THE MALAYSIAN PAEDIATRIC ASSOCIATION OCTOBER 2004 FOR MEMBERS ONLY

Editorial Board Datuk Dr Latiff opening 2nd ACPID watched by (L-R) ACPID President Prof Zulkifli Ismail Dr Soriano, Dr Soo and Prof Zulkifli. Dr Noor Khatijah Nurani MPA 2004/2005 EXECUTIVE COMMITTEE President Prof Zulkifli Ismail Immediate Past President Dr Nazeli Hamzah Vice-President Dr Soo Thian Lian Hon Secretary Assoc Prof Tang Swee Fong Asst Hon Secretary Dr Noor Khatijah Nurani Treasurer Dr Musa Mohd Nordin Committee Members Dr Koh Chong Tuan Dr Thiyagar Nadarajan Well Done, Dato’ Dr Jimmy Lee Dr Nazeli Hamzah Assoc Prof Dr Koh Mia Tuang SABAH Dr Mohd Suhaimi Ab Wahab Co-opted Committee Members The 2nd Asian Congress of Paediatric Infectious Diseases (organised to coincide with Prof Datuk Mohd Sham Kasim our 26th MPA Annual Congress in Sutera Harbour Resort, Kota Kinabalu, Sabah) was Prof Choo Keng Ee Affiliated to: a resounding success judging by the turnout and feedback that the Committee • Malaysian Council For Child received. The alluring call of East Malaysia attracted 660 delegates, mainly Welfare paediatricians, nurses and some trainees. The crowd also included 250 overseas • ASEAN Pediatric Federation delegates, mainly from the Philippines (almost 50) and Thailand. Speakers were from • Asian Pacific Paediatric Association – APPA (Previously Australia, UK and the United States, as well as our Asian neighbours. Association of Paediatric Societies of the South East Asian Region – APSSEAR) The overall mood was high from the beginning, with two early morning plenary • International Paediatric sessions followed by the opening ceremony officiated by our Deputy Minister of Association (IPA) Health, YB Datuk Dr Abdul Latiff Ahmad. In his speech, the Deputy Minister The Berita MPA is published for members to keep them informed of the mentioned the problems of emerging infections and our success at preventing the activities of the Association. entry of SARS into Malaysian territory. He also elaborated at length on a number of The views & opinions in all the articles are entirely those of the authors unless issues related to infection and thanked the MPA for working closely with his ministry's otherwise specified. officers on a number of projects for the betterment of child health in the country. We invite articles and feedback from readers – Editor …cont’d on pg 6

3rd Floor (Annexe Block), National Cancer Society Building, 66, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur. Tel: 2691 5379/2698 9966 Fax: 2691 3446 E-mail: [email protected] Web page: www.mpaeds.org.my

BERITA MPA – OCTOBER 2004 1 From The President

Thank you, Minister

It was in May 2004 that the MPA and they will make the right choices when trauma to potential carriers and their Federation of Thalassaemia Societies the time comes for mating. families when the whole programme of Malaysia organised the 1st National is implemented. We also have to Seminar on Thalassaemia and launch When such a large scale population realise that we, as paediatricians, of Thalassaemia Week in Malaysia. screening exercise is implemented, must have a sound knowledge of At the event, a group of thalassaemics the education programme must be thalassaemia to be able to counsel sent a declaration and plea to the entrenched so as to minimize any potential carriers who will inevitably Honourable Minister of Health to help form of stigmatisation of carriers. It is end up at our doorsteps. We have them lead a normal life by providing easy to anticipate the stigmatisation seen how MOH’s recent Measles Mass the life-saving iron chelating agent, of potential carriers not just in the Immunisation Programme was almost desferrioxamine. Within just a few workforce but also from the derailed due to a few ill-informed months, RM49.4 million was allocated matrimonial aspect. One’s matrimonial paediatricians who protested both in the national Budget 2005 tabled by prospect may be jeopardised due to publicly and privately to their patients. the Right Honourable Prime Minister public knowledge that one has the It took a number of media releases to for the total management of thalassaemia trait. Personal get these colleagues to realise the thalassaemia. Our Minister of Health, relationships may be affected and we well-intentioned efforts by the MOH, Dato’ Dr Chua Soi Lek had clearly have to be able to counsel these teens the years of planning and done his bit to make this happen, wisely and instill confidence in them implementation needed to start such aided by Dato’ Dr Narimah Awin, despite being carriers. The education a programme. We hope that when Director of Family Health blitz must emphasise the health the thalassaemia screening comes into Development, who put the scheme aspects of carriers, contrary to effect, we do not get the same kind together with numerous meetings misperceptions that they are inferior, of resistance from ill-informed with all the different thalassaemia unhealthy or unproductive. A multi- colleagues. associations nationwide. Although pronged strategy involving the media, YB Datuk Chua has yet to make an the Ministry of Education and the Success of official announcement, those who corporate sector among others must 2nd ACPID in Sabah have been asking and waiting for this work towards this goal for it to be kind of support already feel deep successful. Inclusion of correct Our first congress in East Malaysia, gratitude to the Minister and his information on thalassaemia in the the 2nd Asian Congress of Pediatric officers. As for our patients, much is education curriculum at an Infectious Diseases was a success to be said on their new lease on life. appropriate level will reduce the effect judging by the attendance of 660 of this stigmatisation. delegates, 250 of whom came from Out of the RM49.4 million, RM22.3 our neighbouring countries, mainly million is allocated for treatment with A recent report in a local daily with the Philippines and Thailand. The chelating agents, RM6 million for the caption that thalassaemia carriers speakers were superb and the venue infusion pumps, the rest for a should not get married is going to be was very conducive. Although there comprehensive prevention programme detrimental despite more correct were some complaints and involving a massive education blitz and explanation in the main text of the weaknesses as discussed during our infrastructure upgrading/development article. Such attention-grabbing post-congress debriefing (or post- to do population screening for carriers headlines have to be curtailed so as mortem, as some may call it, although among unmarried young adults/ not to hamper future public education I always relate the latter term to the adolescents. This will lighten the burden efforts. The dissemination of correct deceased), most delegates were not of parents of thalassaemics but, at the information at the right level for affected by the problems. same time, ensure that the birth of public consumption will be extremely new thalassaemics is contained by a important. While we rejoice at the Our page 1 article and the pictorial passive means of empowering young prospect of getting so much for our centre-spread of this issue of Berita persons with the knowledge that they thalassaemia major patients, we MPA should be enough reading on have the thalassaemia trait. Hopefully, should not overlook the psychological this subject so I shall not add more to

BERITA MPA – OCTOBER 2004 2 From The President it. The present and past Executive as those from out of the Klang Valley improve and reach more people. Committees of MPA and the are too far away to be effective. You can get in touch with the Organising Committee hope that the Although I am optimistic, the first Positive Parenting Secretariat at congress in Sabah met the committee meeting has already shown Tel: (03) 5637 8588. expectations of delegates and that the truth of my earlier statement but they will remember it with fondness in then, we still have another eight This year we are embarking on years to come. months till the next election in June. another programme called Make It Safe for Kids (MISK), sponsored by a What next? Other than our next annual congress philanthropic grant from Johnson & organised in conjunction with the 9th Johnson and supported by the The election of office-bearers at the Asian Pan Pacific Society of Paediatric Ministry of Health. This programme Annual General Meeting on Gastroenterology, Hepatology and will entail publication of a manual on September 3 saw some new faces but Nutrition Congress on 16-19 June childhood home injury prevention for not many younger paediatricians. 2005, we are also planning a professionals, the public and the Out of the 11 Executive Committee paediatric surgery update sometime in media. If the grant is allowed to members, only 4 are from the Klang early 2005. We shall also get the extend to subsequent years, all Valley. This is contrary to claims in the Nursing Sub-committee to organise aspects of childhood injury prevention past that MPA is a ‘KL association’ another nursing seminar or getaway. will be dealt with, viz road traffic, where the same old faces get re- Our public education programme, playground, school, etc. Such elected again and again. I really think Positive Parenting, will move us collaboration with the private sector there is a need to keep some ‘old another notch with a thicker and will result in a win-win-win situation faces’ to maintain continuity and more thematic magazine. The public for the public, the sponsors and the stability within the policies of the education seminars and educational MPA. Association. With the current press articles will continue. We hope composition of committee members, that members can contribute by it looks like most of the work in providing articles that you have Zulkifli Ismail between meetings will have to be written for the public or by way of President 2004-5 carried out by the four local members, feedback so that the programme can [email protected]

The PPresidentresident & MMembersembers of The EExecutivexecutive Committee of MPMPAA wish all members a Happy Deepavali, Selamat Hari Raya and Merry X-mas.

3 BERITA MPA – OCTOBER 2004 Member’s Contribution

The Northern City Beckoned

China has for the past ten fields of research and years emerged as a bull sciences of infant nutrition that energised the post-97 presented their research Asian economic slump. work and thoughts on It was with great “new enhanced nutrition”. excitement that I gathered There was so much to learn with the few of us invited and listen to. guests and flew to Beijing for the Conference on Dinners in Beijing were Advances in Infant something to be Nutrition in July this year. remembered – we had this exquisite Chinese dinner As we approached the prepared by the Beijing International Airport descendents of the royal after an overnight flight, cooks at a restaurant by the I was delighted to see the lakeside just behind the calmness in the early Forbidden City. The morning, misty skies still overhanging mostly flat farmland paneling of gilded dragons coupled with music from the interspersed by small, clustered villages. This was as I had er-hu made it a splendid night. Foods were served in expected and a certain peace assured me that there are still multiple small portions for us to sample. The chief waitress places on earth that reflected the Chinese way of simple life in cheongsam kindly replied to our questions of what was that I had long not seen! involved in making the special dishes. One of the ostentatious delights that was demonstrated to us was the The Beijing International Airport was large but not showy. fried flour ball that was dipped into liquid honey, which It was still not busy as it was fairly early in the morning. made a superb condiment. On another night, we had a The four of us swooped out of the airport to the lounge to large dinner in downtown Beijing. This restaurant await our transport to St Regis. But I was not prepared to specialised in duck cuisine. The variety of dishes created out go in a Buick! How American and ironic! The Buick MPV of duck was amazing. While the feast carried on, men and cruised quickly through the large highway that left the women sang traditional Chinese poems and the Monkey airport behind, passing suburban Beijing. God danced to music.

What happened next took me by surprise... in 20 minutes, It is not possible to go to Beijing and not see the Great Wall we were caught in midtown traffic-jam, where I saw cars of of China. Our day trip to the Great Wall took us to the brands and sizes unparalleled even in Kuala Lumpur. This is Bataling point where most tourists were. It was an the Beijing I have heard of, and not seen. Tall buildings impressive structure and we actually took some time towered on both sides of an eight lane highway that went climbing in one direction of the wall. However, our tired straight through Beijing CBD. Cars, taxis and buses crawled legs could not bring us very far on steep 45° slopes! These on both sides of the highway. The Buick made a sharp right killer slopes were not described in the travel books, I turn out of this highway and we stopped at St Regis Hotel. complained. At many vantage points, all of us could not On the outside, it looked no different from any of our local help but marvel at the immenseness of such a project at five-star hotels. that time in history. Many lives were sacrificed and I heard that many bodies were still entombed into the walls of the We were greeted by a few Chinese female receptionists Great Wall! who spoke stilted English. The room I was shown was comfortably large for myself. The decor was western and Our trip to the Forbidden City took us a total of 5 hours. international. What was delightful was that each guest had We started slowly from the front gate, and walked till the a butler who visited our rooms frequently when we were back gate. It was a long walk of about 2 km in total, and not in. He or she would leave after-8 chocolates and the structures inside were steeped in Chinese culture, from sometimes even bookmarks with sleeptime poetry on the edifices that lined the eaves of the rooftops to the urns our pillows! that were used to collect rain water for fire fighting! As a superstitious race, the Chinese attributed meaning to every The first two days were filled with lectures during the day. structure that we saw. Many of us could not help giggling Eminent nutrition research scientists working in the many when we saw the large building that apparently housed the

BERITA MPA – OCTOBER 2004 4 Member’s Contribution many concubines dedicated to the previous generations of many less fortunate people will be left behind during this Gods of Heaven. financial growth. This cannot augur well for a nation of one billion where once communism ruled and equality was a Before we left, we also managed to visit the Temple of greater reality of life. I am also worried that the future Heaven which used to be the site of prayer and meditation generations of Chinese will only understand modernisation used by the Emperor. It was housed in a large garden that is as westernisation, and so will denounce the many culturally currently used by many senior citizens who visit that place sound values that underlie the Chinese mindset in many for their daily morning qi gong exercises! corners of the world.

This trip to Beijing revealed to us the rapid modernisation From the travel diary of Dr Chew TM that is sweeping quickly through China. My worry is that [email protected]

Nursing Getaway (Part III)

I knew I promised somebody something, but could not findings and this would hopefully augur well for the remember what it was till Syahida called; “Dear Prof, can nursing fraternity. We had to break up for tea even when we have your article for the next MPA bulletin?” Oops, everyone seemed ready for more lectures. But, we had to I did it again, broke another deadline. Well, I’m living on line our gastric mucosa with ‘something’ ( hereby defined the edge. Now where was I? Yeah, the Nursing Getaway as 3 cups of tea, 1 plate with 3 helpings of mee hoon, 4 saga continues… kuehs and 2…)

We had just listened to a lecture by Assoc Professor Next was a topic on “Supporting Grieving and Winston Yong from HUKM on nutrition covering the Bereavement” by a clinical psychologist Dr Zubaidah Jamil important aspects of nutrition for infants. As we were Osman, from Universiti Putra Malaysia (UPM). An important enjoying dinner, there was an announcement – “Nurses are area for nurses when confronting heart wrenching invited to perform an act from their home states.” I situations. An understanding of the situation and a little couldn’t believe the nurses were so sporting. We had bit of skill on the part of a nurse would prove to be an almost everything, from traditional dances, ‘berbalas invaluable source of support for a family in need. The last pantun’, ‘dikir barat’, P. Ramlee’s evergreen ‘bila larut lecture was another clinical management session which malam’, a colloquial ‘apa nak dikato’, a choir, a ‘sajak’, involved a very important but common childhood illness, ‘the twist’ and my all time favourite the ‘cha-cha-cha’ to bronchial asthma, by Dr Norzila Mohamad Zainudin of the nasyid. We all thoroughly enjoyed ourselves. Even ‘da boss’ Paediatric Institute. Management of this illness is another (me) performed. I was so thrilled when invited to do the example of the understanding and cooperation needed ‘cha-cha-cha’ and got carried away until I realised that my between doctors and nurses for the effective care of 7-year-old was watching all ‘my moves’. Suddenly another children. P. Ramlee evergreen reverberated thru my mind… “Periok belanga terbang melayang-layang… ” Then, it was time to pack and head back to ‘home sweet home’. From the participant’s responses, I felt that the Dozed off at around 2.00 am, after thinking how I was weekend was a success. I was glad all the hard work was going to bribe the little kiddo or get some flowers for… worth it, ‘the tachycardia’, ‘the binge eating’ and of course the ‘cha-cha-cha’. Thinking back, I am doing all this just Started the next day early with a lecture by Matron Yon because I want to, not because I have to, do it in my Said of HKL on ‘Communication Skills Among Nursing capacity as the honorary advisor. On behalf of the Personnel in Paediatric Institute’. Glad that I decided to organising committee, I thank the MPA Executive attend the lecture because I learned quite a fair bit from it. Committee, the sponsors including Wyeth, and last but not Next came a research paper titled “Breastfeeding Practice: least, Datin Saadiah and friends for making this inaugural Status and Perception in the Community” presented by meeting a success. So to all you nurses out there, hope to Puan Faridah Ahmad Sheikh from HKL who discussed see you at the next Nursing Getaway in Frasers Hill, factors influencing breast feeding. This was followed by a Pahang Darul Makmur. talk on “Effective Patient Care” by Puan Fatimah Awang Mat Salleh, also from HKL. After yesterday’s lecture by Syed Zulkifli Syed Zakaria Puan Rashidah and the lectures by Puan Faridah and Puan Nursing Getaway Organising Committee Fatimah, I had the impression that, at the next nursing [email protected] getaway, more nurses would want to present their research

5 BERITA MPA – OCTOBER 2004 Recent Events Unforgettable, Sabah

Opening Ceremony …from pg 1 As MPA President, Prof Zulkifli explained, it was hard in the beginning to persuade the committee to have the congress in Sabah. It did not require much persuasion once the decision was made and everybody worked towards making it a success. Asian Society for Paediatric Infectious Diseases (ASPID) President, Dr Rosalinda Soriano thanked the MPA for organising the congress and also elaborated on infections that cross borders easily with the ease of air travel. YB Datuk Abdul Latiff then opened the congress by using a blowpipe to burst a balloon that let loose the congress bunting.

The social events were just as enjoyable and less formal than the ones in previous years. We had a demonstration on the many uses of the common sarong by Assoc Prof Syed Zulkifli and renditions by medical officers and house officers of Queen Elizabeth Hospital at the informal dinner. The Chief Minister of Sabah, YB Datuk Musa Haji Aman graced the formal dinner the next night and talked about the success of Sabah’s Flying Doctor Service. He also invited delegates to explore other parts of Sabah outside Kota Kinabalu. Delegates were entertained to some traditional ethnic dances including some impressive use of the blowpipe.

Sabah, being such an attractive destination, captivated a number of delegates into staying back after the three-day congress to visit the islands, hot springs, Mount Kinabalu and Kinabalu Park. The superb scientific programme combined with the informal social events and the atmosphere of the “Land below the Wind” made our 2004 congress a memorable one that will be talked about for a few years to come. Our thanks to Dr Soo Thian Lian, the chairman of the local committee.

BERITA MPA – OCTOBER 2004 6 Recent Events e, Sabah Among Experts Present

Awards given during the Congress

7 BERITA MPA – OCTOBER 2004 News New Vaccines for UK Childhood Immunisation Programme

Changes are being made to the routine childhood The incidence of local and systemic reactions is lower with immunisation programme in England following the acellular vaccines compared to whole-cell pertussis vaccines, recommendation of the Joint Committee on Vaccination particularly in older children. Protection against pertussis is and Immunisation (JCVI). not compromised because PediacelTM contains an acellular pertussis vaccine that has been shown to offer equal or Polio Vaccine better protection against clinically typical pertussis disease than whole-cell vaccine. Since local or general reactions are The risk of polio infection being brought into the UK is very less frequent after acellular vaccines than whole-cell low. This is because polio has been eliminated from large vaccines, the number of children with such events will be few. parts of the world due to the success of the global vaccination programme. JCVI has recommended that a Additionally there is no thiomersal (ethyl mercury) in the switch from live oral polio vaccine (OPV), which provides new vaccines, and hence they satisfy the overall good individual and community protection, to inactivated international aim of reducing the exposure of children to polio vaccine (IPV), which provides effective individual mercury from avoidable sources. As part of a global goal to protection. Also, IPV does not carry any risk of causing reduce avoidable exposure to mercury sources in general, vaccine-associated paralytic polio (VAPP), that occurred very European and American bodies have recommended that rarely with OPV (about 1 case per million doses given). IPV vaccine manufacturers phase out the use of thiomersal is appropriate when the risk of importation of ‘wild’ polio wherever possible as a precautionary measure. virus is negligible. Thiomersal ia a mercury-based preservative that has been OPV has been used for routine immunisation in the UK used in vaccines, including the previous DTP-Hib vaccine, because of the continuing risk of importation of wild virus. for over 60 years. It was added to vaccines to prevent The risk of importation of ‘wild’ polio virus has declined contamination. The World Health Organisation’s Advisory considerably due to the success of the WHO Polio Committee on Vaccine Safety recently reviewed the safety Eradication Programme. This risk and benefits of OPV need of thiomersal and concluded that there is no evidence of to be balanced against the risks of VAPP from OPV use and toxicity in infants and children (or adults) exposed to the the efficiency of IPV. This balance now favours the use of levels of thiomersal in vaccines. The UK’s advisory inactivated polio vaccine for routine immunisation in the UK. organisation on vaccines and other medicines have also reviewed the evidence and found no neurological problems Acellular vs whole cell associated with the use of thiomersal in vaccines (see www.mca.gov.uk/ourwork/monitorsafequalmed/ JCVI has recommended that acellular pertussis vaccines are safetymessages/thiomersalstatement_210203.pdf) and the used in the routine childhood immunisation programme European advisory board has come to the same conclusion when acellular preparations become available that offer at (see www.emea.eu.int/pdfs/human/press/pus/119404en.pdf). least the same level of protection as the whole cell pertussis A recent review of the evidence about thiomersal has vaccine that is currently used. Products containing a five- been carried out by the US Institute of Medicine (IOM). component acellular pertussis vaccine that meet the JCVI The IOM cleared thiomersal-containing vaccines of any recommendation are now available. Acellular pertussis links with autism and their report is available at vaccines tend to cause fewer adverse reactions than whole www.iom.edu/report.asp?id+20155. cell pertussis vaccines, particularly at the injection site.

BERITA MPA – OCTOBER 2004 8 News

For primary immunisation suitable for primary immunisation in children under 10 years of age; and because pertussis vaccine is not currently PediacelTM (diphtheria, tetanus, 5 component acellular recommended for children aged 10 years or over. pertussis, inactivated polio vaccine & Haemophilus influenzae type b vaccine -DtaP/IPV/Hib) is recommended for primary For teenagers immunisation of children at 2, 3 and 4 months of age. It is also recommended for children up to 20 years of age who RevaxisTM (low dose diphtheria, tetanus and inactivated polio are completing their primary immunisation course late. This vaccine – Td/IPV) is recommended for the boosting of combination vaccine will replace DTwP-Hib (ActHIB/DTP) teenagers aged 13 to 18 years old. It can also be used for and OPV that are presently supplied for primary individuals from 10 years of age and over. RevaxisTM will immunisation in children. PediacelTM should be given at the replace the Td (Diftavax) and OPV vaccines currently same time as the MenC vaccine but in a separate site. supplied for this age group. RevaxisTM can also be used for primary immunisation in unvaccinated individuals aged 10 For preschool boosting years and over. RevaxisTM is not recommended for use in children under 10 years of age because it has not been RepevaxTM (low dose diphtheria, tetanus, 5 component studied in this age group, and because children under 10 acellular pertussis and inactivated polio vaccines-dTaP/IPV) is years of age need to be protected against pertussis. recommended for pre-school boosting at 3 years 4 months to 5 years. It should be given at least 3 years after These new vaccines provide protection against the same completion of the primary course, and can be used for diseases (as the vaccines supplied previously) and should be children up to 10 years of age. This combination vaccine given to children at the same age as the previous vaccines, will replace the DtaP (Infanrix) and OPV vaccines currently and the immunisation course started with the previous supplied for this age group. RepevaxTM should be given at vaccines and should be completed with the new vaccines. the same time as the MMR vaccine but in a separate site. All vaccines are manufactured by Aventis Pasteur MSD. RepevaxTM is not recommended for primary immunisation in children of any age. It is not suitable for this purpose The schedule including all the proposed new vaccines is because: vaccines containing low dose diphtheria are not summarised in the table below.

When to immunise What is given How it is given

2, 3 & 4 months old Diphtheria, tetanus, acellular One injection pertussis, inactivated polio vaccine, Hib (DtaP/IPV/Hib)

Men C One injection About 13 months MMR (measles, mumps and rubella) One injection 3 years and 4 months to five years Diphtheria, tetanus, accelluar One injection (pre-school) pertusis, inactivated polio vaccines (dTaP/IPV)

MMR One injection 10 to 14 years (sometimes shortly BCG (against tuberculosis) Skin test, then if needed, one after birth) injection 13 to 18 years Diphtheria, tetanus and inativated One injection polio vaccines (Td/IPV)

More information is available at www.immunisation.nhs.uk Excerpted from www.dh.gov.uk/AboutUs/HeadsOfProfession/ChiefMedicalOfficer/CMOLLetters/fs/en

9 BERITA MPA – OCTOBER 2004 Training Opportunities Bill Marshall Fellowships open to all young paediatricians

Dr William Courtney Marshall, fondly known as ‘Bill’, was Clinical responsibilities cannot normally be given, unless friend and mentor to a number of paediatricians from Limited Registration has been granted by the General Malaysia and other South East Asian countries who were in Medical Council in the UK. Successful applicants are advised the UK in the 1970’s and the early 80’s to seek further to contact the General Medical Council to make enquiries training or to sit for the part II of the MRCP. about this. The General Medical Council requires a pass in The Bill Marshall Memorial Fund was created in memory of the IELTS test (with a minimum score of 7.0 in each band) Bill, and the Trustees of this Fund award one or two Clinical before they will consider granting Limited Registration. Fellowships annually to young medical graduates overseas. Among the many recipients of this award are our fellow Fellowships normally run from 1 April to 30 June each Malaysian paediatricians. year. Although there can be some flexibility in the dates, it is strongly advised that Fellows aim to arrive as close as Bill Marshall Fellows From Malaysia possible to this start date, in order to attend the annual Dr Gan Bin Kee (1988-1989), Dr Deng Cheng Teik (1992), meeting of the Royal College of Paediatrics and Child Dr Bilkis Abd Aziz (1994), Dr Patrick WK Chan (1997), Dr Health in York which is held in April. Adrian YT Goh (1999), Dr Florence Lok Yan Lee (2001), Dr Chong Pheik Sian (2004). Application procedure: All candidates must be nominated by a senior colleague (i.e. Head of Department or Unit) who Young Malaysian paediatricians are urged to apply for this knows them well at their current place of employment. fellowship. The following information is extracted from the Applications must consist of two copies of each of the website of the Great Ormond Street Hospital for Children following: NHS Trust and the Institute of Child Health: • a short curriculum vitae. This should include full Postgraduate Fellowships are intended for medical details of any experience in the speciality for which you graduates under the age of 35 who wish to visit Great are applying, and a complete listing of any Ormond Street Hospital for Children NHS Trust and the publications. Institute of Child Health to gain further experience at one of • a candidate’s statement indicating their experience the specialist departments. Priority is given to applicants and career intentions. from South East Asia who have not previously had the • two professional references (one of these must be opportunity of studying in the UK at postgraduate from the candidate’s Head of Department). Your level. High quality candidates from other countries can be referees should be asked to forward the references considered. separately under confidential cover to the Dean, Institute of Child Health, 30 Guilford Street, London, The awards are each in the region of £4,500 which provides WC1N 1EH. enough funding for subsistence, single person • a completed nomination form accommodation, return air travel to the UK, and travel within the UK for meetings/visits and registration fees for Applications for Fellowships should be made to arrive no such meetings. later than 15 October each year (for Fellowships commencing the following April) and should be forwarded The Fellow may attend all the clinical and academic to the Clinical Teaching Office, Institute of Child Health, 30 functions of the Unit to which they are attached, with Guilford Street, London, WC1N 1EH, UK. Applications are observer status. It may also be possible for Fellows to attend then considered in November and the successful applicants a limited number of short specialist courses at the Institute will be contacted by the end of the year. of Child Health during their stay, subject to the approval of the Vice Dean for Education and Training. Koh Chong Tuan [email protected]

Please visit the GOSH/ICH website (http://www.ich.ucl.ac.uk/ich/html/education/fellowships.html#bill) to obtain further details or to download the application forms.

BERITA MPA – OCTOBER 2004 10 Announcements

2nd ASIAN CONGRESS OF PAEDIATRIC NEW LIFE MEMBERS NUTRITION (ACPN) Dr Hii King Ching Dr Chin Wai Seong Date : 1-4 December 2004 186F, Jalan Stapok No 6, Jalan Kenangan SI 83250 Kuching 9/1C Contact : Ms Anna & Ms Myura Sarawak Bandar Sri Damansara Venue : Sahid Jaya Hotel, Jakarta, Indonesia 52200 Kuala Lumpur Phone & Fax : 62 21 3190 0129 Dr Wong Chee Yeng Email : [email protected] 48, Jalan Terasek Tiga Dr Huang Loon Ger Website : www.acpn2004.org Bandar Baru PO Box 11260 59100 Kuala Lumpur 88813 Kota Kinabalu Sabah th 9 CONGRESS OF THE ASIAN PAN PACIFIC Dr Lai Mei Wah SOCIETY OF PAEDIATRIC No 8, Jalan USJ 11/3C GASTROENTEROLOGY, HEPATALOGY 47620 Subang Jaya AND NUTRITION Selangor & THE 27th ANNUAL CONGRESS OF THE NEW ORDINARY MEMBERS MALAYSIAN PAEDIATRIC ASSOCIATION Dr Tang Siew Ching Dr Chin Saw Sian 46, Lebuh Merpati 108A, Lorong 1B Date : 16-19 June 2005 Off Jalan Meru Jalan Sungai Maong Tengah Venue : Shangrila Hotel, Kuala Lumpur 41050 Klang 93150 Kuching Address : Secretariat: 9th APPSPGHN & Selangor Sarawak 27th MPA Annual Congress 3rd Floor (Annexe Block) Dr Yeo Kee Thai Dr Md Nazim Abu National Cancer Society Building 24, Jalan Sri Kuantan 79 Paediatric Unit, Dept of 25250 Kuantan Human Growth and 66, Jalan Raja Muda Abdul Aziz Pahang Development 50300 Kuala Lumpur, Malaysia Asrama Jururawat Hospital Phone : 603 2691 5379/2698 9966 Kuala Lumpur Fax : 603 2691 3446 50586 Kuala Lumpur Email : [email protected] CHANGE OF ADDRESS

7th CONGRESS OF INTERNATIONAL TROPICAL Dr Ong Gek Bee Dr Zainah Sheikh Hedra PAEDIATRICS (ISTP) Dept of Paediatrics No 43, Taman TU 22 IN COLLABORATION WITH Hospital Melaka Taman Tasik Utama 75400 Melaka 75450 Ayer Keroh THE EGYPTIAN PAEDIATRIC ASSOCIATION Melaka (TROPICAL OF PAEDIATRIC CHAPTER) Ms Tang Sau Fong No 6, Laluan Pengkalan Dr Prema Subramaniam Date : 6-10 Dec 2005 Indah 2 No 2, Jalan Damai Off Contact : Prof Dr Mortada El Shabrawi Taman Pengkalan Intan Labrooy Address : 3 Nablos St., Shehab St., 31650 Ipoh 30100 Ipoh Mohandesseen Perak Perak 12411 Cairo Egypt Phone : (2) 012 3133 705 Dr Siti Aishah bt Abdu Dr Lim Khwang Thong Rahim Lot 10456, Lorong Stamdin Fax : 202 7619 012 No 344, Jalan Malau 2 19 Jalan Stamdin Email : [email protected] Taman Sri Derga Fasa 2 93350 Kuching 03500 Alor Setar Sarawak Kedah

11 BERITA MPA – OCTOBER 2004