Number 2 (March 2012) PP12731/06/2011 (028050)

Advisor

Y. Bhg. Dato’ Seri Yeop Jr. b. Hj. Yeop Adlan,

SPMP, DPMP, PJN, PMP, JP, PJK.

Editor

Dr. B Venugopalan

Editorial Commitee

Tuan Hj. Ibrahim b. Hamzah, JMN,AMP

Tuan Hj. Sahul Hamid b Hj. A. Karim,JSM, KMN, PPN, PIS.

Y. Bhg. Datuk Godfrey Raphael Lim,PGDK, ADK, BSK.

Mr. A. Nadarajan, PJK.

Tuan Hj. Ahmad bin Abd. Hamid, AMN,PPN.

Puan Sally Soh

Photographer

Puan Noorsheela bte Mohd Sidek

Editorial Board:

02

Dato’ Sri Liow Tiong Lai

The Honorable Minister of Health,

Ministry of Health Malaysia

MESSAGE

Tuberculosis, or TB, was and still remains an important public health challenge in Malaysia with more than 19,337 cases notified nationally in 2010. This makes tuberculosis the second highest communicable disease notified in Malaysia, in 2010, after Dengue Fever.

Amongst the current challenges facing the national TB control programme are the early detection of cases, improving compliance to treatment, TB-HIV co-infection, an ageing population and TB amongst foreign workers. In line with our Vision for Health, which is “a nation working together for better health”, the Malaysia Association for the Prevention of Tuberculosis (MAPTB) is indeed a key partner in our continuing battle to eliminate TB as a public health problem in Malaysia. The various community awareness programmes and patient assistance schemes that have been implemented by MAPTB and its state affiliates have provided important support for the national TB control programme implemented by the Ministry of Health (MOH).

The MOH further recognizes the important role that MAPTB has played in Continuing Medical Education (CME) activities for all categories of staff involved in the national TB control programme. On this note, the upcoming National TB Symposium 2012 in Kuala Lumpur, to coincide with the World TB Day on 24th March 2012 and co-organized by the MAPTB and the Institute for Respiratory Medicine, is another important contribution of MAPTB to enhance TB management skills amongst medical staff involved in TB control.

MAPTB is to be congratulated on reaching its 64th year in existence, ever since it was founded in 1948. Over the last 6 decades, MAPTB has played an instrumental role, in partnership with the MOH, in meeting the never-ending and ever-complex battle against TB in Malaysia. This collaboration is vital and needs to be continually strengthened, as we strive together, to achieve the United Nations Millennium Development Goals in 2015, in the face of newer challenges such as TB-HIV co-infection, TB drug resistance and an increasing susceptible population due to longevity and co-morbid conditions such as diabetes mellitus. Finally, let us all work together to achieve the theme for World TB day 2012, which is ‘Stop TB in my lifetime’.

DATO’ SRI LIOW TIONG LAI

03

Dr. B. Venugopalan

Medical Director

Malaysian Association For The Prevention of Tuberculosis(MAPTB)

EDITOR’S NOTE

Tema untuk Hari Tibi Sedunia 2012 “Stop TB in my lifetime” memberikan perspektif optimistik pelbagai institusi kerajaan, bukan kerajaan dan global

dalam perjuangan menentang penyakit TB. Salah satu sasaran utama matlamat Pembangunan Milenium (MDG) Pertubuhan Bangsa-Bangsa

Bersatu adalah untuk mengurangkan insiden dan kadar kematian TB kepada kurang daripada 50% berbanding dengan paras indikator tahun 1990

dengan matlamat utama menghapuskan TB sebagai masalah kesihatan global menjelang 2050 (kadar insiden TB aktif <1/1,000,000 penduduk).

Program Kawalan Tibi Kebangsaan menghadapi cabaran penting dalam memenuhi MDG kerana insiden TB negara telah mendatar antara tahun 1990

hingga 2005 dan seterusnya perlahan-lahan meningkat kepada kira-kira 67/100,000 orang pada 2010 (19337 kes Tibi baru). Antara pelbagai faktor yang

menyumbang kepada situasi ini termasuk pengesahan kes lewat, tidak mematuhi rawatan, jangkitan TB-HIV, penuaan penduduk, peningkatan penyakit

tidak berjangkit seperti kencing manis dan juga kebanjiran warga asing dari negara-negara beban Tibi yang tinggi.

MAPTB telah bekerjasama dengan Kementerian Kesihatan dalam bidang khusus seperti meningkatkan kesedaran TB dalam masyarakat, mengurangkan

stigma sosial TB, penglibatan pelajar dalam program-program kesedaran TB, membantu dalam rawatan pengawasan (DOT), menggalakkan perkongsian

awam-swasta dalam pengurusan TB dan juga memberi sokongan sosial dan kewangan untuk pesakit TB yang miskin.

Satu lagi peranan penting yang dimainkan oleh MAPTB ialah dalam menggalakkan pembangunan professional yang berterusan bagi kakitangan kesihatan

dan sukarelawan dalam program kawalan TB. MAPTB dengan kerjasama Institut Perubatan Respiratori, Kuala Lumpur akan menganjurkan Simposium TB

Kebangsaan 2012 sempena Hari TB Sedunia 2012 dari 24 – 25 Mac 2012 di Kuala Lumpur. Ini adalah sambungan daripada TB & Lung Simposium 2010

di Pulau Pinang dan persidangan pertama Serantau Asia Pasifi k Kesatuan Antarabangsa menentang TB & Penyakit Paru-paru (IUATLD) di Kuala Lumpur

pada tahun 2007.

Selain daripada mesyuarat ini, MAPTB juga telah menyokong kakitangan program Tibi negara untuk menghadiri persidangan TB antarabangsa dan lawatan

ke negara-negara seperti Indonesia & Vietnam untuk mempelajari pelbagai cabaran pengurusan TB dan aspek sosial, kewangan dan politik yang berbeza.

Berita MAPTB ini memberi peluang untuk anggota-anggota gabungan MAPTB membentangkan pelbagai aktiviti kesedaran, sokongan dan program latihan

yang dilaksanakan pada tahun 2011. Dengan penekanan kearah berdikari dalam pengurusan kewangan, anggota-anggota gabungan telah juga mencari

mekanisme pembiayaan baru untuk meneruskan dan mengembangkan lagi projek TB komuniti mereka.

The theme for World TB Day 2012, “Stop TB in my lifetime”, gives an optimistic perspective of the various governmental/ non-governmental and

global institutions in their battle against tuberculosis (TB). One of the key targets for the United Nations Millennium Developments Goals (MDG) is

to reduce the TB prevalence and death rates to less than 50% of these indicators at 1990 levels with the ultimate aim of eliminating TB as a global

health problem by 2050 (incidence rate of active TB < 1/1,000,000 population).

The National TB Control Programme faces important challenges in meeting the MDG as the national TB incidence had plateaued between 1990 to 2005 and

thereby slowly increasing to about 67/100,000 population in 2010 (19,337 new TB cases). Among the various factors contributing to this situation include

delayed case detection, poor treatment compliance, TB-HIV co-infection, ageing population, increasing prevalence of non communicable diseases such as

diabetes and also the infl ux of foreigners from high TB burden countries.

MAPTB has been closely working with the Ministry of Health in niche areas such as increasing TB awareness in the community, reducing social stigma

of TB, engaging students in TB awareness programs, assisting in Directly Observed Treatment (DOT), encouraging Public –Private Partnerships in TB

management and also providing limited social and fi nancial support to needy TB patients.

Another important role played by the MAPTB is in promoting continuing professional development for TB health staff and volunteers in the TB control

programme. On this note, MAPTB in collaboration with Institute for Respiratory Medicine, Kuala Lumpur is organizing the National TB Symposium 2012

in conjunction with the World TB Day 2012 from 24-25th March 2012 in Kuala Lumpur. This follows the TB & Lung Symposium 2010 in Penang and the

inaugural 1st Asia Pacifi c Regional Conference of the International Union Against TB & Lung Disease (IUATLD) in Kuala Lumpur in 2007. Apart from these

meetings, MAPTB had also supported national TB programme personnel to attend international TB conferences and had organized study tours to countries

such as Indonesia & Vietnam to better appreciate the various facets of TB management in different social, fi nancial and political settings.

This newsletter also provides an avenue for the various state affi liates of the MAPTB to present the various TB community awareness, support and training

programmes implemented in 2011. With the current emphasis towards self reliance in fi nancial funding, the various state affi liates had also taken up the

challenge of sourcing new funding mechanisms to continue and further expand their community TB projects.

04

Didalam isu Berita MAPTB, kami terus menyerlah dengan projek kesedaran Tibi yang sedang dijalankan diseluruh Negara untuk

disampaikan kepada masyarakat umum.

Saya bercadang untuk terus membuat lawatan berjumpa ahli-ahli dan Pegawai-pegawai- Kesihatan di seluruh negara untuk membina

rangkaian hubungan yang kukuh. Sehingga kini, saya telah berjaya untuk bertemu dengan ahli-ahli di Sabah dan Sarawak. Pertemuan

tersebut amat berhasil dan membolehkan saya untuk memperbaharui persahabatan dengan ahli-ahli kanan dan pada masa yang sama

bertemu rakan-rakan baru generasi muda dengan harapan merekrut mereka yang lebih muda untuk bersama-sama menyertai MAPTB.

Saya tidak sabar untuk bertemu ahli-ahli di negeri-negeri lain untuk mengukuhkan hubungan dan melihat kepada keperluan dan kehendak

setiap negeri dengan matlamat utama untuk mengurangkan masalah yang dihadapi dalam pencegahan Tibi.

Amat dukacita untuk mengatakan bahawa setakat ini kami masih belum menerima geran kerajaan bagi tahun 2010 walaupun rayuan telah

dibuat kepada YAB Menteri Kesihatan semasa Mesyuarat Agung Tahunan yang lalu. Usaha untuk terus meningkatkan tahap aktiviti

Tibi dan menyediakan lebih banyak bantuan kewangan kepada pesakit Tibi yang memerlukan telah terhalang kerana pembayaran tidak

diselaraskan dengan baik olih Kementerian Kesihatan Malaysia.

Pada tahun 2011 anggota-anggota gabungan kami kecuali Pulau Pinang, Melaka, Sabah dan Sarawak tidak lagi melaksanakan Skim Elaun

Rawatan Tibi. Saya ingin mengucapkan terima kasih kepada Setiausaha Kehormat, Tuan Hj. Sahul Hamid b. Hj. A. Karim dan semua

ahli-ahli MAPTB kerana berusaha keras dan dedikasi mereka kepada persatuan ini. Walaupun menghadapi halangan, kami berusaha

untuk menerapkan mesej yang sama, semenjak 64 tahun, kepada semua rakan dalam persatuan Tibi bahawa kita adalah individu yang

akan berdiri bersama dengan pesakit Tibi yang miskin dan memerlukan. Komitment kami adalah untuk membantu setiap pesakit Tibi yang

memerlukan serta mendapatkan rawatan yang lengkap dengan mengurangkan kes-kes yang ingkar.

Kami berharap tahun 2012 akan menjadi tahun yang lebih baik bagi MAPTB dalam segala usaha untuk membantu perjuangan Tibi.

In this issue of Berita MAPTB, we continue to highlight the TB awareness projects that are being carried out nationwide to reach the

general public.

I plan to continue making my rounds to meet members and health offi cers in the various states to build a strong networking. To date, I have

managed to meet up with our members in Sabah and Sarawak. The meetings have been very fruitful, enabling me to renew friendships

with senior members and at the same time meet new friends of the younger generation in the hope of recruiting more young blood. I look

forward to meeting members in other states to strengthen our networking and see to the needs and requirements of each state with the

ultimate aim of alleviating problems faced in the prevention of tuberculosis.

0n a sad note, I regret to say that to date we still have not received the Government Grant for the year 2010 despite appeals made to

Honorable Minister of Health during the last Annual General Meeting. The quest to continuously raise the level of TB activities and providing

more fi nancial aid to needy TB patients has been hampered due to inconsistent payment of the grant by the Ministry of Health. In the year

2011, our state affi liates with the exception of Penang, Melaka, Sabah and Sarawak ceased the implementation of TB Treatment Allowance

Scheme. I would like to thank the Honorary Secretary General, Tuan Haji Sahul Hamid b. Hj. A. Karim and all members of MAPTB

for their hard work and dedication to the association. Despite facing obstacles, we strive to instill the same message of our 64 years of

leadership to all partners in TB that we are determined individuals who will stand by the poor and needy TB patients. Our commitment

is to help every needy TB patients to seek complete treatment, thus reducing the defaulter cases. We hope 2012 will be a better year for

MAPTB in all its endeavours to help fi ght TB.

MESSAGE FROM THE PRESIDENT

Y. Bhg. Dato Seri Yeop Jr. b. Hj. Yeop AdlanSPMP, DPMP, PJN, PMP, JP, PJK.

President of The Malaysian Association For

The Prevention of Tuberculosis

05

Tuan Hj. Sahul Hamid bin Hj. A. Karim,JSM, KMN, PPN, PIS

Honorary Secretary General of The Malaysian Association

For The Prevention of Tuberculosis

MESSAGE FROM THE HONORARY SECRETARY GENERAL

Assalamualaikum Warahmatullahibarakatuh.

Kita harus menyokong mereka yang bersifat berperikemanusiaan keprihatinan terhadap rakyat khas kepada yang berpendapatan

rendah dan miskin. Ini yang disarankan oleh YAB Perdana Menteri Malaysia YAB Datuk Seri Najib bin Tun Abdul Razak dan dibuktikan,

haruslah dijadikan sebagai contoh dan teladan. Semenjak tahun 1948 kita sebagai sukarelawan yang berjiwa rakyat dalam Persatuan telah

melalui berbagai rintangan pahit dan manis. Sebagai satu kumpulan bersama-sama kita harungi tanpa mengira penat dan lelah.

Amat mengecewakan bayaran Skim Elaun Rawatan Tibi (TAS) bagi tahun 2011 terpaksa dihentikan buat sementara waktu dan hasrat

kerajaan untuk membantu pesakit Tibi yang memerlukan terbantut kerana pertukaran Pegawai di Kementerian Kesihatan khasnya

di Bahagian Kawalan Penyakit Berjangkit dan Kewangan. Sungguhpun aduan bersurat dan rundingan telah dibuat namun masih tidak

diselesaikan dengan alasan kehabisan peruntukan. Kemudiannya perkara ini telah diserahkan kepada Unit Penyelarasan Pelaksanaan,

Jabatan Perdana Menteri untuk mendapatkan bayaran balik perbelanjaan yang telah persatuan dahulukan pembayaran TAS tahun 2010

dengan menggunakan dana persatuan. Persoalannya perkara ini sudah berjalan bertahun tahun sejak tahun 50-an hingga sekarang,

mengapa ini berlaku? Walau apa perubahan yang hendak di lakukan haruslah dipersetujui oleh dua pehak dan bayaran dibuat seperti biasa

sehinggalah selesai perubahan yang dilakukan kerana ramai yang menadah tangan memerlukan bantuan.

Jumlah kes TB yang dilaporkan di Malaysia kian meningkat. Peningkatan kes TB ini membawa risiko gejala kerintangan kuman TB kepada

ubat-ubat TB biasa, iaitu ‘Multi –Drug Resistant TB (MDRTB)’ dan ‘Extremely Drug Resistant TB (XDR TB)’, jikalau pesakit TB tidak

melengkapkan rawatannya dengan sempurna. Memandangkan keadaan ini, pihak kerajaan patut menyediakan peruntukan lebih untuk

menangani masalah ini. Kita harap pihak kerajaan akan meneliti perkara ini dengan serius dan menyalurkan peruntukan yang mencukupi

kepada MAPTB untuk pihak kami meneruskan Skim Bantuan Rawatan TB (TAS) dan aktiviti pendidikan kesihatan lain.

Semuga khidmat bakti serta usaha kita membantu pesakit Tibi yang memerlukan diberkati allah.

“1 Malaysia” – Rakyat Didahulukan, Pencapaian Diutamakan

Greetings!

We should on humanitarian grounds support those who are of the low income group and poor. Such actions were recommended by the

Honorable Prime Minister, YAB Datuk Seri Najib bin Tun Abdul Razak and proven, should be used as a model and example. Since 1948, as

community oriented volunteers in the Association; we had gone through bitter and sweet experiences. As a group, we can jointly overcome

obstacles regardless of being tired and exhausted.

It is with much regret that the TB Treatment Allowance Scheme (TAS) for the year 2011 had to be stopped temporarily and the Government’s

intention to help the TB patients is hampered due to the change in offi cers in the Infectious Disease Control Division and Finance Division of

the Ministry of Health. Although various appeal letters and discussions have been made but the matter was not settled with the reason given

that the grant allocation budget was exhausted. The matter was later forwarded to the Implementation Coordination Unit, Prime Minister

Department for recoupment of expenses incurred for the year 2010 which was expended with the Association’s fund. The question is this:

This annual allocation by the Government had been implemented since the 1950’s until today, Why is this happening now?. Any changes

to be implemented should be agreed by both parties and payment should be made as usual until the changes are fi nalized because the

recipients still need the assistance.

TB cases are on the rise in the country. The increase in TB cases will result to multidrug-resistant TB (MDR TB) and extensively drugs

resistant TB (XDR TB) if the TB patients do not complete their full course of treatment. In such a situation, the Government needs to spend

more to control the spread of the disease. We truly hope the Government will look into this matter seriously and continue to give adequate

grant to MAPTB to continue its TB TAS and activities.

The Association’s dedication and efforts of helping the needy TB patients will hopefully continue with the blessings of God.

“1 Malaysia” People First Performance Now.

06

RosmanB. Md.Nasir

Prof. Dato’ Dr. Haji Abdul Razak bin Muttalif

PGDK, AMN, BSK. BBS, ABK. AMW.

07

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Persidangan Ke-3 Kesatuan Antarabangsa Menentang Penyakit Tibi dan

Paru-paru Wilayah Asia Pasifi k telah diadakan di Konvensyen dan Pusat

Pameran, Hongkong dari 8 – 11 Julai 2011. Tema adalah ‘Kesihatan dan

Cabaran Semasa dalam Tuberkulosis dan Paru-paru’.

Persatuan Anti-Tibi Sarawak (ATAS) yang terdiri daripada 9 perwakilan dan

perwakilan lain dari 7 negeri telah menghadiri persidangan di atas di bawah badan

induk Persatuan Bagi Mencegah Penyakit Tibi Malaysia (MAPTB).

Delegasi Malaysia yang terdiri perwakilan dari Kuala Lumpur, Sabah, Sarawak, Perak,

Johor, Melaka dan Selangor diketuai oleh Presiden MAPTB, Y. Bhg. Dato’ Seri Yeop Jr.

bin Hj. Yeop Adlan.

Seramai 34 delegasi berkumpul di Lapangan Terbang Antarabangsa Kuala Lumpur

(KLIA) pada hari Jumaat, 8 Julai 2011 untuk berlepas dengan penerbangan MAS pada

jam 0915 dan tiba di Chab Lap Kok International Airport, Hongkong pada jam 1300

petang. Semasa ketibaan para perwakilan telah dipindahkan ke hotel selepas melalui

dan menunggu dikaunter semakan keselamatan dan Imigresen untuk stamping

pasport selama lebih 2 jam.

Pada jam 4.30 petang hari yang sama seramai 15 perwakilan Malaysia telah dibawa

ke Pusat Konvensyen dan Pameran, Hongkong untuk upacara pembukaan rasmi

Persidangan Kesatuan Antarabangsa Menentang Tuberkulosis dan penyakit

Paru-paru jam 6.15 Petang.

Encik Steve Lan, Pengerusi Tuberkulosis, dada dan Penyakit Jantung Hongkong,

telah merasmikan serta menyampaikan ucapan alu-aluan dan pengenalan.

Pengarah Pejabat Serantau Pasifi k Barat, Pertubuhan Kesihatan Sedunia Dr. Young

Soo Shin dan Dr. Du York Chew, Setiausaha Makanan dan Kesihatan, Pentadbiran

Khas Wilayah Hongkong juga telah menyampaikan perutusan khas. Ia adalah

pembukaan yang sangat berwarni-warni dengan upacara persembahan dengan

pertunjukan gendang oleh kumpulan-kumpulan budaya tempatan Hongkong.

Delegasi Malaysia yang menghadiri pembukaan rasmi terdiri dari Presiden MAPTB

Y. Bhg Dato’ Seri Yeop Jr. bin Hj. Yeop Adlan, Setiausaha Kehormat, Tuan Hj. Sahul

Hamid b. Hj. A. Karim, Y. Bhg Datuk Gani bin Mohammed Din, Y. Bhg. Datuk Dr. Aziah

binti Ahmad Mahayiddin, Y. Bhg. Datin Louise Luncha Kanyan, En. Douglas ak Rundy,

En. Michael Au (Sarawak), Y. Bhg. Dato’ Dr. Sharil Che Mat, En. Ahmad b. Ismail (Perak),

Y. Bhg. Datuk K. J. Joseph (Sabah), En. Subramaniam Palaniandi, Dr. Noor Aliza bte

Md. Tarekh, Puan Norhayati Abdullah (Johor) dan Tuan Hj. Ibrahim bin Hamzah (Kuala

Lumpur). Upacara perasmian berakhir pada jam 8.30 petang dan semua delegasi

telah dijemput untuk jamuan ringan sebelum kembali ke-hotel masing-masing.

Y. Bhg. Datuk Dr. Aziah binti Ahmad Mahayiddin yang mewakili Malaysia telah

membentangkan kertas kerja yang bertajuk “Adverse Reactions in the Chemotherapy

of Tuberculosis (Hepatotoxicity and it’s Management) dan satu lagi penceramah dari

Malaysia. Dr. Chong Kin Liam juga membentangkan kertas “Tobacco and Chronic

Obstructive Pulmonary Diseases’’

Maklumat latar belakang penyakit Tibi, dada dan Persatuan Penyakit Jantung

didaftarkan dengan kerajaan Hongkong sebagai sebuah organisasi amal dan bukan

membuat keuntungan telah diasaskan pada tahun 1948 untuk pencegahan dan

rawatan Tibi dan menjalankan penyelidikan, kerjasama erat dengan kerajaan

Hongkong dan Perkhidmatan kesihatan. Pada tahun 1970-an, Persatuan

memperluaskan perkhidmatan bukan sahaja penyakit Tibi tetapi juga dada dan

penyakit jantung. Sejak Febuari 1980, Persatuan Anti-Tibi Hongkong akhirnya

dinamakan sebagai Persatuan Penyakit Tibi, dada dan penyakit Jantung. Sejak

penubuhannya, Persatuan beroperasi di dua (2) hospital dada iaitu Ruttonjee

Hospital dan Grantham Hospital. Pada tahun 1991 sistem perubatan di Hongkong

telah ditukar, Persatuan telah memberikan sokongan kepada pihak berkuasa

Hospital bagi pentadbiran kedua-dua hospital. Selepas itu, Persatuan terus

meluaskan perkhidmatannya untuk meliputi aspek-aspek perkhidmatan kesihatan

yang berbeza seperti perkhidmatan rumah warga tua, perkhidmatan promosi

kesihatan, perkhidmatan perubatan Cina dan perkhidmatan pergigian.

Kini, penyakit Tibi kekal sebagai masalah kesihatan global. Dalam pandangan ini,

Persatuan kami terus menyediakan perkhidmatan keutamaan terhadap kawalan

Tibi dan bekerjasama dengan organisasi lain, tempatan dan seluruh dunia untuk

menghadapi cabaran baru dalam kawalan Tibi dalam abad ke-21.

Tema Persidangan Ke-3 Kesatuan APR ialah “Cabaran Semasa dalam Tuberkulosis

dan Kesihatan Paru-paru”. Selain daripada pelbagai kursus prasiswazah, syarahan

dan simposium saintifi k, satu sesi khas mengenai “ Call to Action on Lung Health”

juga telah diadakan. Pada persidangan ini, ia telah tertumpu kepada TB/HIV dan

jangkitan pernafasan, kawalan tembakau dan lain-lain penyakit paru-paru terutama

corp dan asma.

Menurut Pertubuhan Kesihatan Sedunia (WHO) pada tahun 2009 penyakit Tibi

telah membunuh seramai 1.7 juta orang. Hakikat bahawa penyakit Tibi boleh

menjejaskan sesiapa bermakna semua orang sentiasa kekal berwaspada terhadap

penyakit berjangkit ini.

Dalam ucapan pembukaan, ia telah menyebut bahawa dalam dekad yang lalu lebih

daripada 10 juta pesakit Tibi telah didiagnosis di Rantau Pasifi k Barat dan kira-kira

800 ribu nyawa telah diselamatkan. Ini adalah menggalakkan tetapi kita tidak boleh

leka sebagai beban Tibi di Wilayah ini kekal tinggi yang tidak boleh diterima dengan

hampir 2 juta kes baru dan 260 ribu kematian setiap tahun. Cabaran-cabaran baru

seperti TB-HIV Co-suntikan, MDR –TB dan factor-faktor risiko yang peng seperti

diabetes dan tidak menjejaskan usaha untuk mengawal dan menghapuskan Tibi.

Dari 9 – 13 Julai 2011, seluruh kumpulan perwakilan Malaysia berlepas dari

Hongkong ke Macau, Zhuhai, Shenzhen dan Guangzhou sebelum berlepas pulang ke

Kuala Lumpur pada 13 Julai 2011 dengan penerbangan MAS. Semuanya selamat tiba

di Kuala Lumpur pada jam 1835.

Keseluruhan perjalanan telah berjaya dan menyeronokan dimana semua perwakilan

telah dapat belajar daripada satu sama lain dari negeri yang berbeza, contohnya

membuat kawan baru, berkongsi idea dan pandangan mereka. Perjalanan juga telah

menggalakan muhibbah, hubungan yang lebih baik dan lebih erat dikalangan

perwakilan Malaysia dengan konsep 1Malaysia.

09

En. Michael Au (Sarawak) Y Bhg. Dato Dr. Sharil Che Mat, En. Chandran Kanniah,

En. Ahmad b. Ismail (Perak), Y Bhg. Datuk K. J. Joseph (Sabah) En. Subramaniam

Palaniandi, Dr. Noor Aliza bte Md. Tarekh, Puan Norhayati Abdullah (Johor) and En.

Ibrahim bin Hamzah (Kuala Lumpur).

The opening ceremony ended at about 8.30 pm and there after all the delegates from

all the Asia Pacifi c Region adjourned for a light reception before going back to their

respective hotels.

Malaysian delegates, YBhg. Datuk Dr. Aziah binti Ahmad Mahayiddin presented her

papers on Adverse Reactions in the Chemotherapy of Tuberculosis (Hepatotoxicity

and it’s Management) and another speaker from Malaysia, Dr. Chong Kin Liam also

presented his paper under Tabacco and Lung Diseases (Tobacco and Chronic

Obstructive Pulmonary Disease).

Background information of the Hong Kong Tuberculosis, Chest and Heart Diseases

Association. Hong Kong Anti-Tuberculosis Association, registered with Hong Kong

Government as a non-profi t making charitable organization, was founded in 1948

for the prevention and treatment of tuberculosis and to conduct research, in close

collaboration with Hong Kong Government Medical and Health Services. In 1970s,

the Association widened its services to include not only tuberculosis, but also

chest and heart diseases. Since February 1980, the Hong Kong Anti-Tuberculosis

Association was fi nally named “The Hong Kong Tuberculosis, Chest and Heart

Diseases Association” (“The Association”). Since its establishment, the Association

operated two chest hospitals, namely Ruttonjee Hospital and Grantham Hospital. In

1991, the medical system in Hong Kong was changed, the Association from then

onwards has provided support to the Hospital Authority on the administration of these

two hospitals. Thereafter, the Association has further broadened its service to cover

different aspects of health services, such as elderly home service, health promotion

service, Chinese medicine service and dental service.

Nowadays, tuberculosis remains an important global public health problem. In view

of this, our Association continues to provide priority service on control of tuberculosis

and collaborates with other organizations, local and worldwide, to cope with new

challenges in tuberculosis control in the 21st century.

The theme of the 3rd APR Union Conference is “Current Challenges in Tuberculosis

and Lung Health”. Apart from a variety of postgraduate courses, plenary lectures and

scientifi c symposia, a special session on “Call to Action on Lung Health” was also

held. At this conference, it has been mainly focus on tuberculosis, HIV and respiratory

infections, tobacco control and other lung diseases especially CORP and asthma.

According to the World Health Organization (WHO), tuberculosis killed some 1.7 million

people world wide in 2009. The fact that tuberculosis can affect anyone means

everyone must always remain vigilant against this contagious disease.

During one of the opening speeches, it has been mentioned that in the past decade,

more than 10 million TB patients were diagnosed in Western Pacifi c Region and

an estimated 800,000 lives were saved. This is encouraging, but we cannot be

complacent as TB burden in the Region remains unacceptable high with almost 2

million new cases and 260,000 deaths annually. New challenges such as TB-HIV

Co-infection, MDR-TB and important risk factors such as diabetes and smoking

undermine its efforts to control and eliminate tuberculosis.

From 9 – 13 July, 2011, the whole groups depart from Hong Kong to Macau, Zhuhai,

Shenzhen and Guangzhou before fl ying back to Kuala Lumpur on the 13 July, 2011

by MAS fl ight MH 377 departing at 1440 hours and arrived safely at Kuala Lumpur

International Airport at 1835 hours.

Overall the trips has been successful and enjoyable, where all the delegates have been

able to learn from each other from different states, e.g. making more new friends,

sharing their ideas and views. The trips have also promote goodwill, better and closer

relationship amongst all the Malaysian delegates with 1Malaysia concept.

The 3rd Asia Pacific-Region Conference of the International Union Against

Tuberculosis and Lung Disease was held at the HKG Convention and

Exhibition Centre, Hong Kong. from the 8th – 11th July, 2011. The Theme

is “Current Challenges in Tuberculosis and Lung Health”.

The Anti Tuberculosis Association of Sarawak (ATAS) consisting of 9 delegates

and other delegates from the other 7 States attended the above conference under

the main body of the Malaysia Association for the Prevention of Tuberculosis

(MAPTB Federal).

The Malaysian delegates were led by Y Bhg. President MAPTB, Dato’ Seri Yeop Junior

b. Hj Yeop Adlan and Sarawak was led by Y Bhg. Datin Louise Luncha Kanyan,

President of ATAS. The delegates were from Kuala Lumpur, Sarawak, Sabah, Perak,

Johor, Selangor and Malacca.

The groups of 34 assembled at the Kuala Lumpur International Airport (KLIA) on the

Friday, 8 July, 2011 for departure by MAS fl ight at 0915 hours and arrived at Hong

Kong Chap Lap Kok International Airport at 1300 hours. On arrival the delegates were

transferred to a hotel after going through a hectic waiting at the security checking

and immigration counters for their passport stamping. It took almost more than

2 hours before going through these checkpoints.

At about 4.30 pm the same day a coach has been arranged to take 15 delegates

from the State of Perak, Sarawak, Sabah, Johor, Kuala Lumpur, Selangor and Malacca

to the HKG Convention and Exhibition Centre for the offi cial opening of the 3rd Asia

Pacifi c-Region Conference of the International Union Against Tuberculosis and Lung

Disease at 6.15 pm. It took about an hour coach drive from the hotel.

The welcoming address and introduction were offi ciated by Mr. Steve Lan, Chairman

of the Hong Kong Tuberculosis, Chest and Heart Diseases Association. The special

addresses were from the Regional Director, Regional offi ce for the Western Pacifi c,

World Health Organization, Dr. Young-Soo Shin and Dr. Du York Chew, Secretary for

Food and Health, Hong Kong Special Administrative Region.

It was a very colorful opening with its lighting ceremony and drum show

performances by the Hong Kong local cultural troupes.

The Malaysian delegates who attended the offi cial opening were MAPTB’s President,

YBhg. Dato’ Seri Yeop Junior bin Hj Yeop Adlan, Secretary General, Tuan Hj. Sahul

Hamid bin A. Karim, Y Bhg. Datuk Gani bin Mohammed Din, Y Bhg. Datuk Dr. Aziah

binti Ahmad Mahayiddin, Y Bhg. Datin Louise Luncha Kanyan, En. Douglas ak Rundy,

10

TTTTTThhhhhhhhhhheeeeeeeeee GGGGGGGGGGlllllllllllooooooooooobbbbbbbbaaaaallllll PPPPllllllaaannnnnnn tttttttttttoooooooooo SSSSSSSSSSttttttttttop TB sssshhhhhhoooooowwwwwwwwwwwssssssssssss tthhhhe wwwwaaaayy tooooo ddddddddddddrive uuuuuuuunnnnnnniiiiiiiversaaaallll aaaaaaaccccccccccccceeeeeeeeeeeesssss ttoo TTBB ccarree

WHHOO WEWE ARE, WHAT WE DOThe Stop TB Partnership is

leading the way to a world without

tuberculosis (TB), a disease that

is curable but still kills three

people every minute. Founded in

2001, the Partnership’s mission

is to serve every person who is

vulnerable to TB and ensure that

high-quality treatment is available

to all who need it. Our role is to

ensure a bold vision for addressing

TB and to coordinate and catalyse

global efforts towards elimination

of the disease.

Together our nearly 1000 partners TT

are a collective force that is

transforming the fight against TB

in more than 100 countries. They

include international and technical

organizations, government

programmes, research and funding

agencies, foundations, NGOs, civil

society and community groups and

the private sector.

We operate through a secretariat

hosted by the World Health

Organization (WHO) in Geneva,

Switzerland and seven working

groups whose role is to accelerate

progress on access to TB

diagnosis and treatment; research

and development for new TB

diagnostics, drugs and vaccines;

and tackling drug resistant- and

HIV-associated TB. The secretariat

is governed by a coordinating board

that sets strategic direction for the

global fight against TB.

WHAT IS TB?AA

FAST FACTS

TB is an infectious disease that spreads from person to person through

the air. A person with untreated TB can infect 10–15 people in a single

year by coughing near them.

TB can affect any part of the body, but most often it attacks the

lungs. The overwhelming majority of people with TB can be cured by

administering a six-month course of drugs costing as little as US$ 25.

Untreated, the disease is often lethal.

Anyone can get TB, but the disease is strongly linked to poverty and poor

living conditions, often striking vulnerable and marginalized groups.

GLOBAL TOLLNine million people become

ill with TB each year and more

than a million and a half people

die. In a single day, TB causes

the equivalent in lives lost of 15

jetliner crashes.

IMPACT ON WOMEN’S HEALTHLL

TB is the number three cause

of death among women of

childbearing age. More than half a

million women die of TB each year.

IMPACT ON CHILDREN’S

HEALTHLL

200 000 children die of TB each

year. In 2009, there were 10

million children worldwide who

had been orphaned because a

parent died of TB.

What are our funding needs?What is the funding gap?

Projected costs to meet

the targets of the global plan

to stop TB

$US 47 billionProjected funding gap

$US 19 billion

Photo credit: WHO/Riccardo Gangale

TB and HIV

TB is the leading cause of death

among people living with HIV. One VV

million deaths could be prevented

among people living with HIV over

the next five years by preventing

and treating TB.

LACK OF ACCESS

Some 4 million people fail to get

access to TB treatment each year.

DRUG RESISTANCTT E

Each year half a million people

become ill with multidrug-resistant

TB (MDR-TB), a form of TB

that fails to respond to standard

treatment.

RESEARCH GAPS

TB is still diagnosed and treated

using approaches developed 50

to 100 years ago. A cheap, rapid

low-tech test; new drugs; and a

fully effective vaccine could save

millions of lives.

STOP TB PARTNERSHIP ROADMAPThe world could be on its

way towards eliminating TB if

governments and donors fully

invest in the Stop TB Partnership’s

roadmap: The Global Plan to Stop TB

2011-2015: Transforming the Fight–TT

Towards Elimination of TTT uberculosisTT .

Grounded in WHO’s Stop TB

Strategy, the plan shows TB

programmes how to drive universal

access to TB care, including how to

modernize diagnostic laboratories

and adopt revolutionary TB

tests that have recently become

available. The plan also identifies

all the research gaps that need to

be filled to bring rapid TB tests,

faster treatment regimens and a

fully effective vaccine to market.

Cost of inaction: more

than 7 million lives lost

unnecessarily betweeny

2011 and 2015

10

WHAT OUR PARTNERS HAAA VE ACHIEVED SO FAA AR:• TB rates worldwide and the number of people becoming ill with TB are declining slowly

• 46 million people were treated successfully for TB between 1995 and 2010 using WHO-endorsed approaches

• The TB death rate has been declining since 2000g• The Stop TB Partnership target to halve deaths from TB by 2015 is on track in Asia, the Americas and the Eastern Mediterranean.

TOWARDS ELIMINATION OF TB

10

11

BECOME A PARTNERPartners from around

the world bring technical

expertise and resources to

the Stop TB Partnership. Any

organization (governmental,

nongovernmental or private)

interested in and committed

to the global fight against TB

is welcome to join. The Stop

TB Partnership Secretariat

also can provide advice

and assistance with the

creation of national Stop TB

partnerships.

To find out more, visit:

www.stoptb.org ww

HERE’S WHATYOU CAN DO:

AA UUNNIIQQUUEEINTERNATIONAL BODYAATheThe Pa Partnrtnersershiphip is is re recogcogniznizeded asas

a unique international body with

the power to align actors all over

the world in the fight against TB.

The participation of a wide range of

constituencies gives us credibility

and the broad range of medical,

social and financial expertises

needed to defeat TB.

SSTTOOPP TTBB PPAARRTTNNEERRSSHHIIPP SSEECCRREETTAARRIIAATTAAA

$25 buys a fullcourse of medicinefor a TB cure andcan save a life.

Tomake yourdonation,please visit:www.stoptb.org/getinvolved/donate.asp

Visit:www.stoptb.org

Larger contributions may be made to theStop TB Partnership Trust Fund at WHOFor more information, please contact:

OffiOfficece ofof thethe Ex Execuecutivtive Se Secrecretaetaryry

Stop TB Partnership Secretariat

20 Avenue Appia

CH-1211 Geneva, Switzerland

Tel: +41 22 791 4650 | fax: +41 22 791 4886

www.stoptb.org | info@stoptb.org

DONATE NOWAAYour donation, however small, willYY

help the Stop TB Partnership pre-

vent unnecessary deaths from TB.

Our Global Drug Facility has y

changed the landscape of TB

care since its creation in 2001 by

providing TB drugs to countries

that could otherwise not afford

them, either in the form of grants

or at the lowest possible price. At

the end of 2010, we had delivered

more than 18 million treatment

courses to 93 countries.

Our TB REACH initiative is a

pathfinder in reaching the 3 mil-

lion people who fail to access

high-quality TB treatment each

year. The initiative funds innova-

tive and ground-breaking projects

that result in early and increased

detection of TB cases and ensure

their timely treatment. Launched

in 2010, it has so far funded 75

projects in 36 countries with the

goal of finding and treating 140

000 people whose TB would oth-

erwise have gone undetected.

OUR KEY OBJECTIVES ARE TO:•• raraisisee ththee prprofiofilele o off TBTB am amongong de deciscisionion ma makerkers ts too

mobilize resources and increase political commitment

• get high-quality TB care to more people,especially poor, marginalized and vulnerable groups

• strengthen engagement of existing and newpartners

• catalyze partnering initiatives, including national

partnerships, which aim to harmonize efforts by key

players including the Global Fund, WHO and civil society.

StrategicPlanning &Advocacy

Communications Global DrugFacility

RResear hchMovement

National,Regional& Global

Partnerships

Planning,BuBudgdgetetiningg,

Management &Donor Relations

TB REACH

ExecutiveSecretary

CAN YOU IMAGINEA WORLD WITHOUT TB?WE CAN.

11

12

www.who.int/tb

The WHO Stop TB Department together with WHO regional and country offices: develops policies, strategies and standards; supports the effoff rts of WHO Member States; measures progress towards TB targets and assesses national programme performance, financing and impact; promotes research; and facilitates partnerships, advocacy and communication. WHO Stop TB Department also ho ouses the Stop TB Partnership secretariat.

THE TUBERCULOSIS EPIDEMIC ANDRESPONSE

Tuberculosis (TB) is contagious and airborne. It is a disease of poverty affeff cting mostly young adults intheir most productive years. 95% of TB deaths are inthe developing world.

The number of people who fell ill with TB droprr ped to 8.8 million in 2010, including 1.1 million cases among people with HIV. The number has been fallingsince 2005.

The estimated global incidence rate fell to 128 cases per 100,000 population in 2010, afteff r peaking in 2002 at 141 cases per 100,000. The rate is falling but veryslowly.

The number of people who died from TB fell to 1.4million in 2010, including 350,000 people with HIV,equal to 3,800 deaths a day.

In 2009, there were 9.7 million orphan children as a result of TB deaths.

TB is among the three greatest causes of deathamong women aged 15-44, 320,000 women diedfrom TB in 2010.

The TB death rate has fallen by 40% since 1990, and the number of deaths is also declining.

5.7 million TB cases were notified through TB DOTSprogrammes in 2010.

Globally, the percentage of people successfullytreated reached its highest level at 87% in 2009.

Since 1995, 46 million people have beensuccessfully treated and up to 6.8 million lives saved through DOTS and the Stop TB Strategy.

Among the 22 highest TB burden countries, Brazil andChina show a sustained decline in TB burden over the past 20 years. TB burden started to decline during the early to mid 2000s in Tanzania and Kenya, after thepeak in the HIV epidemic. China, in particular, has made dramatic progrrr ess through domesticinvestment and international collaboration on TB. Betweenww 1990 and 2010, the TB death rate fell byalmost 80%, with deaths falling from 216,000 to55,000, and the TB prevalence rate was halved.

MULTIDRUG-RESISTANT TB

In 2010, there was an estimated prevalence of 650,000 cases of multidrug-resistant TB (MDR-TB), and in 2008it was estimated there were 150,000 MDR-TB deathsannually.

The number of patients enrolled on MDR-TB treatmentincreased to 46,000 in 2010.

While more people are being treated for MDR-TB in 2010,it is just 16% of the estimated number of MDR-TBpatients that needed treatment i.e. MDR-TB patientsthat would be identified if all newly-notified TB patients were tested for drug resistance.

TB/HIV CO-INFECTION

2.1 million TB patients knew their HIV status in 2010compared with 1.6 million in 2009, with the highest HIVtesting rates of TB patients in Europe (80%) and Africa(59%). In 68 countries, including 22 in Africa, at least 75% of TBf patients knew thw eir HIV status.

46% of HIV-positive TB patients were enrolled on antiretrovirals and 77% started on co-trimoxazolepreventive treatment in 2010.

NEW DIAGNOSTICS

As of July 2011, 26 countries are using Xpert MTB/RIF,a rapid molecular test that accurately diagnoses TB andMDR-TB in 100 minutes. The test was endorsed by WHOin December 2010, with 145 countries eligible to purchasethhe kik ts at a concession lal priice.

FINANCING

Worldwide, the share of domestic funding for TBprovided by ay ffected countries rose to 86%. But most low income countries still rely on external funding, with the Global Fund the largest external donor. It is providing 82% of inf ternational TB funding for 2012.

Countries report a US$1 billion TB funding gap for 2012with donor funding at $600 million. There is a US$200million funding gap for MDR-TB- in 2012.

RESEARCH AND DEVELOPMENT

There are “point-of-care” tests in the pipeline, 10 TBdrugs in trials, and 10 vaccine candidates for theprevention of TBf in Phase I or Phase II trials.

13

- Global trends in estimated incidence rate, including HIV-positive (green) and estimated incidence rate ofHIV-positive TB (red).

- The horizontal dashed lines represent the Stop TBPartnership targets of a 50% reduction in prevalence andmortality by 2015 comparedwith 1990. Mortality excludesTB deaths among HIV-positive people.

Number of peopf le falling ill and dying of TB on decline

TB INVESTMENT AND FUNDING GAPS

~ US$ 1 BILLION GAP

* for 2009 ** high TB burden countries *** among cases startirr ng treatment in 2008

For the first time, the report features a chapter on promising developments in TB diagnostics, drugs and vaccines.

THE GLOBAL PLAN TO STOP TBPROGRESS TOWARDS TARGETS

2010 Target(2015)

DOTS

Cases diagnosed, notified and treated, according to the DOTS approach

5.7m 6.9m

Treatment success rate 87%* 90%

Countries with ≥ 1 laboratory with sputum-smearmicroscopy services / 100,000 population

97 149

Drug-Resistant TB

% of previously treated TB patients tested for MDR-TB 6% 100%

% of new bacteriologically-positive patientstested for MDR-TB

1.8% 20%

Countries among the 22 HBCs** and 27 MDR-TBburden countries with ≥ 1 culture laboratory / 5 million population

20 36

Confirmed cases of MDR-TB enrolled on treatment 46,000 ~270,000

Treatment success rate among confirmed cases of MDR-TB

53%** ≥ 75%

TB/HIV

% of TB patients tested for HIV 34% 100%

% of HIV-positive TB patients treated with CPT 77% 100%

% of HIV-positive TB patients treated with ARTRR 46% 100%

% of people living with HIV attending HIV careservices, screened for TB at their last visit

58% 100%

% of people living with HIV attending HIV careservices, enrolled on IPT

12% 100%

14

COLLABORATIVE FRAMEWORK FOR CARE AND CONTROL OF TUBERCULOSIS AND DIABETES

© WHO Sept 2011 For more information: www.who.int/tb

DIABETES FACTS:• 350 million people havediabetes

• Diabetes prevalence is similar in both high- and low-incomecountries

• Over 80% of diabetes deathsoccur in low- and middle-income countries

• It is predicted that global didi bab tetes prevallence iwillllincrease by 50% by 2030

THE LINKS BETWEEN TUBERCULOSIS AND DIABETES• People with a weak immune system, as a result ofchronic diseases such as diabetes, are at a higher risk ofprogressing from latent to active TB

• People with diabetes have a 2-3 times higher risk of TBcompared to people without diabetes

• About 10% of TB cases globally are linked to diabetes

• A large proportion of people with diabetes as well as TBAis not diagnosed, or is diagnosed too late. Early detection can help improve care and control of both

• All people with TB should be screened for diabetes

• Screening for TB in people with diabetes should beconsidered, particularly in settings with high TB prevalence

• People with diabetes who are diagnosed with TB have a higher risk of death during TB treatment and of TB relapse after treatment. WHO-recommended treatments should berigorously implemented for people with TB/diabetes

• Diabetes is complicated by the presence of infectiousdiseases, including TB. It is important that proper care for diabetes is provided to those that are suffering fromTB/diabetes

www.who.int/tb

Prevalence of diabetes in adults aged 25+by WHO region and World Bank Income Group, 2008

TUBERCULOSIS FACTS:• More than 9 million people fall sick with tuberculosis (TB) everyyear

• Over 1.5 million die from TBevery year, which the vast majorityof deaths in the developing world

• One in three people in the worldis infected with latent TB. People infected with latent TB have alifelong risk of developing and falling sick with active TB

15

ACTION BY WHO AND PARTNERS

The World Health Organization, The International Union Against TB and Lung Disease (The Union), in collaboration with other partners, national TB programmes, and academia, developed the Collaborative Framework for Care and Control of TB and Diabetes, based on systematic reviews on the link between TBand diabetes.

The framework includes chapters on:• Recommended collaborative activities for prevention and careof diabetes and tuberculosis• Indicators for evaluating collaborative activities• Implementing collaborative activities and evaluating their impact

To download a copy:www.who.int./tb/publications/2011

Ensure high-quality diabetes management among TB patients 2

Screen TB patients for diabetes1

DETECT AND MANAGE DIABETES IN PATIENTS WITH TB- C-

Ensure high-quality TB treatment and management in people with diabetes3

Ensure TB infection control in health-care settinggs where diabetes is manageg d2

Intensify detection of TB among people with diabetes1

DETECT AND MANAGE TB IN PATIENTS WITH DIABETES- B-

Conduct monitoring and evaluation of collaborate diabetes and TB activities4

Conduct surveillance of diabetes prevalence in TB patients in all countries 3

Conduct surveillance of TB disease prevalence among people with diabetes in mediumand high-TB burden settings

2

Set up a means of coordinating diabetes and TB activities1

ESTABLISH MECHANISMS FOR COLLABORATION- A-

THREE ACTION AREAS IN THE COLLABORATIVE FRAMEWORK

Several countries are planning to field test the TB and diabetes collaborative framework.WHO and The Union would like to encourage more countries to become involved and wouldalso like to receive information about plans and outcomes of such initiatives.

Please contact for more information:• WHO Stop TB Department: Knut Lonnroth lonnrothk@who.int• WHO Department of Chronic Diseases and Health Promotion: Gojka Roglic roglicg@who.int• The Union: Anthony Harries adharries@theunion.org

WE WANT TO HEAR FROM YOU!

16

22 Julai 2011Mesyuarat mengenai peruntukan geran kepada MAPTB yang telah diadakan di Kementerian Kesihatan Malaysia, PUTRAJAYA.Meeting held at the Ministry of Health Malaysia, PutraJaya to discuss on the allocation of Government grant to MAPTB.

23 Julai 2011Mesyuarat Jawatankuasa EXCO dan Mesyuarat Agong Tahunan Ke 61 telah berlangsung di Hotel Quality, Jalan Raja Laut, Kuala Lumpur dan Mesyuarat Agong Tahunan yang Ke 61 telah dirasmikan oleh Menteri Kesihatan Malaysia, YB Dato’ Sri Liow Tiong Lai dan turut hadir pada mesyuarat tersebut ialah Dr. Chong Chee Kheong, Pengarah Kawalan Penyakit, Kementerian Kesihatan Malaysia.MAPTB Executive Committee Meeting and 61st Annual General Meeting 61 held at Quality Hotel, Jalan Raja Laut, Kuala Lumpur. The 61st Annual General Meeting was offi cially opened by Honorable Minister of Health, Malaysia, YB Dato ‘Sri Liow Tiong Lai; present at the meeting were Dr. Chong Chee Kheong, Director of Disease Control, Ministry of Health Malaysia.

16 Januari 2011Persatuan Perancang Keluarga Negeri Selangor telah menjemput MAPTB mengadakan pameran penyakit Tibi sempena Hari Terbuka Klinik Perancang Keluarga bertempat di Jalan Syed Putra Kiri, Kuala Lumpur. The State Selangor Family Planning Association in conjunction with the Open Day of its Family Planning Clinic located at Jalan Syed Putra Kiri, Kuala Lumpur invited MAPTB Federal to set an exhibition with a display of TB posters.

Kelihatan dari kiri (from the left):- Setiausaha Agong MAPTB Tuan Hj. Sahul Hamid b. Hj. A. Karim, Pengarah Perubatan MAPTB Dr. B. Venugopalan dan Dr. Jiloris F Dony

Dari Kiri (from the left): Y. Bhg. Prof. Dato’ Dr. Abdul Razak b. Abdul Mutalib Pengarah I.P.R, Presiden MAPTB Y. Bhg Dato’ Seri Yeop Jr. b. Hj. Yeop Adlan, Menteri Kesihatan YB Dato, Sri Liow Tiong Lai, Pengarah Kawalan Penyakit Berjangkit Dr. Chong Chee Kheong dan Setiausaha Kehormat Tuan Hj. Sahul Hamid b. Hj. A. Karim

Pn. Mary sedang menerangkan mengenai penyakit Tibi kepada salah seorang pengunjung. (The above picture shows that Madam Mary explaining TB facts to a visitor.)

MAPTB FEDERAL

Mesyuarat Jawatankuasa EXCO (MAPTB Executive Committee Meeting)

17

Ahli-ahli Jawatankuasa MAPTB dan para tetamu(MAPTB Committee members and guests)

Sidang akhbar bersama Menteri Kesihatan Malaysia(Press conference with the Honorable Minister of Health, Malaysia)

9 Ogos 2011Wartawan dari Utusan Melayu Berhad telah mengadakan sidang media bersama Presiden MAPTB, Y. Bhg. Dato, Seri Yeop Jr. b. Hj. Yeop Adlan bertempat di pejabat MAPTB, Jalan Syed Putra Kiri, Kuala Lumpur mengenai peranan dan MAPTB dan kedudukan penyakit Tibi di Malaysia.Journalists from Utusan Malay Berhad held a press conference with MAPTB President, Y. Bhg. Dato Seri Yeop Jr. b. Hj. Yeop Adlan MAPTB offi ce located at Jalan Syed Putra Left, Kuala Lumpur on the role MAPTB and TB situation in Malaysia.

Kelihatan dari kiri (from the left): Presiden MAPTB Y. Bhg. Dato’ Seri Yeop Jr. b. Hj. Yeop Adlan, wartawan-wartawan Utusan Melayu Berhad, Pengarah Perubatan MAPTB Dr. B. Venugopalan dan Pegawai Eksekutif Tuan. Hj. Ahmad Abd Hamid.

22 Okt 2011Persatuan Bagi Mencegah Penyakit Tibi Malaysia telah dijemput oleh Universiti Teknologi Mara (UITM) Puncak Alam mengadakan pameran Tibi sempena Hari Terbuka Fakulti Farmasi. Kuiz mengenai tibi juga diadakan dan disertai oleh murid-murid sekolah Menengah serta penuntut UiTM. MAPTB was invited by Universiti Teknologi Mara (UITM) Puncak Alam TB to set an exhibition booth with a display of TB posters and a TB Quiz was conducted for the secondary school pupils and students of UiTM. The event was organised in conjunction with the Faculty of Pharmacy Open Day.

Kelihatan duduk (seated): Pegawai Eksekutif Tuan Hj. Ahmad Abd Hamid dan Pn. Annie Yong

Pegawai Eksekutif telah ditemuramah oleh pelajar Universiti Teknologi Mara (Uitm)(Executive Offi cer interviewed by the students of the University Teknologi Mara (UiTM) )

18

9 Jun 2011Persatuan Mencegah Penyakit Tibi Kuala Lumpur telah mengadakan ceramah mengenai penyakit Tibi dan Tak Nak Merokok di Taska MARA, Bangunan MARA, ceramah yang telah disampaikan oleh Dr. Liza A. Fizal dari Institut Perubatan Respiratori (I.P.R) selain daripada kanak-kanak turut serta adalah Pengasuh Taska.Association for the Prevention of Tuberculosis Lung Disease Kuala Lumpur organised a talk on TB and No Smoking in the MARA Nursery, MARA Building. The talk was presented by Dr. Liza A. Fizal from the Institute of Respiratory Medicine (IPR). The children and supervisors of the nursery attended the talk.

11 Jun 2011Timbalan Presiden APTB,Kuala Lumpur Y. Bhg. Dato’ Ismail b Dollah Harun bersama Penolong Setiausaha Saudara Mohd Zaki Mansor telah menghadiri Bengkel penyediaan Proposal Permohonan Geran bersama Lembaga Promosi Kesihatan Malaysia pada 11 Jun 2011 di Bilik Mesyuarat Utama Aras 3, Blok E10, Kementerian Kesihatan Malaysia di Putrajaya. Vice President APTBLD, Kuala Lumpur Y. Bhg. Dato ‘Ismail b Dollah Harun and Assistant Secretary Mohd Zaki Mansor attended the workshop on the guidelines for the preparation of working papers on application of grant from the Health Promotion Board on June 11, 2011 held at the Utama Meeting Room, Aras 3, Blok E10, Kementerian Kesihatan Malaysia di Putrajaya.

29 Jun 2011Persatuan Mencegah Penyakit Tibi Kuala Lumpur telah sekali lagi mengadakan pameran poster Tibi dan kuiz mengenai penyakit Tibi di Taska MARA untuk ibu-bapa dan guru Taska di Bangunan MARA.APTBLD, Kuala Lumpur Tuberculosis set up an exhibi-tion booth with a display of TB posters and organised quiz at the MARA Nursery for parents and teachers.

Kelihatan Dr. Liza dari I.P.R. menyampai taklimat mengenai penyakit Tibi dan Tak Nak Merokok dihadapan kanak-kanak dan Tenaga Pengajar TASKA(Dr. Liza from IPR deleivered a presentation of TB and No Smoking to the children and trainers of MARA Nursery)

Kelihatan bersama kanak-kanak sekolah menemani ibu-bapa mencari jawapan kuiz.(Parents and children searching for answers for the TB Quiz)

APTBLD KUALA LUMPUR

6 Julai 2011Presiden Tuan Haji Ibrahim Hamzah, Encik Freddie, Puan Prema dan Puan Noorsheela telah menghadir APR Conference yang ke 3 di Hong Kong Convention Centre bagi mewaklili APTBLD Kuala Lumpur.Presiden of APTBLDKL, Tuan Haji Ibrahim Hamzah, Mr Freddie, Madam Prema dan Madam Noorsheela respresented APTBLDKL in attending the 3rd APR Conference held in Hong Kong.

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20 Ogos 2011Bersempena Hari Raya Aidil Fitri, APTB,Kuala Lumpur telah menyampaikan kueh-kueh raya kepada pesakit Tibi dan penyakit ASMA di wad Institut Perubatan Respiratori (I.P.R) Jalan Pahang, Kuala Lumpur. Penyampaian kueh raya telah disempurnakan oleh Ketua Pengarah I.P.R., Presiden, Timbalan Presiden, Setiausaha dan ahli-ahli APTB, KL.APTBLD, Kuala Lumpur gave festive gifts to the TB patients in the wards of the Institute of Respiratory Medicine (IPR), Jalan Pahang, Kuala Lumpur. The Director of IPR, the President, Vice President, Secretary and members APTBLD, KL presented the gifts to the patients.

10 Disember 2011Tahun kedua APTB, Kuala Lumpur telah mengadakan acara Larian Tibi, ini adalah salah satu aktiviti bagi memaklumkan kepada orang ramai mengenai penyakit Tibi. Seramai lebih 1,500 peserta dan sukarelawan telah mengambil bahagian dalam program ini. Tidak ketinggalan beberapa badan kerajaan serta NGO terlibat dalam penganjuran program ini.Badan-badan kerajaan serta NGO yang terlibat adalah seperti berikut:- APTBLD Kuala Lumpur jointly organized the second TB run with Government bodies and others NGOs; this is a major event to disseminate information on TB to the general public. More than 1,500 participants and volunteers took part in this program. Government bodies and NGOs involved were as follows -a) Jabatan Kesihatan Wilayah Persekutuan Kuala Lumpur.b) Klinik Kesihatan Tanglingc) Institut Perubatan Respiratorid) Jabatan Kesihatan Dewan Bandaraya Kuala Lumpur e) Anti-Dadah Kebangsaanf) Persatuan Bagi Mencegah Penyakit Tibi Malaysiag) Dewan Bandaraya Kuala Lumpurh) Metrology Corporation (M) Sdn BhdSelain acara Larian, peserta Larian serta tetamu jemputan telah diberi penerangan mengenai penyakit Tibi oleh Ketua Penolong Pengarah Kanan Unit Tibi & Kusta dari Jabatan Kesihatan Wilayah Persekutuan Kuala Lumpur & Putrajaya Dr. Fuad Hashim sebelum acara larian bermula. Beliau telah menerangkan kepada peserta tentang penyakit Tibi serta menasihatkan peserta mengenai penjagaan kesihatan dan cara pencegahan penyakit Tibi. Beliau menasihatkan supaya sesiapa yang ada tanda dan gejala penyakit Tibi hendaklah berjumpa doktor untuk melakukan pemeriksaan bagi mengesan Tibi. Beside the TB Run, the Senior Principal Assistant Director of the TB, Leprosy Unit of the KL + Putrajaya Federal Health Department Dr. Fuad Hashim gave a presentation on TB before the take-off of the run. He explained to the participants on facts of TB, on health care and preventive measures of TB. He advised that those who have signs and symptoms of TB should see a doctor for examination and screening for TB.

Presiden APTBLD,KL Tuan Haji Ibrahim bin Hamzah menyampaikan hamper kueh raya kepada pesakit Tibi(Tuan Haji Ibrahim bin Hamzah, President of APTBLD, Kuala Lumpur presented the gift to a TB patient)

Setiausaha APTB,KL Tuan. Hj. Ahmad Abd Hamid menyampaikan hamper kepada pesakit ASMA(Tuan Haji Ahmad b Abd Hamid, Deputy Secretary of APTBLD, Kuala Lumpur presented the gift to a asthma patient)

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Program Senaman Aerobik telah diadakan untuk memanaskan badan sebelum larian. Program ini telah dikendalikan oleh Pn Julie dan dijalankan sebelum acara larian bermula. Rata-rata peserta bergembira mengambil bahagian.Aerobic Exercise Program was held for all participants as a warm up before the run. Most participants enjoyed taking part in this program conducted by Mrs. Julie.Senaman Aerobik (Aerobic Exercise)

Acara larian dimulakan pada jam 7.00 pagi dengan kategori A, B, C & D iaitu peserta veteran, dewasa lelaki dan wanita. Ia diikuti dengan peserta remaja lelaki dan perempuan bagi kategori E & F. Pelepasan terakhir terdiri dari kategori G iaitu “Fun Run”. Acara ini berakhir dalam tempoh 1 jam iaitu pada jam 9.30 pagi. The run started at 7.00 a.m. with a category A, B, C and D; veteran players, adult men and women. It was followed by men and women participants in the category E and F. The last group to run was category G which is the “Fun Run”. The event ended at 9.30 am.

Peserta mendengar penerangan sebelum larian bermula(Participants listening to a briefi ng before the run starts)

Peserta mendengar penerangan sebelum larian bermula(Participants listening to a briefi ng before the run starts)

Bersedia untuk berlari (Ready to run)

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Perserta sedang berlari (Participants on the run)

Pameran (Exhibition)

APTBLD, Kuala Lumpur juga telah dapat mengadakan pameran semasa berlangsungnya program larian dan pameran poster-poster dari Jabatan Kesihatan Wilayah Persekutuan Kuala Lumpur, MAPTB, Agensi Anti-Dadah Kebangsaan, Institut Perubatan Respiratori, DBKL dan Metrology Corporation (M) Sdn Bhd bertujuan untuk memberi ilmu pengetahuan kepada para peserta dan juga pengunjung serta tetamu jemputan. Penerangan serta pengedaran brochures kepada peserta dan orang awam yang melawat pameran juga telah dilakukan. Ini adalah satu cara APTBLD,KL dapat memberi kesedaran mengenai penyakit Tibi.APTBLD, Kuala Lumpur also set up an exhibition during the TB RUN program. Posters from Jabatan Kesihatan Wilayah Persekutuan Kuala Lumpur, MAPTB, Agensi Anti-Dadah Kebangsaan, Institut Perubatan Respiratori, DBKL dan Metrology Corporation (M) Sdn Bhd were on display with the objective to provide knowledge to the participants as well as visitors and guests. TB RUN is one of the projects of APTBLD KL to create TB awareness.

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Pemeriksaan Kesihatan dan Gerai Klinikal juga telah diadakan dengan tujuan mengenalpasti individu yang mungkin menpunyai jangkitan Tibi atau lain-lain penyakit tetapi tidak mepunyai sebarang simpton. Diharap bahawa APTB,KL dengan bantuan Jabatan Kesihatan dapat membantu dalam program ini. Para pengunjung dapat membuat pemeriksaan kesihatan seperti body mas index (BMI), Taburan Lemak dalam badan dan kandungan gula dan cholesterol dalam darah secara percuma yang dikendalikan oleh Jabatan Kesihatan Wilayah Persekutuan Kuala Lumpur dan Dewan Bandaraya Kuala Lumpur. Health Screening and Clinical Stalls were also held with the aim of identifying individuals who may have TB infection or other diseases but with no symptoms. APTBLD, KL hoped that the Health Department will assist in this program so the visitors are able to have free health checks such as body mass index (BMI), the distribution of body fat and blood sugar and cholesterol. The health screening is provided by the Department of Health and the Federal Territory of Kuala Lumpur City Hall Kuala Lumpur.

31 Disember 2011APTBLD,KL telah dijemput oleh Rukun Tetangga Taman Pelangi pada 31 Disember 2011 bagi menjayakan Majlis Hari Keluarga – Sektor Taman Pelangi Sentul, Kuala Lumpur. Pelbagai acara seperti sukaneka, pameran Tibi, pertandingan mewarna dan pemeriksaan kesihatan dan lain-lain. Setiausaha Kehormat Tuan Hj. Ahmad Abd Hamid turut hadir ke Majlis tersebut dengan mengagihkan risalah Tibi dan kertas mewarna.APTBLD, KL was invited by Rukun Tetangga Taman Pelangi on December 31, 2011 to take part in the celebration of Council Family Day - Sektor Taman Pelangi Sentul, Kuala Lumpur. The events includes activities on sport, health screeening, TB exhibition, colouring contest, etc. The Honorary Secretary, Tuan Haji Ahmad Abd Hamid attended the function to distribute leafl ets on Tuberculosis and coloring materials.

Pemeriksaan Kesihatan (Health Screening)

Pameran Tibi dan pertandingan melukis(TB exhibition and coloring contest)

Dari kanan (from the right) Timbalan Presiden APTB,KL bersama Adun Kawasan Sentul

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Jawatankuasa MAPTB, Selangor sedang menyam-paikan hamper dan angpow kepada pesakit Tibi (Presenting hampers and angpow to TB patients)

10 Jan 2011 dan 21 Jan 2011Sebagai aktiviti tahunan Sempena Tahun Baru Cina, MAPTB Negeri Selangor telah menyampaikan hamper kueh raya dan Tunai Ang Pau kepada pesakit Tibi di Negeri Selangor, Hospital Tanjong Karang, Hospital Tengku Ampuan Rahimah, Klang, Hospital Kuala Kubu Bahru, serta Hospital Jabatan Hal Ehwal Orang Asli, Gombak.In conjunction with the celebration of Chinese New Year, MAPTB Selangor give festive cakes and Cash Ang Pow to the TB patients at Hospital Tanjong Karang, Hospital Tengku Ampuan Rahimah, Klang, Hospital Kuala Kubu Bharu, and Hospital Jabatan Hal Ehwal Orang Asli, Gombak in the state of Selangor.

11 Jun 2011MAPTB Selangor telah menghantar Setiausaha Kehormat En. Peter Lim untuk menghadiri Bengkel Penyediaan Proposal Permohonan geran bersama Lembaga Promosi Kesihatan Malaysia pada 11 Jun 2011 di Bilik Mesyuarat Utama Aras 3, Blok E10, Kementerian Kesihatan Malaysia di Putrajaya.MAPTB Selangor Honorary Secretary, Mr. Peter Lim attended the Workshop on proposal to apply grant from Malaysian Health Promotion Board in the Main Meeting Room, Level 3, Block E10, Ministry of Health Malaysia in Putrajaya.

MAPTB SELANGOR

JJaJ watankua MA

16 to 26 Ogos 2011Selain dari Tahun Baru Cina tidak ketinggalan juga MAPTB Negeri Selangor telah menyampaikan hamper kueh raya dan Tunai Ang Pau sempena menyambut Aidil Fitri kepada pesakit Tibi di Negeri Selangor, Hospital Tanjong Karang, Hospital Tengku Ampuan Rahimah, Klang, Hospital Kuala Kubu Bharu, serta Hospital Hal Ehwal Orang Asli, Gombak.Beside giving festive gifts and Cash Ang Pow during Chinese New Year, MAPTB Selangor delivered food hampers and Cash Ang Pow to TB patients at the Hospital Tanjong Karang, Hospital Tengku Ampuan Rahimah, Klang, Hospital Kuala Kubu Bharu, and Hospital Hal Ehwal Orang Asli, Gombak Selangor in conjunction with the celebration of Hari Raya Aidil Fitri.

29 Sept 2011Saudara Zainal Abidin jawatankuasa MAPTB, Selangor telah menghadiri mesyuarat Jawatankuasa Teknikal Kawalan Penyakit Berjangkit (CDC & TB/KUSTA) Jabatan Kesihatan Negeri Selangor bagi mewakili MAPTB Selangor pada 29 Sept 2011 bertempat di bilik Mesyuarat Anggerik, Jabatan Kesihatan Negeri Selangor.Mr. Zainal Abidin, a member of MAPTB Selangor committee, attended the Technical Meeting on Infectious Disease Control (CDC TB / Leprosy) State Health held at room Mesyuarat Anggerik, Jabatan Kesihatan Negeri Selangor.

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26 Mei 2011Sempena Sambutan Hari Tibi Sedunia 2011, Jabatan Respiratori Hospital Sultanah Bahiyah, Alor Setar dengan kerjasama MAPTB Kedah dan lain-lain unit Hospital telah menganjurkan Sambutan Kempen Hari Tanpa Tembakau 2011 bertempat di Auditorium Hospital Alor Setar. Ceramah telah disampaikan oleh Pakar Perubatan dan Pakar Kardiologi kepada 500 peserta dari Sekolah Menengah dan kakitangan Jabatan. In conjunction with commemoration of World TB Day 2011, the Department of Respiratory Bahiyah Hospital, Alor Setar Kedah collaborated with MAPTB Kedah and other hospitals in organising the No Tobacco Day 2011 campaign at the Auditorium Hospital Alor Setar. The talk was presented by a physician and cardiology expert. He gave a lecture to 500 participants who were children and staff from secondary schools.

6 July 2011APR Conference yang ketiga International Union Against Tuberculosis and Lung Disease Asia Pacifi c Region telah diadakan di Hongkong bertempat di Convention Centre Wan Chai. Setiausaha MAPTB Kedah En. P. S. Maniam turut menyertai Conference tersebut.The 3rd Conference of the International Union Against Tuberculosis and Lung Disease Asia Pacifi c Region was held at the Hong Kong Convention Centre located in Wan Chai. Honorary Secretary, MAPTB Kedah. P. S. Maniam participated in the Conference.

25 Ogos 2011Sempena Hari Raya Puasa Jawatankuasa Persatuan telah melawat ke wad Tibi di Hospital Alor Setar dan memberi hadiah wang tunai kepada 20 pesakit Tibi di Hospital Alor Setar dan, 12 orang pesakit Tibi di Hospital Sungai Petani.In conjunction with the celebration of Hari Raya Puasa, Management Association Committee gave cash prizes to the 20 patients in the ward of Hospital Alor Setar and 12 TB patients in the ward of Hospital Sungei Petani.

MAPTB KEDAH

Sempena Perayaan Hari Raya Puasa, MAPTB Kedah telah menghadiah wang tunai kepada pesakit Tibi di Hospital Sultanah Bahiyah, Alor Setar(In conjunction with the celebration of Hari Raya Puasa, MAPTB Kedah gave cash to TB patients in the Hospital Bahiyah, Alor Setar)

Dari kiri En. Zul, En. P. M. Varatharajoo, Pengerusi Dato’ Dr. Hj. Mohd Yacob dan Dr. Mustafa Kamal b. Razak, Pakar Klinik Respiratori & Perubatan.(From left Mr. Zul, En. P. M. Varatharajoo, Chairman Dato ‘Dr. Hj. And Dr Mohd Yacob. Mustafa Kamal b. Razak, Consultant Respiratory Medicine Clinic.)

Ahli Pn. Norlela bt Muhammad & Setiausaha En.P. S. Maniam menyampaikan hadiah berupa wang tunai kepada pesakit Tibi di Hospital Sultan Abdul Hamil, Sungei Petani, Kedah (Member Pn. Norlela bt Muhammad & Honorary Secretary En.P. S. Maniam gave cash to the TB patients in Hospital Sultan Abdul Hamil, Sungei Petani, Kedah)

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23 Mac 2011Sempena Sambutan Hari Tibi Sedunia dan Seminar Kesedaran Awam anjuran Jabatan Kesihatan Negeri Melaka bersama MAPTB Melaka telah diadakan Dewan Kristal, Wisma PERKESO, Ayer Keroh, Melaka. Seramai 150 peserta dari Jabatan Kesihatan Negeri Melaka dan Badan Bukan Kerajaan NGO mengambil bahagian. Datuk Kian Sit Har, En. S. Vijayathevan, Cik Hjh Halimah bte Marikar, Pn K. Sarojini Pillai turut hadir di seminar tersebut. Setiausaha Agong Kehormat MAPTB Malaysia Tuan Hj. Sahul Hamid b. Hj. A. Karim bersama isteri beliau Pn. Norhayati Abdullah adalah antara tetamu yang turut serta menghadiri seminar tersebut.In conjunction with World TB Day, the Department of Health and MAPTB Malacca jointly organised a Public Awareness Seminar at Crystal Hall, Wisma SOCSO, Ayer, Melaka. About 150 participants from the Malacca State Health Department and Non-governmental organizations took part. Datuk Kian Sit Har, Mr. S. Vijayathevan, Miss Hjh Halimah bte Marikar, Mrs. K. Sarojini Pillai were also present at the seminar. Among the invited guests were the Honorary Secretary General, MAPTB Federal, Tuan Hj. Sahul Hamid b. Hj. A. Karim and his wife, Pn. Norhayati Abdullah.

MAPTB MELAKA

Penyampaian cenderahati kepada Setiausaha MAPTB Tuan Hj. Sahul Hamid b. Hj. A. Karim. (Presentation of gift to the Honorary Secretary General, MAPTB Federal, Tuan Hj. Sahul Hamid b. Hj. A. Karim)Dari Kiri (from the left): Pn Norhayati Abdullah, Pegawai Epidemiologi Tibi/kusta, Dr. Siti Halimah Syed Shaikh, Presiden MAPTB Melaka Y.Bhg. Datuk Kian Sit Har, Setiausaha MAPTB Tuan Hj. Sahul Hamid b. Hj. A. Karim, En. S. Vijayathevan dan Cik Hjh Halimah bt Marikar.

Gambar kenangan dari kiri: Tuan Hj. Sahul Hamid b. Hj. A. Karim, Y. Bhg. Dato’ Dr. Hj. Azmi b Hashim, Pengarah Kesihatan Negeri Melaka, Dr. Siti Halimah Syed Shaikh, Y. Bhg. Datuk Kian Sit Har dan En. S. Vijayathevan(Photograph from left: Tuan Hj. Sahul Hamid b. Hj. A. Karim, Y. Bhg. Dato’ Dr. Hj. Azmi b Hashim, Melaka State Health Director, Dr. Siti Halimah Syed Shaikh, Y. Bhg.. Datuk Kian Sit Har and Mr. S.Vijayathevan.)

Para peserta Seminar Kesedaran Awam di Dewan Kristal, Wisma PERKESO, Ayer Keroh, Melaka(Participants at the Public Awareness Seminar held at the Crystal Hall, Wisma SOCSO, Ayer, Malacca.)

Dari Kiri: Setiausaha MAPTB, Melaka, En. S. Vijayathevan dan peserta-peserta seminar.(From left: Honorary Secretary MAPTB Malacca, Mr. S. Vijayathevan and participants attending the seminar.)

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HARI TB SEDUNIA 2011 (WORLD TB DAY 2011)Hari TB Sedunia 2011 telah dianjurkan oleh Hospital Changkat Melintang bersama MAPTB, Perak (Perak Tengah)

pada 8 April 2011 dan telah dirasmikan oleh Pegawai Epid Perak TB Dr. S. Puvaneswari. Turut serta pada majlis

tersebut ialah Setiausaha MAPTB Perak En. Chandran Kanniah, Pengarah Hospital, En Azomi Pengerusi MAPTB

Perak Tengah dan Dr. Kasturi. Seramai 100 orang awam dan kanak-kanak sekolah turut menghadiri majlis tersebut.

Commemoration of World TB Day 2011 was jointly organized by the Hospital Changkat Melintang and MAPTB, Perak

(Perak Tengah) on 8 April 2011. It was inaugurated by Dr. S. Puvaneswari, Epidermiologist of Perak. The Secretary

of MAPTB Perak, Mr. Kanniah Chandran, Hospital Director, En Azomi and Chairman of MAPTB Perak, Dr. Kasturi and

100 participants from general public and school children attended the event.

MAPTB PERAK

Aktiviti-aktiviti yang dijalankan adalah seperti:-

i. Pameran Tibi, HIV/AIDS

ii. Taklimat tentang Tibi

iii. Ujian Fungsi Paru-paru

iv. Berat Badan ideal

v. Gula dalam darah

vi. Tayangan slide mengenai penyakit Tibi.

vii. Kuiz mengenai Tibi

viii. Mengedar risalah-risalah, buku kecil,

Berita MAPTB dan lain-lain.

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17 April 2011Kem Kesedaran Masyarakat telah diadakan dipenempatan

orang asli di Kampong Kenang Jalong, Sungei Siput. Kem

tersebut dianjurkan bersama Pertubuhan Perlindungan

Pengguna Negeri Perak, Persatuan Diabetes Perak,

MAPTB Perak, KPDNKK Perak dan Pejabat Kesihatan

Kuala Kangsar. Majlis tersebut telah dirasmikan oleh

Pengarah KPDNKK dan turut serta dalam majlis ialah

Presiden Pertubuhan Perlindungan Pengguna Negeri Perak

En. Gunasekaran Dan seramai 150 orang penduduk

orang asli mengambil bahagian dalam program tersebut.

Community Awareness Camp was held at the orang asli

settlement in Kampong Kenang Jalong, Sungei Siput.

The camp was organized by Pertubuhan Perlindungan

Pengguna Negeri Perak, Persatuan Diabetes Perak,

MAPTB Perak, KPDNKK Perak dan Pejabat Kesihatan

Kuala Kangsar. The ceremony was offi ciated by the

Pengarah KPDNKK. Pertubuhan Perlindungan Pengguna

Negeri Perak, En. Gunasekaran, and a total of 150 orang

asli people participated in the program.

Antara aktiviti-aktiviti yang diadakan ialah:-

i. Ceramah Diabetes, Tak Nak merokok, Pemakanan

yang sihat dan penyakit kanser oleh En. Chandran

Kanniah.

ii. Ceramah mengenai Tibi oleh Dr. Teh Siew Boi

iii. Ceramah kanser payudara dan servik oleh

Dr. Malliga

iv. Pemeriksaan Diabetes, Tekanan Darah, Lemak

dan Berat Badan Ideal

v. Pap Smear dan pemeriksaan sendiri payudara

vi. Pemeriksaan kahak

vii. Pameran Gaya Hidup Sihat dan Tibi

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Sepanjang tahun 2011 aktiviti seperti berikut telah dijalankan oleh Persatuan Mencegah Penyakit Tibi Labuan.The following activities were carried out by Labuan TB Disease Prevention Association during the year 2011.

Februari 2011

Program : Sambutan Hari Tibi Sedunia Peringkat Negeri W. P. Labuan 2011

Tarikh : 27 Mac 2011Tempat : Ruang Legar, Kompleks Ujana KewanganDihadiri : Presiden LAPTB, Encik Lee Yu Chong,

Setiausaha Agung, Encik Hyginus Lester dan AJK Puan Esther Thane.

Program : World TB Day State Level W. P. Labuan 2011Date : March 27, 2011Venue : Concourse, Complex Financial UjanaAttended : LAPTB President, Mr Lee Yu Chong, Secretary General, Mr. Hyginus Lester and Mrs. Esther Thane.

LAPTB LABUAN

Mesyuarat Eksekutif (Exco Committee Meeting) Persatuan Bagi Mencegah Penyakit TibI Malaysia (MAPTB Federal) telah berlangsung di Quality Hotel pada 26 Feb 2011. Mesyuarat dipengerusikan oleh Dato’ Seri Yeop Jr.(MAPTB Executive Committee Meeting held at Quality Hotel Kuala Lumpur on 26 Feb 2011which was chaired by Dato ‘ Seri Yeop Jr.)

Mesyuarat Agung Kelima LAPTB telah diadakanpada 7 Mei 2011 bertempat di Bilik 1U, SJK(C)Chi Wen, W. P. Labuan.(The Fifth General Meeting of LAPTB was heldon May 7, 2011 held at Room 1U, SJK (C)Chi Wen, W. P. Labuan.)

Gambar kiri: Pengarah Kesihatan Labuan, Dr. Zaini Hussin dan Presiden LAPTB, Encik Lee YuChong merasmikan pelancaran Sambutan Hari Tibi Sedunia Peringkat Negeri W. P. Labuan(Photo left: Director Health Labuan, Dr. Zaini Hussin and LAPTB President, Mr Lee Yu Chong offi ciating the launching of World TB Day State Level W. P. Labuan.)

Presiden LAPTB, Encik Lee Yu Chong melawat tapak pameran(President LAPTB, Mr Lee Yu Chong at the exhibition site.)

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Program : Pertandingan Melukis Poster Kesedaran Tibi Sekolah-sekolah Rendah Peringkat Negeri W. P. LabuanTarikh : 1-30 Mei 2011Tempat : Sekolah-sekolah Rendah W. P. LabuanTajuk Poster : 1 Malaysia Bebas TibiProgram : Tuberculosis Awareness Poster Drawing Competition Primary Schools at state level of W. P. LabuanDate : 1-30 May 2011Place : Primary Schools W. P. LabuanPoster title : 1 Malaysia Free TB

Program : Pertandingan Melukis Poster Kesedaran Tibi Sekolah-sekolah Menengah Peringkat Negeri W. P. LabuanTarikh : 1-30 Mei 2011Tempat : Sekolah-sekolah Menengah W. P. LabuanProgram : Tuberculosis Awareness Poster Drawing Competition Secondary Schools at State Level W. P. LabuanDate : 1-30 May 2011Place : Secondary Schools W.P. Labuan

Program : Promosi LAPTB dan sumbangan English Camp anjuran Panitia B. InggerisTarikh : 9 Julai 2011Tempat : Dewan SemarakProgram : Promotion and LAPTB English Camp Contribution organized by the Bahasa English PanelDate : July 9, 2011Venue : Dewan Semarak

Hasil karya pemenang sekolah rendah.(Art piece of the winners.)

Gambar bersama pemenang dan Presiden LAPTB, Encik Lee Yu Chong. (President LAPTB, Mr Lee Yu Chong and the winners of the Poster Drawing Competition.)

Gambar atas: Hasil karya pemenang sekolah menengah, penyampaian hadiah kepada johan oleh Puan Pengetua SMK Mutiara, pemenang kedua, dan pemenang ketiga.(Picture above: Prize presentation by the princi-pal of SMK Mutiara, champion second, and third prize winners.)

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Seperti biasa Persatuan Pencegah Penyakit Tibi Sarawak (Anti Tuberculosis Association Sarawak) giat mengadakan beberapa program sepanjang tahun 2011. ATAS continued with its usual activities during the year 2011.

7-11 Februari 2011ATAS bersama Unit PPK dan PPP Ibu Pejabat Kesihatan Negeri Sarawak telah mengadakan Kursus Pengesahan Kontak dan Defaulta Bagi Penyakit Tibi di Ibu Pejabat, Jabatan Kesihatan, Kuching, Sarawak.ATAS collaborated with Unit PPK and PPP Ibu Pejabat Kesihatan Negeri Sarawak by organising a course on TB case detection and defaulters at Ibu Pejabat, Jabatan Kesihatan, Kuching, Sarawak.

3 – 4 March 2011Lawatan kerumah – Pemeriksaan untuk kes-kes baru dan rawatan “Multiple Drug Resistance” di kampong-kampong.Home visits to detect for new TB cases and treatment of “Multiple Drug Resistance” in the villages.

18 Februari 2011

ATAS SARAWAK

Setiausaha ATAS sedang berucap mengenai sejarah penubuhan Persatuan kepada para peserta kursus. (ATAS secretary presenting the history of the Association to the participants.)

Pesakit-pesakit Tibi menjalani rawatan harian dibawah pengawasan DOTS di Klinik ATAS, Kuching, Sarawak.T(Tuberculosis patients undergoing daily treatment at the clinic under the DOTS at ATAS clinic in Kuching, Sarawak.

Lawatan kerumah penduduk Kampong Pinang Jawa, Kuching. Dari kiri: En Michael Au, Cik Fatin Farina bt satu adalah kes baru pesakit Tibi dan ibunya, staf PPPK En. Aimy b. Openg dan PPP En. Fredie Christopher.(Home visit at Kampong Java, Kuching.From left: Mr. Michael Au, Cik Fatin Farina bt Satu, a new TB case and her mother and staff En. Aimy b. Openg dan PPP En. Fredie Christopher.)

Lawatan ke rumah En Tay Chong Ping Kampong No. 6, Jalan Muhibbah, Kuching. Kelihatan En. Michael Au dan Pegawai Perubatan ATAS’s En. Aimy b. Openg.(Home visit to the house of Mr. Tay Chong Ping at Kampong No.6, Jalan Muhibbah, Kuching by Mr. Michael Au and En. Aimy b. Openg)

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24 Mac 2011Majlis Sambutan Hari Tibi Sedunia Peringkat Bahagian Betong 2011 bertempat di Rumah Nuing ak Irek Batu 4, Sungai Sebatan, Daerah Saratok. Presiden “ATAS” Y. Bhg. Datin Louise Luncha Kanyan, Naib Presiden En. Douglas ak Rundy, Setiausaha Kehormat En. Michael Au dan Bendahari Kehormat En. Tay Kia Ching telah dijemput ke majlis tersebut. World TB Day Celebration 2011 at district level of Betong at the house of Nuing ak Irek Batu 4, Sungai Sebatan, Daerah Saratok. ATAS President, Y. Bhg. Datin Louise Luncha Kanyan, Vice President, Mr. Douglas ak Rundy, Honorary Sec-retary, Mr. Michael Au and Honorary Treasurer, En. Tay Kia Ching attended the event.

9 – 11 Mei 2011 Kursus Kawalan Penyakit Tibi untuk Anggota Kesihatan Bahagian Kuching bertempat di- Kem Alapong, Kpg Pandan, Daerah Lundu.Tuberculosis Control Course for members of Kuching Health Department at Alapong Camp, Kampong Pandan, Lundu District.

Penduduk-penduduk rumah panjang mendengar ceramah mengenai penyakit Tibi(Residents from the long houses listening to the talk on TB)

Kelihatan dari kiri: Setiausaha ATAS En. Michael Au, Bendahari En. Tay Kia Ching, Dr. Jeffery Stephen dan Datin Louise Luncha Kanyan.(Honorary Secretary, Mr. Michael Au, Honorary Treasurer Mr. Tay Kia Ching, Dr. Jeffery Stephen and ATAS President, Datin Louise Luncha Kanyan.)

Presiden ATAS Y. Bhg. Datin Louise Luncha Kanyan melancarkan pameran poster di rumah panjang(ATAS President, Y. Bhg. Datin Louise Luncha launch-ing the the TB Posters Exhibition at the long house.)

Kelihatan Setiausaha ATAS En. Michael Au sedang memerhatikan demonstrasi “Bancian Kahak dan Amali”(ATAS Secretary, Mr. Michael Au observing the demonstration “Census on phlegm and Practice”)

Para peserta Kursus Kawalan Penyakit Tibi di Kem Alapong, Kpg Pandan, Daerah Lundu.(Participants attending the talk on TB Disease Control at Alapong Camp, Kampong Pandan, Lundu District.)

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14 – 15 Jun 2011Kursus Kawalan Penyakit Tibi untuk Paramedik, Bahagian Samarahan 2011 bertempat di Pejabat Kesihatan Tebakang, Serian.Course on TB Disease Control for paramedics of Samarahan at the office of Health Department, Tebakang, Serian.

22 – 23 Jun 2011 Kursus Kawalan Peyakit Tibi untuk Paramedik, Bahagian Sarikei 2011 bertempat Pejabat Kesihatan Sarikei. Couse on TB Control for paramedics of Sarikei held at the offi ce of Health Department of Sarikei.

Kelihatan Tuan Hj. Shafi e b. Hj Lundu sedang memberi taklimat kepada paramedik-paramedik Kursus(Tuan Hj Shafi e b. Hj Lundu presentating his talk to the paramedics.)

Penyampaian hamper oleh Setiausaha ATAS En. Michael Au (Presentation of hamper by ATAS Secretary, Mr. Michael Au)

Para peserta kursus yang mengambil bahagian(The participants taking part in the course)

En. Douglas ak Rundy memberi ceramah mengenai “Cara Mengambil Spesimen yang baik”. (Mr. Douglas ak Rundy presenting a talk on “How to take a good specimen.”)

Kelihatan Hj. Shafi e b Hj. Lundu sedang memberi taklimat kepada para peserta (Hj. Shafi e b Hj. Lundu presentating his briefi ng to the participants)

26 – 27 Julai 2011 - 28 – 29 Julai 2011Kursus Pengurusan dan Up-date Tibi untuk Paramedik, Bahagian Limbang 2011 bertempat Pejabat Kesihatan Limbang dan Pejabat Kesihatan Bahagian Sibu. Course on the Management and TB Update for paramedics at the health offi ces of Limbang and Sibu.

Peserta paramedik (Paramedic participant)

Peserta paramedik (Paramedic participant)

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Presiden ATAS, Y. Bhg. Datin Louise Luncha Kanyan sedang berucap.(President ATAS, Y. Bhg. Datin Louise Luncha Kanyan presenting her speech.)

Presiden ATAS, Y. Bhg Datin Louise Luncha Kanyan menyampaikan hamper kepada pesakit Tibi. (President ATAS, Y. Bhg. Datin Louise Luncha Kanyan presenting the gift hampers to TB patients.)

18 Aug 2011Pemberian Hamper kepada pesakit Tibi sempena Hari Raya Aidilfi tri 2011 bertempat di ATAS Clinic, Kuching, Sarawak.Presentation of gift hampers to TB patients in conjunction with the Hari Raya Aidilfi tri 2011 at ATAS Clinic, Kuching, Sarawak.

13 & 14 Sep 2011Kursus Kawalan Penyakit Tibi untuk Paramedik, Bahagian Mukah dan juga pemberian Hamper oleh ATAS kepada pesakit Tibi sempena Hari Raya Aidilfi tri 2011 di Hospital Mukah, Bahagian Mukah, Sarawak. In conjunction with the celebration of the Hari Raya Aidilfi tri 2011 and hosting the Seminar of TB Control for paramedics, ATAS presented festive gifts to the TB patients in Mukah Hospital, Mukah, Sarawak.

3 Okt 2011 College I-System Trainee Nurse melawat Klinik Persatu-an Mencegah Penyakit Tibi Sarawak (ATAS). Nurses from College I-System Trainee Nurse visited ATAS Clinic.

Dari kiri:- Tuan Hj. Shafi e Hj. Lundu, Presiden ATAS Y. Bhg Datin Louise Luncha Kanyan, Setiausaha En. Michael Au dan En. Douglas ak Rundy menyampaikan hamper kepada PPP Mohd Akbar b Piee salah seorang peserta kursus.(From left: Tuan Hj. Shafi e Hj. Lundu, President ATAS, Y. Bhg Datin Louise Luncha Kanyan, Honorary Secretary. Mr. Michael Au and En. Douglas ak Rundy presenting a gift to a participant Mr. Mohd Akbar b Piee.)

Jururawat pelatih sedang mendengar taklimat penyakit Tibi(Nurses listening to the briefi ng on TB)

Makmal Klinik ATAS(Clinical laboratory ATAS)

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Y. Bhg. Datin Louise Luncha Kanyan menyampaikan barangan kepada salah seorang penghuni Pusat Warga Emas yang kurang upaya(Y. Bhg. Datin Louise Luncha Kanyan presenting gift to a diabled senior citizen.)

Y. Bhg. Datin louise Luncha Kanyan bersama dengan penghuni-penghuni Pusat Jagaan Warga Emas.(Y. Bhg. Datin Louise Luncha Kanyan presenting gift to a senior citizen)

Kelihatan En. Douglas ak Rundy bersalaman dengan murid-murid sekolah(Mr. Douglas ak Rundy greeting the school children)

Petugas memberi taklimat ringkas kepada salah penduduk di Kampong Subang(Staff giving a brief overview of one of the residents in Kampong Subang.)

Taklimat ringkas mengenai penyakit Tibi di salah seorang penduduk di Kampong Simpok.(A brief overview on TB to the a resident in Kampong Simpok.)

7 Okt 2011Aktiviti Tahunan Kementerian Kesihatan dan Persatuan Mencegah Penyakit Tibi Sarawak ke Pusat Jagaan Warga Emas di Batu 14, Jln Kuching/Serian, Sarawak. Annual activities of the Ministry of Health and ATAS at the Elderly Care Centre, 14th Miles Jalan Kuching/Serian, Sarawak.

15 Okt 2011Persatuan Mencegah Penyakit Tibi Promosi Kesedaran Tibi, Pemeriksaan Kesihatan, Pameran dan pertandingan kuiz Tibi telah diadakan di Jong’s Crocodiles Farm bertempat di Batu 17, Jalan Kuching/Serian.Health Promotion Carnival and TB Quiz held Jong’s Crocodiles Farm at 17th Miles, Jalan Kuching/Serian.

12 Nov 2011Survei Tibi, Saringan penyakit Batuk, Mass Sputum survei dan Pendidikan Kesihatan telah dijalankan di Kampong Subang.Tuberculosis survey and screening, mass sputum and health Education conducted in Kampong Subang.

29 Oct 2011Mengesan Kes Tibi aktif telah diadakan di Kampong Simpok, bahagian daerah Padawan, Sarawak.Detecting active TB cases held at Kampong Simpok, the district Padawan, Sarawak.

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En. Tay Kia Ching, Jabatan Kesihatan Negeri Sarawak dan penghuni Serenti Kuching, Sarawak(Mr. Tay Kia Ching, State Health Department and resident of Serenti Kuching, Sarawak)

Setiausaha En. Michael Au dan paramedik di Penjara Pusat Puncak Borneo dan Pusat Serenti Kuching, Sarawak.(Honorary Secretary, Mr. Michael Au and paramedics at Penjara Pusat Puncak Borneo dan Pusat Serenti Kuching, Sarawak.)

16 & 18 Nov 2011Persatuan Mencegah Penyakit Tibi Sarawak telah mengadakan Program Saringan dan Kesedaran Penyakit TIBI bertempat di Penjara Pusat Puncak Borneo Kuching dan Pusat Serenti, Kuching. Sarawak.ATAS conducted Health screening and awareness on TB at Penjara Pusat Puncak Borneo Kuching dan Pusat Serenti, Kuching. Sarawak.

10 Dis 2011Mengadakan Hari Terbuka Promosi Kesihatan Bersama Pelanggan di Klinik Kesihatan, Kuching. Open Day With Clients in Health Clinic, Kuching.

17 Dis 2011 Persatuan Mencegah Penyakit Tibi Sarawak dan Jabatan Kesihatan mengadakan aktiviti Kesedaran terhadap kahak Tibi, ‘Smear Test” juga promosi kesihatan telah diadakan di Kampong Assam Padawan, Bahagian Kuching, Sarawak. ATAS and Health Department organised a health carnival conducting TB sputum, smear test, etc. at Kampong Assam Padawan, Bahagian Kuching.

Senamrobik diadakan di hadapan bangunan Persatuan Mencegah Penyakit Tibi Sarawak (ATAS) (Aerobics held in the frontage of ATAS building) Paramedik menanyakan sesuatu kepada

penduduk kampong.(A question and answer session for the villagers by the paramedics.)

Anak-anak menyertai pertandingan melukis(Children taking part in drawing contest)

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Program Memperkasakan Komuniti Bachok dalam Pencegahan dan Pengesanan Awal Tibi Program ini berjalan selama sepuluh bulan melibatkan semua kontak Tibi di daerah Bachok bermula dari bulan Januari dan berakhir bulan Oktober 2011. Objektif utama adalah bagi meningkatkan tahap pengetahuan, sikap dan amalan masyarakat terhadap penyakit Tibi. Bengkel untuk menghasilkan borang soal-selidik telah diadakan terlebih dahulu. Bagi menjayakan program tersebut, beberapa aktiviti telah dijalankan seperti disenaraikan di bawah. Community Empowerment Programme for early detection and prevention of Tuberculosis. This program was implemented for ten months involving all TB contacts from Bachok District from January to October 2011. The main objective is to enhance the knowledge, attitude and practices of the society against TB. An earlier workshop was done to draft the study questionnaire. For the success of the program, several activities were also carried out.

a. Mesyuarat dan perbincangan secara berkala dengan Ketua Jajahan Bachok: Y.Brs En. Zulkifl e b. Ab. Rahman dan semua penggawa daerah Bachok. Penglibatan ketua komuniti dari Pejabat Tanah dan Jajahan Bachok amat diperlukan bagi mendapatkan penglibatan peserta dari seluruh daerah Bachok dan juga manggunakan kemudahan yang ada di Bachok.Periodical Meeting and discussion with the Ketua Jajahan Bachok Y.Brs En. Zulkifl e b. Ab. Rahman and all district wardens from Bachok District to get the involvement of community leaders from Bachok Land Offi ce for participants to utilise the facilties available in Bachok.

b. Pameran penyakit TB di Dewan Daerah Bachok pada 24 Mei 2011 bagi meningkatkan pengetahuan komuniti berkaitan penyakit Tibi. Sinar Harian telah dijemput dan satu artikel telah keluar di dalam akbar tersebut pada 29 Mei 2011 di halaman K7. TB exhibition in Bachok District Community on 24 May 20111 to increase the knowledge on TB for the community. Sinar Harian was invited and there was a press release on 29 May 2011.

c. Ceramah bertajuk Rokok dan risiko penyakit Tibi oleh Dr Mohd Ismail Ibrahim (Pensyarah Perubatan, Jabatan Perubatan Masyarakat, PPSP, USM) pada 24 Mei 2011. Peserta didedahkan dengan bahaya merokok dan perkaitan yang erat antara merokok dengan penyakit Tibi.A talk on cigarettes and the risk of TB by Dr Mohd Ismail Ibrahim (Lecturer of Medicine, Department of Community Medicine, PPSP, USM) on 24 May 2011. Participants were briefed on the dangers of smoking and the interrelation of smoking and TB.

MAPTB KELANTAN

Peserta sedang mendaftar diri sepanjang aktiviti yang dibuat.(Participants are to registered for the activities.)

Dr Mohd Ismail Ibrahim sedang menyampaikan ceramah (Dr Mohd Ismail Ibrahim delivering his talk)

Perasmian program oleh Ketua Jajahan Bachok pada 12 Julai 2011(Offi cial Opening Ceremony by the Ketua Jajahan Bachok on 12 July 2011)

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f. Kajian soal selidik awal pada 3 Mei 2011 dan akhir pada 12 Julai 2011 berkaitan pengetahuan, sikap dan amalan kontak Tibi terhadap penyakit Tibi. Kajian ini amat penting bagi menentukan aktiviti-aktiviti yang dijalankan memberi kesan terhadap penigkatatan pengetahuan, sikap dan amalan peserta.Survey and research on TB knowledge and contact tracing which starts on 3 May 2011 ends on 12 July 2011 to determine the activities carried increase the knowledge, attitudes and practices of the participants.

d. Ceramah bertajuk Penyakit TB oleh Dr Nik Rosmawati Nik Husain (Pensyarah Perubatan, Jabatan Perubatan Masyarakat, PPSP, USM) atas tujuan meningkatkan lagi pengetahuan dan sikap masyarakat terhadap penyakit Tibi serta kaedah untuk mencegah dari dijangkiti. Seramai 160 peserta telah hadir sepanjang ceramah diadakan.A talk on TB disease was presented to 160 participants by Dr Nik Rosmawati Nik Husain (Lecturer of Medicine, Department of Community Medicine, PPSP, USM) for the purpose of increasing knowledge and social approach towards prevention of TB.

g. Kuiz berkaitan penyakit Tibi dilaksanakan pada 12 Julai 2011 untuk meningkatkan penglibatan peserta dalam program memperkasakan komuniti Bachok. 20 orang peserta telah dipilih sebagai pemenang dan diberi hadiah.TB quiz held on July 12, 2011 to increase the involvement of participants in Bachok community empowerment program. 20 participants have been selected as the winners awarded with prizes.

e. Ceramah bertajuk Pemakanan seimbang oleh Dr Rohana Abd Jalil (Pensyarah, Jabatan Perubatan Masyarakat, PPSP, USM) pada 24 Mei 2011. Pemakanan yang seimbang amat penting untuk memastikan badan dapat melawan dari penyakit Tibi serta penyakit-penyakit lain. Oleh itu, peserta diberi maklumat akan jenis-jenis dan kaedah untuk menentukan makanan seharian adalah sihat dan seimbang.A talk on nutrition by Dr. Rohana Abd Jalil (Lecturer, Department of Community Medicine, PPSP, USM) on 24 May 2011. A balanced diet is important to ensure that the body can fi ght the TB other diseases. Participants are given information on how to have a balanced daily diet to stay healthy.

Dr Nik Rosmawati Nik Husain sedang menyampaikan ceramah berkenaan penyakit Tibi pada 3 Mei 2011 (Dr. Nik Rosmawati Nik Husain delivering her talk on TB on 3 May 2011)

Dr Rohana Jalil menyampaikan ceramah (Dr Rohana Jalil delivering her talk)

Peserta sedang menjawab kajian soal selidik (Participants answered the questionnaires)

Penyampaian hadiah kuiz Tibi kepada pemenang (Quiz prize presentation to winners of Tuberculosis)

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TB BookletMAPTB Kelantan telah terlibat secara aktif di dalam bengkel menerbitkan 4 booklet berkaitan penyakit Tibi yang diketuai oleh lima orang Pensyarah di Jabatan Perubatan Masyarakat, USM. Booklet ini akan diedar kepada masyarakat semasa aktiviti Tibi diadakan di masa akan datang.MAPTB Kelantan was actively involved in the workshop produces four sets of TB booklets led by fi ve lecturers in the Department of Community Medicine, USM. The booklet will be distributed to public during TB activities held in the near future.

Bengkel menghasilkan booklet Tibi telah dibuat pada 5 April 2011 di Hotal Rebana, Kota Bharu(TB Booklet printed for the workshop on 5 April 2011 in Hotal Rebana, Kota Bharu)

Memberi taklimat dalam bengkel menubuhkan pasukan sukarelawan penyelia DOTS di Kampung Wakaf Bunut, Selising, Pasir Puteh pada 1 Disember 2011. Seramai 12 orang dari penduduk kampong Wakaf Bunut secara sukarela mendaftar di dalam pasukan tersebut. Sinar Harian telah dijemput dan artikel telah dikeluarkan di dalam akbar tersebut pada tarikh 8 Disember 2011.Workshop and talk for volunteers to form a team of DOTS supervisors at Kampung Wakaf Bunut, Selising, Pasir Puteh on 1 December 2011. A total 12 people from kampong Wakaf Bunut voluntarily registered to be in the team. Sinar Harian was invited and the press release was out on 8 December 2011.

BOOKLET 1 BOOKLET 2 BOOKLET 3 BOOKLET 4

Mengadakan pameran penyakit Tibi di kampong Wakaf Bunut sebagai program bersama pelajar perubatan Universiti Sains Malaysia di dalam Projek Kajian Komuniti dan Kes Keluarga sepanjang 2 dan 3 Disember 2011. Pameran ini merangkumi penyakit Tibi, merokok, penyakit HIV dan makanan seimbang. Aktiviti ini diadakan di perkarangan masjid Wakaf Bunut dan perasmian penutup telah dibuat oleh ADUN Selising.TB Exhibition at Kampong Wakaf Bunut as a joint programme for medical students of Universiti Sains Malaysia in Community Research Project and the Family Case Studies on 2 & 3 December 2011. Activities cover TB, Smok-ing, HIV and balanced diet. The event was offi cially closed by ADUN Selising.

Mr Leng Kok Oar sedang member taklimat berkaitan penyeliaan DOT(Mr. Leng Kok Oar attending the workshop ON DOTS supervisor.)

Pameran penyakit Tibi di kampong Wakaf Bunut, Selising, Pasir Puteh Kelantan(Exhibition of TB in Kampong Wakaf Bunut, Selising Pasir Puteh Kelantan)

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MAPTB JOHORE

Kelihatan Staf dan sukarelawan di wad TB Hospital Aminah.(Staff and Volunteers at Hospital Sultanah Aminah, T.B. Ward)

Meja Pendaftaran(The Front Team, ready to start.)

Dr Shahril Azian Bin Masron, Ketua Penolong PengarahUnit Kawalan Tibi/Kusta, Jabatan Kesihatan Negeri Johormenyampaikan beg makanan kepada pesakit Tibi.(Dr Shahril Azian Bin Masron, Ketua Penolong Pengarah Unit Kawalan Tibi/Kusta, Jabatan Kesihatan Negeri Johorpresenting goody bag to patient in TB Ward.)

Mr Tiow Geok Beng, Vice Chairman, MAPTB Johor Baru Branch, presenting gift to Dr Noor Aliza Mohd.Tarekh, Advisor MAPTB Johor, and Head Of Repiratory Department Hospital Sultanah Aminah.

1. Johor Bahru District -World TB Day Program:- Sempena Hari TB Sedunia 2011, ahli Jawatankuasa MAPTB Johor Bahru telah mengedarkan beg makanan kepada pesakit Tibi di Hospital Sultanah Aminah. Johor Bahru pada 24 Mac 2011.To celebrate world TB Day.2011, members of MAPTB Johor Bahru visited the TB Wards in Hospital Sultanah Aminah, Johor Baru, on 24th.March. 2011, and distributed goody bags and gifts to patients who were admitted there.

2. Seminar “ Kesihatan Untuk Semua”:-Sempena Hari TB Sedunia, Seminar kesihatan mengenai Tibi dan HIV/AIDS, pengurusan Kusta dan kencing manis, Manopause/Andropause telah dianjurkan bersama MAPTB Johor, Persatuan Kusta dan Pegawai Kesihatan Negeri Johor dan Hospital Sultanah Aminah, Johor Baru telah diadakan di Hotel Century, Johor Bahru pada 14 Mei 2011. Seramai 100 peserta hadir pada hari tesebut. Program tersebut telah dirasmikan oleh Ketua Penolong Pengarah, Unit Kawalan Tibi/Kusta, Jabatan Kesihatan Negeri Johor dan turut serta salah seorang penceramah MAPTB, Johor.This ½ Day Seminar was held on 14th.May, 2011, at 11@Century Hotel, Johor Bahru, in conjunction with World TB Day 2011. Topics discussed were, TB and HIV, management of Leprosy and diabeties, and on Menopause/Andropause. This program was organized jointly by MAPTB Johor, Leprosy Assn. Johor, Pejabat Kesihatan Negeri Johor and Hospital Sultanah Aminah Johor Baru. It was a very successful event as more than 100 participants attended although targeted for 100 participants. Dr Shahril Azian Bin Masron, Ketua Penolong Pengarah, Unit Kawalan Tibi/Kusta, Jabatan Kesihatan Negeri Johor, graced this program and was also one of our speakers.

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Penyerahan beg makanan dan ang pow oleh Timbalan Pengarah Hospital Sultanah Aminah Dr. Jamaludin.(Presenting goody bag and Ang Pow to a patient during our visit to the TB Ward by Deputy Director Hospital Sultanah Aminah, Dr. Jamaludin.)

MAPTB State Committee and Delegates from the Districts At the Annual General Meeting held on 22.10.11, at MKMNJ Meeting Room, Jalan Yahya Awal Johor Baru.

Setiausaha Kehormat MAPTB, Johor En. A. Visvalingam telah menyampaikan cenderahati ucapan terima kasih kepada Dr. Jamaludin.(Hon.Secretary MAPTB Johor, Mr A Visvalingam – “Thank you Dr Jamaludin.”

3. Hari Raya Program For Inpatients: Ahli Jawatankuasa dari MAPTB, Johor bersama-sama kakitangan Klinik dan ahli-ahli Cuapecs telah mengagihkan beg makanan dan ang pow kepada pesakit Tibi. Turut serta mengagihkan beg makanan ialah Timbalan Pengarah Hospital Sultanah Aminah. Committee members from MAPTB JB, staff of Chest Clinic and members of Cuapecs, visited the TB Ward HSA, on 22.9.11. to distribute Hari Raya goodies for patients under treatment. Timbalan Pengarah, HSA , graced this event and helped distribute the goodies.

4. Annual General Meeting – 2011:-MAPTB, Johor telah mengadakan Mesyuarat Agung Tahunan telah diadakan pada 22 Okt 2011.MAPTB Johor held its Annual General Meeting on 22nd.October, 2011.

5. TB Talk:- “ Management And Treatment Of TB”MAPTB, Johor telah mengadakan Mesyuarat Agung Tahunan telah pada 22 Okt 2011.

a) Ceramah Dan Pameran Rawatan Tibi:- Diadakan di Sekolah Menengah Tun Fatimah, Johor Bahru pada 8 April 2011. Seramai 700 orang pelajar telah terlibat didalam program ini. Risalah-risalah Tibi juga turut diedarkan. Talk & Exhibition:- on TB was held at Sekolah Menegah Tun Fatimah Johor Baru on 8.4.11. About 700 students were involved in this program. Phamlets were also distributed to these students.

b) Ceramah mengenai Tibi untuk paramedik dan orang persaorangan telah diadakan di Dewan Kuliah Klinik Pesakit Luar Hospital Sultanah Aminah, Johor Baru. Ceramah telah disampaikan oleh Ahli Jawatankuasa MAPTB, Johor En Aripen bt Yusof. Talk On TB:- was held on 25.8 11 at Dewan Kuliah Klinik Pesakit Luar Hospital Sultanah Aminah Johor Baru, for paramedics and other clients. This talk was presented by En Aripen Yusof, our Committee member.

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Pada tahun 2010, sebanyak 19,337 kes TB (semua jenis) telah dilaporkan di Malaysia memberi kadar insiden 66.9/100,000 penduduk. Sementara itu Pertubuhan Kesihatan Sedunia (WHO) telah menganggarkan kadar kes TB di Malaysia ialah 83/100,000 penduduk menunjukkan terdapat ramai lagi pesakit TB belum dapat dikesan. Ini memerlukan lebih aktiviti pengesanan kes awal dijalankan. Kes calitan kahak positif menyumbang kepada 61.6% jumlah kes(11,914 kes). Kes TB kanak-kanak (<14 tahun) menyumbang kepada 2.7% (516 kes) warga asing 13.1% (2541 kes) Kadar jangkitan (kes TB-HIV) adalah 8.4% (1628 kes) dan kematian TB berjumlah 1557 kes (kadar kematian penduduk 5,5 / 100,000). Untuk hasil rawatan, rawatan (DOT) meliputi 98% dan kadar kahak negatif selepas 2 bulan rawatan TB dijalankan adalah 92%. Multi-Drug Resistant (MDR) adalah 0.9% (64 pencilan) daripada 6963 pencilan yang telah diuji.

In 2010, a total of 19,337 TB cases (all forms) were notifi ed in Malaysia giving an incidence rate of 66.9/100,000 population. The World Health Organization (WHO) had estimated the Malaysia TB incidence rate to be 83/100,000 population thus indicating there is a pool of TB patients yet to be detected thus requiring more effective early case detection activities in the community.

Sputum smear positive cases accounted for 61.6% (11,914 cases) of the total TB cases notifi ed. Childhood TB (<14 years) accounted for 2.7% (516 cases) and foreigners for 13.1 % (2541 cases) of the total TB cases notifi ed. TB-HIV co-infection rate was 8.4% (1628 cases) and TB related deaths amounted to 1557 cases (mortality rate of 5.5/ 100,000 population). For treatment outcome, the Directly Observed Treatment (DOT) coverage was 98% and the sputum conversion rate after 2-months of TB treatment was 92%. The Multi-Drug Resistance (MDR) isolation rate was 0.9% (64 isolates) of the 6963 isolates tested.

ada tahun 2010 sebanyak 19 337 kes TB (semua

FAKTA PENTING KESIHATAN TB 2010

n 2010 a total of 19 337 TB cases (all forms)

KEY TB HEALTH FACTS 2010

Other Union activities include technical assistance, research, education, publications and much more. Visit www.theunion.org for details – and to join The Union today!

HOW TO CONTRIBUTE ACTIVELY: As a Union member, you can join the Scientific Section of your choice and affiliate with colleagues from other countries to gain valuable insight and experience in conducting research, writing papers and making presentations. You also get to know other members and organisations from your region and can help develop conferences, workshops, newsletters and other projects that promote health in your region.

HOW TO GAIN VISIBILITY: A variety of companies, agencies, NGOs and other groups exhibit their products and services to the 2 500 international delegates whose interests include all areas of lung health, HIV, tobacco control, and other related issues. A selection of sponsorship opportunities ensures that you will have high visibility at the conference. Learn more now! HOW TO STAY INFORMED ALL YEAR: Subscribe to The Union’s peer-reviewed International Journal of Tuberculosis and Lung Disease (IJTLD), attend a Union region conference, participate in a Union course, download the latest technical guides at no charge – and read about the latest Union activities. The Union website at www.theunion.org is the portal to all these resources.

QUESTIONS

If you have questions about the World Conference, please write Kualalumpur2012@theunion.org or visit www.worldlunghealth.org for further information.

SAVE THE DATE!

Tue, 13 Nov 2012: Stop TB Symposium organised by the World Health Organization Wed, 14 Nov 2012: Workshops and post-graduate coursesThu-Sat, 15-17 Nov 2012: Symposia, plenary sessions, sessions based on abstracts, and Meet-the-Expert sessions; scientific section, region and business meetings

WHY ATTEND: The Union World Conference on Lung Health is an enriching forum for delegates from more than 120 countries, who gather to discuss, debate and network with colleagues; strengthen anew their commitment to global health; and find health solutions for the poor and underserved.

WHAT ARE THE BENEFITS: As a conference delegate, you have the opportunity to stay abreast of new research and developments in your field of interest, while interacting with colleagues from around the world. You also learn firsthand about the latest successes and challenges in your field from a wide variety of world-class experts.

HOW TO REDUCE THE COST OF ATTENDANCE: Early planning is key to reducing the cost of attendance. It will allow you to benefit from preferential registration rates, give you time to identify colleagues with whom you can share the cost of accommodation, and make it possible to get the best fares for your travel. Join The Union today and receive a 100 euro discount on your full registration!

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THE FOURTH APR CONFERENCE OF THE UNIONHanoi, Vietnam, 10th to 13th April 2013

Save the Date: 4th Asia Pacifi c Region(APR) Conference of the International Union Against Tuberculosis and Lung Disease (The Union) in Hanoi, Vietnam, 10th to 13th April 2013

Dear Friends and Colleagues,

We are pleased to inform you that 4th Asia Pacifi c Region (APR) Conference of the International Union Against Tuberculosis and Lung Disease (The Union), hosted by Viet Nam Association against Tuberculosis and Lung Dieases in collaboration with the Viet Nam National Tuberculosis Control Program, will be held in Hanoi, Vietnam from 10th to 13th April 2013. This is the fourth conference of its kind, following the successful previous conferences in Kuala Lumpur, Malaysia in 2007, Beijing, China in 2009 and Hong Kong in 2011.

The theme of the 4th APR Union Conference is ”Optimization of new techniiques and approaches for better controlling tuberculosis and lung diseases”. Selected subjects for the Conference include:

• Tuberculosis: Epidemiology; Microbiology; Immunology• Tuberculosis: TB/HIV; MDR TB; Pediatric TB• Tuberculosis: Program approaches• Lung cancer• Asthma• COPD• Pneumonoe• Tobacco and Lung diseases• Smoking cessation: advocacy and implementation• Rare lung diseases• Case study: Extra pulmonary TB. Rare lung diseases, MDR

TB community management cases and more• Pending session

The coming conference will provide a very good platform for the exchange of experience and expertise on tuberculosis and lung diseases. We are confi dent that it will be most fruitful and rewarding one.

It will be appreciated if you can save the date for this Conference as well as kindly bring this cicular to the notice of your TB and Lung Diseases colleagues. More details regarding guidelines for abstract submission and registration will be sent to you in the coming time and posted at the website www.APRC2013.com.vn(soon available).Thank you and we look forward to welcoming you in Vietnam.

Associate Professor Dinh Ngoc Sy, PhD.President of Vietnam Association against Tuberculosis and Lung DiseasesManager of Vietnam National Tuberculosis Control Program

Ha Long Bay

About 180km away from Hanoi to the north-west, Ha Long Bay, or “descending dragon bay” is a UNESCO World Heritage Site, and a popular travel destination. The bay consists of a dense cluster of over 3,000 limestone monolithic islands, each topped with thick jungle vegetation, rising spectacularly from the ocean. Several of the islands are hollow, with enormous caves, Some of the islands support fl oating villages of fi shermen, who ply the shallow waters for 200 species of fi sh and 450 different kinds of mollusks. Almost all these islands are as individual towers in a classic fenglin landscape with heights from 50m to 100m, and height/width rations of up to about six.

UPCOMING EVENTS

Hanoi-the 1000-year-old capital of Vietnam

Hanoi is the capital of Vietnam for almost a thousand years since 1010 and the country’s second largest city. It is considered one of the main cultural centres of vietnam, where most Vietnamese dynasties have left thier imprint. Even though some relics have not survived through wars and time, the city still has many interesting cultural and historic monuments for visitors and residents alike.

October 2010 offcially marked 1000 years since the establishment of the city. On this occasion, Hanoi was named by Frommer’s travel guide as one of the world “Top Destinations 2010”.

The city hosts more cultural sites than any city in Vietnam, and those of the best few hundred years has been well preserved. Some prominent places are Hoan Kiem Lake, the Temple of Literature, site of the fi rst university in Vietnam, One Pillar Pagoda; Flag Tower of Hanoi and Hanoi Citadel.

Hoan Kiem Lake

Hoan Kiem Lake is surrounded by historical sites, including the magnifi cent statue of King Le Loi and the ancient Ngoc Son Temple with a preserved corpse of an old tortoise. The tortoise relates to the famous legend about the King who fought invaders with the assistance of a tortoise saint who provided him with a magical sword, and his return of the sword to the saint when he returned in triumph: hence the name Restored Sword Lake (Hoan Kiem Lake). then there is the red-painted The Huc Bridge, meaning “sun beams,” and the Pen Tower, whice is in the shape of a pen pointing toward the sky (Ta Thien Thanh). The artefacts surrounding the lake not only relate to past events but also provide a platform for modern life. Every morning the lake awakens to arriving people and their activities that have gone on for years. Amid the fresh morning air, local residents begin a new day, each in their own way. Some do morning exercises by the lake, others having a hot cup of delicious coffee or lotus-scented tea in a shop nearby. It is all part of the lake’s cycle.

Source: http://en.wikipedia.org/wiki/Hanoi43

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