01/09/2016
THE FIRST ZIKA VIRUS CASE IN MALAYSIA 1ST SEPTEMBER 2016
On 29th of August 2016, the Ministry of Health Malaysia (MOH) has made an announcement advising those who have been to any country with reported cases of Zika and experiencing the symptoms of this infection are expected to come forward for a medical attention. Following this, the MOH have received report of a patient suspected with Zika virus infection on the 31st August, 2016. This patient is a 58 years-old woman residing in Bandar Botanic, Klang, Selangor and is the mother of a female confirmed with Zika infection in Singapore. The patient, together with her husband had visited their daughter in Singapore on 19th August 2016 and returned to Malaysia on 21st August 2016.
The patient started exhibiting symptom of rash on 28th August, and she sought medical attention at a private clinic in Klang on the 30th August 2016. As the patient had traveling history to Singapore and her daughter was confirmed to have Zika virus infection on 30th August 2016, the Private General Practitioner had diagnosed her as "suspected case of Zika". On the same day, the patient was refered to Sungai Buloh Hospital and the result of the urine PCR (Polymerase Chain Reaction) test on 31st August 2016 was found positive for Zika virus. However, the patient’s blood test result is still pending.
The source of infection is suspected to occur in Singapore since the patient had started experiencing signs of Zika infection on the same day with her daughter in Singapore. The patient's husband and family members who lived in the same house with her, has yet to show any symptoms of Zika infection. For the period from 21st - 28th August 2016 when the patient was returning from Singapore, she had visited several areas in the district of Klang and Kuala Lumpur.
Based on the findings from the investigation, the MOH has already started vector control activities in the residential area of the case and other places that the patient had visited. Control activities carried out include eliminating Aedes breeding sites, larvaciding and fogging. In addition, close contacts to the patient will be examined whether they have any fever or other Zika symptoms.
Information obtained from the Ministry of Health Singapore, revealed that there are 5 Malaysians residing and working in Singapore that has also been confirmed to be infected with Zika virus. For the period from 27th to 31st August 2016, there has been 115 confirmed Zika cases reported in Singapore. Due to the rapid spread of Zika virus infection, Aedes monitoring and preventive activities are continuously performed and intensified in all states, especially in the state of Johor and Selangor.
Malaysians, must focus on cleaning the Aedes breeding places, protect themselves from Aedes mosquito bites and seek early medical attention if they have signs such as fever, rash and conjunctivitis. From the first reported case of Zika, we can conclude that it is rather easy to get infected by the virus when visiting places that has outbreak, including Singapore. The MOH once again call upon any individuals whom had visited countries that reported Zika infection, to come forward to seek immediate medical attention if they are experiencing any symptom as mentioned above. Proactive action from the community can help stop the spread of Zika virus in Malaysia. No Aedes: No Zika, Dengue and Chikungunya.
KENYATAAN AKHBAR
MENTERI KESIHATAN MALAYSIA
KES VIRUS ZIKA PERTAMA DI MALAYSIA 1 SEPTEMBER 2016
Pada 29 Ogos 2016, Kementerian Kesihatan Malaysia (KKM) telah membuat pengumuman agar pelawat yang telah menziarahi negara-negara yang melaporkan kes Zika dan mengalami simptom jangkitan ini untuk tampil membuat pemeriksaan lanjut. Berikutan daripada itu, KKM telah menerima laporan satu kes yang disyaki dijangkiti virus Zika pada 31 Ogos 2016. Pesakit merupakan seorang wanita berumur 58 tahun yang menetap di Bandar Botanic, Klang, Selangor dan merupakan ibu kepada pesakit yang disahkan dijangkiti Zika di Singapura. Pesakit bersama suaminya telah melawat anaknya di Singapura pada 19 Ogos 2016 dan pulang ke Malaysia pada 21 Ogos 2016.
Pesakit mula mendapat gejala ruam pada 28 Ogos dan pada 30 Ogos 2016, pesakit telah mendapatkan rawatan di sebuah klinik swasta di Klang. Memandangkan pesakit mempunyai sejarah melawat ke Singapura dan anak perempuannya yang berada di negara tersebut telah disahkan dijangkiti virus Zika pada 30 Ogos 2016, maka Pengamal Perubatan swasta berkenaan telah mendiagnosa pesakit sebagai “disyaki kes Zika”. Pada hari yang sama pesakit dirujuk ke Hospital Sungai Buloh dan hasil pemeriksaan ujian kencing pesakit untuk PCR pada 31 Ogos 2016, adalah positif untuk Zika virus. Manakala ujian darah pesakit masih menunggu keputusan.
Punca jangkitan disyaki berlaku di Singapura yang mana hari pesakit mula mengalami tanda-tanda Zika adalah sama hari dengan anaknya mula sakit di Singapura. Suami pesakit dan ahli keluarga yang tinggal serumah bersamanya, sehingga kini masih belum menunjukkan simptom jangkitan Zika. Bagi tempoh 21 hingga 28 Ogos iaitu sekembalinya pesakit dari Singapura, pesakit telah melawati beberapa kawasan di daerah Klang dan Kuala Lumpur.
Hasil siasatan kes ini, KKM telah pun memulakan kawalan vektor di kawasan kediaman kes dan tempat-tempat yang telah di lawati oleh pesakit. Aktiviti kawalan yang dilaksanakan termasuk, menghapuskan tempat pembiakan Aedes, larvaciding dan semburan kabus. Di samping itu, kontak terdekat pesakit diperiksa dan dipantau sama ada mereka mengalami demam atau simptom Zika yang lain.
Maklumat yang diperolehi daripada Kementerian Kesihatan Singapura, terdapat 5 rakyat Malaysia yang menetap dan bekerja di Singapura juga disahkan dijangkiti virus Zika. Bagi tempoh 27 sehingga 31 Ogos 2016, telah terdapat 115 kes dilaporkan di Singapura. Oleh kerana perebakan jangkitan virus Zika adalah cepat, pemantauan dan aktiviti pencegahan Aedes di teruskan serta tingkatkan di semua negeri terutama negeri Johor dan Selangor.
Rakyat Malaysia, perlu fokus kepada membersihkan tempat-tempat pembiakan Aedes, melindungi diri mereka dari gigitan nyamuk Aedes dan mendapatkan pemeriksaan awal sekiranya terdapat tanda-tanda seperti demam, ruam dan conjunctivitis. Kes pertama Zika yang dilaporkan ini, menunjukkan bahawa mudah untuk dijangkiti virus ini dengan melawat tempat yang mengalami wabak seperti Singapura. KKM sekali lagi menyeru kepada mana-mana individu yang telah melawat negara yang mempunyai jangkitan Zika, untuk tampil membuat pemeriksaan segera apabila mereka mengalami simptom seperti di atas. Tindakan proaktif masyarakat dapat menghentikan sebaran virus Zika di Malaysia. Tiada Aedes: Tiada Zika, Denggi dan Chikungunya.
YB DATUK SERI DR. S.SUBRAMANIAM
MINISTER OF HEALTH MALAYSIA
1st September 2016
