Remember, Covid-19 is still around

 GEORGE TOWN: With the recent surge in Covid-19 cases, Malaysians have been advised to stay vigilant and take all precautionary measures to contain the spread of the virus.

Penang health committee chairman Daniel Gooi said despite the uptrend in cases since the end of last year due to the holidays, the situation was still under control.

“People should wear face masks in crowded areas and wash their hands regularly. These are basic precautionary measures that we should adopt. We must also closely monitor the health of all our family members,” he added.

Gooi said there were no plans to implement extra measures during the long weekend despite the potential increase of domestic tourists arriving in Penang this week. 

There were 47 new cases reported in Penang on June 28 with active cases at 312 as of June 29. Out of this, 305 people were placed under home quarantine with seven being hospitalised.

Penang Hospital infectious disease unit head Datuk Dr Chow Ting Soo shared four important steps to keep Covid-19 at bay.

“In view of the waning immunity post-vaccine, the elderly and high-risk group should continue to wear masks, regularly sanitise their hands and avoid closed-space gatherings as much as possible.

“Secondly, this group should get tested immediately if they show Covid-19 symptoms, and get the antiviral as soon as possible.

“Thirdly, family members of the patients should also take a test and self-isolate if unwell to prevent the spread of the disease.

“Lastly, home isolation is still necessary, as well as wearing face masks for one week. If you need to go out, wear a face mask in public if you have cough or flu symptoms. Consult a doctor if your condition worsens,” she said.Dr Chow said these four steps also applied to food handlers and workers at restaurants.

Meanwhile, hawkers at the Paya Terubong market food court said they have been wearing masks since the early days of the pandemic until now.

“I also regularly use sanitiser and always wear a face mask when preparing food for my customers,” said sar hor fun seller Janice Cheah, 52.

Roti canai seller Karim Bukhari, 45, said he wears a face mask once he starts preparing the food.

“I come in direct contact with the dough, so hygiene is important. I want my customers to feel comfortable eating at my stall,” he added.

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Mask up to be safe: People wearing face masks as a protective measure against air pollution and Covid-19 in Bukit Bintang, Kuala Lumpur. — Filepic

Containing the rising spread

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Keep safety measures up as the year-end holidays approach says health experts

PETALING JAYA: As Covid-19 caseloads increase, health experts say Malaysians must exercise vigilance to avoid catching the life-threatening disease and other infectious respiratory diseases such as influenza.

These experts say that keeping safety measures up, especially as the year-end holidays approach, can protect yourselves and others besides preventing both asymptomatic and symptomatic spread of respiratory illnesses, which are more dangerous for vulnerable groups such as the elderly, children and chronically ill.

Public health medicine specialist Datuk Dr Zainal Ariffin Omar said that during the year-end rainy and wet season, there will be many respiratory infection cases due to viruses.

He said the public should not only take measures to prevent Covid-19 but also other respiratory diseases and food and water-borne illnesses during these wet months.

“Covid-19 is still with us and can cause severe illness and even death. Practise SOP (standard operating procedure) like wearing a mask, washing hands, avoiding crowded places, seeking treatment and completing the immunisation schedule,” he said.

On Nov 23, the Health Ministry said that Covid-19 cases had risen by 28% between Nov 12 and 18 at 2,305 infections compared to 1,801 the week before.

ALSO READ: Daily confirmed cases steadily rising since September

Malaysian Medical Association president Dr Azizan Abdul Aziz said given that Covid-19 symptoms were now mild for most, there was a high likelihood of those infected not performing self-tests or isolating themselves. She also stressed on the use of face masks for those with flu-like symptoms and isolation if the individual is confirmed to contract Covid-19.

“Skipping these practices could be one of the main reasons why there is an increase in cases,” she said.

Dr Azizan said those with influenza should mask up when going around, adding that Covid-19-positive individuals should report themselves through the MySejahtera app.

She also reminded those in high-risk categories to ensure that they have received the recommended boosters and use a face mask when in crowded places and situations.

“The elderly are also recommended to take the influenza vaccine as they may have a weaker immune system. The same goes for children above six months of age,” she said. “And do not forget the good habits the pandemic has taught us: wash hands often with soap and water or use sanitiser.”

Prof Dr Sharifa Ezat Wan Puteh said that while the recent 28% surge in cases was concerning, it had to be ascertained whether there was also a rise in virulence.

ALSO READ: Health Ministry to send report to PAC over Covid-19 management

The health economist and public health specialist with Universiti Kebangsaan Malaysia said there is a need to look at trends of Covid-19 admissions and patients with severe respiratory symptoms.On whether a major outbreak is possible, Dr Sharifa Ezat said it is unlikely “unless a new variant of concern comes up, and is highly virulent”.

She also advised patients with mild Covid-19 to wear a mask and get boosted if they have yet to do so, while those with severe symptoms should get tested and seek treatment.

“Immunocompromised populations are at higher risk of developing severe symptoms as well,” she said, referring to those with obesity, young children, the elderly and individuals with non-communicable diseases such as diabetes.

Association of Private Hospitals Malaysia president Datuk Dr Kuljit Singh said there has been a small increase in Covid-19 patients in private hospitals but the situation is still manageable.

“We have seen spikes after festive periods and we should be careful with very crowded places during gatherings,” he added.

Malaysian Pharmacists Society president Amrahi Buang said the new wave of infections was likely due to new variants and it has been happening in other countries as well, such as in Perth, Australia.

Last week, a surge in Covid-19 cases prompted the government of the Western Australian state to reintroduce face mask rules at Perth public hospitals.

Amrahi said the current rise in infections in Malaysia is concerning, adding that people have not been using MySejahtera to self-report.

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Watch out for new mutant strain, Omicron Subvariant BA.2.86, nicknamed Pirola

PETALING JAYA: The BA.2.86 subvariant of the Covid-19 virus, known as Pirola, has not landed in Malaysia yet but this newly-detected, highly-mutated variant of Omicron has raised concerns in countries such as the United States and Britain.

Public health expert Datuk Dr Zainal Ariffin Omar said the BA.2.86 subvariant was highly infectious and could easily spread.

As such, he urged the public to get a booster shot and complete their recommended vaccination schedule.

Universiti Kebangsaan Malaysia professor of public health Prof Dr Sharifa Ezat Wan Puteh said the subvariant might be potentially more transmissible because its spike protein could undergo up to 30 mutations.

However, she said some experts were of the opinion that it might just pass us by without having a significant effect.

“Treatments such as antivirals like Paxlovid are still efficacious with current strains. Even if people get reinfected by BA.2.86, the immune memory will still allow their immune system to kick in and control the infection far more effectively as many have received their booster doses.

“The current advice is still the same – get your boosters, wear masks in public spaces, wash your hands and maintain good ventilation. It is expected that new vaccines against the new strains will be available soon,” added Prof Sharifa Ezat.

Universiti Putra Malaysia’s associate professor of virology Dr Chee Hui Yee said it was still too early to conclude how dangerous the subvariant was as only some 31 genomic sequences of the Pirola variant had been recorded with the Global Initiative on Sharing All Influenza Data.

“Close monitoring and observation are needed and I would like to suggest for Malaysia to do whole genome sequencing on more recent samples to track the variant,” she said.

“We can live our lives as usual, but take more precautions when travelling overseas.”The subvariant has also been found in wastewater samples in several countries, including Britain and Thailand.

First found in Denmark in July, the subvariant has also been detected in South Africa, Portugal, Thailand, Sweden, Switzerland and Canada.

The United States is also expecting updated versions of Covid-19 vaccines that have been tweaked to enable the body to ward off the current variants. In the meantime, Britain is fast-tracking its flu and Covid-19 vaccination drive for care home residents and those immunocompromised as a precautionary measure.While studies are ongoing to ascertain the traits and the effects of Pirola, sore throat, cough, headaches and a runny or blocked nose are said to be some of the symptoms.

On Aug 30, the US Centers for Disease Control and Prevention (CDC) said it was monitoring the Pirola variant, adding that it was still too soon to ascertain its impact and degree of transmissibility.Based on an examination of Pirola’s mutation profile, the CDC said treatments such as Paxlovid, remdesivir and molnupiravir would be effective.

In the Yale Medicine Bulletin published on Aug 31, infectious disease specialist Dr Scott Roberts said the strain had been detected in at least six countries and that the cases were unrelated.

This, he said, suggested that there was some degree of transmission in the international community that had not been detected.Dr Roberts said with a greater degree of herd immunity as a result of infection and vaccination, the world was not as vulnerable to severe illness or infection from the coronavirus as it was at the height of the pandemic in 2020.

“Since the original version of SARS-CoV-2, many people have got infected, and many have been boosted. However, for many of us, it might have been a year or more since we’ve had a booster, so I would encourage everyone to get the updated shot, which is expected to come out in mid-September,” he added.

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Mask up now !

 

More people are falling sick and seeking treatment at hospitals as the Air Pollutant Index readings seem to be going up in parts of the country. With the hazy and dry conditions, and Covid-19 still a concern, health experts are advising people to wear face masks when they are outdoors. 

‘Take cover from virus, air pollution’

PETALING JAYA: Face masks now serve a dual purpose, protecting oneself from Covid-19 and also the haze that has been blanketing the country the past week, say experts.

Universiti Kebangsaan Malaysia’s Prof Dr Sharifa Ezat Wan Puteh is advising the public to continue masking up, especially the elderly and children, to protect them from the harmful effects of the haze.

She said the air pollution consists of fine particles that could enter the human body through the respiratory system and cause health problems.

“The fine particles can go into our breathing system through our throat and lungs, which may cause health issues such as bronchitis. It could also settle on the skin and eyes, which can cause irritation,” the professor and public health expert said.

As Hari Raya Aidilfitri approaches, Prof Sharifa said the public should try to reduce outdoor activities.

“It is important to wear a face mask when outside, especially an N95 that could block fine particles.

“Haze is always related to extreme heat that could lead to heat stroke; hence, staying hydrated is also the best way to ensure good health conditions,” she said.

Prof Sharifa also said that setting up air purifiers in the house would also help ensure the indoor air is free of pollutants.

She also said that before visiting an area during Hari Raya, the public are advised to check the air pollution index (API) of the location.

“If the area records bad API readings, then, if possible, avoid going there,” she said.

Malaysian Medical Association president Dr Muruga Raj Rajathurai concurred, saying that the public must stay informed about the haze and take heed of any warnings or advice from the authorities.

“Face masks will indeed serve a dual purpose if the haze is still around during the Aidilfitri holidays.

“It will also be important to stay hydrated as the heat can cause dryness of the throat and eyes,” he said.

To continuously ensure Covid19 can be contained, Dr Muruga also said the public must wear face masks when visiting houses where there are vulnerable groups, such as the elderly.

“Those with an existing respiratory illness will need to take extra care to avoid exposure to both the haze and Covid-19.

“Whether it’s the haze or Covid19, if you’re having trouble breathing, you should go to the emergency department of a hospital immediately,” he added.

Health Minister Dr Zaliha Mustafa has advised the public to take precautionary measures as the haze situation is expected to worsen, with air quality dropping in several areas of the country.

“People should limit physical activities during the hot weather that could lead to illness.

“Limit being outdoors, use suitable face masks and protect yourselves from the haze by using umbrellas and caps to prevent direct exposure to the hot weather,” she said in a statement yesterday.

She urged the public to halt activities that would lead to air pollution, such as smoking, and to drink more warm water (at least eight glasses) to prevent dehydration.

According to a Swiss air quality index (AQI) monitoring company, a monitoring station in Kuala Lumpur recently recorded an unhealthy air quality of 117.

However, as of yesterday afternoon, almost all 68 air pollution index (API) stations in the country showed moderate readings below 100.

The website also forecast that the AQI in Kuala Lumpur on Friday (April 21) and Saturday (April 22), when Hari Raya Aidilfitri is expected, would be moderate, with readings of 80 or higher. 

 

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A New Zealand story that Asean can learn from

 

New Zealand - Wikipedia

Wellington

 

 New Zealand Prime Minister Jacinda Ardern reacts following the announcement of her resignation at the War Memorial Hall in Napier, New Zealand, on Jan. 19. (Reuters/AAP Image/Ben McLay) 

New Zealand Prime Minister Jacinda Ardern won the hearts of Muslims across the globe when she, wearing a headscarf, comforted the families of victims of the massacre in two mosques by a white supremacist in Christchurch in 2019. Last Thursday, she again astonished an even larger audience with her abrupt resignation, although she stands a great chance to win the upcoming election in October.

The mother of four-year-old Neve Te Aroha Ardern Gayford has undoubtedly made a name for herself as an icon of statesmanship. She has played a role model of a leader who not only does her best for her nation, but also knows when to fade away to ensure a sustainable succession. She could have sought a third term, but she shows she is not hungry for power.

"The responsibility to know when you are the right person to lead and also when you are not. I know what this job takes. And I know that I no longer have enough in the tank to do it justice. It's that simple," the 42-year-old politician said of her reason to step down.

With a population of 5 million, New Zealand is a tiny nation. But its economic size ranks the country among the world’s richest. The country is a permanent dialogue partner of ASEAN along with the United States, China, the European Union, Australia, Japan, South Korea, Russia and India. Unlike close neighbor Australia, which acts as the deputy sheriff of the US, New Zealand has distanced itself from the rivalry of major powers.

Through her exemplary decision, Ardern has taught politicians, male and female, a lesson that they should be ready to leave office when the public do not want them anymore, or else the people will force them to go. Some leaders are willing to step down but prepare their own men or children as successors, but this is clearly not the case in New Zealand under Ardern.

President Joko “Jokowi” Widodo may have to ask his die-hard supporters who have been pushing for his term extension to reflect on Ardern’s bold decision. To prevent rampant abuse of power, which was rampant during the New Order authoritarian rule, the Constitution was amended in 1999 to limit presidential tenure to only twice.

In fact, Indonesian political culture knows no resignation. Politicians or officials tend to cling on power as long as possible by justifying all means.

Ardern won the Labor Party leadership shortly before she won the 2017 election. Her party further won the 2020 election. At that time she was facing at least three major challenges which she could overcome: The 2019 shooting spree of Muslims, the COVID-19 pandemic and the eruption of the White Island Volcano. Her strict lockdown policy to contain the COVID-19 transmission was much criticized, but later she proved she was right and her critics wrong.

The Labor Party elected Education Minister Chris Hipkins as Ardern’s successor on Sunday. The party hopes Ardern’s graceful exit will help it win the October election.

The world loves to see her as a true mother of New Zealand. Her ability to simultaneously perform her state and personal responsibilities, as a mother and wife, inspired and was looked up to by women all over the world. From the beginning, she has proven that women can break the glass ceiling when it comes to the highest office, which in advanced democracies like the US has not yet happened.

She has taught a precious lesson to world leaders that they should know when to call it quits. A true leader will not wait until his or her people force them to go. And we all owe it to Ardern’s beautiful mind.

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