It gives me a great pleasure and honour to attend the official ceremony of the TransBorneo Wound Congress 2014. I am proud that the organiser have managed once again to organise an Asia Pacific congress with participants from more than 20 countries.
Healthcare system in this country shall be driven by quality of care, in line with the Prime Minister’s vision (@NajibRazak); high performance but low cost with high satisfaction rate. The vision transcends across various sectors at microlevel including in the management of wound. One of the pillars in healthcare transformation is to encourage better integration including between primary and secondary care. Primary and community health shall be empowered in delivering patient care including in the management of wound. Some of complex, chronic conditions that require long term care shall be given back to the community to manage.
Wounds are a major problem in Malaysia and they encompass diabetic foot ulcers, venous and arterial ulcers, pressure injury and so on and so forth. These patients have debilitating diseases and the chronic wounds cause them to suffer psychologically and subsequently, reduce quality of life.
Diabetes is becoming epidemic with 20% of the population above 18 years of age suffering from this multi-organ disease (NHMS III). Diabetic foot complications are also rising and 25% of diabetics would develop these complications. Approximately 4.3 to 5% of these cases will undergo amputation. Therefore, it is crucial to prevent diabetic foot complication. Armstrong et. al. 1998 has shown that up to 85% of this complication is preventable. Undoubtedly, this problem is a serious burden to the healthcare system.
In this congress, I have the honour of launching the wound care magazine “Heal Digest” and the Maggot Debridement Therapy – A Malaysian Experience book. Maggots debridement therapy has become a proven modality in wound management. The Wound Care Unit, Hospital Kuala Lumpur uses maggots produced by the Institute for Medical Research to treat many conditions including diabetics ulcers.
Well done to the Malaysian Society of Wound Care Professionals…