Global Health Asia-Pacific May 2020 | Page 38

Coronavirus response A police officer checks the body temperature of a visitor “As this is not the first time we are dealing with such situations, we already have the screening system and procedures such as contact tracing, quarantine, monitoring in place, and when there is a patient-under- investigation, they will be referred to the Sungai Buloh Hospital.” 36 MAY 2020 million ringgit in donations from ordinary Malaysians who want to support healthcare workers while isolating themselves at home. Even Malaysian celebrity entrepreneur and fashion starlet Vivy Yusof joined the cause, raising 300,000 ringgit for the charity and donating 100,000 ringgit personally. “How can we sit tight at home while hospital staff work multiple shifts and care for infected patients that are increasing? I think it’s time for us to do something that’s bigger than us,” Vivy said on Instagram. In Dr Ahmad Munawwar’s view, the nation-wide lockdown has created national champions for all Malaysians to support. They now recognise that the problems healthcare workers face are more difficult than their own in isolation. “When we started our COVID-19 initiatives, there were only a few people out fundraising. Now it seems like everybody wants to help the healthcare workers,” he said. Civic groups have also responded in a number of ways, despite a social lockdown where only essential workers can continue to work and tight restrictions on leaving home. To help meet demand for face shields, for example, Malaysians have been using 3D printers. Volunteers at one charity have been producing thousands of hand- made face masks to Sungai Buloh’s specifications. Like many countries, Malaysia is facing a shortage of personal protective equipment (PPE), both in public and private hospitals. Videos have been posted showing Ministry of Health staff making their own PPE using plastic bags, dustbin liners, and other paraphernalia. By some estimates, nine out of 10 GPs have been facing difficulty in getting PPE, while prices for face masks and gloves have soared. “It is utterly shameful that our healthcare providers have to appeal to the public to provide them with PPE which should be the primary responsibility of the Ministry of Health,” Malaysian doctors wrote in an open letter. In response, the Health Ministry attributed the shortages to “distribution issues” and said it had “ample stock” of PPE. Despite the government’s assurances, organisations and even foreign governments have stepped in to ensure supplies. China has begun sending ventilators, face masks, testing kits, and sanitisers, while the Malaysian Rubber Glove Manufacturers Association has pledged to donate 19 million pairs of medical gloves to the government. And government-linked companies have raised more than 40 million ringgit in donations for medical supplies, PPE, and ventilators. According to the Global Health Security Index 2019, Malaysia is ranked eighteenth out of 195 countries, indicating that the country is prepared when it comes to preventing, detecting, and responding to infectious disease outbreaks. Its ranking is higher than neighbouring Singapore and Indonesia, which were placed twenty-fourth and thirtieth, respectively. Malaysian Public Health Medicine Specialist Association president Datuk Dr Zainal Ariffin Omar believes the current measures taken by the Health Ministry to address the coronavirus threat reflect the government’s maturity in addressing such issues. “As this is not the first time we are dealing with such situations, we already have the screening system and procedures such as contact tracing, quarantine, monitoring in place, and when there is a patient-under- investigation, they will be referred to the Sungai Buloh Hospital,” he told Bernama, the state news agency. As Malaysians look at scenes from Europe, where police are enforcing national lockdowns and COVID-19 cases have been soaring, they’re seeing a frightening picture of what might await them if things go wrong. So far, the public have been largely supportive of current government measures and appear confident the approach will succeed. This view is also shared by Dr Ahmad Munawwar from the front lines of the pandemic. “We will see hopefully that these restrictions will flatten the curve. The reason for the restrictions is so that the healthcare system can cope,” he said. “On top of that, all our healthcare teams have been preparing; the MOH are providing more tests and equipment, and patient numbers are manageable at the current capacity. I think there is light at the end of the tunnel.” Most Malaysians wear mask while going out GlobalHealthAndTravel.com