IHH Healthcare Malaysia Pioneers the Use of Solar Power Across Its Entire Hospital Network

WORDS LIM TECK CHOON

On 29 April 2024, IHH Healthcare Malaysia launched a comprehensive renewable energy initiative across its network, becoming the pioneer private healthcare provider in the country to transition to solar power through the installation of solar panels at its hospitals.

This initiative is a strategic partnership with Ditrolic Energy.

A COMMITMENT TO SUSTAINABILITY & RENEWABLE ENERGY

The event was officiated with the energization of the solar panels of the Prince Court Medical Centre by Yang Amat Berhormat Dato’ Sri Haji Fadillah Haji Yusof, the Deputy Prime Minister of Malaysia and the Minister of Energy Transition and Water Transformation (PETRA).

Dato’ Sri Haji Fadillah said: “IHH Healthcare’s initiative is a significant milestone towards Malaysia’s commitment to sustainability and renewable energy. It aligns perfectly with our national goals to increase the use of renewable energy and achieve net-zero greenhouse gas emissions by 2050.”

ROLLOUT ACROSS ALL IHH HEALTHCARE MALAYSIA HOSPITALS BY 2025

Other IHH Healthcare Malaysia hospitals with energized solar panels include Gleneagles Hospital Penang, Pantai Hospital Laguna Merbok, Pantai Hospital Klang, Pantai Hospital Cheras, Pantai Hospital Kuala Lumpur, Pantai Hospital Ampang, and Pantai Hospital Batu Pahat.

Jean-François Naa, the Chief Executive Officer of IHH Healthcare Malaysia, said: “We acknowledge that energy consumption is our largest source of direct greenhouse gas emissions, accounting for over 75% of our carbon footprint. With the installation of solar panels across our network of hospitals, we are able to transition to renewable energy and reduce our greenhouse gas emissions.”

Full rollout of solar power across IHH Healthcare Malaysia hospitals is expected to be completed by 2025.

Ministry of Health and Local Experts Rally to Call Malaysians to “Check, Confirm, Consult and Change”

WORDS LIM TECK CHOON

On 24 April 2024, YB Dato’ Lukanisman Awang Sauni, the Deputy Minister of Health Malaysia, launched the public health promotion campaign, Stand Against Prediabetes; Don’t Sugarcoat It (SAPd), in Putrajaya.

WHAT IS PREDIABETES?

Prediabetes is a condition where blood sugar levels are higher than normal, but not high enough to be diagnosed as type 2 diabetes.

Nonetheless, this higher-than-normal blood sugar levels will put one at an increased risk of developing type 2 diabetes, heart disease, and stroke in the future, if preventive measures are not taken to control their blood sugar levels.

YOU MAY HAVE PREDIABETES IF YOU HAVE:
  • HbA1c 5.7%-6.2% (39 to 44 mmol/mol).
  • Fasting plasma glucose of 6.1 to 6.9 mmol/L.
  • Oral glucose tolerance test shows that your blood glucose levels are 7.8 to 11.0 mmol/L.
WHY IS THERE A NEED FOR A PREDIABETES CAMPAIGN?
  1. An estimated 3.5 million Malaysians may have prediabetes.
  2. Because prediabetes has no symptoms, many may not be aware that they have it unless they go for a medical check-up.
  3. 1 in 10 people with prediabetes are likely to develop full-blown diabetes within a year, while up to 7 out of these 10 people may face the same outcome in 10 years.
  4. These individuals are already at risk of developing cardiovascular disease, vision loss, nerve damage, and chronic kidney disease even before diabetes sets in!
MORE ABOUT SAPd
FEATURED EXPERT
DR NURAIN MOHD NOOR
President of the Malaysian Endocrine and Metabolic Society (MEMS)

Dr Nurain Mohd Noor said during the launch: “MEMS initiated SAPd and invited the collaboration of seven other medical and allied health societies, as well as the involvement of Ministry of Health Malaysia.”

These societies include Malaysian Diabetes Educators Society (MDES), Malaysian Dietitians’ Association (MDA), Malaysian Family Medicine Specialists’ Association (FMSA), Malaysian Medical Association (MMA), Malaysian Pharmacists Society (MPS), National Heart Association Malaysia (NHAM), and The Chapter of Chemical Pathology & Metabolic Medicine, College of Pathologists, Academy of Medicine Malaysia (CPath AMM).

The SAPd programme is supported by Merck Malaysia.

Dr Nurain further remarked that SAPd managed to attain several important achievements over the last 2 years:

  • Successfully promoted the adoption of standardized prediabetes blood glucose test values in over 200 private chain, independent and hospital laboratories, as well as over 2,000 government clinics and 100 government hospitals.
  • Trained more than 2,000 healthcare professionals including doctors, nurses, pharmacists, and dietitians to enhance their effectiveness in the management of prediabetes.
  • Published a clinical guide for the reference of healthcare professionals, as well an educational website, booklet, and pamphlet for the public.
THE 4Cs OF SAPd
FEATURED EXPERT
PROFESSOR EMERITA DR CHAN SIEW PHENG
Consultant Endocrinologist and Chairperson of the SAPd Programme

Professor Emerita Dr Chan Siew Pheng provided further elaboration into the key message of campaign: the 4Cs or Check, Confirm, Consult, and Change.

CHECK Your Prediabetes Risk

  1. Take the online risk checker at the SAPd website (link opens in a new tab).
  2. If the results show that you are at risk, ask for a simple finger prick blood glucose test at your community pharmacy, private GP clinic, or government health clinic.

SAPd aids to enlist 700 community pharmacies nationwide to provide complimentary finger prick blood glucose tests by mid-May of this year.

CONFIRM the Presence of Prediabetes

If your finger prick blood glucose test results show a higher-than-normal blood glucose level, you will need to get a proper blood test from a laboratory, clinic or hospital.

CONSULT Your Healthcare Professional

The guidance and support of a healthcare professional is important to determine the best approach for you to manage prediabetes with lifestyle intervention and medication, if required.

By attending follow-up visits, your healthcare professional will be able to monitor your progress and keep motivating you to achieve the results you desire.

CHANGE to Reclaim Your Health

The five pillars of prediabetes management are:

  1. Lose excess body weight and maintain healthy weight.
  2. Increase physical activity and exercise.
  3. Adopt healthy lifestyle habits (getting enough good quality sleep, managing stress, and quitting smoking, vaping, alcohol and other substance abuse).
  4. Take your medications as prescribed.
  5. Team up with healthcare professionals.
Visit the SAPd website for more information and free educational downloads (link opens in a new tab). The website is available in English and Bahasa Melayu.

Expert & MLDA Share Insight into a Rare Disease Called Pompe Disease

WORDS MALAYSIA LYSOSOMAL DISEASES ASSOCIATION (MLDA)

FEATURED EXPERT
DR NGU LOCK HOCK
Consultant Clinical Geneticist and Paediatrician
Hospital Kuala Lumpur

While rare diseases may seem distant to many, they are more prevalent than commonly perceived. Dr Ngu Lock Hock highlights that thousands of rare diseases collectively affect around 300 million individuals worldwide.

Among these is Pompe disease, a genetic disorder characterized by a deficiency in the enzyme acid alpha-glucosidase (GAA), leading to muscle weakness due to glycogen build-up. In Malaysia, there are only 17 diagnosed cases of Pompe disease.

What happens inside our cells when we have Pompe disease. Click on the image for a larger, clearer version.

SYMPTOMS OF POMPE DISEASE
The following symptoms often manifest when one is a baby or young child.
  • Severe muscle weakness.
  • Breathing difficulties.
  • Swallowing issues.
  • Floppy baby syndrome: babies with weak muscle development that impairs their ability to make normal movements.
  • Older children experience difficulties in walking and experiences frequent falls.

Identifying these symptoms early is paramount, as prompt diagnosis and intervention can significantly impact disease progression.

Parents who suspect Pompe disease in their child should seek consultation with clinical geneticists, paediatricians, and neurologists.

Clinical geneticists in particular currently are available only in major public hospitals across Malaysia such as:

  • Kuala Lumpur Hospital (HKL)
  • University Malaya Medical Centre (UMMC)
  • Universiti Sains Malaysia Hospital (USM)
  • University Kebangsaan Malaysia Medical Centre (UKMMC)
  • Penang General Hospital (HPP)
DIAGNOSING POMPE DISEASE

Confirming a diagnosis of Pompe disease relies on enzymatic, genetic and genomic testing.

Dried blood spot (DBS) testing can be a convenient first step in diagnosing the disease. This minimally invasive test collects a small blood sample, which is then analyzed to measure GAA enzyme activity levels, providing an initial indication of Pompe disease.

Newborn screening programs are also instrumental in detecting Pompe disease and other lysosomal storage disorders early on. By including Pompe disease in newborn screening panels, healthcare providers can identify affected infants before symptoms appear, enabling timely intervention and improving long-term outcomes.

However, the rarity of Pompe disease poses a hurdle to timely diagnosis. With only a handful of rare disease specialists in Malaysia, early intervention remains a considerable challenge. Many patients end up seeing different doctors and specialists, sometimes for years, without being correctly diagnosed.

Hence, Dr Ngu emphasizes the need for heightened awareness among healthcare professionals, as symptoms may be mistaken for other conditions.

THE FINANCIAL BURDEN OF POMPE DISEASE

“Enzyme replacement therapy (ERT), the primary treatment for Pompe disease, comes at a substantial cost, up to RM500,000 per year. This burden is particularly significant considering a newly approved ERT offers a more effective treatment option, providing relief from the symptoms of Pompe Disease by improving muscle strength, lung function and walking distance,” says Dr Ngu.

Additionally, there are the associated costs of supportive therapies as part of the holistic management of the disease, including respiratory support for patients with respiratory failure, physiotherapy, rehabilitation, speech therapy, pain management, dialysis, and more.

MAKING A DIFFERENCE, FOR THE FUTURE

Despite the challenges, there are glimpses of resilience and determination in Pompe disease patients.

Through MLDA, patients and their families find practical and emotional support, fostering a sense of community in the face of adversity.

In the meantime, the Ministry of Health is developing a rare disease policy that includes access to the latest treatment and sustainable funding. Many are hopeful that this will include measures to help with earlier diagnosis, such as improved training for front-liners to recognize symptoms of rare disease and expanded screening tests for newborns.

For more about the Malaysia Lysosomal Disease Association (MLDA), visit their website and Facebook (links open in a new tab).

References:

  1. Shafie, A. A., Supian, A., Ahmad Hassali, M. A., Ngu, L. H., Thong, M. K., Ayob, H., & Chaiyakunapruk, N. (2020). Rare disease in Malaysia: Challenges and solutions. PloS one, 15(4), e0230850. https://doi.org/10.1371/journal.pone.0230850
  2. Kishnani, P. S., Steiner, R. D., Bali, D., Berger, K., Byrne, B. J., Case, L. E., Crowley, J. F., Downs, S., Howell, R. R., Kravitz, R. M., Mackey, J., Marsden, D., Martins, A. M., Millington, D. S., Nicolino, M., O’Grady, G., Patterson, M. C., Rapoport, D. M., Slonim, A., Spencer, C. T., … Watson, M. S. (2006). Pompe disease diagnosis and management guideline. Genetics in medicine : official journal of the American College of Medical Genetics, 8(5), 267–288. https://doi.org/10.1097/01.gim.0000218152.87434.f3

A Robotic Surgeon Highlights the MAKO Robotics-Assisted Surgery for the Knee Osteoarthritis

WORDS LIM TECK CHOON

FEATURED EXPERT
DR YUEN JIN CHUAN
Consultant Orthopaedic, Trauma, Arthroplasty and Robotic Surgeon
Sunway Medical Centre Velocity (SMCV)

Osteoarthritis is a degenerative joint disease that affects millions worldwide and significantly impacts mobility and quality of life. It is characterized by the breakdown and eventual loss of cartilage in the joints, leading to pain, stiffness, reduced mobility, or even disability.

The most prevalent form of osteoarthritis is knee osteoarthritis, which affecting over 10-20% of Malaysia’s adult population.

MAKO ROBOTICS-ASSISTED SURGERY

Dr Yuen Jin Chuan explains that a treatment option for knee osteoporosis is MAKO robotic-assisted surgery, which is executed using the MAKO Robotic machine.

Advantages of the MAKO Robotics-assisted Surgery
  • It allows for a more precise and customized operation as it has a 3-D imaging system that creates a patient-specific plan.
  • The robotic arm assists the surgeon in making customized and better-aligned bone resections, which leads to improved joint function and longevity.
  • Conventional total knee replacement surgery can alter normal knee alignment, potentially resulting in compromised joint function. MAKO robotic-assisted surgery, on the other hand, can accurately reproduce the natural kinematics of the knee, restoring alignment and enhancing overall joint performance.
  • Reduced pain levels and recovery time.
  • A lower risk of implant failure, thus lowering the risk of complications and the need for future surgeries.
  • Patients that have undergone MAKO robotic-assisted surgery have reported higher satisfaction scores and improved joint function after their surgery.
A NEW ERA OF INNOVATIVE SURGICAL SOLUTIONS

Dr Yuen mentions that, with the prevalence of knee osteoarthritis in Malaysian adults, innovative solutions such as MAKO robotic-assisted surgical machine offer us with personalized surgical solutions, minimally invasive procedures, improved surgical outcomes and faster recovery.

“With MAKO technology, the future of knee osteoarthritis treatment promises patients revolutionary surgical procedures and enhanced patient care,” he concludes.

Experts Explain Endometriosis and Encourage Women with This Condition to Reach Out for Help

WORDS LIM TECK CHOON

5 FACTS ABOUT ENDOMETRIOSIS

Click on the image for a larger, clearer version.

  1. It is a condition that sees tissue similar to that of the uterine lining growing outside the uterus, such as at the ovaries, fallopian tubes, and the tissue lining the pelvis.
  2. It can also be found in other areas of the body, but this is very rare.
  3. Endometriosis can cause debilitating pain, severe bloating, and fatigue, especially during one’s period.
  4. It can affect one’s ability to have children, as 30% to 50% of women with infertility also have endometriosis.
  5. Approximately 350,000 women in Malaysia may be silently suffering from this condition.
WOMEN SHOULD REACH OUT FOR MEDICAL ATTENTION IF THEY BELIEVE THAT THEY HAVE ENDOMETRIOSIS
FEATURED EXPERT
SURITA MORGAN
Founder and President
Endometriosis Association of Malaysia (MYEndosis)
Website

Surita Morgan tells us: “Malaysians are generally not aware of what endometriosis really is and why some women have this condition. One of the biggest reasons is because it is often considered as a taboo subject. People are simply uncomfortable speaking about menstrual health openly. But it doesn’t have to—rather, it shouldn’t—be that way.”

She adds: “We need to change the narrative around menstrual health and endometriosis. We need better research, better resources, and better recognition of this condition. By doing so, we can begin to pave the way for a future where endometriosis is not a burden anymore carried in silence, but a challenge met with understanding and solidarity.”

UNDERSTANDING ENDOMETRIOSIS
FEATURED EXPERT
DR LIZA LING PING
Consultant Obstetrician, Gynaecologist, and Fertility Specialist
TMC Fertility

Dr Liza Ling Ping shares that endometriosis reveals itself in stages.

The First Stage or Minimal Endometriosis

At this stage, there are scattered patches of endometriosis tissue, often without symptoms or with mild pelvic discomfort.

The Second Stage or Mild Endometriosis

The number of tissue patches increases, potentially affecting fertility and causing discomfort during menstruation and intercourse.

The Third Stage or Moderate Endometriosis

There is further spread of endometriosis tissue, along with scar tissue and adhesions that can lead to chronic pelvic pain and digestive issues.

The Fourth Stage or Severe Endometriosis

This stage is characterized by extensive endometriosis tissue patches, large cysts, and significant scarring. There is intense pain as well as potentially impacting bowel and urinary functions.

CAN ENDOMETRIOSIS BE TREATED?

Dr Liza reveals that there is a range of treatments available such as laparoscopic surgery to specialized fertility treatments, all aimed at managing symptoms and preventing escalation.

Early diagnosis and intervention can open the door to effective treatment options that not only alleviate symptoms, but also improve quality of life, and even protect fertility.

Hence, she advises women that are affected by this condition to seek formal help and professional medical attention.

Experts from Taylor’s University Explain How We Can End the Threat of Tuberculosis

WORDS DR SAPNA SHRIDHAR PATIL, DR AMEYA ASHOK HASAMNIS & PROFESSOR DR WEE LEI HUM

FEATURED EXPERTS

DR SAPNA SHRIDHAR PATIL
Senior Lecturer
School of Medicine
Faculty of Health & Medical Sciences
Taylor’s University
DR AMEYA ASHOK HASAMNIS
Senior Lecturer
School of Medicine
Faculty of Health & Medical Sciences
Taylor’s University
PROFESSOR DR WEE LEI HUM
School of Medicine
Faculty of Health & Medical Sciences
Taylor’s University

Tuberculosis remains a significant global health challenge, with an estimated 10.6 million people falling ill and 1.3 million people dying from the disease in 2022 alone—making it the second largest infectious disease killer after COVID-19.

In 2023, tuberculosis cases in Malaysia were recorded at 26,781 cases, a five percent increase from the previous year.

PREVENTABLE & CURABLE, YET IT REMAINS A DEADLY THREAT

Despite being preventable and curable, tuberculosis has remained a leading cause of death from infectious diseases for decades. The 2022 numbers were the highest since the World Health Organization (WHO) began global monitoring in 1995, and above the pre-COVID baseline.

However, after two years of the COVID-19 pandemic-related disruptions, there has also been a major global recovery in the number of people diagnosed with tuberculosis and treated in 2022. These figures likely suggest a sizeable backlog of people who developed tuberculosis in previous years, but whose diagnosis and treatment were delayed due to COVID-19 that affected access to and provision of health services.

HOW TUBERCULOSIS SPREADS COMMON SYMPTOMS OF TUBERCULOSIS
The bacteria causing tuberculosis spread through tiny droplets released from the nose and mouth into the air during sneezing, coughing, or talking.
  • Persistent coughing
  • Fever
  • Chills
  • Night sweats
  • Weight loss
  • Lack of appetite
  • Fatigue
  • Coughing blood

The disease thrives in crowded environments and typically affects the lungs (pulmonary tuberculosis), but it can also affect other sites (extrapulmonary tuberculosis).

MALAYSIA’S COMMITMENT TO ENDING THE DISEASE

In Malaysia, the National TB Control Programme and the National Strategic Plan align with the WHO targets to combat tuberculosis, reflecting the country’s commitment to ending the disease, supported by three key pillars.

  • The first pillar emphasizes integrated, patient-centered care and prevention, including early case detection, and successful implementation of the BCG vaccination programme. Screening of high-risk populations, such as prison inmates and substance abuse victims, is an important strategy in early detection and enabling of timely intervention.
  • The second pillar promotes government stewardship and accountability, ensuring quality-assured anti-tuberculosis drug supply, and reducing treatment costs to alleviate patient burden.
  • The third pillar focuses on research and innovation to improve detection, treatment, and control, focusing on developing new drugs and vaccines.
INDIVIDUAL AWARENESS OF PREVENTIVE METHODS IS VITAL

These methods include practicing hand hygiene, proper cough etiquette, and wearing masks in crowded places.

Quitting smoking, maintaining a balanced diet to strengthen the immune system, and avoiding close contact with active tuberculosis cases can greatly reduce risks.

Anyone who shows symptoms of tuberculosis must consult a doctor immediately.

IN CLOSING

Challenges in addressing tuberculosis, including disrupted access to diagnosis and treatment, call for continuous strengthening of current policies and health systems. Aligning national tuberculosis response with regional and global strategies is imperative for effective management.

In Malaysia, tuberculosis initiatives not only contribute to ending the disease, but also to bolster primary health care, achieving universal health coverage and advancing the UN Sustainable Development Goals.

The Importance of Making Sustainable Parenting Choices

WORDS MICHELLE TEH

FEATURED EXPERT
MICHELLE TEH
Founder and Chief Executive Officer of Earth & Me
Website

Malaysia’s landfills are filling to capacity, putting the country in danger of running out of space for the disposal of solid waste by 2050.

In fact, about 38,000 metric tonnes of solid waste on average are sent to more than 100 landfills in Malaysia daily. In Kuala Lumpur alone, there are about 2,500 metric tonnes of solid waste produced daily, which could pile up to the height of the Petronas Twin Towers in only one week!

This amount of waste is set to continue increasing in tandem with population growth.

Most babies using up at least 7,000 diapers in the first two and a half years alone.

How does this affect parenting, and how do we navigate trying to steer away from this for both the current and future generations?

USE SUSTAINABLE PRODUCTS

In the realm of parenting, particularly with baby products, there’s a notable trend towards single-use or disposable items.

These products, though convenient, often contribute significantly to environmental degradation.

Take traditional diapers, for instance, which are predominantly composed of plastic materials. The sheer volume of disposable diapers being discarded annually staggering, with a global average of 300,000 disposable nappies sent to landfill or incinerated every minute. Their decomposition process can take hundreds of years, exacerbating landfill overflow and pollution issues.

To address this environmental concern, it’s crucial for parents to consider alternative options that are not only safe and nontoxic for their little ones but also eco-friendly.

Making a conscious switch to products that are multifunctional, reusable, biodegradable, or a combination of these attributes can significantly reduce waste generation.

By conducting a bit of research and exploring sustainable alternatives, parents can play a pivotal role in minimizing their family’s ecological footprint and fostering a greener future for their children.

CREATE SUSTAINABLE MOMENTS

Celebrating your child’s milestones is a joy, but it’s crucial to consider the environmental impact. Many traditional practices contribute to waste and pollution, but there are eco-friendly alternatives.

For example, zero-waste celebrations are gaining popularity, with parents opting for reusable decorations and tableware instead of disposable items.

Second-hand gifts and hand-me-down outfits are also becoming more common, reducing waste and adding sentimental value to celebrations.

Another idea could be simply borrowing resources from friends or participating in swaps, which would minimize waste while creating memorable experiences for children.

Through making these mindful choices, parents can still mark special occasions, just in a more sustainable way.

IMPART SUSTAINABLE LESSONS

As your child grows up, instilling eco-conscious habits also becomes increasingly important.

You can encourage them to take part in activities that promote environmental awareness, such as sorting trash into different categories like plastic, paper, and kitchen waste.

Potentially, these lessons can be turned into a game or a fun family activity, perhaps by organizing a beach clean-up day where you collect and dispose of rubbish together.

In addition, introduce your child to the concept of the 3Rs: reduce, reuse, and recycle. This lays the groundwork for a sustainable mindset. Teach them the importance of reducing consumption, reusing items whenever possible, and recycling materials to give them a second life.

Once these principles are a part of everyday life, you have essentially empowered your child to become a responsible steward of the environment.

CREATE A SUSTAINABLE FUTURE FOR OUR CHILDREN

Granted, the journey towards sustainable parenting presents its challenges, but every small step taken today contributes to a brighter future. We must continue to make conscientious choices in our daily lives, such as reducing waste, conserving resources, and prioritizing environmentally friendly products, so that together, our collective actions can lead to a healthier planet and a better quality of life for all.

Cultivating Better Immunity: Nutrition Strategies for Children Under Five

WORDS ANAS ALMASWARY

FEATURED EXPERT
ANAS ALMASWARY
Master’s Student in Clinical Nutrition
Faculty of Health Sciences
Universiti Kebangsaan Malaysia (UKM)

The role of nutrition in the first phase of a child’s life, especially in the first thousand days, is huge and influences the immune response system and later health.

THE IMPACT OF EARLY NUTRITION

Nutrition during the first 1000 days, including the intrauterine period, is crucial for a child’s development, affecting the gut microbiota composition and immune system.

The immune system receives benefits from dietary omega-3 long-chain fatty acids, prebiotics, and micronutrients.

There is an intricate relationship among diet, microbiome, and epigenetic elements influencing this interaction. Numerous non-communicable diseases (NCDs) linked with dysbiosis begin their ‘programming’ in childhood.

Nutrition also plays a significant role in shaping the composition and development of children’s microbiota, thus exerting a powerful influence on the development of NCDs.

STRATEGIES TO STRENGTHEN IMMUNITY IN KIDS BELOW 5
Breastfeed

In the first 2 years of a child’s life, breastfeeding plays a crucial role in providing essential nutrients and immune support for infants.

Breast milk offers a unique blend of antibodies and nutrients that help strengthen a baby’s immune system and overall health. Introducing a variety of nutrient-rich foods after breastfeeding can further enhance a child’s immune health.

Diversify Nutrient Intake

Enhance your child’s immune system by incorporating a variety of colorful fruits, vegetables, whole grains, and lean proteins into their diet. These foods provide essential nutrients crucial for building strength and immunity.

Citrus Fruits for Immune Support

Include vitamin C-rich citrus fruits such as oranges and lemons in your child’s diet. These fruits act as natural immune boosters, safeguarding your child’s health.

Promote Gut Health with Probiotics

Opt for probiotic-rich yoghurt to support a healthy gut environment, which plays a significant role in overall immunity. A balanced gut ensures a robust defense system against illnesses.

Harness the Power of Antioxidants

Incorporate antioxidant-rich berries like blueberries and strawberries into your child’s meals to enhance their immunity. These berries provide a powerful boost to your child’s health and immune function.

Essential Vitamins from Leafy Greens

Ensure your child consumes leafy greens such as spinach and kale to benefit from vitamins A, C, and E, which are essential for strengthening the immune system.

Prioritize Hydration

Encourage your child to stay hydrated by drinking plenty of water and natural fruit juices. Proper hydration helps flush out toxins from the body, supporting overall health and immunity.

Healthy Swaps for Immunity

Replace sugary treats with wholesome options like fresh fruits and natural sweeteners to boost immunity in a healthier way.

References:

  1. Cunha, A. J. L. A., Leite, Á. J. M., & Almeida, I. S. D. (2015). The pediatrician’s role in the first thousand days of the child: The pursuit of healthy nutrition and development. Jornal de Pediatria, 91, S44-S51. https://doi.org/10.1016/j.jped.2015.07.002
  2. Kong, X., Zhuang, L., Wang, M., Zhang, S., Peng, J., & Feng, Z. (2020). Effect of bovine lactoferrin supplementation on intestinal inflammatory factor expression in premature rats model of necrotizing enterocolitis. Chinese journal of applied clinical pediatrics, 35(2), 151-155.
  3. Fragkou, P. C., Karaviti, D., Zemlin, M., & Skevaki, C. (2021). Impact of early life nutrition on children’s immune system and noncommunicable diseases through its effects on the bacterial microbiome, virome and mycobiome. Frontiers in immunology, 12, Article 644269. https://doi.org/10.3389/fimmu.2021.644269
  4. Camacho-Morales, A., Caba, M., García-Juárez, M., Caba-Flores, M. D., Viveros-Contreras, R., & Martínez-Valenzuela, C. (2021). Breastfeeding contributes to physiological immune programming in the newborn. Frontiers in pediatrics, 9, Article 744104. https://doi.org/10.3389/fped.2021.744104
  5. Shao, T., Verma, H. K., Pande, B., Costanzo, V., Ye, W., & Bhaskar, L. (2021). Physical activity and nutritional influence on immune function: An important strategy to improve immunity and health status. Frontiers in physiology, 12, Article 751374. https://doi.org/10.3389/fphys.2021.751374
  6. Miles, E. A., & Calder, P. C. (2021). Effects of citrus fruit juices and their bioactive components on inflammation and immunity: A narrative review. Frontiers in immunology, 12, Article 712608. https://doi.org/10.3389/fimmu.2021.712608
  7. Pagnini, C., Saeed, R., Bamias, G., Arseneau, K. O., Pizarro, T. T., & Cominelli, F. (2010). Probiotics promote gut health through stimulation of epithelial innate immunity. Proceedings of the National Academy of Sciences, 107(1), 454-459. https://doi.org/10.1073/pnas.0910307107
  8. Tomovska, J., & Vllasaku, I. (2021). Review of antioxidants in fruit berries and its impact in immune system. Asian journal of plant and soil sciences, 6(1), 136-147. https://www.researchgate.net/publication/355192320_Asian_Journal_of_Plant_and_Soil_Sciences_REVIEW_OF_ANTIOXIDANTS_IN_FRUIT_BERRIES_AND_ITS_IMPACT_IN_IMMUNE_SYSTEM
  9. Faber, M., Phungula, M. A., Venter, S. L., Dhansay, M. A., & Benadé, A. S. (2002). Home gardens focusing on the production of yellow and dark-green leafy vegetables increase the serum retinol concentrations of 2–5-y-old children in South Africa. The American journal of clinical nutrition, 76(5), 1048-1054. https://doi.org/10.1093/ajcn/76.5.1048
  10. Benelam, B., & Wyness, L. (2010). Hydration and health: A review. Nutrition bulletin, 35(1), 3-25. https://doi.org/10.1111/j.1467-3010.2009.01795.x
  11. Arshad, S., Rehman, T., Saif, S., Rajoka, M. S. R., Ranjha, M. M. A. N., Hassoun, A., Cropotova, J., Trif, M., Younas, A., & Aadil, R. M. (2022). Replacement of refined sugar by natural sweeteners: Focus on potential health benefits. Heliyon, 8(9), e10711. https://doi.org/10.1016/j.heliyon.2022.e10711

Students from the UTAR Faculty of Arts and Social Sciences (FAS) Brings the Love Canteen to Ipoh and Kampar

WORDS LIM TECK CHOON

Food insufficiency, also known as food scarcity and food insecurity, describes a lack of adequate food and nutrition to meet dietary needs.

It’s a global crisis affecting millions, with adverse impacts on health, productivity, and human potential.

According to a paper published in 2021, the prevalence of household food insecurity in Malaysia was “unexpectedly high”. Chief affected demographics are the Orang Asli, low-income household or welfare-recipient households, university students, and the elderly.

UTAR STUDENTS PLAY THEIR PART IN HELPING OUT PEOPLE EXPERIENCING FOOD INSUFFICIENCY

To raise awareness about food insufficiency in underprivileged communities, 16 students from the Universiti Tunku Abdul Rahman (UTAR) Faculty of Arts and Social Sciences (FAS) brought the Love Canteen campaign in Ipoh and Kampar.

These are final-year Bachelor of Communication (Honours) Public Relations students that have previously successfully conducted two food distribution activities under the Love Canteen campaign.

DESTINATION: IPOH

In late February, the team effectively distributed 1,000 food packs throughout the city of Ipoh to individuals in need, including the elderly and those facing financial hardships. This was made possible with close collaboration with Pertubuhan Amal Ai Xin Fan Tong.

The volunteers were divided into two teams that, between them, diligently worked to prepare a large quantity of ingredients while ensuring that the nutritional values in these food packs were able to help meet the recipient’s recommended nutritional intake.

According to student volunteer Tay Yong Qi, “This programme taught me that some people can’t access food easily. It made me realize how important it is to appreciate the food we have.”

Kuan Chu Yie, the treasurer of the Love Canteen campaign, added: “It was heart-wrenching to see elderly people living alone, especially in homes falling apart.”

Pertubuhan Amal Ai Xin Fan Tong Coordinator Assistant Adele Siew Li Me praised the effort. “The onset of a substantial number of individuals facing financial distress due to the Movement Control Order (MCO) has prompted us to extend our support during this challenging period,” she says.

She elaborates further: “Consequently, Pertubuhan Amal Ai Xin Fan Tong initiated a comprehensive aid programme, which encompasses not only distributing freshly prepared meals but also delivering essential goods and vegetables to low-income communities. This effort aims to alleviate their financial strain and uphold the mission of ensuring ‘A full stomach for all’.”

DESTINATION: KAMPAR

During early March, the Love Canteen campaign headed over to Kampar, where approximately 100 elderly individuals were able to enjoy meals provided by Pertubuhan Amal Ai Xin Fan Tong.

Following this, the group devoted the remaining half of the day to distributing food to various other charity organizations, including Beautiful Gate for the Disabled Foundation, I Care Center, Pusat Jagaan Kasih Sayang Kampar and Rumah Orang Tua Gopeng.

A PROGRAMME TO RAISE AWARENESS ON FOOD SCARCITY

Leong Kah Ding, Secretary II of the Love Canteen campaign, expressed his belief that the Love Canteen volunteering programme and the upcoming on-campus exhibition would help raise awareness among university students and the public regarding the importance of achieving food sufficiency.

To achieve this aim, the Love Canteen project also hosted an exhibition on 26 and 27 March 2024 to showcase their journey and knowledge, with the aim of educating the public on achieving food sufficiency. The exhibition was held in the foyer of Dewan Tun Dr Ling Liong Sik, Kampar.

To find out more about Love Canteen, please visit www.linktr.ee/lovecanteenutar (link opens in a new tab).

Reference: Sulaiman, N., Yeatman, H., Russell, J., & Law, L. S. (2021). A food insecurity systematic review: Experience from Malaysia. Nutrients, 13(3), 945. https://doi.org/10.3390/nu13030945

 

An Expert Offers Important Facts and Advice on Living with Nasal Polyps

WORDS DR YOGESVARAN KANAPATY

FEATURED EXPERT
DR YOGESVARAN KANAPATY
Consultant Rhinologist and ENT – Head & Neck Surgeon
Columbia Asia Hospital–Bukit Jalil

Breathing should be effortless.

Yet, for many, nasal polyps disrupt this simple act. Imagine a persistent feeling of congestion, an unrelenting blockage that complicates every breath.

Nasal polyps, often unnoticed but profoundly impactful, can turn the breathing routine into a struggle.

WHAT ARE NASAL POLYPS?

Nasal polyps are usually non-cancerous outgrowths of the nasal mucosa. The nasal mucosa refers to inner lining the nasal cavity and sinuses.

More details about nasal polyps. Click on the image for a larger, clearer version.

NASAL POLYPS CAN AFFECT ONE’S SLEEP

Mechanical obstruction of the nasal passage by the polyps, together with nasal inflammation and congestion, leads to snoring and apnoea.

Someone experiencing these difficulties ends up with poor quality of sleep that can lead to an increased risk of various medical conditions such as heart problems.

HOW DO NASAL POLYPS COME ABOUT?

Nasal polyps are mainly due to the long-standing inflammation or irritation of the mucosa, which is lining cells and layers of the nasal cavity and sinuses.

Such inflammation or irritation is known as chronic rhinosinusitis or CRS.

CRS IS COMMONLY RELATED TO VARIOUS TYPES OF ALLERGIES

Long-standing allergies lead to the formation of multiple large polyps.

The longer the allergy, the more severe the presentation becomes. Consequently, treatment will become more challenging.

Hence, the earlier CRS is detected, the better. When detected early, CRS can be treated promptly with good control of the underlying allergies.

Careful, once the allergies recur, polyps can follow!

HOW CRS IS TREATED

The main goal of treatment of nasal polyps is to reduce the inflammation that causes the polyps.

Once the inflammation is controlled, the polyps will normally shrink in size, especially if it is small or in its early stage.

Steroid Sprays

These sprays remain the first-line treatment to achieve this.

Surgery

The second line for non-responsive cases or bigger polyps would be surgery. See the table for more details.

Surgical options come into play as the first option when the polyps are not allergic in nature, such as antrochoanal polyps or polyps of suspected neoplastic origin.

SURGERY IS OFTEN CONSIDERED IN THE FOLLOWING CIRCUMSTANCES:
  • Worsening symptoms.
  • Progressively enlarging polyps.
  • Recurrent sinus infections.
  • Decreased sense of smell and taste.
  • Breathing difficulties.
  • Sleep disturbances.
  • Worsening asthma attacks.
  • Complications that affect the orbit, which is the bony cavity that contains the eyeball (orbital complications) with, rarely, complications involving the cranium or the skull cavity (intracranial complications).
LET’S TALK ABOUT THE SURGERY
Short Downtime

It is a simple day-care procedure for medically fit patients with no contraindications; they can often return home on the same day.

Otherwise, a slightly longer stay of 2 to 3 days will suffice.

Potential Side Effects

The side effects are minor self-limiting bleed, mild discomfort, crusting, redness, and temporary distorted sensation of smell.

Mechanical injuries to the neighbouring structures, such as the eye and skull base, are uncommon.

Post-surgery Care

Post-surgery care is a highly important determinant of surgical success.

Regular nasal saline irrigation and regular sinus cavity debridement are recommended in early post-operative care interventions.

Post-operative antibiotics and systemic steroids are catered for on a patient-to-patient basis.

Moisture is critical for proper healing. Patients will need to moisturise and douche their nose at least 3 to 4 times a day, and for at least 4 to 6 weeks after surgery.

MONOCLONAL ANTIBODIES ARE A NEWER GROUP OF TREATMENTS FOUND EFFECTIVE FOR RECURRENT POLYPS UNAMENDABLE FOR STEROID AND SURGICAL INTERVENTION

Aspirin-exacerbated respiratory disease (AERD), also known as Samter’s Triad, is a chronic medical condition that consists of three clinical features: asthma, sinus disease with recurrent nasal polyps, and sensitivity to aspirin and other non-steroidal anti-inflammatory drugs.

Monoclonal antibodies show a promising outcome in these cases. However, this treatment involves a longer duration with a higher cost of treatment.

OTHER NON-INVASIVE TREATMENTS AVAILABLE IN MALAYSIA FOR NASAL POLYPS

Oral corticosteroids can be a non-specific consideration for nasal polyps. It is advised to be taken for a short term, bearing in mind the side effects, leading to the recurrence of polyps once suspended.

A newer tool of steroid-impregnated sinus implant is available overseas, but it is still in its early stage of proven effectiveness.