Showing posts with label Ministry of Health. Show all posts
Showing posts with label Ministry of Health. Show all posts

Wednesday, January 18, 2012

Najib More Concerned About KR1M Profits

I read with both amusement and consternation the Prime Minister’s statement on Bernama yesterday that “the ridicule and criticism hurled by the opposition at the 1Malaysia Shops (KR1M) has helped to raise sales at the outlets.”

Dato’ Seri Najib Razak even goaded the opposition to make more criticisms, “I would like to encourage them (the opposition) to carry on with their criticism” when visiting his own constituency of Pekan where KR1M has been opened for a month.

It is hence clear that the Prime Minister is not the least bothered about the health and welfare of ordinary Malaysians, not even that of his own constituents.

The criticisms coming from Pakatan Rakyat on KR1M is regardless of whether the store sales go up or down. The criticisms are made on the issue of whether the Government’s subsidies are being used to profit particular businessmen, whether consumers are being fleeced or their health compromised.

The Minister of Health, Dato’ Seri Liow Tiong Lai has confirmed that the 1Malaysia Fresh Milk, which was sold significantly cheaper by KR1M compared to other retail stores, was contaminated with the Escherichia coli (E.coli) bacteria which is the cause of food poisoning and occasional deaths.

The Ministry of Health has also confirmed that the 1Malaysia Growing Up Milk Powder for children 1 year old and above contained excessive amount of Vitamin A, more than double the limit set by Institute of Medicine (IOM) for children 3 years old and below. Excessive doses of vitamin A may cause Hypervitaminosis A, resulting in damaged liver, asthma, skin discoloration, hair loss and other effects.

In addition, at least 2 products – oyster sauce and sweetened creamer - were confirmed to have breached health and safety regulations per the Food Regulations Act 1985. What is more, no less than 5 products were labelled wrongly, including inferior products being sold as superior goods.

Selected comparison of prices of 1Malaysia products against their counterparts in other hypermarkets has also shown that there’s little difference in prices, and certainly a far cry from the 30% to 50% cheaper claim by KR1M. This is despite a RM40 million subsidy given by the Government to Mydin to open these shops.

Yet, despite all of the above, Dato’ Seri Najib Razak has chosen not only to waive any punitive actions against KR1M for breaking so many laws, but instead decided cosy up to KR1M and its private owners. He did not even attempt to admonish KR1M owners for the above transgressions.

There can be no other conclusion from the above but to say that the Prime Minister isn’t interested in whether it is the rakyat or the businessman who is profiting from the RM40 million subsidy; that he doesn’t care if KR1M sold products which were unhealthy or of inferior quality; and that Dato’ Seri Najib Razak is only interested in KR1M making lots of sales and profits for its private shareholders.

Monday, December 05, 2011

Health Minister Confirms E.Coli in 1Malaysia Fresh Milk

The developments over the past few days, including the dialogue between the Health Ministry with the Member of Parliament for Lembah Pantai, Nurul Izzah Anwar and myself have proven that there are serious concerns over the food safety of 1Malaysia products.

The Health Minister, Dato’ Seri Liow Tiong Lai has finally confirmed the presence of e.coli bacteria in the 1Malaysia fresh milk yesterday. However, he had attempted to downplay the incident by claiming that most of the other 13 products were withdrawn over “labelling” issues and not over food safety concerns. The list of products included all the products which we have raised which had quality issues or failed to comply with Food Regulations 1985 – fresh milk, ice-cream, evaporated milk, sweetened creamer, ghee, fruit jam, oyster sauce, tinned sardines and curry chicken.

He was quoted in The Star as saying “the products were removed due to non-compliance with food regulations such as incomplete labelling, he said, stressing that it was not due to food safety matters.” In fact, most shockingly The Star had made absolutely no mention of the e.coli find.

Various strains of the E.coli or Escherichia coli bacteria produce potentially lethal toxins which causes common food-related illness such as diarrhoea, and at its worst, even deaths have been recorded.

Instead of giving a severe warning or even taking punitive action against the supplier of the harmful food products – where under the Food Act 1983 the supplier is subjected to a “fine not exceeding RM100,000 and/or imprisonment for a term not exceeding 10 years”, the Minister chose to go on a rant against me for exposing the 1Malaysia food products scandal.

The Minister must realise that it is his responsibility to enforce the food safety and quality standards of products sold in our stores and not the role of the opposition members of parliament. The fact that the stores were selling all of the above products over the past 6 months proved that the Minister had failed in his role, most likely because these products were sold under the “1Malaysia” brand which was heavily promoted by the Prime Minister and the Government.

Had it not been due to the exposé by the Pakatan Rakyat MPs and the subsequent public pressure, no action would have been taken. Hence Dato’ Seri Liow Tiong Lai must not try to downplay the incident or deflect responsibility by trying to put the blame on us instead.

On the other hand, we would call upon the Minister to make the public announcement to be printed in ALL mainstream newspapers for all consumers who have purchased the products to return the items to Kedai Rakyat 1Malaysia stores for a full refund. That is the very least the Minister could do for the ordinary Malaysians, if he has decided not to take further action against the supplier(s) of the offending products.

Wednesday, November 16, 2011

1Malaysia Growing Up Milk: Legal or Safe?



KEY TAKE AWAYS FROM PRODUCT COMPARISON BETWEEN 1MALAYSIA AND NESPRAY 1+ GROWING UP MILK POWDER BASED ON THE FOOD REGULATIONS 1985 – REGULATION 389A TWENTY-FIRST SCHEDULE ON FOLLOW-UP FORMULA


A. Completely missing key nutrients from 1Malaysia Growing Up Milk Powder per Food Regulations 1985 based on "follow-up formula" for infants 6 months and above to 3 years old:

  1. Essential fatty acids – e.g., Omega 3, Omega 6 etc.
  2. Vitamin D
  3. Vitamin C
  4. Vitamin B1
  5. Vitamin B2
  6. Nicotinamide
  7. Vitamin B6
  8. Folic Acid
  9. Pantothenic Acid
  10. Vitamin B12
  11. Vitamin K1
  12. Vitamin H
  13. Vitamin E
  14. Iodine
  15. Zinc

B. Grossly inadequate quantity of certain key nutrients

  1. Calcium – only 4.1mg per 100kcal or 4.5% of regulatory minimum requirement
  2. Iron – only 0.1mg per 100kcal or 7.4% of regulatory minimum requirement

C. Grossly excessive quantity of Vitamin A

  1. Vitamin A – 6012 I.U. per 100kcal or 802% above maximum regulatory limit (750 I.U.)
  2. May contribute to Hypervitaminosis A. Effects may include liver problems, reduced bone mineral density, coarse bone growths, skin discoloration, hair loss

D. KR1M is more expensive than Nespray 1+

Although there are differences in packing sizes (small packs are usually relatively more expensive) but a per gram calculation of a 300g pack of KR1M milk powder versus a 1kg pack of Nespray 1+ showed a remarkable price difference of 23.8%, that is, Nespray 1+ is cheaper.

E. Contradictory ingredients between English and Bahasa Malaysia Version

On the ingredients labelling, the Bahasa Malaysia version says “pepejal susu rendah lemak” but the English version says “instant wholemilk powder”. So is it “susu rendah” or “wholemilk”?

Saturday, November 12, 2011

KR1M Product Quality Issues

Click for a larger image (or open image in new window) to read


Food Act 1983 Offences


Offence: Clause 13 - Food containing substances injurious to health
Penalty: Fine not exceeding RM100,000 and/or imprisonment for a term not exceeding 10 years

Offence: Clause 13B(2)(e) - “Adulterated food” – non-compliance with the standard or specification prescribed by any regulations made under this Act.
Penalty: Fine not exceeding RM20,000 and/or imprisonment for a term not exceeding 5 years

Offence: Clause 14 - Prohibition against sale of food not of the nature, substance or quality demanded.
Penalty: Unspecified fine and/or imprisonment for a term not exceeding 5 years

Offence: Clause 15 - Labelling etc., not complying with standard of food
Penalty: Unspecified fine and/or imprisonment for a term not exceeding 5 years

Offence: Clause 16 - False labelling
Penalty: Unspecified fine and/or imprisonment for a term not exceeding 3 years

Thursday, August 18, 2011

Where's the Promised Tung Shin Report?

Liow ‘very poor minister’ for not releasing Tung Shin report, says Pua
By Yow Hong Chieh August 17, 2011

KUALA LUMPUR, Aug 17 — DAP publicity chief Tony Pua called Datuk Seri Liow Tiong Lai a “very poor health minister” for not releasing an overdue report on the use of tear gas and water cannon outside Tung Shin Hospital in the July 9 Bersih rally.

Pua pointed out that the public has “not heard a single sound” from the health minister since the latter announced on July 21 that his ministry would complete the report on the incident within two weeks.

“Four weeks later, we have heard absolutely nothing from the minister. I think it’s a total cop out,” Pua told reporters at DAP headquarters here today.The Petaling Jaya Utara MP was one of the thousands of Bersih rally demonstrators near the hospital on the fateful day.

“He doesn’t dare admit the truth, he has no courage to admonish the police, and I think he makes a very poor health minister as a result.”

Liow (picture) announced on July 14 that his ministry would set up a committee to look into allegations that police fired tear gas and water cannon into the Tung Shin Hospital compound to flush out Bersih protesters who sought refuge there during the chaotic July 9 rally.

He later said the committee, headed by Health Ministry secretary-general Kamarul Zaman Mohd Isa, would look into whether the safety of the hospital was compromised.

Liow, who is also MCA deputy president, has drawn flak from many quarters for denying that the police fired into the hospital despite photo and video evidence suggesting otherwise.

Police have denied firing tear gas and water cannons at Tung Shin, claiming tear gas fired outside the hospital was blown into its compound by the wind.

Monday, August 08, 2011

Bersih: Now Ministry of Health Abdicates Responsibility

Tung Shin probe a whitewash, says DAP
By Shannon Teoh August 08, 2011

KUALA LUMPUR, Aug 8 — The DAP has accused the authorities of sweeping under the rug the firing of tear gas and water cannons into the Tung Shin hospital compound during the July 9 Bersih rally.

Although Health Minister Datuk Seri Liow Tiong Lai had ordered a “high-level” ministry probe into the incident, publicity chief Tony Pua (picture) said he was informed by the Health Ministry on August 5 that it was now “joining the police in building an investigation report that will be held soon.”

“The minister initially delegated his responsibility to his secretary-general. Now the whole ministry is delegating to the police.

“After more than a month since Bersih, all the police have done is release some heavily-edited video clips to show how nice they were. The Health Ministry has got no courage to declare the truth,” the Petaling Jaya Utara MP said.

Party international secretary Liew Chin Tong also accused the police of “trying to rewrite history with its own version of what happened.”

“It is regrettable that police can still refuse to accept responsibility and admit its mistake,” the Bukit Bendera MP told reporters today.

In the aftermath of the rally that saw tens of thousands dispersed by police with tear gas and water cannons, Liow ordered the probe on July 14 after a group of medical consultants had written to the media refuting the hospital board and police who claimed that no gas canisters or water cannons were fired directly into the hospital.

The MCA deputy president had initially agreed with the hospital but then ordered the probe, stating that patient security and hospital safety were paramount.

Pua, Liew, Serdang MP Teo Nie Ching and Zairil Khir Johari, the political secretary to the DAP’s secretary general, had offered themselves as witnesses to the Health Ministry, which Liow had accepted and forwarded to the committee.

But Pua said he received a call from Bukit Aman on August 5, asking him to record his statement on the Tung Shin incident and to “bring along the other three.”

On the same day, the Health Ministry wrote to him asking him to co-operate in the “inquiry and investigation,” which the letter said was now being done with the police.

Police had absolved themselves of any wrongdoing during the July 9 rally after setting up six internal teams to investigate claims of police brutality that followed after nearly 1,700 were arrested, scores injured and an ex-solider died during chaotic scenes in the capital.

However, they admitted on July 21 that Tung Shin was hit with tear gas canisters and water cannons during the rally, but denied shooting directly into the compound.

Federal police internal security and public order director Datuk Salleh Mat Rashid said that shots were only fired “nearby” the hospital compound on July 9, and speculated that the wind caused by the rain probably caused the tear gas and water cannons to enter the hospital compound.

However this statement flies in the face of various video clips uploaded on the YouTube video-sharing site showing water cannons and tear gas fired into the hospital.

Friday, July 15, 2011

Putrajaya Must Apologise for Tung Shin Hospital Assault

The Inspector-General of Police, the Health Minister and the MCA President must immediately issue a public apology to Tung Shin Hospital for violating its sanctity and to all Malaysians for trying to cover up the misdeeds of the police force

Eleven doctors who were present at Tung Shin Hospital have bravely stepped forward to present their eye-witness accounts on the fact that the police force has violated the sanctity of the hospital and to express their disgust at the authorities for having "shamelessly denied publicly, the occurrence of these incidents..."

All three leaders, Inspector-General of Police (IGP) Tan Sri Ismail Omar, Health Minister Dato' Seri Liow Tiong Lai and MCA President, Dato' Sri Dr Chua Soi Lek were extremely quick to deny the incidents where the police deployed tear gas and water cannons onto the hospital compounds and entered the hospital to arrest, sometimes violently, Bersih supporters who had sought refuge there.

They had defended the actions of the police despite the avalanche of visual evidence that the hospital was attacked with the most pathetic and incredulous of excuses, like the "wind" blowing the tear gas into the hospital compound or that the police "only brought in some injured demonstrators for medical treatment".

After being criticised heavily for his 'valiant' but futile attempt to defend the police, the Health Minister had attempted to salvage his reputation by pushing the blame to the Hospital board of directors instead and asked "everyone to wait for the results of police investigations into all reports on incidents that took place on Saturday."

While he was initially very quick to absolve the police from blame, Liow had the cheek to then ask "everyone to wait for the results of police investigations" after having seen the evidence otherwise. Worse, his party president, Dr Chua persisted in arguing that the videos and pictures were "unclear", proving that the former Health Minister is either physically blind or acting blind.

Now with 11 distinguished medical specialists testifying what Malaysians already know as the truth, are the IGP, Health Minister and MCA President going to procrastinate further by claiming that they need to send the video recordings and photographs to experts in the United States, this time to prove that the evidence have been, forgive the pun, 'doctored'?

The IGP and he BN Government should stop making fools of themselves to the entire watching world. The IGP must take responsibility for the infraction, and apologise immediately to the hospital for the "scant regard for the safety of patients, staff and the general public who were at the buildings that afternoon," to quote the good doctors.

The Health Minister must apologise to all Malaysians for failing to protect the hospitals under his charge by demanding accountability from the police force, and to the hospital on behalf of the federal government. He must also retract all the lamest exuses and lies he had provided to defend the actions of the police earlier, if he is sincere about respect for hospitals as a "place of convalescence", as he preached in his tweet yesterday.

Dr Chua Soi Lek, himself a practising doctor, should give voice to Malaysians who are disgusted with the actions of the police and prove that MCA is not without a backbone, remaining completely voiceless in Barisan Nasional and subsevient to Umno. He must apologise not only for MCA's failure to defend what is morally and ethically right, but also for becoming apologists for the BN state apparatus used to repress ordinary Malaysians defending their constitutional right.

Saturday, January 30, 2010

Disappointed Doctor

The following is a letter I've received from a Doctor who has just returned to our shores. Bureaucratic clumsiness?


I am a medical doctor who was educated overseas and worked in Australia for several years and recently decided to return to Malaysia to serve the country.

As a professional working overseas I heard about the 'Program bagi mengalakkan warganegara Malaysia yang berpakaran yang bekerja di luar negara pulang ke Malaysia' and therefore applied for it. I was very disappointed when they rejected my application on the grounds that it was sent after I returned to Malaysia. Apparently it was meant to be sent whilst I was still in Australia.

I find this a very poor excuse given the fact that Malaysia is trying to lure back its citizens to work for them. It discourages professionals such as me from having to bear the burden to return but not have any perks or encouraging incentives. Furthermore, my parents bore my exorbitant medical tuition fees and I did not receive any governmental loans whatsoever. The “least” is something anyone would expect.

Besides that, it took me a great deal of an effort to locate the abovementioned application form which was hidden in the catacombic archives of one of the governmental websites. Talk about purposeful inconvenience or perhaps voluntary neglect.

I can see why many of my colleagues are hesitant to return and serve the government given the unimpressive, unattractive attitude and to top it off the obvious suboptimal remuneration and working conditions. Now, thankfully I still have the option to return to Australia and am reconsidering my intentions to continue here thanks to the above. Job well done in luring professionals back.


Disappointed DR.

Thursday, December 10, 2009

We Need Hospitals For Our Hospitals

Are our hospitals stricken with cancer as we continue to struggle to complete their construction on time and on schedule?

Malaysiakini yesterday revealed once again, another botched up public infrastructure project by the Malaysian government. The Shah Alam Hospital was originally budgeted by the then Selangor state government in 2007 at approximately RM300 million (The Star, 15/03/07), was eventually awarded for RM482 million, or 60.7% above its original budget.

The project was awarded to Sunshine Fleet Sdn Bhd which had absolutely no experience in construction of buildings, much less the specialised skills required for a public hospital. The construction and commissioning of the hospital project was however fully sub-contracted to financially distressed Isyoda Corp Bhd in November 2007.

Isyoda was however unable to complete, and withdrew from the project and the company filed winding up proceedings against Sunshine Fleet before the case was settled out of court in May 2009. The project was subsequently awarded to another fairly new company, GM Healthcare Sdn Bhd. As reported by Malaysiakini:

However, it may be sailing into troubled waters, just as Isyoda did. GMH is also beginning to suffer from the huge amounts of advances and expenses demanded by the turnkey contractor, Sunshine Fleet. Sources close to the project said such appropriations of funds for “expenses” other than construction costs may “have an adverse economic effect on the project”.

The question that the public is asking is whether the project will complete on time by November 2010 next year, and what additional cost is expected to be incurred by the Government to ensure that the hospital gets completed. In addition, what assurance does the rakyat have that it will not be another hospital project which is “completed” but becomes saddled with poor workmanship resulting in subsequent years of delay?

Malaysia has already got a history of more than half a dozen of botched up hospital projects, and it appears that the Shah Alam Hospital will become another name on the long list which includes:

  • Kota Kinabalu’s Queen Elizabeth Hospital (October 2008)

    Poor maintenance and planning led to infrastructure failure. ICU and surgical units were shut down. Several hundred patients were transferred out after three blocks were declared unsafe by engineers. It is learnt that the QEH management had reported the hospital’s deteriorating conditions as early as 2000. The Health Ministry was supposed to carry out maintenance and repair work on the hospital from time to time through its concession company, Syarikat Faber Mediserve Sdn Bhd.
  • Pekan Hospital, Pahang (June 2007)

    Scheduled for completion in 2003, the hospital was finally handed over to MOH in March 2007. Among defects found were leaking pipes, collapsed ceilings and problems with the main water tank.

  • Sultan Ismail Hospital, Johor (April 2007)

    In September 2004, the hospital which cost RM550 million was shut down for 17 months due to a fungus problem. 2 years later, large portions of the ceiling had to be removed due to structural inconsistencies. The company responsible for maintenance work at the hospital: Pantai Medivest.

  • Sultanah Bahiyah Hospital, Alor Star, Kedah (March 2007)

    Built at a cost of RM550 million, the hospital was opened 4 years after its scheduled completion date. Health Minister, Chua Soi Lek admitted that the contractors lacked expertise.

  • Sultan Abdul Halim Hospital, Sungai Petani (February 2007)

    Overflowing human faeces from a toilet forced temporary closure of an ICU unit at the state of the art hospital which cost RM450 million to build. A smilar leakage had occured in the hospital caferia due to a defective sewerage pipe. There were also collapse ceilings.

  • Ampang Hospital, Kuala Lumpur (March 2007)

    Scheduled for completion in 2004, the hospital only opened in 2007. The pediatric ward was fungus ridden, the ceiling were infested with fungi and the sewage pipes were leaking. Health Minister, Chua Soi Lek, said that glitches were to be expected in new buildings.
Despite the long history of such botched up projects, the Malaysian government has not learned its lessons and today, continues to award public infrastructure construction and building contracts of hospitals via direct negotiations, often to unknown or inexperienced companies.

It is completely unacceptable that the Government continues to benefit connected and influential individuals by awarding direct contracts despite the extensive list of failures, resulting in the losses amounting to billions of ringgit. What is worse is that the Government is now expecting the rakyat to pay for its follies by introducing various new and higher taxes such as the credit card tax, the real estate property gains tax and the soon to be introduced Goods and Services Tax.

I raised the Shah Alam hospital project in the Public Accounts Committee (PAC) Meeting yesterday to request that this on-going project gets thoroughly investigated before it becomes terminally ill. I received tentative agreement from the committee that the National Audit Department will be directed to conduct the initial investigations, and will report to the PAC on its findings for deliberation.

Saturday, December 01, 2007

Baby Yok Shan



Some of you might remember about 3 months back, there was a major tradegy involving Tengku Ampuan Rahiman hospital in Klang with a newborn, Lai Yok Shan. Through medical negligence on the part of the hospital staff and administration, her left arm was infected, became gangrenous and subsequently, had to be amputated.

What was most outrageous was the fact that despite the initial hullaboo, after which a panel of top specialists were appointed to look after baby Yok Shan, it became apparent that these "specialists" were clearly not doing their work. Parliamentary Opposition leader, Sdr Lim Kit Siang has written on his blog post back in September:
Lai’s parents, her father Lai Kian Khee, 24 and mother Nur Tuemthong, were told on National Day eve that Yok Shan will undergo an operation expected to last from two to four hours on Sept 1 - a day after 50th Merdeka National Day - to amputate her left arm, but in actual fact, no amputation was needed as the blackened arm came off when the orthopaedic surgeon lifted and turned it.

This showed how little the panel of medical specialists knew about Yok Shan’s condition despite all the hullabaloo about its establishment to treat the baby girl!

Well, approximately 10 days ago, baby Yok Shan finally received a letter offering compensation to baby Yok Shan, who was represented by DAP Selangor Legal Bureau Chief, Sdr Lim Lip Eng. When the offer was made known to the parents, they were clearly not satisfied with the offer. And despite running the risk of a protracted legal case by seeking higher compensation via the courts, the parents decided that it was the best option for baby Yok Shan.

DAP national legal bureau member, senior lawyer Sdr Gobind Singh Deo (son of DAP strongman, if you are not aware) took up the case and filed a suit against the Government asking for in excess of RM2 million in damages.

What do you think? Check out the blog, http://yokshan.blogspot.com for additional footage and details.