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.

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