Monthly Archives: August 2009

MV Doulos back in Kota Kinabalu 29 August – 20 September 2009, perhaps really for the very last time

The last time MV Doulos visited Kota Kinabalu in October 2007, its first in 8 years, was supposed to be its last ever, as it was reported that the ship would be decommissioned within 3 years.

Well, 2007 + 3 is 2010 and it is still only 2009, so this time would perhaps be the real swan song.

This year, apart from Kota Kinabalu, the ship has visited / will visit only a select few places in Malaysia: Kuching in January and after KK, it will go to Pasir Gudang (Johor).

The 95-year-old ship, the world’s oldest active passenger ship has now been a floating library for more than 30 years.

Details:
- Location: Berth 8 of Kota Kinabalu’s port.
- Opening times:
10am to 10pm (Tuesday-Saturday)
2pm to 10pm (every Sunday and Monday).
Exception: 29th August (Saturday): 6pm to 10pm & 31st August (Monday): 10am to 10pm.
- Program includes:
Painting competition sponsored by Murobond Paints on 31st August (Monday) starting 10am, open to all Malaysians 13 years and above.
- A chance to win attractive prizes if you participate in a survey on the best diet pill money can buy: just kidding :-)

Ref
Daily Express, 2nd August 2009

The most popular song about Mount Kinabalu before “Sayang Kinabalu”

Before “Sayang Kinabalu” became popular in 2001, I think probably the nation’s most well known song about Mount Kinabalu was “Gunung Kinabalu”, composed by Johar Bahar, arranged by J.W. Zaris and originally sung by Hanafiah Yunus which I remember hearing for the first time many years ago.

The song:

YouTube Preview Image

Lyrics:

Memuncak tinggi mencapai awan
Megah berdiri Gunung Kinabalu
Keagungan dinegara jaya
Gunung yang tertinggi di Malaysia

Dalam sinaran sang suria
Bentukmu sangatlah indah
Kinabalu engkau ternama
Menjadi lambang Malaysia Jaya

Someone said it reminds him of Tony Henry’s mountainous Croatian anthem.

BTW, from afar, doesn’t the mountain look like one of those loose diamonds?

Various versions of the song “Sayang Kinabalu”

This is probably the most well known song that ever came out of Sabah, after the classic “Jambatan Tamparuli” or relatively more recent favourites like “Kosorou Kopo Nangku Doho“.

On the 8th of August 2009, it was the kick off song for the awards ceremony of Malaysia’s 22nd Film Festival in Kota Kinabalu, sung by Jo-Anna Sue Henley Rampas, the 2007 Unduk Ngadau and 2009 Bintang RTM [arguably the most prestigious singing competition in the country] runner-up:

YouTube Preview Image

As I wrote earlier, it was originally written in 1992 by Asmin Mudin (Umbut), when he felt homesick while studying at a Teacher’s Training College in Kelantan.

It was finally released for the first time in 1997 under Roslan Aziz Productions in Kuala Lumpur. It did not do well then, but in 2001, it was re-released through Asmin’s brother, Kimin Mudin’s album and the rest, as they say, is history.

At the end of November 2008 it was chosen as Sabah Tourism’s promotional theme song for a period of 10 years.

A sign of any song’s popularity is the number of covers it spawned and how many unofficial versions have been uploaded to youtube.

The original version, sung by Kimin Mudin:

Click here to see the videos

H1N1 situation in Malaysia (Part 2)

Ministry of Health Hotline (8am – 9pm): 03-88810200 / 0300, 03-88834414 / 4415. Email: cprc@moh.gov.my. Website.

11th September 2009: Malaysia on 74 deaths: a disabled 19-year-old boy from Gerik, Perak, who was admitted to Gerik Hospital on 19th August for fever, cough, sore throat and vomiting over 4 days. The next day, he was referred to Ipoh Hospital for specialist treatment and anti-viral treatment was started. However, on 23rd August he died of complications arising from acute pulmonary oedema with underlying Influenza A(H1N1) infection. Lab tests confirmed this to be caused A(H1N1) on 28th August.

On the same day, US trials of Sanofi-Pasteur SA’s and CSL Ltd’s H1N1 swine flu vaccines confirm that only one dose is needed for it to work.

4th September 2009: Malaysia on 73 deaths, and the first death of a person not in a high-risk group: a 25-year-old woman from Betong, Sarawak. She was admitted to the district hospital on 30th August for fever, cough and sore throat. The next day, she was referred to Sibu Hospital for further treatment where anti-viral treatment was given. She died the next day due to severe pneumonia with H1N1 infection.

2nd September 2009: a top WHO expert, Marie-Paule Kieny, director of the WHO’s vaccine research programme said the vaccine will definitely work, even if the virus mutates, and that:
(i) it will be available as early as this month;
(ii) health workers should get immunised first;
(iii) cost: rich countries USD10-USD20 per dose, middle-income countries half that, & low-income countries quarter that;
(iv) a complete clinical evaluation of the vaccine is not necessary;
(v) a third of the world’s population will eventually be infected with the virus.

30th August 2009: Malaysia on 72 deaths: a 49-year-old man who died at Malacca Hospital. He was admitted 13th August, immediately given anti-viral drugs and antibiotics after having fever, cough and vomiting for two days. His condition worsened due to lung disorders, although he tested negative for tuberculosis, typhoid, dengue, leptospira infection and even H1N1 on 18th Aug 18. He was moved to the ICU the next day, and died the same day due to “severe pneumonia with septicaemic shock”. It was only on 24th August that he was confirmed to have the virus, after the post-mortem biopsy report based on lung samples tested positive.

29th August 2009: the World Health Organisation (WHO) says Malaysians have low understanding and poor knowledge on the spread of the A(H1N1). The public did not take H1N1 seriously. 4 awareness campaigns have been held since May, but only the wearing of masks had given the public the most awareness. The others: personal hygiene, use of sanitisers and hand cleaning had not sunk in.

26th August 2009: Malaysia on 71 deaths: 24-year-old woman who died of “H1N1 with Acute Respiratory Distress Syndrome (ARDS)”.

25th August 2009: Malaysia on 70 deaths: 3-year-old boy who died 18th August of H1N1 Encephalitis with Celebral Odema and Multiorgan Failure. He suffered high fever and fits for 2 days before receiving treatment on 12th August; condition deteriorated, admitted to ICU, given Tamiflu, tested positive for the virus 5 days later.

24th August 2009: Malaysia on 69 deaths: latest is the 38-year-old female teacher at SMK USJ 12 who died on 19th August.

21th August 2009: The World Health Organisation stated that: for every confirmed case, there are 20 other undetected cases. That means, there are actually almost 110,000 cases in Malaysia now.

20th August 2009: Malaysia on 68 deaths: a 33-year old woman who’s 34 weeks pregnant. The unborn child also died. She was treated and admitted into a private hospital in Johor Baru on 8th August after developing fever and cough for one day. 5 days later, she was admitted to the ICU of Sultanah Aminah Hospital in Johor Baru for breathing difficulties. Tamiflu was administered, but she died the next day due to “severe pneumonia and respiratory failure.” A(H1N1) infection was confirmed 14th August.

The country recorded its highest number of cases in one day: 569.
Total number of confirmed cases: 5,496.

Difference between normal flu and H1N1

A(H1N1): fever exceeding 38 degrees Celsius for 3-4 days, headache, severe body ache, sore throat and dry cough (in the early stages), excessive tiredness.

Normal flu: rarely have fever or have only mild fever (of less than 38 degrees Celsius), runny nose and sneeze often.

Professor of Medicine and Infectious Diseases Dr Adeeba Kamarulzaman of Universiti Malaya Medical Centre (UMMC) was quoted to have said:

The rapid test kit, as advocated by the Health Ministry, is not a good idea as it gives a “false sense of security”: it’s only at best 25% accurate. Health Minister Datuk Seri Liow Tiong Lai had earlier approved the use of these kits as he claimed it could diagnose patients in 15 minutes and was 70 – 90% accurate.

A report by the Centre for Disease Control in Atlanta says mask-use by either infected patients or health-care personnel does not prevent the transmission of viruses. While the mask is effective in preventing those already infected with the virus from spreading it, it actually does nothing to prevent healthy people from getting the disease. If this true, the recent exercise by the authorities to make face masks a controlled item, seems useless and redundant.

18th August 2009: Malaysia on 67 deaths: additional 3 deaths from the day before, all in high risk group:
(i) a 33-year-old woman of severe bronchopneumonia; admitted to ICU on 7th August, tested positive for the virus on 12th August.
(ii) a 10-year-old girl of “Systematic Lupus Erythematous (SLE) with severe pneumonia with renal impairment”, admitted 17th July, died 13th August.
(iii) a 71-year-old man of “Ischaemic Dilated Cardiomyopathy precipitated by pneumonia”, admitted to hospital after having fever, cough and breathing difficulties for two days, died 14th August.

Number of patients in wards: 276
Number of patients in ICU: 36 [21 with risk factors]

Malaysia now ranked 8th in the world, behind the USA (477), Argentina, Brazil, Mexico, Australia, Chile and Thailand; we have even more deaths than vastly more populous or more densely populated countries like Japan, India, Indonesia, the Philippines, China (zero deaths!) and Hong Kong.

Note: antiviral treatment WITHOUT first testing for the virus will ONLY be given to 3 high risk groups and those with influenza (any flu).

Dr Ismail Merican (Ministry of Health Director-General) vs Dr Adeeba Kamarulzaman (Professor of Medicine and Infectious Diseases, Universiti Malaya Medical Centre):

Dr Ismail: fatalities could be avoided if health practitioners take appropriate actions immediately. Of the 56 recorded deaths, 40 percent involved delays in receiving early treatment and 13 percent was because of late detection by medical practitioners.

Dr Adeeba: although treatment can be given very quickly, patients with underlying diseases could succumb before the medication can take effect. I cannot speak for other cases of death but from what I see here, the cause is not late detection. Lung infection takes off very fast and not much can be done. This is a delicate situation and we do not want to over-treat people. 64 deaths (to date) is a lot. Although there is sufficient supply of Tamilflu, healthcare practitioners need to be prudent in dispensing the anti-viral drug. If not, those who really do need medical attention will fall thru the cracks. The number of people down with the flu is certainly very big. It is a very unusual situation in Malaysia due to the extent of the infection.

The Health Ministry should send a clear and consistent message on the outbreak so that Malaysians know exactly what to do. We want people to be aware but we do not want them to panic. Do not tell people to do a throat swab one minute and then say ‘don’t’ the next minute. That was really confusing for the public.

If ever a medical emergency is declared, people could be rushing out of the country, I sure hope the exit signs are well placed…

Part 1 of the chronology.

The only journalist in Malaysia who does not know which political party Karpal Singh belongs to

Happened this morning at the Kuala Lumpur High Court.

During the 3rd day of Karpal Singh’s sedition trial, where he was alleged to have uttered seditious words against the Sultan of Perak at his legal firm in Jalan Pudu Lama between 12pm and 12.30pm on 6th February 2009, the following exchange took place between defence counsel Jagdeep Singh Deo (Karpal Singh’s son) and RTM reporter and news script writer Eliani Mazlan, 26 who took the prosecution witness stand.

Eliani was present at Karpal’s office on the abovesaid date & time with a cameraman to cover the assignment.

Jagdeep: Do you know which party Karpal Singh is from?

Eliani : I am not sure. [The Edge Malaysia wrote it as "I don't know."]

Everybody present: [sense of disbelief]

Karpal: [smiled in amusement]

Jagdeep: Are you a voter?

Eliani: Yes.

Jagdeep: [turning to the court] You cannot be a Penangite.

Everybody present: [laughter]

For the benefit of those who don’t know Malaysian politics, a journalist in Malaysia who does not know which political party Karpal Singh belongs to like an ICT specialist who has no idea what a micro sd card is.

Source
The Star, 14 August 2009

First Influenza A (H1N1) related death in Sabah, 5th August 2009

Today, the 9th of August 2009 is the worst day yet for Malaysia when it comes to A(H1N1): 8 confirmed deaths due to the virus, bringing the total to 26 since the first death on 21st July.

And in the chart which nobody wants to top, Malaysia jumped 4 rungs to 13th place out of 40+ countries with recorded deaths. Among South East Asian countries, only Thailand has more deaths: 81.
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And it has hit so much closer to home, the kind of news can only accelerate the production of mask-related industrial products in the state: Sabah recorded its first ever A(H1N1) death on 5th August.

An obese 24-year-old woman who was suffering from fever and cough was warded for 4 days at Ranau Hospital beginning 1st August. On 5th August she was referred to Queen Elizabeth Hospital (QEH) in Kota Kinabalu but died on the same day.

The second death in Sabah occured the very next day: a 74-year-old man with chronic heart disease. He was admitted to QEH on 3rd August after suffering from difficulty breathing and fever for a month. He died on 6th August.

These two people could only be confirmed to have the virus when tests were done during post mortem.

Current status in Sabah:

Number of confirmed cases: 402 cases since the first one on 15th June.

Number currently hospitalised: 7 (1 in ICU).

Number of schools closed: 35.

Source
Bernama, 9th August 2009

Hot days resumes

The Star reported back in May 2009 that it would be very warm all over the country from April to September.

But during a wet spell somewhere in between, we all forgot about that and perhaps the even more important online backup too.

So when the rains stopped and the heatwave came back with a vengeance, it was truly stifling heat.

Back in May, the Meteorological Department reported that:
(i) this weather pattern is a usual phenomenon in Malaysia;
(ii) April and May are hottest months according to climatology studies, and the change of wind direction during the inter-monsoon season last month (April) has caused the weather to be drier.
(iii) Malaysia would experience the South-West monsoon from mid-May to September which usually brought a dry spell. The occasional rain and thunderstorms could still be expected.
(iv) The maximum temperature is expected to range from 30.7°C to 34.1°C.

Source
The Star, 11th May 2009

PIKOM PC Fair, 7-9 August 2009, Sabah Trade Centre, Kota Kinabalu

Open 11am – 9pm.

Initial observations:

Someone mentioned that the hall looks like a giant ward – so many people wearing surgical masks, although I don’t think it would do much good in preventing oneself from being infected with the A(H1N1) virus. Better wear a gas mask, or even better, a full biohazard suit!

Parking: as usual, difficult to get a space. Perhaps better aim for that empty space next to Likas Square, plenty of space there Friday afternoon.

Some items that I browsed during Friday lunchtime.

Disclaimer: I mentally noted the specs & prices – I could be mistaken.

China brand RMVB/MP4 player, HDMI/RCA output, 2 USB ports: RM159

China brand RMVB/MP4 player, RCA output, 1 USB port: RM99

China brand RMVB/MP4/MKV player: not available ?

Western Digital RMVB/MP4/MKV player: RM429

Western Digital My Book Essential 1TB: RM399 [apparently there's another booth selling the same thing for RM315?]

Samsung 1TB 3.5″ hard disk with enclosure: RM268

Western Digital 500GB SATA 2.5″ hard disk only: RM309

Western Digital 500GB 2.5″ hard disk c/w Western Digital casing: RM359; an even cheaper alternative found by Ray: Western Digital 500GB hard disk c/w Western Digital casing [No Touch Basix NT2500], 1 year warranty: RM315 (ACI Tech booth)

Western Digital 320GB 2.5″ hard disk c/w Western Digital casing: RM259

Western Digital 250GB SATA 2.5″ hard disk only: RM183

Kingston 8GB thumbdrive: RM50

Kingston 16GB thumbdrive: RM93

ATech Glaser mouse (wired): RM25 (booth near back door)

ATech Glaser mouse (wireless): RM59 (booth near back door)

P.S. I did not see a single person below school-going age, not a good idea anyway for baby announcements.

H1N1 situation in Malaysia

Continued in Part 2.

Ministry of Health Hotline (8am – 9pm): 03-88810200 / 0300, 03-88834414 / 4415. Email: cprc@moh.gov.my. Website.

September 2009: the very first doses of the vaccine usable to immunize humans, from one or more manufacturers expected to be available.

17th August 2009: Malaysia now on 64 deaths: the latest 2 victims a 7-month-old boy and a 74-year-old woman. Total number of reported cases: 4,225.

The 7-month old baby boy was treated at a private clinic on 6th August due to fever, cough and breathing difficulties. He was warded in ICU the next day. Anti-viral treatment was administered 8th August. A(H1N1) infection confirmed 12th August. He died 15th August due to “severe pneumonia with acute respiratory failure.”

The 74-year old woman who suffered from diabetes and heart failure had been suffering from fever and cough since 8th August and was warded on 10th Aug after fainting at home. Anti-viral treatment was started on 11th August but she died the next day of “severe pneumonia” and A(H1N1) infection was confirmed on 13th August.

16th August 2009: Malaysia on 62 deaths:
(i) a 3-year-old boy who was admitted 1st August for fever, cough and dyspnea, of which he had been suffering from for 5 days. Antiviral treatment began 3rd August but he died 14th August due to “severe pneumonia.”
(ii) a 50-year-old man who was admitted 3rd August for cough, fever, dyspnea, vomitting and diarrohea. He had flu-like symptoms since 28th July and anti-viral drugs were given on 4th August but he died 14th August due to septicemia and pneumonia.
(iii) a 6-year-old boy with Down’s Syndrome who suffered from congenital heart problem and had cough, fever and dyspnea when he was admitted 9th August. He was given anti-viral treatment on the same day he was admitted, but died on 13th August due to “severe pneumonia with underlying problems and complications.”

Total number cases: 3,857

15th August 2009: Malaysia on 59 deaths:
(i) a 22-year-old obese man who died of “viral pneumonia”
(ii) a 29-year-old man who suffered from valvular heart disease who died of “severe bronchopneumonia”
(iii) a 44-year-old woman with a history of asthma; she died of pneumonia.

Guideline:
(i) if you have even mild influenza symptoms, do NOT visit shopping complexes, travel, work, go to school or taking public transports. Better stay home until you recovered.
(ii) Antiviral treatment would only be given to 3 groups – those with influenza-like illnesses and have risk factors; those with high fever (more than 38 degrees Celcius) for more than two days & and those who tested positive for the virus.

14th August 2009: Malaysia on 56 deaths: an increase of 5: 2 8-week-old babies, a teenager and two adults who all died last week. Four had added health problems: diabetes, obesity and tuberculosis.

Among those infected, 27 are in ICU and another 72 hospitalised.

Up to now, Malaysia has reported over 2,250 cases.

According to a survey carried out by The Star among 12 private clinics here, most clinics in the Klang Valley not stocking up with Tamiflu. Reason: high cost (RM140 to RM220 for 10 tablets) & inconsistent guidelines from the Health Ministry.

13th August 2009: Malaysia now on 51 deaths, all from the high-risk group: they had high blood pressure, heart disease, low imunity & congenital disease, aged between 4 months and 92 years. Currently: 51 warded, 29 in ICU & 16 of those from high risk group. Now Malaysia ranked 9th in the world, only Thailand, with 97 deaths has more fatalities in SEA. At this rate, in about 2 months we would have the most fatalities in the world.

12th August 2009: Malaysia now on 44 deaths. The latest deaths involve a 10-month-old girl, a one-year-old boy, an 18-year-old pregnant woman, a 24-year-old man and two other men in their 60s. The actual dates of death were Aug 7 (four), Aug 9 (one) and Aug 10 (one).

11th August 2009: Malaysia now on 38 deaths, with 6 new fatalities. Total number of cases recorded so far: 2,253; 270 new cases in the last 24 hours. Now, 48 hospitalised, 11 other in ICU (4 high risk patients). Globally: at 208,990 cases with 1,716 deaths.

The Tengku Puan of Pahang, Tunku Azizah Aminah Iskandariah, and her five children, who are being treated for Influenza A (H1N1) at the Tengku Ampuan Afzan Hospital (HTAA).

Meanwhile, the government said it will not stop pilgrims from performing the hajj or umrah, as there were no restriction order issued by the Saudi Arabian government.

10th August 2009: Malaysia now on 32 deaths, with 6 more confirmed to have died of the virus, all except one only confirmed during post-mortem; 4 had “underlying risk factors.” There were 203 (!) new cases reported today, bringing total to 1,983.

Sabah: 435 cases, compare that to only 35 on 11th July. Globally: 208,155 infected, 1,688 from 174 countries dead.

9th August 2009: Malaysia now on 26 deaths, including the first death in Sabah on 5th August.

7th August 2009: starting today, all government hospitals, clinics and 22 selected private hospitals nationwide will have the influenza A (H1N1) anti-viral drug Tamiflu. Private clinics also allowed to get stocks.

All anti-viral drugs should not be taken as a preventive measure as this could result in the virus developing resistance to medication, as have happened in countries like the US and Japan. Pharmacists warned not to sell anti-viral drugs to the public without a prescription.

6th August 2009: 14th death in Malaysia: a 57-year-old man who was diabetic and had hypertension. He was warded at Putrajaya Hospital on 4th August and died of acute pulmonary oedema. Malaysia now has 1,492 cases.

Health Ministry director-general Dr Ismail Merican added:
(i) Do not burden government hospitals by seeking treatment for light flu symptoms. Instead, they should rest at home and heed medical advice.
(ii) Only warded patients will be tested for the deadly virus (throat swab).

5th August 2009: 12th death in Malaysia: 6-year-old boy, at 2.30am, Batu Pahat Hospital, Johor, the second death in Johor of the virus. He died of severe pneumonia.

13th death in Malaysia: Mohd Hyafiq Afendi, 6, who died at the Tengku Ampuan Afzan Hospital, Pahang at 12.40pm after suffering from pneumonia. He was admitted to the hospital on 1st August after developing fever and complaining of stomach ache.

That means 5 people in the country have died of the virus in a 72-hour period.

In the chart which nobody wants to top, Malaysia is joint 17th out of 40+ countries with recorded deaths. Among South East Asian countries, only Thailand has more deaths: 81. Even countries with much bigger population recorded fewer deaths: Phillipines: 9 & Indonesia: 3. 4 countries have recorded more than 100 deaths: USA (384), Argentina (266), Mexico & Brazil.

4th August 2009: 16 new cases, total in Malaysia: 1,476.

3rd August 2009: 8th death in Malaysia, and 1st in Sarawak: a 24-year-old native woman, 2 weeks after giving birth to her first child at Miri Hospital, at 4am. She was warded 17th July.

9th to 11th death in Malaysia all died in Malacca Hospital:
(i) 3-year-old girl with a history of chronic respiratory tract infection; she died of severe pneumonia.
(ii) 12-year-old boy with chronic kidney failure, who was undergoing dialysis treatment; he died of severe pneumonia.
(iii) 20-year-old man with chronic asthma; he died of severe pneumonia.

2nd August 2009: 6th death in Malaysia: an 11-year-old boy in Johor Bahru. He was admitted to Hospital Sultanah Aminah on 29th July after having fever. A day later, his condition worsened and admitted to ICU. Further checks revealed inflammation of the heart and lungs. On 1st August, H1N1 infection confirmed.

For the first time, two deaths in the country on the same day: the 7th death in Malaysia: a lady teacher, 51, from a Selangor school which was closed on 27th July. On that day she complained of cough, fever and breathing difficulties and went to see a doctor on the same day. She was hospitalised on 30th July where she developed pneumonia. She had underlying heart disease. A sample was taken after she died; test results on 3rd August confirmed infection.

39 new cases reported, 35 from 8 new cluster cases, 4 sporadic cases. Total cases 1,429, 60% local transmission, the rest imported. 19 cases currently in hospital, 8 in ICU, all on anti-viral treatment.

Worldwide: 183,826 cases, 1,301 deaths, 167 countries. It’s an increase of 940 cases and 95 deaths compared to the previous day.

31st July 2009: 5th death in Malaysia: a 10-year-old girl from Bagan Serai, a small town in Perak. She had been ill since 27th July did not suffer from any breathing problems when receiving outpatient treatment at a private clinic. At night the next day (28th July), she had breathing difficulties – received treatment at a Bagan Serai health clinic the next day, where she was in stable condition, did not complain of breathing difficulties or cyanosis & was given outpatient treatment including antibiotics and cough medicine. But at 3am on the 31st she had breathing difficulties, fever and cough and was rushed to Bagan Serai Health Clinic. While receiving treatment, she passed out & was pronounced dead at 5.30am. The post mortem revealed that she died of “severe pneumonic changes.” A phlegm test confirmed that she had the virus.

28th July 2009: 4th death in Malaysia: a 20-year-old woman in Melaka Hospital from “severe community acquired pneumonia”. It was a local transmission. The obese woman only sought treatment on 26th July, 11 days after being infected. She had not heeded her parents’ advice to go seek treatment earlier. She suffered clinical complications on 27th July, a throat swab taken a day later. Doctors did not suspect that she was infected by H1N1 until after her death.

27th July 2009: 3rd death in Malaysia and 1st from local transmission: a 42-year-old man. He died of severe pneumonia with multi-organ failure after being treated for 10 days in a private hospital in Kuala Lumpur. He had received oupatient treatments from several private clinics and hospitals since 6th July before being referred and admitted to the private hospital on 18th July, diagnosis result: diabetes mellitus. Chest x-ray result: pneumonia. Transferred to ICU due to breathing difficulties & required ventilator. When condition worsened, throat swab taken on 22nd July & H1N1 infection confirmed the next day.

95 new local H1N1 cases involving Malaysians with 1 death, 68 cases from 19 new clusters, 22 cases from existing 11 clusters, 5 sporadic / isolated cases.

Total reported cases: 1,219, 3 deaths., 53% local infections, 47% imported, 98% have recovered, the rest while receiving anti-viral treatment in hospital and at home.

Local transmission cases have exceeded imported cases. Local infections spreading so fast: 19 new clusters.

At a briefing to the National Influenza Pandemic Task Force today, Dr Tee Ah Sian, director of communicable diseases of WHO, painted a possible scenario in Malaysia:
(i) Malaysia has a population of 27.7 million – if 20% are at risk & exposed, 5.5 million people will be infected.
(ii) Based on other serious influenza stats, if 2% to 9% require hospitalisation, this translates to 110,000 to 500,000.
(iii) If fatality rate is 0.1% to 0.5%: 5,500 to 28,000 would die. Compare this to the rising global fatality rate which rose from 0.4% to 0.66%.

26th July 2009: 2nd death in Malaysia: a 46-year-old Malaysian man, who worked in Belgium, of “severe pneumonia with respiratory failure with septicaemic shock and acute renal failure:. He died after 7 days in the ICU of a private hospital in Subang Jaya. He came back to Malaysia on 4th July. During a holiday with his family in Langkawi, he developed fever and coughing on 13th July. On 16th July, he sought treatment at a private hospital in Petaling Jaya: chest X-ray showed that he had pneumonia. He was then referred to the private hospital in Subang Jaya on 19th July. On 22nd July, his throat swab confirmed his H1N1 infection and complications soon developed.

49 new cases, all locals, total cases: 1,124, 574 imported cases. 98% of cases had recovered, 10 being given antiviral treatment & 8 treated at home.

21st July 2009: 1st death in Malaysia: a 30-year-old Indonesian student in Kuala Lumpur, although the cause of death was not the virus itself, rather it was “cardiac arrest due to ventricular fibrillation (irregular heart rhythm)”. The student had other underlying medical conditions. He went back to Indonesia for a holiday and returned to Malaysia on 5th July where he was suffering a mild fever and cough. On 21st July, he fainted while waiting for his medication after seeing a doctor at a private medical centre in Kuala Lumpur. Emergency treatment could not save him. Post mortem result: he was obese, had pneumonia, an enlarged heart and liver and pus-like material at the bottom of the trachea. Virology & bacteriology tests on lung tissues and trachea revealed presence of A(H1N1).

15th June 2009: first case in Sabah, the 16th case in the country: a 15-year-old (some reports say 14) Sandakan girl who arrived in Kota Kinabalu at 6.10pm on a flight from the United States 2 days earlier.

15th May 2009: first case in Malaysia: a 21-year-old student who returned from New York in the United States 2 days earlier.

end of April 2009: the pandemic A (H1N1) virus identified.

While we read that some of the fatalities involved those with obesity issues, looking for the best diet pills to better one’s BMI needs to be thoroughly discussed with the doctor first.