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All the sudden 1,2,3 …4th case now?

The minister said:

… he has directed all doctors to be extra vigilant – to check patients for A (H1N1) infection and give them anti-viral treatment once they were confirmed positive.

Let us all play our role …


From The Star 30 July 2009:

PUTRAJAYA: A 20-year-old woman died from the influenza A (H1N1) in a case of local transmission, the fourth death reported in the country.

She died of “severe community acquired pneumonia” at 9.40am on Tuesday at the Malacca Hospital, where she had been admitted on July 26.

Health director-general Tan Sri Dr Ismail Merican said the woman, who was obese, had suffered from the flu for 11 days before seeking treatment at the hospital, adding that she suffered clinical complications on July 27. A throat swab was taken on Tuesday.

“The deaths reported affected victims in their 20s and 40s. They had early symptoms but sought treatment late and doctors did not suspect that they had H1N1. This is discomforting to the ministry,” Dr Ismail said after chairing the National Pandemic Preparedness Plan technical committee meeting here yesterday.

Asked why the ministry was not alerted to the case on Tuesday, he said the doctor had only discovered the woman had H1N1 after her death.

Dr Ismail said he was informed of her death after the Institute of Medical Research received the results yesterday morning.

On whether the ministry would take action against hospitals for failure to detect H1N1 cases early, he replied: “We don’t want to play the blame game. We advise patients to go to hospital if they have symptoms.”

He said the people were still taking H1N1 lightly even after four deaths.

Health Minister Datuk Seri Liow Tiong Lai said four influenza A (H1N1) patients were now being treated in intensive care units (ICU) and were under close monitoring,

He said he has directed all doctors to be extra vigilant – to check patients for A (H1N1) infection and give them anti-viral treatment once they were confirmed positive.

“We must focus on treatment. Delay in getting anti-viral treatment could worsen the condition of patients, particularly those who were not so healthy – obese or having other illnesses,” he said when asked to confirm the ICU cases.

Liow cautioned doctors not to treat patients with flu symptoms as normal cases, adding that there were a few occasions where the patients were just given paracetamol and medicine to bring down their fever.

He said all the four who died had come in late and did not get anti-viral treatment early.

“By then, they were already very weak, their immunity extremely low and many health complications had set in,” he said.



From The Star:

A (H1N1): First locally-transmitted case confirmed (Update)

PUTRAJAYA: A 17-year-old girl admitted to the Kuala Lumpur Hospital has been identified as the first locally transmitted A(H1N1) case in Malaysia.

Health Ministry director-general Tan Sri Dr Ismail Merican said authorities identified the case as due to local transmission after finding out that the teenager had not visited any of the countries where a flu pandemic had been declared.

He said the girl went to the Universiti Malaya Medical Centre (UMMC) at about 10am on Monday to seek treatment after developing a fever and was later sent to the Kuala Lumpur Hospital.

“Investigations revealed that the girl, who is the 19th confirmed A (H1N1) case in Malaysia, had contact with the 12th case that was confirmed on June 13,” he said in statement issued Wednesday.

Dr Ismail said the girl was not placed under quarantine earlier as she was not one of those identified as having had contact with the 12th patient — as a result, 20 others have been exposed to the virus.

He said it was vital that all those confirmed as having the A (H1N1) flu give their fullest cooperation by providing complete information on all those who had contact with them as this was the only way to avoid local transmission.

“Action can be taken under the Disease Prevention and Control Act 1988 if they fail to provide complete information to us,” he said.

Dr Ismail said that another four confirmed cases were also reported in the 24 hours up to 9am Wednesday, including a 23-year-old local university student who was part of a group of 12 students and lecturers that went on a seven-day visit to Australia on June 7.

The male student had been on the same flight as the 17th confirmed case reported on June 15, which is AirAsia X flight D7 2723 (seat 37J) that landed at the Low Cost Carrier Terminal (LCCT) at 7:15am on June 14, he said.

The student developed a fever about five hours after landing here and sought treatment at a private clinic at 9am the next day before being referred to the Tuanku Jaafar Hospital in Seremban.

He was confirmed as having the flu at 6pm on Tuesday and the Health Ministry is now tracing 37 contacts including other passengers, members of the travel group, relatives and staff at the private clinic where he first sought treatment.

Dr Ismail said the 21st confirmed case involved a 20-year-old studying in Melbourne who travelled home for the holidays on board Malaysia Airlines flight MH128 (seat 20K) that landed at the Kuala Lumpur International Airport (KLIA) at 6am on Tuesday.

The medical student was found to have a fever while at the KLIA and was referred to the Sungai Buloh Hospital before being confirmed for having the flu at 6:30am on Wednesday, he said.

The 22nd case, he said, involved a 54-year-old who had returned from Manila on board Malaysia Airlines flight MH 705 (seat 32H) that landed at the KLIA at 8:25am on June 12.

He had complained of cough, fever and headache last Sunday and sought treatment at a private clinic on Monday but was not referred to a hospital.

He went to the UMMC the next day and was sent by ambulance to the Kuala Lumpur Hospital where he was confirmed as suffering from the flu.

His wife and two children have been placed under home quarantine.

“In reference to the 22nd case, we want to issue a strict reminder all private clinics and hospitals to refer all patients with flu-like symptoms to designated A (H1N1) hospitals if they have recently visited countries where there has been an outbreak of the flu.

“Their failure to refer such patients to hospitals is regrettable as it creates a risk of the flu spreading through local transmission,” he said.

Dr Ismail said the last case involved a 22-year-old who had been on the same flight as the 20th case and who was admitted to the Raja Permaisuri Bainun Hospital in Ipoh on Tuesday morning.

He said with this there were currently 13 patients still being treated: Five at the Sungai Buloh Hospital in Selangor, three at Kuala Lumpur Hospital, and one each at Penang Hospital, Tunku Ampuan Afzan Hospital in Kuantan, Tuanku Jaafar Hospital in Seremban, Queen Elizabeth Hospital in Kota Kinabalu and Raja Permaisuri Bainun Hospital in Ipoh.

All of them are receiving anti-viral treatment and are in stable condition, he said.

As at 9pm on Tuesday, 139 people who had had contact with confirmed cases were under home quarantine but none showed any signs of having the flu.

Dr Ismail said the A (H1N1) Influenza Technical Committee had also issued a directive discouraging people and barring children under 12 from visiting hospitals unless they were seeking treatment.

Each patient would only be allowed to receive two visitors above the age of 12 at any time and visiting hours would also be shortened.

“All visitors to private and government hospitals will also be screened for fever,” he said.

Seorang petugas Hospital Sungai Buloh yang berpakaian khas memeriksa ambulans dipercayai membawa mangsa disyaki menghidap influenza A (H1N1). – UTUSAN\Mohd. Saifudin Rashid

PUTRAJAYA 15 Mei (Utusan Malaysia)– Kementerian Kesihatan hari ini mengesahkan seorang pelajar menjadi penghidap pertama virus influenza A (H1N1) di negara ini.

Pelajar lelaki berusia 21 tahun yang berasal dari Lembah Klang itu dimasukkan ke wad pengasingan di Hospital Sungai Buloh, manakala lima ahli keluarganya dikuarantin di rumah.

Menteri Perumahan dan Kerajaan Tempatan yang memangku tugas Menteri Kesihatan, Datuk Seri Kong Cho Ha berkata, pelajar itu baru pulang dari Amerika Syarikat pada 13 Mei lalu.

Beliau berkata, pelajar terbabit mengalami demam, sakit tekak dan sakit badan semalam serta dimasukkan ke Hospital Sungai Buloh pada pukul 6.45 petang hari yang sama.

‘‘Pelajar itu telah dimasukkan ke Hospital Sungai Buloh dan telah disahkan positif influenza A (H1N1) melalui ujian makmal yang dilakukan pada hari ini.

‘‘Dia telah diberi rawatan antiviral dan berada dalam keadaan yang baik dan stabil,” katanya pada sidang akhbar di sini hari ini.

Beliau seterusnya memberitahu, pelajar tersebut tidak mengalami demam atau kepanasan badan semasa saringan kesihatan di Lapangan Terbang Antarabangsa Kuala Lumpur (KLIA).

‘‘Seseorang pesakit yang dijangkiti selesema mungkin tidak mengalami tanda-tanda demam pada peringkat awal,” katanya.

Mengenai lima ahli keluarga pelajar yang dikuarantin di rumah, Cho Ha berkata, mereka akan dibenarkan keluar dari rumah jika tidak mempunyai tanda-tanda penyakit itu dalam tempoh tujuh hari.

‘‘Kuarantin di rumah bertujuan melihat sama ada mereka mengalami tanda-tanda penyakit itu atau dijangkiti virus influenza A,” katanya.

Dalam pada itu, Ketua Pengarah Kesihatan, Tan Sri Dr. Mohd. Ismail Merican dalam kenyataannya hari ini berkata, selain satu kes yang disahkan sebagai H1N1, Kementerian Kesihatan turut menerima 11 pemberitahuan mengenai kes itu semalam.

Beliau berkata, enam pesakit telah diasingkan di Hospital Sungai Buloh, dua di Hospital Tuanku Ja‘afar, Seremban dan masing-masing satu kes di Hospital Raja Permaisuri Bainon, Ipoh; Hospital Pulau Pinang dan Hospital Raja Perempuan Zainab II, Kota Bahru.

‘‘Kesemua kes menunjukkan tanda jangkitan virus influenza A dan mempunyai sejarah melawat negara yang dilanda wabak, manakala sampel klinikal mereka telah dihantar untuk ujian makmal,” katanya.


By: Ramjit


KUALA LUMPUR, May 15 (Bernama) — Following the confirmation of the first influenza A(H1N1) case in Malaysia, all passengers on Malaysia Airlines flight MH091 from Newark, United States which arrived at the Kuala Lumpur International Airport on Wednesday (May 13), are advised to contact the Health Ministry.

Director-general of Health Tan Sri Dr Mohd Ismail Merican said they should call the ministry at 03-88810200 or 03-88810300 for follow-up action.

He said Malaysia’s first influenza A(H1N1) case involved a 21-year-old male student who returned from the United States two days ago and started having fever, sore throat and body aches yesterday, and was admitted to Sungai Buloh Hospital at 6.45pm the same day.

“He has been given anti-viral treatment and is in stable condition,” Dr Mohd Ismail said in a statement Friday.

Health Minister Datuk Seri Liow Tiong Lai, who was in transit in London enroute to Geneva to attend the World Health Organisation (WHO) General Assembly, had earlier confirmed to Bernama the case.

Dr Mohd Ismail said the ministry had taken preventive and control measures, including contact investigation into the case and informing the student’s family about his H1N1 infection and his contact history with the passengers and crew members on the same flight.



Swine Flu is spreading very fast and causing a lot of public concern in United States and other countries of the world. The World Health Organization (WHO) and Center for Disease Control in US (CDC) have already issued advisories to the general public. We urge Muslims to exercise necessary precautions in this matter.

It is an Islamic teaching that in the situation of wide spread infections, people living in infected areas should be careful not to move around in order to avoid spreading infections. Similarly those who are healthy should avoid traveling to infested areas in order to protect themselves, unless they are needed as doctors or health workers.  Allah says in the Qur’an, “Do not contribute to your destruction with your own hands…” (2:195) The Prophet –peace be upon him- said, “If you are in a land and plague breaks out there, then do not leave that place. If you are told that it is spreading in some land and you are not there, then do not go there.” (Muslim, Hadith no. 5731)

In the light of these instructions the Fiqh Council of North America emphasizes that Muslims should take CDC advisories seriously. Those who are affected by any symptoms of this flu should avoid shaking hands and coming into close contacts with others. They are allowed in this situation to pray at home and not go to the Masjid for congregational prayers, until they are healthy. The Prophet –peace be upon him- said, “A sick person (with contagious disease) must not be brought among the healthy.” (Abu Dau’ud, Hadith 3911)

In case there is a Swine Flu pandemic, public assemblies might be curtailed. In that situation it will be allowed for the Masajid to issue special instructions regarding Jama’ah (congregational) and Jumu’ah (Friday) prayers considering the general welfare of their communities and cooperating with local authorities to maintain public health and safety.

We must also make individual and collective du’a asking Allah to remove this affliction and bless us all.

Fiqh Council of North America


More info:

Swine Flu: Information and How the Muslim Community Can Help

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