Report
THE MALAYSIAN PAEDIATRIC ASSOCIATION AUGUST 2013 FOR MEMBERS ONLY
Editorial Board 500 attend Datuk Dr Zulkifli Ismail Dr Yong Junina Fadzil th MPA 2013 – 2015 35 MPA Congress EXECUTIVE COMMITTEE 27 – 30 June 2013 President Dr Kok Chin Leong Immediate Past President Dr Noor Khatijah Nurani Vice-President Dr Thiyagar Nadarajaw Secretary Assoc Prof Dr Tang Swee Fong Asst Secretary Dr Hung Liang Choo Treasurer Dato’ Dr Musa Mohd Nordin Committee Members Datuk Dr Zulkifli Hj Ismail Dr Koh Chong Tuan Datuk Dr Soo Thian Lian Dr Selva Kumar Sivapunniam Dr Ariffin Nasir Part of the 500 strong delegates attentively listening to a plenary. Dr Muhammad Yazid Jalaludin Co-opted Committee Members Prof Datuk Dr Mohd Sham Kasim The 35th MPA Annual Scientific Almost 500 delegates made it to Dato’ Dr Hussain Imam Haji Mohd Ismail Congress started with a plenary the congress at the Gambang Professor Dr Zabidi Azhar Hussin by Dato’ Dr Hussain Imam, the MICE Centre. The 42 posters put Honorary Auditors Chief Paediatrician, who talked up were of high quality, as were Dr Lim Wei Leng about consolidating acute the Young Investigator Award oral Dr Khoo Teik Beng paediatric services in Malaysia. presentations. It was difficult to Affiliated to: He talked in great depth about decide on a winner for both. s -ALAYSIAN #OUNCIL &OR #HILD 7ELFARE s !3%!. 0EDIATRIC &EDERATION Advanced Paediatric Life Support Dr Steve Keeley was made to work s !SIAN 0ACIlC 0EDIATRIC !SSOCIATION and the need to have every very hard with 5 talks and having to – APPA (Previously Association of Paediatrician trained. Dr Steve judge the YIA. The winners of both Pediatric Societies of the South East Asian Region – APSSEAR) Keeley, a paediatric intensivist from the YIA and poster presentations s )NTERNATIONAL 0EDIATRIC !SSOCIATION Adelaide, Australia then talked deserved to win and we hope (IPA) about the seamless transition from there will be more of quality The Berita MPA is published for members to keep them informed of the activities of the the emergency department to the presentations in future. We also Association and to keep up with developments in paediatrics and child health. intensive care unit and the special urge the presenters to write and The views & opinions in all the articles need for trauma life support training submit their work to journals are entirely those of the authors unless otherwise specified. in the ED. especially our own MJPCH. We invite articles and feedback from readers – Editor
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From The President
From the President’s Desk
Dear friends and colleagues, in East Malaysia, the abused and neglected, and the orang asli’s &IRST OF ALL ) WOULD LIKE TO accessibility to care. We must CONGRATULATE $R .OOR +HATIJAH THE remain as strong advocates and the strength of social media and its Past President and her team for the voice for our children, fighting far-reaching network, our initiatives deciding to have the 35th Annual for equal rights, right for education, in protecting our children from Malaysian Paediatric Congress in and right for health. If every single deadly diseases may be disrupted. Bukit Gambang. It has been a long soul working in child health were My thanks to the two Immunisation time since MPA had a blend of a to defend for their rights, regional Champions, Dr Zulkifli Ismail and Dr &AMILY $AY OUTING WITH THE SERIOUS or globally, or even in their own -USA -OHD .ORDIN FOR THEIR TIRELESS business of Paediatric Emergencies. community, our children will fare effort to promote immunisation Despite the delegates being locked better than most. So, come out as the best means of disease down and mumbling of inadequate and be an advocate for our prevention. We will not go head to amenities, most enjoyed the children, wherever you may be! head with the anti-vaccine lot but discussions, sharing and fellowships. counter with our constant reminder In the same note, I would like to In the same note about advocates in the same media about the THANK $R .OOR +HATIJAH FOR PRESIDING for our children, I feel there is a benefits of immunisation. Through over the Association for the past need to generate more interest )MMUNISED,IFE )&, LAUNCHED two years. among the medical students, recently, we hope to spread the house-officers, medical officers .OW THE hNEW TEAMv TAKES OVER good news, now what we need and nurses in paediatrics and I would like to thank my fellow is your support and visit the sites child healthcare in general. colleagues from the previous (www.ifl.my or www.immunise4life. I feel there is a great need for EXCO to continue supporting, and my) and share the news via your more paediatricians and more sacrificing their time for MPA for the social network. importantly also to join as members next two years. I think they had no of MPA to lend greater voice for As for the next two years we will choice during the election, as all of your faternity. We must never continue to organise CPDs, Current them have done such a great work forget the behind-the-scene Issue Debates and discussions, for MPA all these years. I hope, the people who always complete our conferences and public mass team and I will bring continuity with care of the child, the Paediatric publications. a difference as there are many nurses. We must support and issues lying ahead for MPA. To all members, we welcome encourage the Paediatric nursing more feedback and make this Let’s advocate for fraternity and co-opt them as association more interesting, children’s rights strong advocates for the children current and with greater vibes. of our state. I am sure there are The state of children in our country such nurses around and we have To our Muslim members and friends, remains our immediate issue. By to get them to be more visible in Selamat Berpuasa and Selamat 2015 we have to achieve the 0AEDIATRIC .URSING Hari Raya Aidil Fitri! Millennium Development Goals (MDG) set years ago. We are Vaccine advocacy nearing there, and yet not there. Kok Chin Leong With regard to current immediate There are children in pockets [email protected] issues, the problem of anti-vaccine within our community that are President 2013-2015 groups comes into my mind. Using STILL MARGINALISED IE THE hILLEGALSv
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Isolated venue The venue was in the middle of Gambang which is essentially in the middle of the state of Pahang with no place to go other than the adjacent water park and safari park. This made sure that the halls in the three concurrent symposia were filled with delegates as there was nowhere they could go! The drizzling rain helped increase our congress attendance this year.
The symposia topics were well chosen and added useful information for both the young and the senior paediatricians. One especially notable symposium GIVEN BY $ATUK $R 3OO 4HIAN ,IAN ENTITLED h7HEN Surprise! Belly-dancing during the Arabian Nites themed dinner. 3EAFOOD 3TRIKES "ACKv ON THE RED TIDE IN 3ABAH jellyfish stings and other sea-related mishaps was both enjoyable and interesting. The other one was on hornet STINGS IN +ELANTAN BY $R .IK :AINAL FROM (53- 4HE malaria symposium showed Plasmodium knowlesii as the newest malaria parasite that we did not learn in medical school. There were many small pearls of wisdom that the delegates could pick from the 15 symposia, 3 meet-the-expert sessions and 4 plenary lectures.
Arabian themed dinner 4HE DINNER WAS THEMED !RABIAN .IGHTS AND A FEW ACTUALLY CAME DRESSED APPROPRIATELY 0ROF &ATIMAH Harun being the most notable. She won the most appropriately dressed female while Dr Yeoh won the male version. Even the mc was dressed like an Egyptian pharaoh. Time to meet old friends for Dr Zain, Senior Paediatrician.
The weather was not in our favour as it rained in the evenings so we had to cancel the games that we were all looking forward to! We had to settle for some sedate indoor games but the outdoor ones were postponed to the next day. The enthusiasm had faded by then and turnout was dismal.
Overall our 35th congress was educational and fruitful for all delegates, their families, industry sponsors and the faculty. Having three simultaneous symposia allowed delegates to attend more sessions and proved to be MORE SATISFYING FOR ALL &AMILIES WERE SEEN ENJOYING themselves in the swimming pool, adjacent water park and safari. Dinner attendees enjoying the shows. Old and new friends parted ways on the last Sunday of June, with the unspoken promise to meet again in 0ENANG NEXT YEAR FOR THE !3%!. 0AEDIATRIC &EDERATION Conference that we will be hosting and organising.
Zulkifli Ismail drzulkifl[email protected]
ReportMPA News 35th AGM – Better attendance
The 35th annual general meeting Election Year (AGM) of the MPA held on Being an election year (MPA Saturday 29th June 2013 was fairly election occurs every two well attended compared with years from 2005 onwards), previous AGMs. The attendees the elections were held by a comprised of different generations show of hands with a simple of the membership. majority. The MPA Vice- President, Dr Kok Chin Leong /UR OUTGOING 0RESIDENT $R .OOR from Johore, was elected +HATIJAH .URANI GAVE A SHORT as the new President for welcome followed by her report. the term 2013-15. The new After the secretary’s report by Vice-Presudent is Dr Thiayagar from new face, Dr Muhammad Yazid !SSOC 0ROF 4ANG 3WEE &ONG OUR Kedah who has actively organised Jalaludin. The new line-up is on treasurer, Dato’ Dr Musa Mohd activities in his state for MPA and page 1 of this BMPA issue. .ORDIN PRESENTED THE ACCOUNTS MMA, mainly on adolescent health issues. Our Secretary, Assoc .OT MANY ISSUES WERE BROUGHT As in previous AGMs, there 0ROF 4ANG 3WEE &ONG GRACIOUSLY up after the incoming President’s were many queries about the accepted re-election to the same remarks that stressed on continuing accounts. These were not about post providing continuity with our efforts in promoting child any misappropriation but about her super-efficient and excellent health and paediatrics and being documentation and clarification. work. Despite asking not to be inclusive in our activities especially Being the MPA treasurer is nominated and wanting to take a with vaccine advocacy. indeed a thankless job! Under BREAK $ATO $R -USA -OHD .ORDIN the circumstances and with the was re-elected as our Treasurer – The AGM adjourned to the MPA cooperation of everybody in the nobody else wanted to get in the congress dinner later in the committee, we have managed our line of fire at the next AGM when evening. money very well, enough to fund the accounts are presented! The our various state subcommittees committee members remained Zulkifli Ismail with some left over to buy property the same with the addition of a drzulkifl[email protected] to house our secretariat.
Dr Kok Chin Leong takes over The 35th Annual Malaya in 1982 and working as a Clinical Information system since General Meeting Medical Officer, he joined the UKM 2003. He is also a Surveyor for on Saturday 29th Master of Medicine (Paediatrics) the Malaysian Society for Quality June 2013 saw the (MMed(Paed)) training programme Health (MSQH) since 2011. election of the in 1986. He completed his new MPA President. Dr Kok Chin paediatric training in 1990 and Additional interests Leong from Johor Bahru takes over obtained the MRCP (UK) the same FROM $R .OOR +HATIJAH .URANI FROM year. He then worked in Hospital Other than his clinical interests in Ipoh, who looked relieved that the Sultanah Aminah, Johor Bahru and paediatric infectious diseases and weight was lifted off her shoulders was the Head of the Paediatric allergic disorders, he also has a and placed on the incoming Department in Batu Pahat Hospital management interest in clinical president. until he made the leap to the governance and patient safety, private sector in 1994. clinician performance and self Dr Kok is a Paediatrician working appraisal, and health informatics. in KPJ Puteri Specialist Hospital He is currently working at Puteri Johor and as its Medical Director. Specialist Hospital in Johor Bahru With such an extensive experience He is pretty tech savvy, having and was appointed as the as a clinician and a manager, helped KPJ develop the clinical hospital Medical Director 2000-6, MPA should be able to progress information system. is an independent non-executive much farther and faster under his director of KPJ Healthcare Berhad leadership in the next two years. Early years... from 2005, Chairman of the KPJ Clinical Governance Committee [email protected] After graduating from Universiti and Advisor to the KPJ Group IT
ReportReport DoktorBudak.Com
Clockwise from upper left : Dr Faisal Mohd Fadzli, Dr Mohd Zaqrul Razmal, Dr Zahilah Filzah Zulkifli, Dr Soong Eileen (middle), Dr Wong Wei Yin.
The cute baby who came in with seizure after days of diarrhoea. The little girl who fell down the stairs in her walker. The short boy who got teased at school and has mild daily cough for months. The mother who was advised by her relative to stop her child’s inhaler for fear of dependency. The boy who finally came to clinic at 5 years of age for speech delay. The parents who refused their child vaccination after reading comments on OHUB Malaysia (Our Healthy Unvaccinated Baby) Facebook page.
The list is endless. There are times when it feels like there their time on social networking and search engines, is not much we can do to prevent this unless they are $OKTORBUDAKCOM IS MADE ACCESSIBLE ON &ACEBOOK right in front of us. We know that parents would have and Twitter as well. made wiser decisions if they knew better. Doktorbudak.com receive many questions daily – some With this in mind and the desire to reach out beyond answered directly at ‘Ask A Question’ section and the parents we meet in clinics and wards, we as a some answered in the form of articles. Interestingly, group of young paediatricians created Doktorbudak. we found a number of questions asked on acute com. This is an online endeavour to educate parents cases despite having put a disclaimer that the blog and caretakers on issues concerning child health. We does not replace a proper assessment by doctors/ believe, as a team, we will have a stronger voice and paediatricians. This proves that some parents do not hopefully make a bigger impact. The blog is set in a see the urgency in the symptoms and do not know Q&A format to allow us to analyse common questions what to do. The level of knowledge among Malaysian and concerns among Malaysian parents. Our aim parents on child health is suprisingly low. is to provide information that is easy to understand, encourage parents to seek opinion to avoid delay in Since we launched 12 days ago, the response has treatment and to allay parental concerns on certain been better than expected and we are coping to issues e.g vaccination. We realise that this is one of the answer the many questions received. The blog has fastest ways to reach out to parents and caretakers REACHED HITS &ACEBOOK FOLLOWERS AND in our mission to educate the public with the hope of Twitter followers. Yet, this is still ‘work in progress’ as we improving child healthcare in Malaysia. are still very far from our target. We realise we cannot achieve this alone so we hope this independent project According to ‘The Internet World’ stats, there were of ours will be able to play a part in the overall effort of more than 17 millions Malaysian internet users in paediatricians in Malaysia to improve the healthcare of 2012. This has been made easy with smartphones our children. as the internet is now literally at the tip of the finger. Information is easily obtained from the internet and thus We were delighted to have been featured in Berita has its obvious disadvantages. OHUB Malaysia for one MPA. This acknowledgement means a lot to us and is aggresively spreading myths and misconceptions on we would like to express our gratitude for the support. vaccination and while the issue is not new, it is getting Thank you. worse. They have more than 10,000 members to date. Therefore, paediatricians too should leverage on this Zahilah Filzah Zulkifli, online media to create a voice that advocate child on behalf of DoktorBudak Team health. Recognizing that most users primarily spend [email protected]
Editor’s note: My daughter forwarded the link to this FB account and I was impressed with the work that these young paediatricians have done. They deserve to be praised and we urge as many paediatricians and members as possible to ‘Like’ the page and help them promote the site through your own social networks. Great work guys!
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6th WORLD CONGRESS Paediatric Cardiology & Cardiac Surgery Cape Town South Africa 17 – 22 February 2013
The 6th World Congress of Paediatric Cardiology and Cardiac Surgery was held in Cape Town, South Africa from n &EB )T WAS A BUSY congress packed with a wide range of excellent scientific topics. There were 6 concurrent tracks and within each track, 2-3 concurrent sessions. In addition, there were 4 concurrent breakfast symposia every morning starting at 7.00am, 2 concurrent plenaries from 9am – 10am and 3 concurrent dinner symposia on Some Malaysian Paediatric Cardiologists with Dr Gerald Marx from Boston Chidlren’s Monday, Tuesday and Thursday Hospital. Author is 3rd from left. night from 6.30pm – 10.00pm.
The 6 tracks were:
Track 1: Surgery, Anaesthesia and Intensive Care Track 2: Catheter Interventions from Fetus to Adult Track 3: Health Systems and Heart Disease Track 4: Adults with Congenital Heart Disease, and the prevention of Acquired Heart Disease Starting in Childhood Track 5: Cardiology and The Imaging Revolution Track 6: Nursing Science
As such, the participants needed to plan and decide the tracks or symposia that they want to attend well in advance in order not to miss the sessions. I would like to highlight a few major topics that I attended.
Rheumatic Fever and Rheumatic Heart Disease As the congress was held in South Africa, a developing country where there is a high prevalence of rheumatic heart disease, there was a plenary on `Eradicating rheumatic heart disease in our lifetime’ followed by several symposia and sessions on rheumatic heart disease in tracks 3 and 5. There was also a night forum on rheumatic heart disease. Apart from the science of the disease, there were discussions and sharing of programs from different countries regarding their strategies to prevent rheumatic fever and rheumatic heart disease, the
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problems and challenges that they encountered risks such as obesity, diabetes, smoking, hyperlipidemia and the solutions to these challenges. These countries and hypertension should start from young. INCLUDED 3OUTH !FRICA +ENYA .IGERIA )NDIA 0AKISTAN A few of the sessions were informative as well as .EPAL !USTRALIA AND .EW :EALAND 4HE 7OULD (EART hilarious. There was a slide showing a young boy of &EDERATION ALSO SHARED THEIR PROGRAMS FOR RHEUMATIC about 10 years old, obese and smoking!! fever and rheumatic heart disease. The emphases were on increasing awareness, education of public Cardiology Procedure Registry and healthcare providers on primordial and primary A practical guide to starting a nationwide registry preventions, the importance of effective and efficient of cardiac procedures was presented by Dr. Jeffrey secondary prevention strategies, tertiary prevention. Jacob from John Hopkins Hospital, USA who has vast Participants were encouraged to incorporate these experience and sits on task force of many registries. His PROGRAMS INTO THE NATIONAL .#$ PROGRAMS USING THE recommendations included the following components: diagonal approach, instead of the traditional vertical or horizontal approach.
1. Common language using the nomenclature Adult Congenital Heart Disease from the International Pediatric and As cardiac surgery becomes easily available and many Congenital Cardiac Code by The children with complex congenital heart lesions are )NTERNATIONAL 3OCIETY FOR .OMENCLATURE OF palliated, they grow up to join the adult population. Pediatric and Congenital Heart Disease. The cumulative number of these patients will increase 2. Mechanism of data collection over time. 3. Mechanism of evaluating case complexity 4. Mechanism of verifying data validity and Apart from the discussion on basic morphology of accuracy the congenital heart lesions, imaging modalities, catheter intervention and surgery; management of 5. Collaboration with subspecialties these patients in their adulthood were discussed. The 6. Longitudinal follow-up, including data lesions that were extensively discussed were Tetralogy merge and analysis with other database OF &ALLOT UNIVENTRICULAR HEART WITH &ONTAN PROCEDURES 7. Quality improvement activities that transposition of the great arteries post arterial switch include analysis of structure measures, operation and Ebstein’s anomaly. process measures and outcome measures. These activities should transform from a Preventive Cardiology platform of outcome measures to quality Health maintenance and preventative cardiology is improvement measures focusing on the tail the way to go, rather than treating diseases at their end of the bell-shaped curve in order to reduce variations. advanced stages with expensive and ineffective TREATMENT .ON #OMMUNICABLE $ISEASES .#$S AND DEATHS DUE TO .#$S ARE PROJECTED TO INCREASE BY 15% globally. The impact is mainly in the developing His dictum was: Science tells us what we can do, countries that have low or medium income, but Guideline tells us what to do, HAVE TO BEAR THE DOUBLE BURDEN OF .#$S AND Registry tells us what we are actually infectious diseases. doing.
.INE RISK FACTORS CAUSE OF MYOCARDIAL INFARCTION However, starting and maintaining registries are in male and 94% in female. The main risk factors expensive as shared by the South African cardiologists. are obesity, diabetes, smoking, hyperlipidemia and Since 2008, several attempts at starting the cardiac hypertension. History of Kawasaki disease is now procedure registries in South Africa failed due to considered a cardiovascular risk factor. Cardiovascular inadequate funding and lack of human resources. deaths constitute 30-40% of all mortality. In a study by Tuscu published in Circulation 2001, prevalence of After an enriching experience in Cape Town, the next atherosclerosis by donor age was 17% in donors less world congress is going to be held in an equally exotic, than 20 years old, increased to 37% in 20-29 years and historic city of Istanbul, Turkey in 2017. 60% in 30-39 years age group. As such, atherosclerosis is a disease of childhood. It starts at fetal life and accelerates through teenage and adulthood. Prepared by: 0ROGRAMS TO REDUCE .#$S ESPECIALLY FOR CARDIOVASCULAR Hung Liang Choo [email protected]
Photo Gallery Opening ceremony
35th Congress 27-30 June, 2013
Registration
Scientific Batik Poster Sessions Session
Judges for Young Investigators Photo Gallery Award
Winners of Young Winners Investigators of Poster Award (YIA) Presentation
UKM Behind the Reunion Scenes
Even the mc was dressed like an Egyptian pharaoh.
Prof Fatimah Harun won the most appropriately dressed female.
Dr Yeoh won the most appropriately dressed male.
Report “Vaccination is Protection” Weekend 6 – 7 April 2013
Group photo of the participants
The invitation to Sanofi’s VIP weekend was a welcome respite from the hectic city life. Held at the Lexis Port Dickson, it was a perfect opportunity to unwind and spend some quality time over the weekend, getting updates on vaccines.
Topics covered during the weekend meeting mainly centred around new vaccines by Sanofi. This included the hexavalent DTP/IPV/Hib/Hepatitis B vaccine, conjugate meningococcal vaccine as well as the Japanese B Encephalitis. Also discussed was the prevalence of Hepatitis A and the need for vaccination Participants paying attention to the talk as well as the dengue vaccine which is currently undergoing clinical trials. infants as young as 9 months and reducing nasal OPV to IPV, Jap B, Meningococcus carriage is something to look forward to. The risk of contracting vaccine derived polio from oral polio vaccine was cited as a reason for switching to Beach barbecue injectable polio vaccine. Combining the polio vaccine The weekend was not all about work though. We with Haemophilus influenza type b and DPT makes had a barbecue dinner by the beach which also administering the vaccine easier. Adding Hepatitis B to commemorated the launch of the conjugate the combo reduces the need for another injection. meningococcal vaccine, Menactra. The organisers also celebrated the birthdays of those born in April, The Japanese B Encephalitis vaccine routinely given in BUT NOT BEFORE MAKING THEM DO THE hOPPA GANGNAM Sarawak is currently cultured in rats’ brains. While the STYLEv DANCE 4HE EVENING ENDED ON A HIGH NOTE vaccine has saved countless number of lives, it is not with almost everyone participating in a game called without side-effects. A new vaccine cultured in vero RM1.50. While the doctors were busy soaking up new cells will soon be available, thus reducing the risk of information, family members busied themselves with side effects. the facilities provided by the hotel. My son spent the entire day riding the segway and a recumbent tricycle. The meningococcal vaccine has been available Poor daddy had to cycle to keep up with him. Ah the for quite some time. The current vaccine is a exuberance of youth. polysaccharide vaccine and is licensed for those aged YEARS AND ABOVE &URTHERMORE THIS VACCINE DOES The meeting ended at lunchtime on Sunday. I think all not reduce nasal carriage of Neisseria meningitides. the participants would agree with me when I say that it With the increasing number of infants travelling to was truly a weekend to remember. perform the umrah as well as other countries, the risk of contracting meningococcal meningitis is not negligible. Yong Junina Fadzil A conjugate vaccine capable of inducing immunity in [email protected]
Report th 4 ASVAC at Sunny Cebu 12 - 14 June 2013
APPA symposium An Asia Pacific Pediatric Association (APPA) symposium entitled Vaccinology for the Paediatrician was organized on13th June. Prof Usa Thisyakorn spoke on combination vaccines, Dr Zulkifli Ismail spoke on pertussis resurgence and Dr -USA -OHD .ORDIN SPOKE ON MEASLES AND RUBELLA elimination. Questions were aplenty especially from delegates from India and Pakistan.
ASAP debates The other highlights of the 4th ASVAC that involved Malaysians were the debates CoMO symposium speakers (L-R): Jess Langoulant, Philippine Asst organized by the Asian Secretary of Health Eric Tayag, CoMO President Bruce Langoulant, Strategic Alliance for Datuk Dr Zulkifli Ismail, Chan Lee Jin Pneumococcal disease Dr Musa the debater prevention (ASAP). Dr Musa took on Prof th The 4 Asian Vaccine Congress (ASVAC) dated 12-14 Iqbal Memon from June 2013 started with a meeting for EPI managers at Pakistan to debate the Radisson Blu Hotel. After some talks on rotavirus on rotavirus versus pneumococcal vaccines for vaccine and barriers to introduction of new vaccines INTRODUCTION IN THE .ATIONAL )MMUNISATION 0ROGRAM in the EPI, a few country reports were presented by .)0 )T WAS A SUPERB DEBATE WITH BOTH PARTIES BEING some of the Ministry of Heath officials who attended. witty. Besides the entertainment value of the debate, The barriers to vaccination in each of the individual there were also interesting lessons and facts to learn. countries were presented with some limited discussion. Yet another Malaysian involvement in this 4th ASVAC EPI Program Managers meet was in the Confederation of Meningitis Organisations The EPI Program Managers Conference is the hallmark (CoMO) symposium on the Change Equation espoused of the ASVAC ever since the first one in Siem Reap, by Bruce Langoulant, the Australian father of a girl Cambodia. Barriers to the introduction of new who is disabled after meningitis. Dr Zulkifli gave the vaccines, safety surveillance of vaccines, IPV launch, healthcare professional’s involvement in the Change and the impact of new vaccines in public health were Equation while Chan Li Jin, a free-lance writer who is discussed. Sri Lanka, Vietnam, Philippines and Thailand committed to getting signatures to be submitted to shared their experiences in the implementation of their the Minister of Health Malaysia for the introduction of immunisation programs. universal pneumococcal vaccination. She gave a poignant account of her initial involvement in the ‘Yes There was also a polio eradication workshop that was to Pneumococcal Vaccination’ signature campaign only for participants from the Southeast Asian Region. in her talk on ‘Advocacy in Practice: the Malaysian As Malaysia is in the Western Pacific region, nobody Experience’. from Malaysia attended! 4HE &ELLOWSHIP 'ALA $INNER WAS ANOTHER CULTURALLY An industry-sponsored lunch symposium followed with stimulating event. talks on rotavirus infection, pneumococcal disease and experience with a hexavalent combination vaccine. The topics throughout the congress were wide and As is typical of the Philippines, the opening ceremony covered many vaccines and programs. There was also was culturally enriching. The keynote address was given adequate Malaysian exposure for a change. by the Secretary of Health (equivalent to our Minister) Dr Enrique T. Ona. He gave a really comprehensive The 5th ASVAC in 2015 should be building up from this overview of vaccination in the Philippines. year’s programme, although the venue is still tentative. Shall we bring the 5th ASVAC to Malaysia? If Myanmar Three plenary lectures followed. These were on the cannot host it, we may take it up! Global Vaccine Action Plan, IVI’s role in vaccine innovation and new influenza vaccines. [email protected]
Activity
Ministry of Health Officially Launches
Attendees of the Immunise4Life launch
DG activating launch gambit (L-R) Datuk Dr Zulkifli; Deputy DG Datuk Dr Lokman Hakim bin Sulaiman; DG Datuk Dr Noor Hisham Abdullah; Prof Emeritus Tan Sri Dato’ Dr Abd Shukor bin Husin and Dato’ Eisah binti Abdul Rahman
Explanation to DG about the Immunise4Life programme at the Announcement of YABhg Tun Dr Siti Hasmah Bt Hj Mohd Immunise4Life booth Ali as the patron of the Immunise4Life programme
The Immunise4Life programme was officially launched The Director-General stressed that immunisation is harus on June 21, 2013 at the Ministry of Health in Putrajaya. in accordance with Islamic principles and declared 4HE EVENT WAS OFlCIATED BY 9"HG $ATUK $R .OOR that the ministry will continually promote it for the Hisham Abdullah, Director-General of Health Malaysia, community’s protection and well-being. He lauded representing YB Datuk Seri Dr S Subramaniam, Minister Immunise4Life as a welcomed tripartite collaboration of Health Malaysia. (involving the government, professional bodies and the private sector) to provide pertinent and trustworthy The launch was a most timely event, in light of the information to the public. growing trend of vaccine refusals in the community. )N HIS SPEECH $ATUK $R .OOR (ISHAM OBSERVED THAT He thanked former first lady, YABhg Tun Dr Siti Hasmah vaccine refusals mostly stemmed from scientifically bte Mohd Ali, for gracing Immunise4Life as its patron, unfounded allegations against the safety and necessity and urged all healthcare professionals to utilise the of immunisation. He added that, if left unchecked, programme in their practice. the undesirable trend could potentially undermine the ministry’s previous efforts to curb and eradicate The event proceeded with a video presentation, titled vaccine-preventable diseases. Imunisasi: Tambah Pengetahuan, Buat Pilihan Yang
Activity
VIPs seated on stage during the Immunise4Life launch. (L-R) Datuk Dr Zulkifli, as the Chairman of the IFL technical committee; Datuk Dr Lokman Hakim bin Sulaiman, Deputy Director-General, Ministry of Health Malaysia; Datuk Dr Noor Hisham Abdullah, Director-General, MOH; Prof Emeritus Tan Sri Dato’ Dr Abd Shukor bin Husin, Chairman of National Fatwa Committee JAKIM; Dato’ Eisah binti Abdul Rahman, Senior Director, Pharmaceutical Services Division, MOH.
Interaction among (L-R) Datuk Dr Zulkifli, Dato’ Dr Hussain Imam bin Haji Muhammad Ismail, Senior Consultant & Head of Paediatrics, HKL and Tuan Haji Abdul Jabar bin Ahmad, Health Education Division Director, MOH
Group photo celebrities.(L-R) Datuk Dr Lokman Hakim bin Sulaiman, Dato’ Dr Musa Mohd Nordin, Dato’ Eisah binti Abdul Rahman, Datuk Hasnah binti Haji Salleh, Deputy Secretary-General, Prime Minister’s Department, Kenchana Devi, Amber Chia, Datuk Dr Noor Hisham Abdullah, Uthaya, Datuk Dr Zulkifli, Tuan Haji Abdul Jabar bin Ahmad, Director, Health Education Division, MOH, Tan Sri Dato Dr Abd Shukor Husin from JAKIM.
Bijak, Tentukan Sendiri. It featured Dato’ Dr Hussain .OW THAT THE )MMUNISE,IFE HAS BEEN OFlCIALLY Imam bin Haji Muhammad Ismail, Senior Consultant & launched, it is time to focus on promoting the Head of Paediatric Department, Hospital Kuala Lumpur, programme through the traditional and social SPEAKING ON THE SUCCESS OF THE .ATIONAL )MMUNISATION media. To date, the Secretariat has mounted a quiz Programme. The video also featured Datuk Dr contest on www.ifl.my and www.facebook.com/ Christopher Lee, Head & Senior Consultant Physician MOTHERSOFMALAYSIA 7E HAVE ALSO DISTRIBUTED )&, (Infectious Diseases), Department of Medicine, booklets and calling cards at the recent MPA Congress Hospital Sungai Buloh, touching on the importance of in Gambang. immunisation for adults. Should you have any questions, please feel free to This was followed by a short lecture by Datuk Dr Zulklifli CONTACT THE )&, 3ECRETARIAT AT EMAIL MATTERS ImMY OR Ismail titled, Imunisasi & Isu-isu Berkaitan. It provided a Tel: +603 7931 1868. historical account of how immunisation had helped curb vaccine-preventable diseases and also explored Zulkifli Ismail the contributing factors and potential risks of vaccine drzulkifl[email protected] refusals in Malaysia. Technical Committee Chairman Immunise4life programe
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Attentive nurses from various health clinics in Kota Kinabalu.
Dr Yasmin Ooi and Dr Fauziah Zainal Abidin answering questions from the participants during the Q&A session.
Organised Pilot Seminars in Sabah
Positive Parenting Programme in collaboration with *ABATAN +ESIHATAN .EGERI 3ABAH *+.3 SUPPORTED BY GlaxoSmithKline Pharmaceutical rolled out two pilot seminars (for parents and nurses) in Klinik Kesihatan Luyang, Kota Kinabalu recently. Dedicated parents listening to the talks given by 4HEMED h(OLISTIC !PPROACH TO #HILDCAREv THE SEMINARS engaging speakers. for parents and nurses were held back-to-back on June 21 and 22. Close to 50 parents attended the seminar on the first day to learn more on common childhood diseases and the importance of vaccination, as well as how to feed their children right. These seminars were part of the planned series of 10 seminars that the Positive Parenting has organised The turn-out for the nurses’ seminar on the second day WITH BOTH *ABATAN +ESIHATAN .EGERI 3ABAH AND was slightly better with about 55 nurses from major health Selangor. To date, a total of five seminars have been clinics around Kota Kinabalu attending. concluded successfully and PP will arrange for the remaining seminars to be held at government clinics Both the seminars were very lively as the participants were in Selangor. very enthusiastic and interactive. Punctuality was also not an issue for Sabahans as all participants were on time for It is our fervent hope that the on-going seminar both seminars. series will continue to meet with such success and deliver great benefit to parents and nurses alike. We were very fortunate to have two engaging speakers FOR BOTH SEMINARS $R 9ASMIN /OI .UTRITIONIST AND 3ENIOR Members of MPA who wish to participate as Lecturer from University Malaysia Sabah delivered the speakers at these seminars may contact the ST TOPIC ON h&EEDING 9OUR #HILD 2IGHTh FOLLOWED BY $R Positive Parenting Secretariat by emailing &AUZIAH "T :AINAL !BIDIN A 0AEDIATRICAN FROM (OSPITAL [email protected]. Wanita dan Kanak-kanak Likas, Sabah who delivered THE ND TOPIC ON h#OMMON #HILDHOOD $ISEASES AND )MPORTANCE OF )MMUNIZATIONv Zulkifli Ismail Chairman, Positive Parenting Management While we were in Kota Kinabalu, PP took the opportunity Committee to deliver more copies of its quarterly PP Guide and other drzulkifl[email protected] educational materials to the clinics through the nurses.
Announcements
Local Venues NEW LIFE MEMBERS 5th East Malaysia Thalassaemia Forum Dr Amnasewary Dr Mohammad Iqbal $ATE .OVEMBER Ramakrishnan Mohamad Sarwar Venue : 1Borneo Grand Ballroom, Kota Kinabalu .O *ALAN 53* $ KPJ Damasara, Suite G-12, 47630 Subang Jaya 119 Jalan SS 20/10, Selangor Damansara Utama 6th National Thalassaemia Seminar 47400 Petaling Jaya $ATE .OVEMBER Dr Azlyzan Abdul Ghani Selangor Venue : 1Borneo Grand Ballroom, Kota Kinabalu 342-3, Jalan Pinang Kg. Bukit Kuang Dr Mohd Zaidi Yusoff &OR DETAILS EMAIL $R 3OO AT MTKINABALU YAHOOCOM 24000 Kemaman 4AMAN .ILAM or Dr. Jafanita at [email protected]. Terengganu Jalan Datuk Kumbar 05300 Kedah Dr Che Hadibiah Che Mohd Razali Dr Pauline Choo Poh Ling International Venues A 108, Kuaters Hospital Sultan 232, Jalan Seremban Tiga 5 Ismail, Taman Mount Austin Seremban 3 81100 Johor Bahru .EGERI 3EMBILAN 2nd International Multidisciplinary Forum Johor on Palliative Care (IMFPC 2013) Dr Ramanathan Date : October 3-6, 2013 Dr Chong Kim Kong Vijayaraghavan 1-S, Casa Garden, Jalan Jabatan Pediatrik Venue : Sofia, Bulgaria Brook, 10450 Pulau Pinang Hospital Tawau #ONGRESS 3ARAH +REIN )-&0# #ONFERENCE 91000 Tawau organizer Marketing and Sales Manager, Paragon Dr Chuah Soo Lin Sabah 26, Medan Tembikai Conventions. Taman Sri Rambai Dr Sabeera Begum Kader 4EL &AX 14000 Bukit Mertajam Ibrahim Pulau Pinang 15, Jalan Puah Email : [email protected] Off Jalan Gombak Batu 3 Website : www.imfpc.org Dr Farah Khalid 53000 Kuala Lumpur J3A6, Mayfair Apartments Jalan Sri Hartamas Dr Saeng Fisorn Ukchukpharn 17/1, Sri Hartamas 3-2-43, Likas Court Update in Paediatric Respiratory Diseases 50480 Kuala Lumpur Jalan Tuaran 2013 & Paediatric Respiratory and Critical 88300 Kota Kinabalu, Sabah Care Workshop Dr Haema Shunmugarajoo .O 3OLOK .ILAM +AW Dr Smrdhi V.V. Sarachandran $ATE .OVEMBER Taman Teluk Gadang Q-8-I Tiara Damansara Venue : Li Ka Shing Medical Sciences Building, 41100 Klang, Selangor Condominium Postgraduate Education Centre, Jalan 17/1 Dr Haslizawati Hashim 46400 Petaling Jaya Prince of Wales Hospital, Shatin, 118A, Kg. Sungai Bugis Selangor Hong Kong, SAR, China. 02700 Simpang Empat Perlis Dr Steven Leong Fook Seong 4EL &AX 2517, Taman Lumba Kuda E-mail : [email protected] Dr Kelvin Chia Cheong Yung 05250 Alor Setar, Kedah Website : www.pae.cuhk.edu.hk/PRD2013 2, Lorong Perawas Taman Chi Liong Dr Suhaila Omar 41200 Klang 446, Jalan B4, Taman Selangor Melawati, Ulu Klang ESPGHAN Regional Meeting 53100 Kuala Lumpur Topic : Update on Paediatric Dr Kwan Pei Ying Lot T-166, Lorong Mutiara 5 Dr Suhati Jusoh Gastroenterology, Hepatology & Taman Mutiara Phase 1 B PT 26773, Taman Saujana .UTRITION 90000 Sandakan Permai, Kg. Duyung )N COLLABORATION WITH 452+0'(!. 0!30'(!. Sabah Seberang Takir 20300 Kuala Terengganu $ATE .OVEMBER Dr Lalitha Pillay B. Terengganu Venue : Harbiye Military Museum & Culture Gopinathan 85, Jalan Sepah Puteri 5/19 Dr Tiew Wah Tin Center, Istanbul Turkey. Seksyen 5, Kota Damansara 83A, Jalan Sri Sulong 4EL &AX 47810 Petaling Jaya Taman Ind Sri Sulong Email : [email protected] Selangor 83000 Batu Pahat Johor Website : www.espghanistanbul2013.org Dr Lee Chee Hong ,ORONG "ATU .ILAM * Dr Veno Rajendran Bandar Bukit Tinggi B-9-5, Casa Kiara 1 41200 Klang Jalan Kiara 3, Mont Kiara 6th Child Health Annual Meeting of the Selangor 50480 Kuala Lumpur Indonesian Pediatric Society $ATE .OVEMBER Dr Lee Chee Chan Dr Wong Chee Sing 10205, Taman Berjaya Baru 51, Persiaran Velapang 5 Venue : Solo, Central Java, Indonesia. Jalan Apas, Batu 3 Taman Silibin Contact : Indonesian Pediatric Society, 91000 Tawau, Sabah 30100 Ipoh, Perak Department of Child Health, Medical Dr Maznisah Mahmood Dr Yew Kian Teck School University of Indonesia, Jalan 45-3-5, Bangsar Puteri Condo 106, Taman Tasik Ria Salemba 6, Jakarta Pusat, Jalan Medang Serai, 84900 Tangkak Bangsar, 59100 Kuala Lumpur Johor 10430 Indonesia. 4EL &AX E-mail : [email protected]
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