The government's expert, Dr Christopher Lee, consultant physician and head of infectious diseases at Sungai Buloh Hospital, then retorted that the death toll is not remarkly high especially when one considers the World Health Organisation estimation that 15-20 cases go unreported for every case of A (H1N1) confirmed.
If we based on the statistic provide by Kit Siang which did not consider the World Health Organisation estimation that 15-20 cases go unreported for every case of A (H1N1) confirmed, our death toll is still petty high compare to other nations.
|Country||Deaths||Total Confirmed Cases||Mortality rate(%)|
|Indonesia||3||812 (11 Aug)||0.3695|
|Philippines||8||3,207 (30 July)||0.2495|
|Singapore||10||3,071 (11 July)||0.3256|
|Thailand||97||8,877 (2 Aug)||1.092|
|New Zealand||14||2,984 (11 Aug)||0.469|
Even if we go by the argument of the of the government's expert, you should realised that there is no death toll from those unreported cases of which majority of the patients were treated by private clinics without using Tamiflu. One should remember that the national stockpile of Tamiflu is controlled by the Ministry of Health, which was not readily available to private clinics before August 15. It is also a well known fact that private clinics are hesitant to stock up on the A (H1N1) anti-viral drug, Tamiflu, due to its high cost and inconsistent guidelines from the Health Ministry.
On August 14,Health Minister Datuk Seri Liow Tiong Lai directed all public and private hospitals to administer immediate treatment to patients with flu-like symptoms and with high fever that persisted for more than 48 hours.
This led to the complaint by private clinics as reported in the Star:
One should also realised that our national stockpile of Tamiflu has been expired since August 8, but the shelf life of the Tamiflu has been extended by two years following the recommendation of Swiss drug maker Roche. This is the first time in modern medicine history where an expired drug has been given shelf life extension. A drug that led to adverse effect causing deaths during treatment has been given extension because the whole world has no ideas what to do with H1N1.
The lack of available and reliable testing and difficulty in confirming such illness as being due to this A(H1N1) flu compounds the situation, when many patients demand to know for sure. Doctors are thus left quite alone to firefight angry and worried patients with very few resources or reassurances or specific therapies. - (Source: The MMA answers common H1N1 questions By Dr David KL Quek, President MMA)
Doctors are reported to be confused by the MOH's guidelines.
Doctors confused by many ministry guidelines
By LESTER KONG (Star)
Before the first H1n1 related death was reported on July 23, Malaysia was quite proud about it's ability to contain the H1N1 flu pandemic even with reported cases amounting to over 900.
On July 9, Health Minister Datuk Seri Liow Tiong Lai announced that Malaysia has moved from containment to mitigation of the Influenza A(H1N1). The WHO representative for Malaysia, Singapore and Brunei, Dr Han Theru, said it was the right time for Malaysia to move to the mitigation stage as it needed to focus more on how to reduce the damage to patients and society as more local cases were detected.
Since then the pressure for the government to release the national stockpile of Tamiflu has been mounting. With the MOH decided to go all out to treat suspected H1N1 patients with Tamiflu, suddenly the death toll is out of control with more and more deaths reported.
Mistakes committed by our medical profession on the H1N1 are as follows:
1) Forget that the Tamiflu is designed for avain flu not swine flu. Bird == Pig ? May be at the Bak Kua stall of Wo Lai Yeh, bird and pig seem to be looked alike ;->(
2) Wrong diagnostic kits being used for testing H1N1. If you can't diagnostic, forget about treatment! Shame on you, doctors!
3) Ignoring that there are more than 1 strains of flu circulating in the country
4) Ignoring the fact that the A(H1N1) strain was resistant to existing antiviral drugs.
5) Allowing the salesman of antiviral drugs to lead the nose of doctors in treating influenza like illness
6) Inconsistent and often self-contradicting guidelines from MOH on H1N1 testing and treatment
7) Never learn from the 2005 Avian flu hysteria, and continue to play up the media hype on H1N1
8) Ignoring the Tamiflu's adverse effect on patients of previous H5N1 outbreak before deciding to treat all influenza like illness with Tamiflu
9) Working hand in hand with WHO to lie about the shelf life of Tamiflu, which is confirmed by Roche to be 3 years, now become 5 years and with option of local authorities to extend it for another 2 years
10) Desperate attempt by MOH to dispose off the expired Tamiflu which original stockpiled in anticipation of an avian flu pandemic that never happened.
So in the event, if you end up in the hospital with suspected H1N1, how are you going to make a decision on whether to take Tamiflu or not.
If you have any of the following syndromes, please politely decline the offer of Tamiflu to aviod adverse event- Death caused by viral pneumonia:
1) No aversion to cold, fever with yellowish tongue fur
2) Sweating on your head and torso with fever still persisting or if you suffered from Hyperhidrosis
3) Diabetes with excessive thirst, extreme hunger, unusual weight loss and increased fatigue
4) Dengue fever
5) Smelly yellow nasal discharge
6) Sore throat
7) Aversion to fever
8) Parkinson desease
9) Sleeping Disorder
10) Chronic Renal Failure
11) Hypertensive heart desease
12) Inflammatory Cardiomyopathy
13) Bacterial pneumonia