Sunday, September 16, 2007

Imported diseases

Traditionally when taking clinical history, we often ask whether a patient had recent traveled to jungle or a malarial endemic areas, e.g. Gua Musang or Jeli in Kelantan.

Pahang, Sarawak and Sabah are also known to be a malarial endemic state.

What about Penang? Considering there is no thick jungle here, having to do with the Anopheles mosquito as a vector.
Yet, another latest add on to statistic this month, we had a Myanmar national been detected to have malaria. He hardly speak or understand a word of Malay or English, and we had no idea how long he has been in Malaysia.

According to the latest State Health Department's statistic from January to June 2007, Penang registered a total number of 28 cases of malaria, out of which, 22 or 78% were foreigners.

Other notable high percentages among the foreigners were, 21% (12/56) with HIV infection, 42% (3/7) with Typhoid and 19% (86/436) with Tuberculosis.

Therefore, it comes to a question on how stringent is our pre-employment health check-up among foreigners.

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