Kenyataan Akhbar KPK 3 September 2016 – Kes Zika Jangkitan Tempatan Pertama di Malaysia

Kementerian Kesihatan Malaysia (KKM) telah menerima laporan satu kes jangkitan virus Zika tempatan yang pertama di Malaysia pada 2 September 2016. Pesakit ini ialah seorang lelaki berbangsa Dusun berusia 61 tahun menetap di Taman Public Jaya Likas, Sabah. Pesakit mula mengalami demam pada 27 Ogos 2016 dan mendapatkan rawatan pada kali pertama di Klinik Kesihatan Luyang pada 30 Ogos 2016. Pada 31 Ogos 2016, pesakit mengalami demam yang lebih teruk, sakit otot serta diarrhea, dan telah mendapatkan rawatan lanjut di Hospital Queen Elizabeth (HQE) 2.

Memandangkan pesakit juga mempunyai co-morbids iaitu menghidap penyakit tekanan darah tinggi, masalah pembuluh darah jantung, penyakit kronik buah pinggang, masalah batu karang dan penyakit gout, keadaan pesakit didapati agak serius ketika dirawat di Jabatan Kecemasan dan Trauma di hospital tersebut. Walau keputusan ujian dari Makmal Kesihatan Awam menunjukkan bahawa darah dan air kencing sampel pesakit didapati positif jangkitan Zika, namun keadaan pesakit yang agak serius kemungkinan bukan disebabkan oleh jangkitan Zika, tetapi disebabkan penyakit-penyakit lain yang dihidapi pesakit.

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KKM sedang menyiasat selanjutnya sejarah perjalanan pesakit dalam tempoh kebelakangan ini. Adalah didapati bahawa besar kemungkinan jangkitan Zika ini berpunca dari jangkitan tempatan (memandangkan pesakit tidak pernah ke luar negara dalam tempoh kebelakangan ini dan kemungkinan telah digigit oleh nyamuk Aedes yang dijangkiti Zika). Berdasarkan maklumat terkini penemuan siasatan itu, KKM telah memulakan aktiviti kawalan vektor di kawasan perumahan pesakit dan tempat-tempat lain yang telah dilawati pesakit. Aktiviti kawalan yang dijalankan termasuk menghapuskan tempat pembiakan Aedes, larvaciding dan pengkabutan. Di samping itu, kontak dan kenalan rapat kepada pesakit akan diperiksa sama ada mereka mempunyai demam atau gejala Zika lain.

Maklumat terkini yang diperolehi daripada Kementerian Kesihatan Singapura, menunjukkan pada keseluruhanya terdapat 11 rakyat Malaysia disahkan dijangkiti Zika virus. Sepuluh (10) daripadanya tinggal dan bekerja di Singapura manakala seorang lagi bekerja di Singapura tetapi menetap di Johor.

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Memandangkan virus Zika telah pun dikesan di negara ini, dijangkakan peningkatan kes Zika akan berlaku jika tindakan pencegahan tidak dilakukan oleh masyarakat dan semua pihak. Oleh itu, KKM sekali lagi ini menekankan bahawa kebersihan persekitaran tanpa tempat pembiakan Aedes, amalan mencari dan musnah tempat pembiakan Aedes setiap minggu oleh masyarakat dan melindungi diri dari gigitan nyamuk seperti penggunaan repelen adalah kaedah yang berkesan menghalang kejadian kes Zika. Tiada Aedes, tiada Zika dan Denggi .

 

DATUK DR NOOR HISHAM ABDULLAH

Ketua Pengarah Kesihatan Malaysia

3 September  2016

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PRESS STATEMENT DIRECTOR-GENERAL OF HEALTH MALAYSIA

 FIRST LOCAL ZIKA INFECTION IN MALAYSIA

3rd SEPTEMBER 2016

The Ministry of Health Malaysia (MOH) had received a report for the first local transmission case of Zika virus infection in the country on the 2nd September 2016. The patient is a 61 years old male Dusun residing in Taman Public Jaya Likas, Sabah. The patient developed fever on 27th August 2016 and sought medical attention for the first time in Luyang Health Clinic on the 30th August 2016. On 31st August 2016, the patient had sought further treatment at Queen Elizabeth Hospital (QEH) 2 when he experienced worsening fever, muscle aches and diarrhoea.

The patient also has other co-morbidities, whereby he is suffering from high blood pressure, coronary heart disease, chronic kidney disease, kidney stones and gout. Due to his multiple illnesses, the patient’s condition was quite serious when he was first seen in the Emergency and Trauma Department at the hospital. Although the test results from the Public Health Laboratory showed that the blood and urine samples of the patient were tested positive for Zika, his serious clinical condition is perhaps due to his existing comorbidities and not primarily due to the Zika infection.

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The MOH are investigating further the patient’s recent travelling history. It was found that this Zika infection is most likely from a local source of infection (as the patient did not have any recent travelling history abroad and was probably been bitten by Aedes mosquito infected with Zika). Based on the findings of the investigation, the MOH has immediately initiated vector control activities in residential areas and places that the patient had visited. The control activities that were carried out include eliminating Aedes breeding sites, larvaciding and fogging. In addition, close contacts to the patient will be examined to determine if they have fever or other symptoms of Zika.

The latest information obtained from the Ministry of Health in Singapore noted that there are 11 Malaysians confirmed to be infected with Zika virus. Ten (10) of whom live and work in Singapore, while one (1) person is working in Singapore but is residing in Johor.

Since the Zika virus has been detected in this country, Zika case is expected to increase further, especially if prevention activities for Aedes are not seriously taken up by the community, individuals and other relevant agencies. Therefore, the MOH once again emphasises that a clean environment free from Aedes breeding grounds, proactive search and destroy Aedes breeding sites conducted at least once weekly by the community, and self-protection from mosquito bites such as using repellent is an effective method of preventing the occurrence of Zika cases. No Aedes, no Zika and Dengue.

DATUK DR NOOR HISHAM ABDULLAH

Director-General of Health Malaysia

3rd September 2016

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