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The Malaysia epidemic?Japanese Encephalitis, JE ? Hendra Encephalitis

 
Over six months ago, the epidemic of the so-called JE started to be reported. Ever since, we have insisted on the need to identify the cause or causes as quickly as possible. In the beginning, the Government has been quietly sending some samples from victims and experts to other laboratories such as the Centre for Disease Control and Prevention, CDC, in Atlanta, U.S.A.

It does not matter how sophisticated are the laboratories, there are some viruses which cannot be identified readily. Assistance from foreign and local experts is expected. The main aim is to get to the exact diagnosis as fast as possible. Once the correct diagnosis is made, effective measures can be taken.

The mass media must have news. Once JE is suspected, details on the disease are reported. Similarly, the moment Hendra encephalitis has been quoted as the virus found in 18 out of the 98 samples, facts and figures on the condition are displayed.

The American Health Department has confirmed the statement of our Health Ministry that the U.S. will be sending scientists to study the mysterious epidemic in Malaysia.

Apart from JE and Hendra news, the Director-General of Health

said that so far there were 33 deaths in the epidemic. Some reports show over 50. But the cause or causes remain mysterious.

The Government has taken some measures such as the killing of over 300,000 pigs in Negeri Sembilan, mass vaccination of people and pigs and fogging against JE carrriers, the Culex mosquitoes. Armed Forces and Police personnel have started to cull the pigs in Bukit Pelanduk, one of the worst hit areas.


Assistance for the affected pig farmers is important. The Government has announced a Fund to be collected from a lottery. How will the fund be effectively managed? Will it be of help to the pig farmers?

The press report that Hendra is one of the Paramyxoviruses that are RNA viruses. These are heterogeneous; they cause mumps, measles and respiratory infection. Many people have had mumps and measles. But, Hendra is rare. The vectors of Hendra include horses, cats, guinea pigs, bats and birds. Prevention is avoiding blood and excreta of infected animals.

Sure, the mass media have to inform the public on JE and Hendra. But the immediate task is to identify the cause or causes on which effective measures depend.

Dr Tan Seng Giaw

Statement by Dr Tan Seng Giaw, DAP National Vice-Chairman and MP for Kepong on the help of foreign experts to solve the so-called Japanese Encephalitis, JE, epidemic. 21 March 1999
 

 
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