 doses
b. asymptomatic
c. do daily RTK-Ag testing (saliva)
d. or blow into covid breath analyser b4 entering parlimen (results in 2 mins)
3. Maintenance of parlimen:
a. Ensure fresh outdoor air ventilation
b. Ventilation system in excellent working order
c. Purge the air daily for 2 hr before MP occupy hall
d. Minimize indoor air circulation
e. Use universal plexiglass as physical barrier - done
f. Install no contact infrastructure - touchless tech for soap dispensers/sanitizers/paper towels
g. Keep surfaces clean
h. Good toilet hygiene - ensure exhaust fans on all the time with doors and windows closed etc.
4. Or sidang hybrid or worst case scenario sidang virtual
Hendak seribu daya!
Tak hendak seribu dalih!
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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!