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Monday, November 25, 2024

JAB AGAINST PNEUMONIA, TIME FOR ANOTHER VAX DRIVE

Stay covered: It’s suggested that a broader respiratory health strategy is needed, including promoting pneumococcal and influenza vaccinations and ensuring early diagnosis and treatment of respiratory infections.


There is a rise in deaths related to pneumonia, which is a highly avoidable disease. It has surpassed heart disease to become Malaysia’s leading cause of death in 2023. Health experts recommend pneumococcal vaccinations for adults and high-risk groups.

Ageing population calls for focus on adult pneumonia, say docs

PETALING JAYA: Malaysia should introduce pneumococcal vaccines for adults and high-risk groups following the steady rise in pneumonia-related deaths, say health experts.

While pneumococcal vaccination is already part of the National Immunisation Programme for children, they said there is no such programme yet for adults, the elderly, and those with chronic conditions.

Federation of Private Medical Practitioners’ Associations Malaysia president Dr Shanmuganathan Ganeson said Malaysia should integrate this vaccine as it has great public health benefits.

“Many countries have successfully reduced pneumonia-related morbidity and mortality by integrating pneumococcal vaccines. Malaysia should follow suit.

ALSO READ: Understanding Malaysia’s No. 1 killer

“It will help reduce hospital admissions by preventing severe pneumonia and invasive diseases, decrease healthcare costs by minimising complications and intensive care needs, and promote herd immunity by lowering bacterial transmission to protect unvaccinated individuals.

“Cost-effectiveness studies in other nations suggest that national-level vaccinations could have a long-term economic benefit alongside improved health outcomes,” he said in an interview yesterday.

Calling pneumonia a “highly avoidable disease”, Dr Shanmuganathan noted a rise in pneumonia-related deaths, particularly in 2021, due to Covid-19.

ALSO READ: Go big to fight pneumonia, says MMA

“Even after recovery, some individuals experienced secondary bacterial infections, further increasing pneumonia risks,” he added.

He pointed out that strained healthcare capacity also delayed treatment for other respiratory conditions.

At the same time, an ageing population and prevalent non-communicable diseases like diabetes and heart disease heightened pneumonia risks.

“The rise of antibiotic-resistant strains like Streptococcus pneumoniae has complicated treatment.

“Also, the lack of widespread adoption of the pneumococcal vaccine, especially among high-risk groups, leaves a significant portion of the population vulnerable,” he said.

Dr Shanmuganathan said the pneumococcal vaccine effectively reduces the risk of severe pneumococcal disease.

He added that the pneumococcal conjugate vaccine (PCV) can prevent up to 80% of invasive diseases in children.

“For the elderly and high-risk groups, the vaccine significantly lowers the risk of complications and death.

“Its efficacy varies depending on the individual health status and the vaccine type – either the PCV or the pneumococcal polysaccharide vaccine (PPSV).

“Importantly, it offers protection against antibiotic-resistant strains of pneumococcus, addressing a growing concern.

“Malaysians, especially high-risk groups, should get the pneumococcal vaccine available in hospitals and clinics.

“This includes children under two, adults over 65, those with chronic diseases and the immunocompromised,” he said, adding that increasing the awareness of the benefits of the vaccine and its availability at most clinics is important.

With pneumonia now the leading cause of death, Dr Shanmuganathan said it is essential to update the Covid-19 vaccination programme, focusing on new variants like XEC and vulnerable populations.

He emphasised that a broader respiratory health strategy is needed, including promoting pneumococcal and influenza vaccinations and ensuring early diagnosis and treatment of respiratory infections.

“Private general practitioners should be kept informed of these developments.

“The Health Ministry must remain proactive, despite diverting staff to address the doctor shortage in clinical sectors,” he said.

Association of Private Hospitals Malaysia president Datuk Dr Kuljit Singh said while Covid-19 infections may have been reduced, influenza cases are rising, with respiratory syncytial virus (RSV) becoming more recognised as a significant infection.

As such, he said the government should consider including pneumococcal vaccines in Malaysia’s national vaccination programme.

The vaccines, he added, should also be made readily available at private medical facilities and selected clinics.

“Such a programme should be introduced as it would help reduce morbidity and mortality, especially in the high-risk population.

“Vaccines should be made widely available to reduce the cost and burden of treating illnesses,” he said.

Dr Kuljit suggested that those in the high-risk group consider getting vaccinated to better protect themselves against pneumonia.

He said private medical centres are currently using the latest vaccine, Vaxneuvance, which helps protect against 15 types of pneumococcus.

The cost of pneumococcal vaccines ranges between RM280 and RM400, depending on the type used.

When asked, Dr Kuljit said the steady rise in pneumonia-related deaths in the past decade could be from the large number of high-risk populations due to the nation’s ageing population and those suffering from non-communicable diseases, which result in compromised immune systems.

He also said the increase in cigarette and e-cigarette smoking could also be a factor in the rise of such cases.

Smoking damages the cilia (tiny hair-like structures) in the respiratory tract that help clear pathogens and debris.

“This dysfunction can lead to a higher risk of respiratory infections, including pneumonia,” he said.

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Pneumonia is top killer in Malaysia for 2023, with over 18,000 fatalities

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Sunday, November 24, 2024

Equal opportunity in accounting

Rising support for gender diversity, inclusivity in profession

The importance of diversity and gender balance in professional fields, including accounting, has gained recognition in recent times.

The accounting profession, as a crucial component of the business world, said Association of Chartered Certified Accountants (ACCA) chief executive officer Helen Brand (OBE), greatly benefits from incorporating varied perspectives and experiences into its decision-making processes.

As one of the most influential voices in the profession, Brand, who was in Kuala Lumpur on Sept 6 for the 88th ACCA Anniversary Gala Dinner, sat down with StarEdu to talk about the evolving landscape of accountancy, particularly in relation to diversity, inclusion, and the future of work.

As of October 2024, women make up a substantial 62% of the accounting workforce in Malaysia, compared to 38% for men, according to ACCA’s member demographics.

“Diversity of thought and inclusive representation are not just moral imperatives – they are essential for driving better business performance and innovative solutions.

ALSO READ: Tackling inequalities

“Different perspectives can also lead to better solutions by avoiding groupthink and by ensuring a comprehensive understanding of customer needs,” Brand shared.

Brand, who is a founding member of the International Integrated Reporting Council (IIRC), is also a member of the United Kingdom government’s Professional and Business Services Council, and has participated in a number of trade advisory forums and university advisory boards.

Many businesses, she pointed out, are now committed to the United Nations Sustainable Development Goals (SDGs) due to increasing pressure from the public, governments and regulators, requiring them to demonstrate social inclusion alongside profitability.

SDG 5, she said, is one of the 17 SDGs that seeks to achieve gender equality and empower women and girls.

BrandBrand

Gender equality is a basic human right and an essential factor for building a peaceful, prosperous and sustainable world, she added.

“It’s becoming increasingly important for businesses to show they include all parts of society in their workforce and have a positive impact.

“Inclusive slogans, however, must be backed up with tangible achievements.“Reporting on gender diversity in annual and integrated reports has become as essential as financial performance reporting,” she said, noting that companies excelling in gender diversity often see better financial results due to a broader talent pool that gives employers the biggest opportunity to recruit the best person.“Inclusion means recognising different attributes as equal, not lesser, and that’s what we can achieve by making sure that there’s equal representation with women,” she explained.

Brand emphasised that the UN SDGs play an important role, providing a clear framework to guide people’s actions and assess their progress.

The focus, she said, should not just be on financial performance.

“The ongoing discussion about sustainability, including the impact businesses have on people and the significance of human capital, is a major step forward, extending beyond the scope of the SDGs,” she said.

Gender diverse teams, said Universiti Tunku Abdul Rahman (UTAR) Faculty of Business and Finance Department of Commerce and Accountancy head Dr Sonia Johanthan, bring varied perspectives that enhance problem-solving and decision-making.

“In accounting, this means better risk assessments, financial planning, and client relations.

“Diversity also fosters creativity, which is critical for addressing complex client needs and adapting to evolving regulations in the accounting industry.

“According to a prior study, diverse board members often excel in building strong client relationships, leading to improved client satisfaction and retention, consequently increase in the firm’s value.

“The study also showed that organisations with gender diversity often outperform less diverse ones in profitability and operational efficiency,” she said.

Driving change

ACCA, said Brand, has made significant strides in promoting gender parity and broader diversity within its ranks.

“Of the 46 members on ACCA’s governing council, 26 are women, with the overall membership at 52% male and 48% female, which is nearing parity. The majority of our students are women,” she said, adding that this shift is not merely symbolic; it reflects a concerted effort to cultivate an inclusive culture and provide equal opportunities for professional advancement.

“It’s important to understand that driving diversity and inclusion is a cultural issue within an organisational business.

“Implementing systems and processes to support this culture doesn’t yield instant results; it takes time. For example, you may have a single woman on the board or at the executive level, but it does not make a difference when they’re in the minority, and their voice often isn’t heard.

“While one is better than none, achieving true diversity is a gradual process that requires continuous effort,” she said.

The real disparity, she said, is when women tend not to progress to more senior roles, despite having extensive educational and professional experience.

“In order to be a female leader, maybe about 30 years ago, you had to take on the attributes associated with men, because you had to show that you were strong, decisive, and could move things forward.

“Now, we understand that there are different styles of leadership that are equally valid, more consultative, collaborative, solutions focused, less driven by ego and more driven by outcomes, and this opens up possibilities to men and women who want to lead in a different way,” she said.

She added that it is essential for everyone to be on board and aligned to the organisation’s purpose to be a successful business, and one way to achieve this is by ensuring that every person feels supported and able to reach their full potential.

“Sometimes, interventions – whether through new laws or regulatory changes – can help drive the change that is necessary, because you need a shock to the system for it to change.

“For example, if things like board membership and leadership positions were left to develop organically, it might take many more years before we are able to reach parity,” she said.

Diversity in all aspects

Brand explained that while gender is a significant issue, particularly in some countries, there are many other important aspects of diversity that also need attention.

These include individuals from less privileged economic backgrounds, people of different ethnicities, and those with neurodiversity, as there are various ways in which certain groups have been excluded or not provided the same opportunities as others, both in society and in the workplace.

“There is a growing focus on the broader concept of diversity and inclusion, which ensures that everybody has the best possible opportunity to thrive,” she said.

She added that ACCA has implemented a range of initiatives to foster an inclusive environment and provide women with the tools and support they need to thrive, including offering specific training programmes to help women develop the confidence and skills to apply for roles they might not have considered before.

“We’ve also put in place flexible working arrangements that support both women and men in balancing their professional and personal commitments,” she said.

Alongside its diversity initiatives, she said, ACCA is also at the forefront of equipping its members with the competencies needed to navigate the profession’s evolving landscape, proving that diversity in skillsets is also valued.

“The integration of technology into the skillsets of professional accountants will become even more crucial moving forward.

“We’ve launched continuous professional development courses for members who are already qualified to make sure that they update their skills to remain relevant, and that covers top topics such as data science, data analytics, internal audit, new standards, and sustainability,” she said.

Brand believes that the profession’s ability to harness these technologies in an ethical and inclusive manner will be a defining factor in its long-term success.

“We need to ensure that the algorithms and data used are free from bias, and that the governance frameworks protect individual privacy and promote transparency.

“Accountants will play a pivotal role in navigating these complex ethical considerations,” she said.

Towards better support

“Gender bias still exists in the business world, although it has diminished over time.

The obstruction to career progression and professional growth for women is the challenge of a work-life balance, particularly for those with children. In a fast-paced and high-pressure environment of a professional accounting firm, long hours and constant change are the norm.

During my pregnancy, while working in Malaysia, I was reassigned from client work to the firm’s training centre in my third trimester, where I handled administrative tasks and facilitated in-house training.

When I returned from maternity leave, I was again given client assignments, which made me feel as though I was back on track with my career.

To empower and support women in the profession, firms need to offer greater flexibility in their work options.

This includes the possibility of working from home and flexible working hours. Additionally, firms should be transparent about career development opportunities by providing structured mentorship, professional development programmes, and clear paths to promotion.

This will help women accountants make informed decisions about their careers and achieve their ambitions.

By fostering an environment of support, firms can retain valuable talent and ensure that women can thrive in the profession.”– Sunway Business School Department of Accounting lecturer

Choo Sook Yin“The main issue lies in the persistent stereotype about women’s abilities, which limits their opportunities for growth.

In many Asian countries, where the workforce is predominantly male, the lack of female role models makes it more difficult for women to envision their own career progression.

The demanding nature of accounting roles can be especially challenging for women, particularly those juggling responsibilities in traditional households where they are expected to fulfil domestic obligations.

Additionally, women often face a networking gap, limiting their access to influential professional connections that are crucial for career advancement.

This underscores the need for focused efforts by firms, professional organisations and policymakers to support the career development and professional growth of women in accounting.

For example, the 2023 Global Gender Gap Index highlights Sweden as a leader in promoting gender equality, with high female educational attainment and robust parental leave policies.

Pregnant women in Sweden can take up to 390 days of maternity and parental leave, and women with children under eight are allowed to reduce their work hours by 25%. Such policies could help empower women, encouraging them to grow in their profession.”– UTAR Faculty of Business and Finance Department of Commerce and Accountancy head Dr Sonia Johanthan

Women at the fore

The recent appointment of Datuk Zaiton Mohd Hassan (pic) as vice president of ACCA marks the first time that women have held all three officer posts simultaneously in the global professional accountancy body, founded in 1904.

Zaiton joins fellow senior officers Ayla Majid, president and sustainability strategist from Pakistan, and deputy president Melanie Proffitt, from England, who is the chief financial officer of Farncombe Estate, a hotel group.

Together, they represent more than 252,500 members and 526,000 future members across 180 countries, a press release dated Nov 18 read.

Zaiton is the chief executive officer of the Malaysia Professional Accountancy Centre (MyPAC), a non-profit dedicated to helping students from poorer backgrounds pursue careers in finance. She also holds senior non-executive director positions, including chair of GX Bank, Malaysia’s first digital bank.

She was elected to ACCA’s Council in 2016 and previously served as president of the ACCA Malaysia Advisory Committee. Additionally, she has served as deputy chair of the International Federation of Accountants (IFAC) Professional Accountants in Business (PAIB) Committee.

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After homeowner passes

 

Passing On Inheritance

 

  • By following the right legal steps and securing the necessary documents, beneficiaries can better manage this difficult time; 
  • A land search can simplify the inheritance process and clarify the assets involved;
  • Legal experts can protect interests and streamline the process.

Dealing with property after someone passes away can be tough for homeowners. losing a loved one is hard, and having to figure out what to do with their things, especially real estate, can be really complicated and stressful.

This is especially true in Malaysia, where the laws around property and inheritance are quite complex and can differ based on cultural practices. Understanding how to sell a home after someone dies is crucial to get through this challenging time.

When a family member or loved one dies, there is a lot of grief, which adds to the stress that comes with trying to dispose of an inherited real estate.

it gets even trickier if family members disagree or if there is no will in place. Knowing who gets the property is crucial. also key is understanding the emotional and legal aspects of the situation.

Identification of beneficiaries

The first step in selling a home after someone’s death is to figure out who the rightful beneficiaries are. if there is a will, it usually states who gets what, including the property.

if there is no will, the estate will be divided according to Malaysia’s intestacy laws. These laws generally favour close relatives like spouses, children and even parents or siblings.

Beneficiaries need to gather all necessary documents, including their identification certifications and any property ownership records to help with this process.

Once beneficiaries are identified, they need to get the legal documents to sell the property. What they need varies by estate value.

For estates below Rm2mil, the Small estates Distribution act 1955 applies. This act makes the process easier.

Beneficiaries need to apply for a letter of administration (loa) from the estate Distribution Unit. This document gives them the legal authority to manage and sell the property, often without lengthy court processes.

Joint tenancy and nomination are alternative methods for designating beneficiaries for specific assets, bypassing the probate process and ensuring a smoother transfer of assets to the intended recipients.

The probate process involves validating a deceased person’s will in court. if a will is not present, the court may grant a letter of administration to the next of kin, who will then administer the estate.

For estates valued above Rm2mil, the Probate and administration act 1959 is in play, requiring a more formal approach.

Beneficiaries must go to court to have an executor or administrator appointed.

Once this person is in place, they need to get a grant of Probate (gp) or loa, which allows them to handle the deceased’s assets, including selling property.

This can take longer and may need legal help to deal with court requirements.

Before proceeding with any inheritance-related procedures, it is highly recommended to conduct a land search. This legal process provides crucial information about the land, including ownership details and any existing charges or restrictions.

a land search can significantly streamline the inheritance process and offer a clearer understanding of the assets involved.

Legal requirements and considerations

it is a good idea for beneficiaries to talk to legal professionals during this process to make sure they follow all laws.

The professionals can explain any taxes related to selling the property, like capital gains tax or inheritance tax, and can help identify any debts the deceased had that must be settled before selling.

if there are disagreements among beneficiaries about selling or dividing the estate, legal help might be needed.

it is important to remember that inheritance in Malaysia is a complex process swayed by both religious and civil laws.

For Muslims, islamic Syariah law, specifically the principles of Faraid, governs the distribution of assets among heirs, including spouses, children, parents and other close relatives.

The Syariah Court has jurisdiction over inheritance disputes within the Muslim community.

For non-muslims, the Distribution act 1958 outlines the rules for distributing a deceased person’s estate. The act provides a hierarchy of heirs, including spouses, children, parents and other relatives.

additionally, a will can be created to specify the desired distribution of assets, governed by the Wills act 1959.

Inheritance tax

Malaysia’s estate Duty enactment 1941 was repealed on nov 1, 1991, marking the end of inheritance tax in the country.

This legislation had imposed a tax on the net value of property inherited from a deceased person. The tax rates ranged from 0% to 40%, with the highest rate applied to estates valued at over Rm5mil.

Over the years, the estate duty system underwent several reforms to adjust to changing economic conditions. in 1984, the number of tax brackets was reduced to three, with rates ofa0%, 0.5% and 10%.

The lowest rate was applied to estates valued below Rm2mil, while the highest rate was imposed on estates exceeding Rm4mil.

Despite the abolition of the inheritance tax, the topic continues to generate significant public debate. Supporters of reintroducing the tax argue that it could help to increase government revenue and reduce wealth inequality.

By taxing inherited wealth, the government could generate additional funds for public services and social programs. additionally, it could help to mitigate the concentration of wealth in the hands of a few, promoting a more equitable distribution of resources.

However, opponents of the inheritance tax raise concerns about its potential negative impacts. They argue that it could discourage savings and investment, as individuals may be less inclined to accumulate wealth if subjected to taxation upon their death.

Furthermore, they contend that the administrative costs of implementing and enforcing an inheritance tax could outweigh the potential revenue gains.

Ultimately, the decision to reintroduce an inheritance tax in Malaysia is a complex one with significant economic and social implications. a careful consideration of the potential benefits and drawbacks is necessary to determine whether such a policy would be beneficial for the country.

While selling a home after a loved one’s death can be hard both emotionally and legally, it is important to have a solid understanding of the rules and to get professional help.

By following the right legal steps, figuring out who the beneficiaries are and getting the needed documents, beneficiaries can manage this tough time better. Having legal experts involved can help protect their interests and make the process smoother, allowing them to honour their loved one’s memory while sorting out the estate.-Starbiz By SAMANTHA Wong samantha.wong@thestar.com.my 23 Nov 2024  

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