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Showing posts with label Indonesia. Show all posts
Showing posts with label Indonesia. Show all posts

Monday, August 19, 2024

On high alert over mpox, Malaysia; Indonesia advises sick travellers to discontinue visit; China implements measures to prevent mpox at ports

 


Malaysian authorities are stepping up surveillance at international entry points. PHOTO: REUTERS



PETALING JAYA: Although no new mpox cases have been reported in Malaysia so far this year, the Health Ministry says it is ramping up surveillance and advocacy activities after the World Health Organisation (WHO) issued its highest alert.

The ministry said Malaysian authorities are stepping up surveillance at international entry points and all travellers from countries that have reported mpox cases are required to monitor their health status, including symptoms for 21 days after their arrival in Malaysia.

It also advised people with a history of risky activities or who have symptoms such as rashes and blisters to seek treatment at the nearest health facility immediately and avoid contact with other people to prevent the spread of the virus.

Healthcare personnel at public and private facilities are also required to notify suspected and confirmed cases to their nearest district health office to ensure that prevention and control measures can be implemented.

The ministry also assured the public that there are enough labs for testing and diagnostics.

There are 10 labs, including two private labs, with the capability to conduct PCR (polymerase chain reaction) tests to confirm any diagnosis.

The ministry is also increasing awareness activities by distributing materials to high-risk groups and locations, such as spas and saunas.

It said premises offering services that involve skin-to-skin contact with customers such as the aforementioned must always ensure that hygiene is maintained and their employees as well as customers are not experiencing symptoms such as blisters or rashes.

“If an employee or customer experiences symptoms, they should immediately seek medical attention,” the ministry said in a statement yesterday.

It added that it will continue to work with other government agencies and non-government agencies including public hospitals and private hospitals to monitor, detect and treat mpox cases.

It will also continue to monitor the situation within and outside the country.

WHO had declared mpox, previously known as monkeypox, a Public Health Emergency of International Concern (PHEIC) for the second time on Aug 14.

The first PHEIC was declared on July 23, 2022, and ended on May 11, 2023.

“The second declaration was made based on the advice of the IHR (International Health Regulations) Emergency Committee given the spread of the new mpox strain known as clade 1b, which is spreading fast in the Democratic Republic of Congo and neighbouring African countries,” it said.

“The increase in cases in Congo is quite significant with 15,600 cases and 537 deaths reported in 2024, which is higher than the year prior.

“Apart from that, four countries in East Africa, namely Burundi, Kenya, Rwanda and Uganda, reported mpox cases for the first time,” it added.

Malaysia has recorded nine mpox cases to date since the first case was detected on July 26, 2023, including a case recorded in November that year.

The Health Ministry said all the cases reported had a history of high-risk activities and had recovered with no deaths reported.

Commenting on the latest development, Prof Dr Sharifa Ezat Wan Puteh, a health economics and public health specialist with Universiti Kebangsaan Malaysia’s Faculty of Medicine, said those who had sexual encounters with partners from countries where there are mpox cases, including places where the disease is endemic, should be monitored.

“It can also spread from infected pregnant women to their unborn children.

“Those travelling out to infected countries, especially the United States and African countries, need to be mindful of the risk of contact and infection during sexual activities,” she said.

A total of 99,176 mpox cases, including 208 deaths, were reported worldwide from Jan 1, 2022 to June 30, 2024.- THE STAR/ASIA NEWS NETWORK

China implements measures to prevent mpox at ports

China's General Administration of Customs (GAC) has issued a notice that it will tighten surveillance at ports of entry to prevent the spread of mpox in China, after the World Health Organization (WHO) declared on Wednesday that the mpox outbreak constitutes a public health emergency of international concern.

People coming from countries and regions affected by mpox outbreak, who have been exposed to mpox or have symptoms such as fever, headache, back pain, muscle pain, swollen lymph nodes and rashes, should declare their conditions to customs upon entry. Customs officials will take medical measures and conduct sampling tests according to prescribed procedures, the GAC said.

Transport vehicles, containers, goods, and items from countries or regions affected by the outbreak and potentially contaminated should undergo sanitary treatment according to prescribed procedures, the GAC noted.

The measures took effect immediately upon announcement on Thursday, and will be valid for six months, according to the GAC.

According to the Africa centers for disease control and prevention data on August 9, 13 countries in Africa have reported 17,541 cases of mpox, with 517 deaths. 

China has effective capabilities to respond to the potential risks of the spread of mpox, Lu Hongzhou, head of the Third People's Hospital of Shenzhen, told the Global Times on Friday. 

To prevent the spread of mpox, Lu suggested that people should avoid sexual contact with individuals of unknown health status, and stay informed about mpox outbreaks in destination countries and regions when traveling. Lu added that people should avoid coming in contact with animals such as rodents and primates that may carry the virus

WHO calls for efforts to rein in mpox spread
Domestic vaccine undergoing clinical trials: experts
Monkeypox virus particles under a microscope made available by the Centers for Disease Control and Prevention  Photo: VCG

Monkeypox virus particles under a microscope Photo: VCG


Domestic mpox vaccines have not hit the market but research institutions in China have been carrying out clinical trials, Chinese experts said on Monday as the World Health Organization (WHO) declared the mpox surge a public health emergency of international concern - its highest alert level and urged manufacturers to ramp up vaccine production to rein in the spread of a more dangerous strain of the virus.

The WHO urged pharmaceutical firms to ramp up vaccine production on August 16 local time after it warned of the rapid spread of the new Clade 1b variant, a more deadly mpox strain, from the Democratic Republic of Congo (DRC) to other African countries. 

Meanwhile, the Stockholm-based European Centre for Disease Prevention and Control (ECDC) on Friday raised its risk level for mpox to "moderate" from "low," a day after global health officials confirmed the first infection caused by a new strain of the virus outside Africa, in Sweden, which was followed by more sporadic cases appearing in the EU, with the overall risk to the population having gone up from "very low" to "low," Reuters reported on Friday. 

WHO spokeswoman Margaret Harris urged manufacturers to scale up mpox production, according to a report from Agence France-Presse (AFP) on August 17. The WHO also asked countries with mpox vaccine stockpiles to donate them to countries with ongoing outbreaks, according to the AFP. 

According to Lu Hongzhou, head of the Third People's Hospital of Shenzhen, there is currently no domestic mpox vaccine available in the Chinese mainland, whereas research and preparations are underway, and relevant clinical trials have been promptly carried out. 

In July of 2023, the replication-deficient mpox vaccine developed by the China National Pharmaceutical Group Corporation (Sinopharm) and Chinese Center for Disease Control and Prevention passed the clinical trial application phase with the National Medical Products Administration, making it the earliest domestically developed mpox vaccine to enter the clinical research stage in China. 

However, due to the small number of mpox cases across the country and a dispersed population, it is difficult to conduct large-scale clinical studies on the vaccine's efficacy. Additionally, the risks and challenges of such studies are significant, making the development of an mpox vaccine face numerous challenges, Su Jinfeng, a senior biomedical engineer, said in an interview with the Global Times previously. 

During the last mpox epidemic on the Chinese mainland, the first imported mpox case was discovered in September 2022 and the first local infection was reported in June 2023. In the following three months between June and August, over 1,000 local confirmed cases were reported across more than 20 provinces across the country, which was triggered by local secondary outbreaks and covert transmission, according to The Beijing News. 

On September 20, 2023, mpox was classified as a Category B infectious disease under China's infectious disease control law while China's National Health Commission stated that the mpox epidemic would continue to exist within the country for a certain period of time. 

Since the beginning of this year, a total of 357 cases of mpox were reported nationwide as of this June, with no related deaths reported, according to the National Disease Control and Prevention Administration.

Lu said that based on the current prevention and control measures and the domestic epidemic monitoring situation, there is a relatively low possibility of a surge in mpox infections in the Chinese mainland. 

China's General Administration of Customs announced on Friday that it would begin screening people and goods entering the country for mpox over the next six months. People arriving from countries where outbreaks have occurred, who have been in contact with mpox cases, or display symptoms should declare this information to customs authorities when entering the country, adding that vehicles, containers, and items from areas with mpox cases should be sanitized. 

According to Lu, the mpox virus strain currently circulating on the Chinese mainland belongs to the lineage C.1.1 under the Clade IIb strain, which caused the global outbreak of mpox between 2022 and 2023. Considering peak travel season and the frequent international exchanges, the risk of cross-border transmission of the mpox virus may increase. 

However, the mpox virus is primarily transmitted through prolonged close contact, such as sexual activities, skin-to-skin contact, and close-distance breathing or conversations between people, Lu told the Global Times on Monday, noting that its ability to spread between people is relatively weak. 

Meanwhile, many people aged 40 and above in the Chinese mainland have already been inoculated with smallpox vaccines, the administration of which, Lu said, has an efficacy of 85 percent in preventing mpox. 

Given China's current strict border control and epidemic prevention measures, it is difficult for new cases to spread to the country from overseas. Therefore, the likelihood of a rapid increase in infections in the Chinese mainland like that back in 2023 is relatively low based on the current prevention and control measures and domestic epidemic monitoring, Lu said. 

Aside from vaccination, treatments of mpox mainly consist of supportive care and the treatment of complications. Currently, antiviral drugs used in the treatment of mpox include cidofovir, brincidofovir, and tecovirimat. Additionally, ongoing clinical trials of a series of small molecule drugs for mpox have also found that some medicines at lower doses can specifically inhibit the replication of the mpox virus. - By GT staff reporters

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Monday, September 13, 2021

Delta variant threatens Asean-5 recovery


IN the first half of 2021, Asean-5 countries, comprising Malaysia, Indonesia, Thailand, Vietnam and the Philippines experienced strong, export-driven growth. However, renewed lockdowns amid significant outbreaks of Covid-19 Delta variant cases have dampened business sentiment and consumer spending in this region.

According to the Institute of International Finance (IIF), recovery will likely slow markedly in the second half of 2021 for Asean5.

“Given the rising number of Covid-19 infections, renewed pandemic containment measures, and the slow pace of vaccinations, authorities in Asean-5 countries have been revising down official growth forecasts,” IIF said.

The IIF said it would likely cut its gross domestic product (GDP) growth forecast for region.

In May, it forecast a GDP growth of 5.2% for 2021 and 5.4% for 2022.

Against the backdrop of current economic challenges, the IIF said it expected Asean-5 central banks to maintain their accommodative monetary policy stances well into 2022.

“Most of the countries are still experiencing inflation within the respective target ranges, except for the Philippines,” the IIF said.

“Fiscal policy will also continue to be supportive. While Indonesia, Malaysia, Thailand, and Vietnam have announced fiscal consolidation plans, the pace of adjustment will be modest,” it added.

The IIF noted that due to their economic structure, Asean-5 countries benefitted strongly from the global demand recovery, with exports up sharply in the first half of 2021, particularly in the area of electronic appliances (Malaysia, the Philippines, and Thailand) and commodities (Indonesia and Vietnam).

“Looking ahead, the next stage of the global recovery will likely benefit services rather than goods and, thus, provide less of a boost to Asean-5 economies,” it said.

“Furthermore, the recovery in tourism in the five countries has been slower than our already-cautious forecast in the spring, with the Delta variant posing a new challenge to the sector,” it added
 
 

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Tuesday, May 24, 2016

Parents opt for daycare centres with no live-in maids now

The decline in the number – and the rising cost – of domestic maids has forced more young, working parents to send their children to daycare centres.

 
Daycare Centre

Chris Hong, who runs two kindergartens-cum-daycare centres in Subang Jaya, said she and her staff looked after 40 to 50 children from 8am to 7pm daily.

The centres, which only cater for two-month-old babies to children aged six, provide lunch, homework coaching and other activities in the afternoon after the kindergarten session.

“There are even parents-to-be who register at the centre even when they are in the early stages of pregnancy.

“There is very high demand now and parents are looking for safe and trustable daycare centres,” said Hong, adding that she did not plan to set up more daycare centres as she wanted sufficient quality time with her three children.

A daycare centre operator on Penang island, who wanted to be known only as Sarah, said she and her partner were planning to set up two more centres on the mainland.

She added that she had received many enquiries for her services in Butterworth.

“We’re now working out the extra costs we have to bear for hiring more people and rental,” she said.

Technical services manager M. Manimaran felt that increasing the number of daycare centres was an effective alternative for the shortage of maids.

“After all, parents are looking for a safe and good daycare centre which can work around our working hours.

“The place I send my son to even provides transportation from his school to the centre.He gets proper meals and time to do some reading or his homework.

“We have no worries, even during the school holidays,” Manimaran said, adding that he received constant updates about the whereabouts and condition of his 10-year-old son from the daycare centre through WhatsApp.

Working mum Lim Lee, 46, said she would opt to send her child to a daycare centre and hire a part-time maid if her Indonesian maid could not multi-task.

“There is no way I can afford to get two maids,” she said.

Malaysian Maid Employers Association president (Mama) president Engku Ahmad Fauzi Engku Muhsein urged the Government to encourage more nurseries or daycare centres run by properly trained and certified Malaysians.

Such facilities, he said, would not only ease the burden of having to pay for maids but would also give parents peace of mind while they were at work.

Engku Ahmad Fauzi said the expense of using these centres should be tax deductible, adding that it was the Government’s responsibility to solve over-reliance on foreign workers.

These centres, he added, would also provide the local workforce with jobs, ensuring less capital flight from the country.

Ny Royce Tan The Star

Working mums ‘maid’ to pay sky-high fees for childcare

 

 
Back-up plan: With maids becoming a scarce commodity, more are turning to childcare centres

PETALING JAYA: Dr Subhashini Jahanath is highly educated, hard-­working and does 11 calls a month.

Like many other working mothers, she is now facing the added frustration of sky-high fees for domestic help.

“It’s the childcare that’s difficult – what happens if I get called up in the middle of the night? At the same time, I just cannot afford the fees for a new maid,” she said.

Even then, Dr Subhashini, 35, is one of the lucky ones as she can call on her family for help.

The Miri-based doctor’s father has flown in from Selangor to help take care of her four-year-old son Harraen.

“On days he has to go back to Selangor, I have to send Harraen along with him, which means increased cost and Harraen missing school. But it’s the only way.”

Lawyer V. Shoba, 37, is also blessed with parents who help look after her seven-year-old twins, but still needs a maid to help them.

“My parents are both in their early 70s and need some help with the kids. Having domestic help is not a luxury,” she said.

In 2009, she paid RM6,000 in agency fees and a monthly salary of RM650 for her first Sri Lankan helper.

“In 2011, I got another Sri Lankan maid. The agency fee was RM7,500 and monthly salary was RM850. In 2013, I got a Filipino maid. The agency fee was RM9,900 and the monthly salary was RM1,200,” she said.

The agency fee, she added, has now gone up to RM12,000 and the monthly salary to RM1,500.

“I also have to pay for her toiletries, food and utilities used. That is a chunk of money that could be used for education or even holidays.

For those who are away from their families, babysitters and part-time house help provide alternatives.

Not everyone can call in the grandparent squad, and some parents feel that childcare options out there are not good enough to make them viable alternatives to live-in domestic help.

Corporate communications manager Sonia Gomez, 30, said she could not find any childcare options that were both good and affordable.

“Independent babysitters aren’t regulated, so it would be very tough to cope without my helper, Lia. She is reliable and has a very strong bond with my son,” she said.

Some mothers are opting out of the workforce entirely to take care of their kids.

Stay-at-home mum Evelyn Thong, 37, said she had heard too many daycare horror stories to consider it.

“It’s also too much money to risk. If your maid runs away, you cannot recover your money,” she said.

By Suzanne Lazaroo The Star

Maids for specific tasks only 

 


PETALING JAYA: The days of having a multi-tasking maid who does everything from cooking and washing to caring for the baby and the elderly and even washing the car is as good as gone.

Malaysians must now be prepared to pay more for specialised help.

Source countries such as Indo­nesia want to send upskilled helpers for specific jobs like caregiver, babysitter or nanny, and not the traditional domestic maid.

Malaysian Association of Foreign Maid Agencies (Papa) president Jeffrey Foo said all that was needed now was a mechanism to ensure these helpers were properly trained and certified.

Foo said Papa was ready to work with the source countries to create a win-win situation.

“Local employers will be satisfied if they get what they are paying for, which are skilled helpers who can do the task they are hired for,” he said.

The Star reported yesterday that Malaysia is in a fix because neighbouring countries are not in favour of sending domestic help here.

Foo said Indonesia, where most of the foreign maids are from, is not closing the door entirely.

Instead, it is adopting a more professional approach with its policy to stop sending live-in maids from next year.

A possible solution, according to Foo, is for the Government to license companies to supply part-time domestic maids to households who need them.

These companies could take care of the maids’ lodging and food but this would require a shift in government policy.

Foo pointed out that foreign workers brought in as cleaners were not supposed to be sent to work as domestic maids at individual homes.

Malaysian Maid Employers Association president (Mama) president Engku Ahmad Fauzi Engku Muhsein pointed out that the current system of having maids stay under the same roof as their employers for two years was not always ideal.

“If you’re lucky, there’s harmony. Otherwise, you get two years of disharmony,” he said. He echoed the view for local agencies to be allowed a supply of part-time maids.

Engku Ahmad Fauzi said there were currently different expectations between local employers and source countries such as Indonesia. In Indonesia, helpers are hired and trained as caregivers to take care of infants, children and the elderly or as domestic workers who cook, clean and tidy.

M. Sarkuna, a 40-year-old Indonesian maid working here, said those who took care of babies, children and the elderly earned at least RM800 in Jakarta, while those who cooked could take home about RM700.

“The starting pay for those who do household work is only RM500,” she said.

In Malaysia, Engku Ahmad Fauzi said employers often took for granted that maids had to multi-task.

He said the best and most well-trained helpers were not sent here, yet “Malaysian employers want to pay the lowest for the best”.

The way forward, at least in the short term, was to hire maids from cheaper and better source countries besides Indonesia and Philippines, he said.

“But Malaysians need to stop depending on domestic maids in the long run,” he added.

By Neville Spykerman The Star