Global Health Asia-Pacific May 2020 | Page 37

the emergency entrance and taken to a special area. If it is decided the patient needs to be admitted for high risk of infection, he is brought through a dedicated route from the emergency department to a dedicated lift to the ward,” said infectious diseases consultant Dr Benedict Sim at a briefing in February. “Within the isolation ward, there are double-layered walls. There’s an inner room and a corridor outside the room with intercom facilities to talk to the patient so we don’t have to enter unless necessary,” he explained. More dedicated wards for COVID-19 patients are now being set up at Sungai Buloh, including at its former leprosy centre, which was reopened after a major clean-up. But while the country’s hospitals and medical experts are playing key roles in containing the virus, the current outbreak and the country’s response to it have also reminded Dr Ahmad Munawwar of a similar crisis in 2014, soon after he became a doctor. Then, as now, there was a similar atmosphere of “everyone being in it together.” At the time, northern and eastern parts of Malaysia saw the worst flooding in history, with 200,000 people affected and a death toll of 21. Though the coronavirus pandemic could dwarf these numbers, what happened in 2014 has given doctors like Ahmad Munawwar a unique perspective on how to deal with high-volume admissions. When the floods raged in 2014, he launched a charity to help colleagues, called the Islamic Medical GlobalHealthAndTravel.com Association of Malaysia’s Response and Relief Team or Imaret, that continues to operate today. “Most of us are from the medical fraternity — doctors, nurses, medical assistants, even medical students. Since 2014, we’ve been doing outreach and relief work during disasters. Our focus is on our medical skills, and for this outbreak, we’ve had a few initiatives,” he explained. “For example, we’re providing our volunteer doctors to assist the Ministry of Health in controlling this outbreak. They’ll be deployed at a few areas, at health community clinics, and district health offices. The group has also been providing a moral boost to healthcare workers by delivering food and snacks to hospitals and COVID-19 response co-ordination centres. We get donations to buy food for healthcare workers and supply it to several hospitals in the Klang Valley. “At this time of crisis, people are worrying, panicking, and blaming each other. We want to show Malaysia that now is not the time to do this. We want to show some humanity, that’s why we started this. We focus on community clinics that are the unsung heroes of the health system,” he said. With distribution underway, Imaret is now broadening its service to include non-medical items, such as tents, fans, and portable air-conditioning units. The tents are for the increasing number of makeshift screening centres that are usually outside a hospital’s emergency department. In less than a week, Imaret received close to one More dedicated wards for COVID-19 patients are now being set up at Sungai Buloh, including at its former leprosy centre, which was reopened after a major clean-up. MAY 2020 35