berita MPA•July 2005 - Malaysian Paediatric Association

Berita MPA•October 2006
1/29/07
11:52 AM
Page 1
THE MALAYSIAN PAEDIATRIC ASSOCIATION
Editorial Board
Dr Zulkifli Ismail
Dr Noor Khatijah Nurani
OCTOBER 2006
FOR MEMBERS ONLY
ASEAN Paediatric
Surgeons Meet
MPA 2005/2006
EXECUTIVE COMMITTEE
17th – 20th August 2006
President
Dr Zulkifli Ismail
Vice-President
Dr Soo Thian Lian
Hon Secretary
Assoc Prof Tang Swee Fong
Asst Hon Secretary
Dr Noor Khatijah Nurani
Treasurer
Dr Musa Mohd Nordin
Committee Members
Dr Koh Chong Tuan
Dr Thiyagar Nadarajan
Dato’ Dr Jimmy Lee
Dr Hung Liang Choo
Assoc Prof Dr Koh Mia Tuang
Dr Zilfalil Alwi
Co-opted Committee Members
Prof Datuk Mohd Sham Kasim
Dr Hussain Imam Haji
Mohd Ismail
Dato’ Dr Zakaria Zahari
Affiliated to:
• Malaysian Council For Child
Welfare
• ASEAN Pediatric Federation
• Asian Pacific Paediatric
Association – APPA (Previously
Association of Paediatric Societies
of the South East Asian Region
– APSSEAR)
• International Paediatric
Association (IPA)
The Berita MPA is published for
members to keep them informed of the
activities of the Association.
The views & opinions in all the articles
are entirely those of the authors unless
otherwise specified.
We invite articles and feedback from
readers – Editor
ASEAN Paediatric Surgeons (from L to R): Anne Rachel John, Malaysia; Rangsan Niramis, Thailand;
Beda Espineda, Phillipines; Zakaria Zahari, Malaysia; Nguyen Thanh Lieu, Vietnam; Anette Jacobsen,
Singapore; Mahmud Mohd Nor, Malaysia; Qamaruddin Bausat, Indonesia; Sar Vuthy, Cambodia;
Htoo Han, Myanmar
The 1st ASEAN Congress of Paediatric
Surgery held in conjunction with MPA's
28th Annual Congress and MAPS'
(Malayslan Association of Paediatric
Surgeons) 2nd Congress started with a
symposium presented by all the ASEAN
countries except Brunei and Laos. It
was heartening to see the difficult
conditions under which paediatric
surgery has developed over the years in
these countries including our own. It
was a real eye-opener for most of us
here, finding out that almost every
other ASEAN country has at least one
children's hospital.
The first plenary was an overview of
paediatric surgery in Malaysia by
President of MAPS, Dato' Dr Mahmud
Mohd Nor. He showed some slides
that have great historical value as he
traced the history of paediatric surgery.
His appeal for a national children's
hospital was answered by the Minister
of Health, Dato' Dr Chua Soi Lek in the
latter's speech during the opening
ceremony and the press conference
that followed.
Hitches
Our congress this year did not go
without a hitch. We had electricity
disruption during the second plenary
lecture by Prof. Lewis Spitz but he
carried on and still maintained the
Continued on page 3
3rd Floor (Annexe Block), National Cancer Society Building, 66, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur.
Tel: 603-2691 5379/2698 9966 Fax: 603-2691 3446 E-mail: [email protected] Web page: www.mpaeds.org.my
BERITA MPA – OCTOBER 2006
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Berita MPA•October 2006
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From The President
OPV vs IPV
Debate
Continues
role for IPV. Our Ministry of Health follows this dictum
to the letter. Live virus vaccines require complete safety,
genetic stability and lack of transmission. However, OPV
can cause polio indistinguishable from natural disease.
The recent outbreak of poliomyelitis in Girijaya Village,
Sukabumi District in West Java showed just how small
the world is and how easily a virus can travel around the
globe. The first case in March 2005 was a 20-month old
boy infected with the wild polio virus (WPV) P1. Despite
mopping up exercises and National Immunisation Days
throughout 2005 and 2006, the outbreak claimed 305
cases in 47 districts and 10 provinces. There were six
deaths.
VAPP, cVDPV & iVDPV
With a vision of a world that is completely free of polio,
there still looms disease caused by the live vaccine.
Vaccine-derived polio viruses (VDPV) and vaccine
associated paralytic polio (VAPP) are two of the problems
associated with Sabin's live attenuated oral polio vaccine.
India and South America together have 200 to 250
vaccine polio per year with a global estimate of 400 to
800. VDPVs can cause outbreaks, the largest
documented ones being in the Hispaniola Islands in 2000
and in Indonesia in 2005 while the longest-lasting one
was in Egypt lasting 10 years from 1983. Although
community acquired VDPV (cVDPV) is less neurovirulent
than wild type virus, it can cause alarming major
outbreaks as stated above. VDPV cases occured in East
Java in August 2005 affecting children aged 1-5 years in
numbers that exceeded WPV cases (46 VDPV from an
initial two cases compared with 11 WPV infections).
The WPV that caused the outbreak in Java had found its
way from Nigeria through Yemen and Saudi Arabia to
West Java and then spread to Central Java and Madura
Island and then to Sumatra. How could this occur when
the Western Pacific Region is declared polio-free? There
was a documented drop in poliovaccine coverage in
Indonesia from >90% to 77.6% in 2005.
Without looking at the map, we know that Sumatra is
across the Straits of Melaka from us! With daily travel
between Penang and Sumatra made easy, we have to be
vigilant regarding polio infection and we should never let
our polio vaccination programme falter. Our healthcare
delivery system is where it is at now because of our
relentless endeavour to provide health for all.
VAPP risk has been estimated at 1 per million OPV doses
given (some estimate 1 case per 750,000 primary
vaccinees). The cost of VAPP is not counted in the
eradication programme and there is no compensation for
Despite the worldwide availability of the polio vaccine,
parts of India (Western Uttar Pradesh and Bihar),
Pakistan, Afghanistan and Nigeria still have endemic
transmission of wild viruses. In addition, importation
occurs in many countries that had earlier eliminated the
disease like Namibia in 2006, and Angola, Somalia,
Yemen and Indonesia in 2005. Twenty-three countries
victims. We have an active acute flaccid paralysis (AFP)
surveillance system in place. In the reported AFP cases
nationwide, not one was confirmed by MOH as VAPP. In
an apparently sensitive AFP reporting, at least 1 AFP case
per 100,000 children aged <15 years would be detected
and fecal excretion must be obtained within 14 days of
have reported imported cases.
WHO made a decision to use OPV exclusively with no
BERITA MPA – OCTOBER 2006
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Berita MPA•October 2006
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From The President
onset. Could this be the reason our cases were not
confirmed? (Also read AFP surveillance on page 4.)
Continued from page 1
delegates' attention sans LCD projector and
microphone. A few more blackouts testified to
Johor Tenaga Nasional Berhad's ability to cope with
our power usage but no major damage was done.
A small communication breakdown caused the last
day's symposium to be slightly disrupted because the
break-up rooms were not ready. Other than these
hiccups, the congress went smoothly and the
scientific content was excellent.
Immunodeficient VDPV or iVDPV occurring among
hypogammaglobulinaemics will lead to chronic excretion
and spread of the virus. With such chronic excretors,
how can we ever hope to see 'eradication' of the
poliovirus?
IPV Proponents
The main argument against the use of IPV amongst most
IPV opponents is 'the absence of herd immunity'.
Looking at the success of European countries (the
Netherlands since 1957, France since 1983), Canada
(since 1998) and others, no new polio cases have been
documented except for outbreaks amongst the Amish
communities in 1978 and 1992 in Holland. South
Korea, Australia, New Zealand, Japan and USA are other
countries that have switched to IPV within the last
decade.
Social events
The social events were also enjoyable. Starting with
the welcome dinner to the industry sponsored dinner
on a ship off Danga Bay and our Congress Dinner,
the excellent entertainment kept people on their
seats unless called up by the emcee to 'perform'.
And perform they did!
For the first time, we had one of the dinners on a
ship courtesy of Wyeth Pharmaceuticals. The cruise
along the Johore Straits provided a different mood
for delegates and the final entertainment on board
was a real surprise. The song-and-dance show by
‘The Paper Dolls’ was absolutely out of character of
a paediatric conference – no wonder children were
not allowed on board!
WHO recommends discontinuation of OPV use as soon
as possible after global certification of eradication. We
are now six years beyond that target date. Most of the
economically developed nations as stated above have
switched to IPV in their national immunisation
programmes to avoid vaccine polio. IPV has no
neurovirulence and no transmissibility whereas OPV is
genetically unstable, can revert to virulence reacquiring
The venue, Hyatt Regency Hotel, was alright with
adequate facilities but the exhibition areas were
rather cramped. Food, as usual, was aplenty.
Although a paediatric surgery congress, there was
more than enough of medical paediatric input to
keep the interest of non-surgeons. Definitely
another MPA congress worth attending.
wild-like characteristics, and long-term excretors exist.
OPV or IPV?
Despite the imminent and possible dangers associated
with OPV use, many countries including our own will
continue to use it rather than change. Almost all private
practitioners here use IPV for fear of vaccine polio and
Our surgical colleagues are now planning the next
ASEAN congress in Manila, Philippines. We can
congratulate ourselves for getting the regional
paediatric surgeons together and organising the very
FIRST ASEAN Paediatric Surgery Congress. Let’s hope
the congress continues for as long as there are
dedicated paediatric surgeons, the ‘paediatricians
who can operate’ rather than ‘surgeons who operate
on children’.
also because of convenient combination vaccines that
include IPV as a component. Internationally, the choice
is clear but the debate continues within our shores...
Zulkifli Ismail
President 2005-7
[email protected]
– See pictures on pages 6 & 7
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BERITA MPA – OCTOBER 2006
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Report
The Need to Intensify the
National AFP Surveillance System
October 29, 2000 is a significant date.
It was on this day when Malaysia was
officially certified a polio-free country
by WHO and the country has yet
again achieved an important
milestone in its healthcare delivery
system.
The last outbreak of polio cases in the
country was in 1977 when 121 cases
were reported. There was a ten year
lull before a further five cases were
reported amongst the indigenous
tribes in 1984. In 1992 two cases of
imported cases due to the wild polio
were reported, linked apparently to a
missionary group who traveled
through the state of Pahang and then
Johore causing the last case of polio in
the country in Kota Tinggi. In 1993
the National AFP (Acute Flaccid
Paralysis) Surveillance system was
implemented and this subsequently
led to the declaration in 2000 of
Malaysia as a polio-free country in the
Western Pacific Region. From 1993 till
the current time there have been no
cases of polio detected in the country.
However, this does not mean that we
can afford to be complacent as
certification as being a polio-free
country needs an ongoing surveillance
to detect AFP cases. It has to be
acknowledged that polio can be
eradicated but cannot be eliminated.
Likewise, the importation of wild
poliovirus from another country
cannot be prevented. This is especially
so with globalization and ease of
international travel. Hence the
importance of continuous active
surveillance to detect AFP cases
among children below 15 years of age
as required by WHO.
The recent detection of a case of polio
in an 18-month old unimmunised
child on 21 April 2005 in West Java
was the result of the surveillance
system in Sakabumi District in West
Java. The isolate was identified to be a
type 1 wild polio virus imported into
Indonesia from a country in West
Africa. Since then the disease had
spread to neighbouring islands and
the number of polio cases in Indonesia
BERITA MPA – OCTOBER 2006
had escalated to 271 cases as of 4 th
October 2005.
MOH request
In the light of this potentially explosive
situation, the Disease Control Division
(DCD) of the Ministry of Health
(MOH), Malaysia called for a meeting
with various public and private
professional health care organizations
to discuss the issue of intensification
of the AFP Surveillance. Among those
present were representatives from the
public universities, the Association of
Private Hospitals of Malaysia, Primary
Care Doctor's Organisation Malaysia
and MPA. The meeting was chaired by
Dr Nirmal Singh, Timbalan Pengarah
Kawalan Penyakit. Following a short
presentation by Dr Devan Kurup on
the polio situation globally, in
Indonesia and Malaysia, the meeting
was centred around a plea from MOH
to other non-governmental health
care institutions to carry out active
surveillance on non-traumatic AFP
cases.
In the past, notification and follow-up
of AFP cases were mainly from MOH
hospitals with a very small number of
cases from university hospitals and
private hospitals. To continue enjoying
a polio-free status MOH must show
evidence to WHO that the country is
detecting (non-traumatic) AFP cases at
the rate of at least 1 per 100,000
population below the age of 15 years.
Notification procedure
All AFP cases must be notified
immediately once the case is identified
and two moist stool samples
(collected within14 days of onset of
paralysis and 24-48 hours apart
between stool samples) sent to IMR
for virus isolation and identification.
The clinician managing the case will
carry out other laboratory
investigations deemed necessary (eg.
CSF examination to diagnose GuillainBarre syndrome) as part of the
management. The patient is then
followed up for 60 days to assess for
residual paralysis and report these
findings on a prescribed form. The
4
cases notified are then reviewed
periodically by a panel of experts who
will then determine cases of AFP as
either polio or non-polio based on the
clinical and other information
provided by the clinician. It is for this
reason that the meticulous and
detailed documentation of AFP cases
is so crucial. Prompt notification of
AFP cases will enable the public health
experts to carry out investigations and
measures to contain and to avert a
potential polio outbreak.
Problems with notification
Amongst the problems faced by the
DCD are failure to notify cases of AFP
promptly, failure to collect adequate
amount of stool sample (5-8 Gm)
within the 14 days of onset of
paralysis, only one sample is collected
or the second sample was collected
more than 48 hours following the first
collection. The case from Kota Tinggi
was notified to the state health office
only 6 weeks after the AFP was
identified! Fortunately this delay had
not created an outbreak of polio in
the district.
Other areas of intensification that the
MOH would like to see are the proper
and adequate documentation of
immunization rates by the private
health care sectors as well as proper
maintenance of the cold chain, in
particular the storage of vaccines in
the proper place in the refrigerator.
Let us all commit ourselves to ensure
the success of the National AFP
surveillance system so that we can be
proud to continue to be accorded a
polio-free status. Most importantly let
us all, as responsible health
professionals, play our parts so that
we will not see a resurgence of polio
in this country again.
Note: A template of the AFP
notification form (Ms Excel format)
will be made available for
downloading from the MPA website.
Koh Mia Tuang
UMMC
Berita MPA•October 2006
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Letter
The Paradigm Shift In
Paediatric Practice
Dato’ Dr N. Paramaesvaran from Penang has decided to
migrate to be with his children in Australia. As a parting gift
to the younger generation of paediatricians, he agreed to
write this article that he sent through Dato’ Dr Iean Hamzah
Sendut. We still hope to see him at our annual congresses in
the future.
Having practised Paediatrics since 1960, first as a house
doctor, then as a medical officer, later as a registrar and
finally as a consultant. I am truly amazed at how much the
practice of Paediatrics has changed over the last 45 years.
One cannot but marvel at the impact immunization has had
in this changing pattern of childhood diseases.
In 1960, if I saw a child with a stridor, my diagnosis would be
diphtheria until proven otherwise and we would immediately
prepare for an emergency tracheostomy.
Dato’ Dr N. Paramaesvaran with his wife in Lumut
Today, a child with a stridor is often a viral croup and a single
dose of Dexamethasone would result in an excellent
outcome. This change has been brought about by our
excellent coverage for diphtheria immunization.
preparation had no place in managing acute gastroenteritis
(AGE) and the immense impact of ORS soon revolutionised
acute gastroenteritis treatment.
TB meningitis was another common disease in the 60s and
we as house doctors had to instill directly intrathecal
Streptomycin. This is how we learned and improved our
technique for lumbar puncture. Some of us even did cisternal
punctures when a spinal block prevented instituting
Streptomycin via a spinal route.
We are also now at the brink of further break-through as
Rotavirus vaccine is being launched. We have to wait to see
the impact this will have on the incidence of AGE in the
future.
Pneumococcal vaccine is already in the market and how this
and Hib vaccine will help reduce the incidence of respiratory
infection and meningitis will be an exciting scenario to
observe.
Then in the early 60s, BCG immunization was introduced and
this had a dramatic effect on the incidence of TB meningitis. I
remember by the late 60s that there were hardly any cases of
TB meningitis in the wards.
In 1962, Penang saw the first epidemic of dengue
haemorrhagic fever, I was fortunate to be around to report
and help manage this epidemic, but after over forty years, we
are still sadly lacking a vaccine.
Polio was an endemic problem and though polio vaccine was
by then available, it was not part of the routine immunization
programme. In 1971, without warning, we had a nationwide epidemic of poliomyelitis affecting hundreds of children.
It was only then that polio immunization was introduced and
this brought the terrible epidemic to an end. Today, thanks to
the excellent polio vaccine coverage, we can proudly say
Malaysia is polio-free.
Malaria is another disease that has been around for a long
period and we still have not been successful in finding a
vaccine.
Hopefully, our younger Paediatricians would move into
vaccine research and maybe help find a solution to these two
diseases.
The two other common diseases we had to deal with were
gastroenteritis and respiratory tract infection.
As I reach the twilight of my Paediatric career, I am grateful
that I have been around to see the paradigm shift in
Paediatric Practice.
Gastroenteritis used to be treated with antibiotics, antidiarrhoeal preparation with kaolin and intravenous fluids
were often set up by a cut down. Doctors then were all
skilled in the art of cut downs and sometimes I have had to
do up to five cut downs in a day!
My only hope is that I will still be around when we finally
find a vaccine for dengue, a disease I reported in 1964, and
have been waiting forty years to see it eradicated.
We soon began to see butterfly needles introduced for
intravenous infusions and today we have branullas. Setting
up a drip now is no more a challenge.
Dato’ N. Paramaesvaran
We at MPA wish him good health and happiness in his
retirement years.
Studies also showed that antibiotics and anti-diarrhoeal
5
BERITA MPA – OCTOBER 2006
Berita MPA•October 2006
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Congress Pictures
©
Congress opening
ceremony with Dato’
Dr Chua Soi Lek
Minister tours
exhibition
Ä
The gong marks the start of three remark
Snapshots from the
Congress & 1st ASE
Paediatric
¶ A productive Meet-The-Expert Breakfast
Session at 7 am!
¶ Informal discussion
¶ On way to dinner – cosy speedboat
¶ Attentive audience
§ A full turnout at the Lunch Symposium
§ MAPS Annual General Meeting
§ A sneak
peek
behind the
scenes
©
The kids were kept busy with a programme
of their own
BERITA MPA – OCTOBER 2006
¶ Some speakers on board the ship
6
Berita MPA•October 2006
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Congress Pictures
§ Applause for the
ones who made it
all happen: the
Organising Committee
Young Investigator Award
winner – Dr Wang May Kay
Ä
art of three remarkable days
the 28th MPA Annual
ASEAN Congress of
tric Surgery
¶ MPA Vice-President Dr Soo
hard at ‘work’
¶ A scrumptious feast while ‘sailing on the high
seas’ in a ship off Danga Bay
¶ A little something for dessert
The great foosball challenge ©
¶ Siti Nurhaliza in the making – Hilltop performers.
¶ Dr Amin Tai displays
his assets
©
The stage was all
a-buzz with
entertainment at
the Congress
Dinner
§ Dato’ Zakaria and
Datin on stage
7
BERITA MPA – OCTOBER 2006
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Activity
MPA’s ‘Mummy & Me’
Weekend
Thousands of Malaysian parents thronged the Midvalley
Convention Centre with their young children in tow
during the weekend of Sept 1 to 3, 2006 for the
Mummy & Me exhibition. Hosted by MPA and
organised by Espifokus, the event was officially
launched by Deputy Minister of Information, Datuk
Ahmad Zahid bin Hamidi. Parents were treated to a
wide range of activities – from exhibition booths packed
with some of the latest parenting products in the
market to lively stage activities and prizes galore. But it
wasn’t all just fun and games. Parents had the
opportunity to listen to paediatricians and psychologists
Parents listen attentively as Dr Lim Wei Ling
talks about common childhood illnesses
Dr Zulkifli delivers his opening message
Dr Yong Junina talks about newborn care
on a variety of topics too. Among the six
topics featured were Behavioural Problems
in Children by Ms Cheong Sau Kuan,
Newborn Care by Dr Yong Junina Fadzil
and Maximising Your Child’s Potential by
Dr Teoh Hsien Jin. Held under the banner
of the Positive Parenting Programme, and
true to the tradition of all Positive
Parenting Seminars, the talks were a
success and brought great benefit to all
who attended.
Parents waiting for the next talk to begin
Interested parents crowd the
exhibition booths
Fun stage activities keep the
crowd streaming in
28th AGM Update – Two-year Exco Term
MPA's 28th Annual General Meeting was held on Saturday 19th August 2006 at the Hyatt Regency Hotel, Johor
Bahru. Many years ago at an AGM, a resolution was made by Dr Nazeli Hamzah for the duration of each
committee to be for two (2) years. A letter to the effect was sent to the Registrar of Societies and we received a
reply dated 25 July 2006 (ref. no. PPP/WKL000092/78 JLD.2(10)) stating that we can implement the resolution.
With this official letter, MPA elections will be held every two years and it was agreed that the current committee
continues and the next election will be in 2007. Hence, election year for MPA will be every odd year.
BERITA MPA – OCTOBER 2006
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Activity
6-in-1 and adult booster
vaccines here
The launch of the 6-in-1 *DTaP-IPV-HepB/Hib (InfanrixHexa®)
and **dTpa (Boostrix®) was held at the Le Meridien Hotel on
13th July 2006 followed by entertainment by the 'man with a
thousand voices' Leonard Tan. The talks that were co-hosted by
MPA and the Wilayah Persekutuan & Selangor branch of MMA
had a near-capacity attendance of more than 200.
Unlike other talks in which the chairman makes a short
introductory remark and then introduces the speaker, the
organisers had asked the chairman, MPA President Dr Zulkifli
Ismail, to give a short talk on the history of vaccination in
Malaysia. He introduced the new MOH immunisation schedule
that was due to start in August 2006 and showed that the
infant will get two injections less with the use of the new
combination vaccine Tritanrix® (DTPw-HepB/Hib with OPV) but
each child will get 4 hepatitis B vaccines instead of the current
three. Overall, two injections less would definitely improve
compliance. He also made some remarks about combination
vaccines, setting the stage for the invited speaker.
L-R: Drs. Nazeli, Schmitt, Zulkifli and Teoh Yee Leong fielding questions
6-in-1 Vaccine
The main speaker for the evening, Prof Heinz-Josef Schmitt,
spoke at great length and in detail on combination vaccines
especially InfanrixHexa® consisting of DTaP-IPV-HepB/Hib
combination. Being a member of the German Immunisation
Implementation Committee, he could commit with authority
everything that he says. He also shared immunogenicity and
reactogenicity data on the combination vaccine above. There
was also evidence comparing the two 6-in-1 vaccines in the
market, viz. InfanrixHexa® from GSK and Hexavac® from
Sanofi-Pasteur. The important thing about combination
vaccines is the efficacy of all components when combined with
each other. He also showed the national immunisation
schedules of a number of countries worldwide stressing that it
does not matter which schedule is used as long as the vaccines
reach the children.
Group photo with entertainer Leonard Tan (4th from left)
Adult Vaccine for Pertussis
Large audience
Dr Nazeli Hamzah then came on to talk on pertussis in adults, a
problem that had been under-recognised and underdiagnosed.
A new adult booster vaccine, Boostrix®, was introduced. Made
up of **dTpa vaccine, it is a booster vaccine for adults
consisting of lower diphtheria and pertussis antigens (note that
this is not DTPa that is given to babies, the capital and lower
case letters differentiating the two. See differences in table
below). The emergence of pertussis in adults is worrying
especially when they are not diagnosed, hence spreading
Bordetella pertussis to others especially the yet unimmunised
young infant. Boostrix® every 10 years given to adults is the
solution, and we should start with healthcare workers, and
medical and nursing students.
Components
Boostrix
(for age>4yrs)
Infanrix
(for age<6yrs#)
Pertussis toxin
8 ug
25 ug
Filamentous haemagglutinin
8 ug
25 ug
Pertactin
2.5 ug
8 ug
Diphtheria toxoid
2 IU
30 IU
Tetanus toxoid
20 IU
40 IU
Vaccine
# Infanrix-IPV for age<13yrs
*DTaP-IPV-HepB = Diphtheria +Tetanus + acellular pertussis + Inactivated / killed /
injectable polio + Hepatitis B combination
Hib = Haemophilus influenzae lyophilized powder preparation vaccine
Written and oral questions for all three speakers followed with
most being fielded by Prof Schmitt. Drs Nazeli and Zulkifli were
not spared questions too. Most questions revolved around the
two new vaccines and the new MOH schedule.
*DTaP = Diphtheria+Tetanus+acellular Pertussis vaccine (DTPw consists of whole
cell pertussis component)
**dTpa = Lower dose Diphtheria and acellular Pertussis components + Tetanus
combination used as a booster for adults aged >4 years
9
BERITA MPA – OCTOBER 2006
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News
Dignity and Services
For and With Persons with Intellectual Disabilities
(Learning Disabilities)
Much of the service provision for persons with
disabilities in Malaysia in the past has been for persons
with disabilities rather than of or by persons with
disabilities themselves. With this in mind, Dignity &
Services set out in 1991 to create an organization that
focused on the rights of persons with disabilities, based
on a developmental approach rather than a charity
perspective which tends to promote dependency. For
Dignity & Services, this meant the full participation of
people with learning disabilities and their families at all
levels of decision making, in the planning and
implementation of programmes designed to benefit
them.
attempting to organize families in order to enhance
family support through mutual support in the form of
family linked shared care. Dignity & Services, in
collaboration with two other organizations, is also in the
process of setting up an education service in the
Cameron Highlands
Public Awareness
Promoting meaningful partnerships with all sections of
the wider community and raising public awareness on
disability through newsletters and a monthly column in
the Star newspaper called `One Voice` is an important
aspect of our work. This column has been running for
about five years and is coordinated by Dignity & Services.
The articles published are contributions from parents,
teachers and service providers who have inspiring stories
to share about learning disability. Policy advocacy with
the government sector when we are able to give
feedback and suggestions on policy issues, is a vital part
of our work
As an advocacy movement, Dignity & Services strives to
assist people with learning disabilities in securing their
basic rights as full citizens leading meaningful lives as
active members of their communities. To achieve this,
the organization focuses its efforts in three main areas,
namely the individual with a disability, the family, and
the community.
As a member of the Malaysian Coalition for the
Prevention of Child Sexual Abuse, we are currently
working in joint collaboration with other NGO’s and the
Ministry of Health in developing a curriculum and
teaching module for those working with persons with
learning disabilities. We have also been facilitating in the
Training of Trainers’ workshops.
United Voice and Future Plans
The principle of full participation of the individual with a
disability has made the formation of effective selfadvocacy groups, a priority for people with learning
disabilities. One such group is now running its own
organization. This group of young persons with learning
disabilities called United Voice was first formed in
1995. It is now an independent society, the first of its
kind to be run by persons with learning disabilities in
Malaysia.
This participatory emphasis at the level of the individual,
family and community, it is felt, is the most holistic and
effective way of utilizing available resources, and
enhancing the quality of life of persons with disabilities.
Most adults with disabilities continue to live with their
families and currently there are very few opportunities
for them to live a more independent life if parents are
no longer able to offer the support their son or daughter
might need. With this in mind, we are planning to
implement a project on Supported Living in the
Klang Valley before the end of the year. We are also
BERITA MPA – OCTOBER 2006
For further enquiries about our service please contact us
at 03-77255569 or email us at [email protected]
Mettilda John
Dignity & Services
10
Berita MPA•October 2006
1/29/07
11:53 AM
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Announcements
EUROPEAN ACADEMY OF PAEDIATRICS
FRATERNITY
: October 7-10, 2006
: Barcelona, Spain
: Kenes International / European Academy
of Paediatrics, 17 Rue du Cendrier
PO Box 1726, CH-1211, Geneva 1,
Switzerland
Tel
: +41 22 908 0488
Fax
: +41 22 732 2850
E-mail: [email protected]
To register, kindly visit the Congress website:
www.kenes.com/europaediatrics/registration.asp
Date
Venue
Congress
NEW LIFE MEMBERS
Dr Teh Kin Hock
18 Jalan Bunga Tanjung 7
Jalan Raja Uda
12300 Butterworth
Pulau Pinang
Dr Tan Ying Beih @ Oh
Ying Beih
A3340, Lorong Kubang
Buaya 66
25250 Kuantan Pahang
1ST ASIA-PACIFIC CONGRESS OF PAEDIATRIC
CARDIOLOGY AND CARDIAC SURGERY
“TOWARDS THE OPTIMAL CARE FOR CHILDREN WITH
HEART DISEASES IN ASIA-PACIFIC”
Date
Venue
Dr Lee Tong Yeow
21 Jalan Rumbia 38
Taman Daya
81100 Johor Bahru
Johor
: November 1-4, 2006
: Bangkok Convention Centre, Bangkok,
Thailand
: www.pccs2006.com
Website
THE 1 CONFERENCE ON PAEDIATRIC INFECTIOUS
DISEASES IN PAKISTAN
:
:
:
:
November 18-19, 2006
Pearl Continental Hotel, Lahore, Pakistan
www.pidc2006.com.
[email protected]
44TH ANNUAL CONFERENCE OF INDIAN ACADEMY
OF PAEDIATRICS
Date
Venue
Conference
Secretariat
Tel
Website
Email
Fax
Email
Tel
Fax
Website
Dr Chiah Cheun Hui
27, Jalan Saujana 1/5
Taman Saujana Indah
14000 Bukit Mertajam
Pulau Pinang
Dr Tan Cheow Heng
33-G-1
Lorong Delima 20
11700 Pulau Pinang
Dr Intan Juliana Abd
Hamid
2530 Taman Lumba Kuda
0520 Alor Setar, Kedah
Dr Choong Tet Choo
14 Jalan Jati 1
Taman Nusa, Bestari Jaya
81300 Johor Bharu
Johor
Dr Ooi Cheong Pheng
28 Jalan Legenda 20
Legenda Heights
08000 Sungai Petani
Kedah
12TH APCP IN SRI LANKA
POSTPONED
The 12th Asia Pacific Congress of Paediatrics or Asian
Congress of Pediatrics scheduled to be held in Sri
Lanka has been postponed due to the security
situation in Colombo and the rest of the island. The
Asian Pacific Pediatric Association (APPA) is
looking for alternative venues for the congress. Those
who have paid for the registration can obtain a
refund from the organisers. For more information on
the new venue, please log on to www.appassoc.org
or www.apcp2006.slt.lk.
: May 5-8, 2007
: Toronto, Ontario, Canada, American
Academy of Pediatrics, 141 Northwest
Point Blvd, ELK Grove Village, IL 600071098 847/434-4000 800/433-9016
: 847/434-8000
: [email protected]
The Executive Committee
wishes all Muslims
“Selamat Berpuasa” and
“Selamat Hari Raya”
5TH WORLD CONGRESS OF THE WORLD SOCIETY
FOR PEDIATRIC INFECTIOUS DISEASES
Date
Venue
Dr Gururaj Aithala
11 Jalan Prima Pelangi 1
Bukit Prima Pelangi
Segambut Dalam
51200 Kuala Lumpur
CHANGE OF ADDRESS
: January 11-14, 2007
: Renaissance Mumbai Hotel &
Convention Center, Powai, Mumbai.
: Pedicon 2007, C/O Dr Bharat Agarwal
Paediatric Hem/Onc Centre 63, Gandhi
Nagar Bandra (East) Mumbai 400051,
India
: 022-2643 0142/2643 1902/2642 6846
: www.pedicon2007.in
: [email protected] or
[email protected]
PAEDIATRIC ACADEMIC SOCIETIES ANNUAL
MEETING 2007
Date
Venue
Dr Soe Soe Aye
Faculty of Medicine
Universiti Teknologi Mara
Aras 20, Menara 1
Kompleks Sains & Teknologi
40450 Shah Alam
Selangor
NEW ORDINARY MEMBERS
ST
Date
Venue
Website
Email
Dr Alam Sher Malik
Professor of Paediatrics
Faculty of Medicine
Universiti Teknologi Mara
Aras 20, Menara 1
Kompleks Sains & Teknologi
40450 Shah Alam
Selangor
: November 15-18, 2007
: Queen Sirikit National Convention
Center, 60 New Rachadapisek Road,
Klongtoey 10110, Bangkok, Thailand
: +662 229 3000
: +662 229 3001
: www.kenes.com/wspid
11
BERITA MPA – OCTOBER 2006
Berita MPA•October 2006
1/29/07
11:53 AM
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