Death realated to A(H1N1) In Malaysia

on Sunday, August 16, 2009

what i was able to gather form the news stie regarding death that are realted to A H1N1 as of thursday.

Death realated cases cause by A(H1N1) in Malaysia.

Thursday August 13, 2009
A (H1N1) claims six more lives

PUTRAJAYA: Two babies and a pregnant woman are among six new cases of influenza A (H1N1) deaths.
The six are a 10-month-old baby girl, a one-year-old baby boy, a pregnant 18-year-old woman, a 24-year-old man and two other men in their 60s.
The baby girl died from severe broncho-pneumonia while the baby boy died because of heart complications and pneumonia.
The boy had undergone heart surgery at a private hospital in Kuala Lumpur before being referred to the government hospital for further treatment.
The pregnant woman died from severe pneumonia, while the 24-year-old man died from pneumonia and septicemia. The 60-year-old man who died had diabetes, hypertension and heart problems and was admitted because of fever and cough.
The sixth victim was a cancer-striken 62-year-old man, who was also a diabetic. He died from severe pneumonia.
Health Minister Datuk Seri Liow Tiong Lai, who released the details at a press conference here yesterday, said that some 76 patients were being treated in isolation wards while another 21 were in the intensive care unit.
On another matter, Liow said schools should not close unless a high number of their teachers and students were absent because of A (H1N1) infection.
He said headmasters would determine whether the schools could function or not, after following advice from the state health directors and informing state education directors.
He also urged producers, suppliers and traders of mask and hand sanitisers to be responsible and not simply increase prices.
Meanwhile, Suhakam urged the Govern-ment to take definite steps to increase public awareness about the pandemic.
The commission, in a statement yesterday, expressed concern over the worsening situation, especially the state of preparation of public health defence.
In Johor Baru, Universiti Teknologi Malaysia (UTM) graduates attending the university’s 43rd convocation this weekend have been told to fill up a health declaration form stating that they are free from influenza A (H1N1) virus.
In Kuantan, the Regent of Pahang’s consort Tunku Azizah Aminah Maimunah Iskandariah Sultan Iskandar, who has contracted the virus along with their five children, said she had received various SMSes of support.

Wednesday August 12, 2009
A(H1N1): 6 more deaths, total fatalities at 44

PUTRAJAYA: There were six more Influenza A(H1N1)-related deaths reported on Wednesday, bringing the total number of fatalities in the country to 44.
The latest deaths involved a 10-month-old girl, a one-year-old boy, an 18-year-old pregnant woman, a 24-year-old man and two other men in their 60s, Health Minister Datuk Seri Liow Tiong Lai said here on Wednesday.
He also said that schools with suspected cases should not close entirely unless they could not function due to a high incidence of teachers or students being infected or under quarantine.
Liow said the principals of such schools would have to determine if this were the case, following advice from the state health director and after informing the state education director.
Liow also warned suppliers and traders not to indiscriminately increase the prices of facemasks and hand sanitisers to exploit the demand, adding that stern action would be taken against such profiteers
Tuesday August 11, 2009
Flu fatalities climb to 32

PUTRAJAYA: Malaysia reported six more deaths related to Influenza A (H1N1), bringing the total number of fatalities to 32.
Health director-general Tan Sri Dr Ismail Merican said there was one death on Sunday while two people succumbed to the disease last Wednesday. Three patients died on Saturday.
It was only now confirmed that the five had died of A (H1N1) following post-mortem, he said, adding that the deaths were officially reported to health authorities on Sunday.
“Four of the victims had underlying risk factors,” he said. “In the last 24 hours, 203 new cases were reported, of which 15 were treated in Intensive Care Unit and 67 patients are in the isolation wards,” he said yesterday.
To date, the total number of reported cases in the country stood at 1,982. Globally, 208,155 people have been found to be infected by the virus and 1,688 people from 174 countries have died.
Dr Ismail advised those who showed symptoms and in the high-risk groups to seek medical attention, adding that anti-viral treatment was effective on patients who began treatment within 48 hours of showing the flu symptoms.
High-risk groups include children who are below five years, senior citizens 65 years and above, children and youth under 19 who have been taking asprin for long-term, pregnant women, those who suffer from asthma, chronic lung disease, organ failure, cardiovascular, liver and blood system diseases, diabetic, obese people and those with low immunity.
“Those who show light symptoms should be given symptomatic treatment, stay at home and limit their interaction with others.”
In Perak, state Health committee chairman Datuk Dr Mah Hang Soon said another institution - the Mara Junior Science College in Lenggong - had been ordered to close.
A total of 41 schools and institutions in Pahang have been closed but 11 had reopened, Mentri Besar Datuk Seri Adnan Yaakob said.
“The staff of the state health department are doing their level best to curb the spread of the virus.”
Published: Thursday August 6, 2009 MYT 1:27:00 PM
Updated: Thursday August 6, 2009 MYT 4:02:25 PM
A(H1N1): Death toll increases to 14 (Update)
PUTRAJAYA: Health authorities urged the public not to panic and stepped up measures to contain the Influenza A(H1N1) outbreak as the virus claimed its 14th fatality.
Health director-general Tan Sri Dr Ismail Merican said that as of 8am Thursday, the death toll had reached 14, the latest casualty being a 57-year-old pensioner who was a diabetic and suffered from hypertension.
He was warded at the intensive care unit at the Putrajaya Hospital on Aug 4 and succumbed to acute pulmonary oedema on Wednesday.
Health authorities also recorded 16 new cases in the last 24 hours; all were local tranmissions with two new clusters reported. The number of people who have been infected in Malaysia stood at 1,492.
Dr Ismail also said that beginning Friday, all government hospitals, clinics and 22 private hospitals nationwide would be supplied with the Tamiflu anti-viral medication. Private clinics would be able to obtain their supply from the relevant pharmaceutical suppliers.
“The suppliers have given us the assurance that there is sufficient supply of anti-viral medication. However, I would like to warn doctors not to use the drugs as prophylaxis or medication to prevent one from getting the flu.
“This is because not only have such measures proven to be ineffective, they will also cause resistance to the medication as reported in the United States, Hong Kong, Mexico, Japan, Denmark and Canada.
“This move will also deplete the resources for such medication. Pharmacists are also warned not to sell the anti-viral drugs to the public without a doctor’s prescription,” Dr Ismail said.
Dr Ismail also said that not all who have developed flu-like symptoms need to be tested for A(H1N1) and urged the public not to panic or feel upset if hospitals send them home without taking throat swabs.
He said only those who were warded in hospitals and in high-risk groups would be tested for the flu.
“The technical commitee had decided on this because each day, the Institute of Medical Research is flooded with at least 500 applications for A(H1N1) tests and 80% to 90% are tested negative.
“We want to prevent wastage and overloading so that the institute can concentrate on detecting genuine cases and conduct tests which are more important and crucial,” he told a press conference Thursday.
Dr Ismail added that apart from conducting tests to confirm Influenza A(H1N1), the IMR was also responsible for looking for new virus strains and determining if the present virus is resistant to anti-viral medication.
He noted that so far, tests to determine both had been negative.
Dr Ismail also advised doctors and healthcare practitioners to be vigilant and take precautionary measures to prevent themselves from being infected with the flu after close contact with patients.
He added that unlike the SARS outbreak where none of the healthcare personnel were infected, the A(H1N1) flu had caused a few to fall ill.
He said the public has an important role to play to curtail the spread and must heed medical advice, especially when asked to go under home quarantine.
“One should not go out when asked to remain at home. Even when inside the house, one should confine himself to a room and strictly minimise contact with the rest of the household.
“I cannot impress enough how important it is for members of the public to be responsible and not to infect others when they are down with the flu, cough or cold, and to maintain high levels of hygiene,” he said.
Published: Friday July 31, 2009 MYT 5:01:00 PM
Updated: Friday July 31, 2009 MYT 6:12:05 PM
10yr-old with flu symptoms dies, post-mortem on (Update)
IPOH: Perak may have recorded its first influenza A (H1N1) death when a 10-year-old girl from Bagan Serai in Kerian succumbed to influenza-like symptoms.
State Health exco Datuk Dr Mah Hang Soon told a press conference here that the girl, a pupil from SK Matang Gerdu, died at 5am on Friday at the Bagan Serai Health Clinic.
“She began suffering from fever, cough and breathing difficulties at about 3am and her level of oxygen dipped.
“After arriving at the clinic, she was given resuscitation but collapsed anyway and could not be saved,” he said.
Dr Mah added that the girl had already sought treatment from the clinic on Wednesday after suffering from an upper respiratory tract infection.
“However at the time, she was still stable and was sent home,” he said, adding that there were no reported cases of influenza-like illnesses from other pupils in the girl’s school.
He said that health authorities were still waiting for the post-mortem report in order to ascertain the cause of the girl’s death but suspects that it could have been from influenza A (H1N1).
If confirmed, the girl’s case would bring the country’s death toll from A(H1N1) to five.
Dr Mah also said five more institutions have been ordered closed for seven days since Friday, in addition to the nine already closed, with a total of 45 confirmed H1N1 cases.
The institutions are SJK (T) Simpang Lima with 12 suspected cases, SJK (T) St Mary and SK Wawasan Pekan Baru, all in Kerian, with 22 suspected cases in total, the Tegas Mesra National Service camp in Selama (unknown number of cases) and the Universiti Teknologi Petronas hostel in Seri Iskandar, Tronoh, with 192 suspected cases.
Dr Mah also warned the public against hiding possible A(H1N1) cases from the authorities, saying that it was an irresponsible act.
“We will not hide anything from the public because we believe it is important for them to be updated on what is going on,” he said.
Monday August 3, 2009
11-year-old boy is sixth H1N1 death

PETALING JAYA: An 11-year-old boy has died of Influenza A (H1N1), bringing the total number of deaths from the disease to six.
Health director-general Tan Sri Dr Mohd Ismail Merican said in a statement that the boy died at 8.30am yesterday at Hospital Sultanah Aminah Johor Baru after having fever.
He was admitted into the hospital on July 29.
Dr Ismail said his condition worsened and he was admitted into the intensive care unit a day later.
He said further checks revealed that he was suffering from inflammation of heart and lungs.
“On Aug 1, he was confirmed to be infected with the virus,” he said.
The boy’s death follows the death of a 10-year-old girl from Bagan Serai.
Dr Mohd Ismail said the girl had been ill since July 27 but she did not suffer from any breathing problems when she received outpatient treatment at a private clinic.
On the night of July 28, the girl complained of breathing difficulties and received treatment at a Bagan Serai health clinic the next day.
While receiving treatment, she was in stable condition and did not complain of breathing difficulties or cyanosis and was given outpatient treatment including antibiotics and cough medicine.
However at 3am on Friday, she complained of breathing difficulties, fever and cough before arriving at the Bagan Serai Health Clinic for treatment.
While receiving treatment, she passed out. She was pronounced dead at 5.30am. The post mortem done at the Alor Setar Hospital on Friday revealed that she died of severe pneumonic changes.
Tests on phlegm taken from the girl by the Institute of Medical Research showed that the girl had the A (H1N1) virus.
Meanwhile, Dr Mohd Ismail said 39 new flu cases were reported yesterday, taking the total number of cases to 1,429.
Thirty-five of 39 were from eight new cluster cases while four were sporadic cases.
Of the 1,429 cases, 60% were local transmission while the rest were imported.
He said 19 cases, eight of which were in ICU, were currently in hospital and were being given anti-viral treatment.
In Ipoh, state Health Committee chairman Datuk Dr Mah Hang Soon said SMKA Shamsul Maarif Al-Wataniah in Tanjung Piandang, Kerian, had also been ordered closed after 38 people from the school developed influenza-like illnesses.
“This brings the number of institutions closed since the outbreak to 16,” he said, adding that 18 people are currently in various hospitals in the state for the disease.
Published: Monday August 3, 2009 MYT 11:10:00 AM
Updated: Monday August 3, 2009 MYT 7:24:19 PM
A(H1N1): Lady teacher, 51, is country's 8th flu death (Update 2)

KUALA LUMPUR: A lady teacher, 51, from a Selangor school closed on July 27 died Sunday, making her the eighth Influenza A(H1N1) death in the country.
She had developed pneumonia and had underlying heart disease, said Health Director-General Tan Sri Dr Ismail Merican on Monday.
He said that a sample was taken after she died and the test results on Monday showed that she was infected by the flu virus.
He said that she had complained of cough, fever and difficulty in breathing and saw a doctor on July 27.
She was later hospitalised in Sungei Buloh Hospital on July 30 and then moved to Seremban Hospital where her condition worsened and she died of pneumonia.
Meanwhile in Miri, a 24-year-old native woman suffering from Influenza A(H1N1) died at 4am on Monday, a mere two weeks after giving birth to her first child at the intensive care unit of the Miri Hospital.
Her baby girl is safe, Sarawak Deputy Chief Minister Tan Sri Dr George Chan Hong Nam said, adding that this was the state’s first reported death from the deadly flu.
The woman, from here, was warded on July 17 after she contracted the disease. At that time she was already in an advanced stage of pregnancy.
The hospital managed to help her deliver a baby girl a few days after she was warded. The baby has been handed over to her father, a labourer in his late 20s.
“This is the first death in Sarawak due to A(H1N1). We (the Sarawak government) have increased the alert level throughout the whole state now.
“Nobody can take this disease lightly anymore,” Dr Chan said.
The Miri Hospital tightened security and safety by several notches to prevent any spread of the disease.
Its director Dr Uma Devi had issued directives to staff not to allow little children to enter the wards if they are not there for any health-related purposes.
Visitors are not allowed to bring babies or little kids to the wards anymore. Old folk are also discouraged from entering unless they are there for health checks.
Smokers are also barred from coming near the wards.
Dr Uma said the tighter safety measures are needed as those who are weaker have immune systems that can be easily attacked by the H1N1 virus.
The Sarawak woman brings the total number of deaths in Malaysia to seven, the previous being an 11-year-old boy who died in Johor Baru on Sunday.
A(H1N1): Death toll rises to eight

KUALA LUMPUR: Malaysia reported two new influenza A (H1N1) deaths yesterday, bringing the total number of people who have succumbed to the disease to eight.
The seventh victim was a 24-year-old native woman who died at the Miri Hospital’s intensive care unit, two weeks after giving birth to her first child. She was the first A (H1N1) fatality in Sarawak.
The eighth victim was a 51-year-old school teacher who died in Seremban on Sunday, said Health director-general Tan Sri Dr Ismail Merican.
The Institute for Medical Research confirmed yesterday that the teacher had contracted the virus. Her tissue samples were tested after her death.
She had taught at a school in Selangor, which was closed on July 27 following the discovery of an A (H1N1) cluster there.
The onset of the disease began on July 23, and the teacher visited a general practitioner on July 27.
She went to the Sungai Buloh Hospital on July 30, and subsequently to the Tuanku Ja’afar Hospital in Seremban on Sunday after experiencing a shortness of breath. She was admitted to the intensive care unit where she died.
The native woman was warded on July 17. At the time, she was already in an advanced stage of pregnancy.
The hospital helped her deliver a baby girl a few days later. The baby is healthy and has been handed over to the father, a labourer in his late 20s.
Sarawak Deputy Chief Minister Tan Sri Dr George Chan Hong Nam said the state had stepped up the alert level.
“Nobody can take this disease lightly any more,” he said yesterday.
The Miri Hospital has stopped children from entering the wards unless they are undergoing treatment.
The elderly are also discouraged from the wards, while smokers are barred altogether.
Hospital director Dr Uma Devi said the tighter safety measures were aimed at protecting those with a weak immune system.
Published: Monday July 27, 2009 MYT 4:21:00 PM
Updated: Monday July 27, 2009 MYT 6:44:09 PM
A(H1N1): Second death in Malaysia (Update)

PETALING JAYA: A 46-year-old Malaysian man who worked in Belgium, died from Influenza A(H1N1) on Sunday, making him the second victim to have died from the contagious flu since its outbreak in this country.
The man was reported to have died from “severe pneumonia with respiratory failure with septicaemic shock and acute renal failure” after seven days being treated at the intensive care unit of a private hospital in Subang Jaya.
Health Ministry director-general Tan Sri Dr Mohd Ismail Merican said the victim came back to Malaysia on July 4.
“He was alright until he went for a holiday with his family in Langkawi on July 13 when he developed fever and coughing.
“Upon his return from Langkawi, he sought treatment at a private hospital in Petaling Jaya on July 16 where his chest X-ray showed that he had pneumonia,” he said in a statement issued here Monday.
Dr Mohd Ismail said the man was then referred to the private hospital in Subang Jaya on July 19 and warded at the ICU.
He said tests conducted by the Institute of Medical Research on July 22, on a sample taken from the man’s throat confirmed that he had been infected with the H1N1 virus.
“Complications developed and the man died at 12.35pm Sunday,” he said, adding that 18 contact cases had been identified and only one had tonsillitis symptoms.
On July 21, a 30-year-old Islamic finance student from Indonesia also died from Influenza A(H1N1).
Dr Mohd Ismail said the latest fatal case was among seven cases categorised as sporadic or isolated.
He said six other local cases in the same category included three who were warded in the hospitals -- one for pneumonia and the others a five-month pregnant woman and a young student. The other three are from one family and they received outpatient treatment.
Dr Mohd Ismail also said that 49 new cases were reported Monday, all involving locals, bringing the total number of cases so far to 1,124 with two deaths. Of the figure, 574 were imported cases while the rest were locally transmitted.
He said 1,103 cases (98%) had recovered, another 10 cases were being given antiviral treatment and eight were treated at home. -- Bernama
Published: Thursday July 23, 2009 MYT 1:40:00 PM
Updated: Thursday July 23, 2009 MYT 6:32:20 PM
First A(H1N1) related death in Malaysia (Update)

PUTRAJAYA: A 30-year-old Indonesian student became the first Influenza A(H1N1) related fatality here, although the cause of death was not the disease itself.
Initial investigations show that the cause of death was the result of a cardiac arrest due to ventricular fibrillation (irregular heart rhythm), Health Minister Datuk Seri Liow Tiong Lai said.
The first-year student at the International Centre for Education in Islamic Finance, Kuala Lumpur, had other underlying medical conditions.
“Influenza A(H1N1) was not a direct cause of his death,” he told a press conference on Thursday.
The patient went back to Indonesia for a holiday and returned to Malaysia on July 5 and was reported to have been suffering a mild fever and cough, Liow said.
On July 21, the patient fainted while waiting for his medication after seeing a doctor at a private medical centre in Kampung Baru, Kuala Lumpur. He was given emergency treatment but his life could not be saved, he said.
The patient passed away at 11:50am and the medical centre recorded “cardiac arrest due to ventrical fibrillation” as the cause of death, he added.
“A post-mortem examination was carried out at the Kuala Lumpur Hospital on the same day and results showed that the patient was obese, had pneumonia, an enlarged heart and liver and pus-like material at the bottom of the trachea,” he said.
Liow said 20 specimens had been taken for virology, bacterialogy, histopatology, bio-chemical and toxicology tests.
The virology and bacteriology tests on lung tissues and the trachea showed the presence of Influenza A (H1N1) while tests on Influenza A (H5N1), dengue and leptospira were negative.
“We are still waiting for other test results and the cause of death will be confirmed once all the tests are complete,” he said.
Liow said 25 staff members of the medical centre in contact with the patient were ordered to self-quarantine themselves for seven days.
Seven of his room-mates and members of his study group at the college have been identified, and one of them had sought treatment for influenza symptoms.
The Ministry had carried out health checks at the college on Thursday, he said.
There were 18 new cases reported Thursday, 17 of them the result of local tranmissions and one was imported from a Malaysian returning from London.
Of the local transmissions, 13 were from four clusters in Malacca while the rest were isolated cases.
The four clusters -- Durian Daun Teachers Training College (five cases), Mara Foundation College (four cases), Mara Professional College hostel (three cases) and the Nilam Nursing School Bachang (one case) -- were ordered to close for seven days beginning Thursday.
Malaysia has a total of 939 cases with 573 (61%) imported and 366 local transmissions as of Thursday.
Of that figure, 11 (1%) received anti-viral treatment in hospitals, 922 cases had recovered and five cases (1%) received outpatient treatment at their homes.
On Thursday, The Straits Times in Singapore reported two more fatalities in the island republic, bringing its toll to three.
Both patients also had underlying medical conditions. They were a 13-year-old boy who had epilepsy and a 55-year-old man with motor neuron disease, a nerve disorder.
The first death, last Saturday, was of a 49-year-old man who had multiple health problems including diabetes, hypertension and high cholesterol.