Do not blame the doctor for dengue

Published: 30 Jan 2015

 

 

The Federation of Private Medical Practitioners’ Associations, Malaysia (FPMPAM) would like to issue the following comments in response to the comments from the Malaysian heath minister on Jan 28, 2015 that private doctors fail to detect symptoms of dengue early.

Our members in general practitioner (GP) and family clinics have noted increasing number of dengue cases presenting with differing clinical patterns since the year 2000. Our doctors have been on unrelenting high alert for dengue cases since the year 2000.

It should be clearly stated that existing commercially available test kits cannot confirm the diagnosis of dengue in the early stages of the disease. What is most important is a high index of suspicion for all cases and the proper use of the test at the appropriate time.

This decision is best left to the attending doctor, to advise on adequate fluid consumption, monitor the patient regularly for danger signs and to refer problematic cases with potential complications to hospitals for further management. This has been the standard operating procedure recommended by the Health Ministry.

It is thus not correct that private primary care doctors cannot diagnose dengue in more than 99 percent of cases as was reported.

The alternative is to direct private doctors to send all cases of clinically suspected dengue i.e., virtually all cases with febrile illness to the public hospitals for further screening and management. This will mean crippling the already overloaded hospital facilities.

The majority of dengue cases do not need hospital care. We would like to emphasise that our private GPs are adequately trained and equipped to diagnose and manage such cases of dengue and should be appreciated for their effort to manage this disease at the primary care level.

DR STEVEN CHOW is president of the Federation of Private Medical Practitioners’ Associations, Malaysia (FPMPAM).

 

 

Originally published in malaysiakini.com
http://www.malaysiakini.com/letters/287855

 

Go Back

Announcements

15 April 2018
Medico-Legal Forum on "Medical Manslaughter - Aftershocks from Bawa Garba 2018".
Flyer >>

8 Mar 2018
Specialist Medical Practitioners Continuing Professional Development (CPD) Policies and Guidelines
Read >>

21 Sep 2015
3 Ways to Let Your Doctor Know, You Care
Read >>

8 Sep 2015
MedicAlert®
Flyer >>

20 Aug 2015
5 Things You Did Not Know About Doctors’ Day
Read >>

2 April 2015
List of zero-rated drugs under GST
Download >>

3 March 2015

Draft Letter for Pengecualian dari pendaftaran GST
Download >>


Recent Events

Date: 25 Nov 2017
Insight Into Clinical Radiology
Details

 

Date: 8 Oct 2017
Doctors' Day Celebration 2017
Details

 

Date: 16 & 17 Sep 2017
1st FPMPAM/IPH Annual Scientific Convention
Announcement || Souvenir Programme

 

Date: 24 - 26 Aug 2017
Kuala Lumpur International Forum on Quality and Safety in Healthcare 2017
Website

 

Date: 8 & 9 Sep 2017
Nursing Conference 7.0 / Training Course for Clinic Personnel 9.0
Full details || Report

Date: 21-23 July 2017
10th ASEAN & 7th Perak Health Conference on Primary Health Care
Announcement

 

Date: 7 May 2017
Management of UTI in Primary Care Setting
Announcement

Date: 9 Oct 2016
Doctors' Day 2016
Registration Form | Sponsorship Form

10-12 Nov 2016
2nd FPMPAM Sabah Medical Camp
Venue: Sabah
More >>

8 Nov 2015
Resolution In Medico-Legal Disputes
Venue: Kuala Lumpur Regional Centre for Arbitration (KLRCA)
More >>

 

10 Oct 2015
Doctors' Day
Venue: Bayview Beach Hotel, Batu Ferringhi, Penang
More >>

 

30 July 2015
Mediation of Medico-Legal Disputes: Is It A Viable Alternative?
Venue: Kuala Lumpur Regional Centre for Arbitration (KLRCA)
More >>

10 Oct 2014
Doctor's Day
Details >>.


8 May 2014
Citizen’s Action in Response to Emergencies (CARE) Interview with RTM
On 8 May, Dr Steven Chow and CARE trainers from our partner St John’s Ambulance, Malaysia (SJAM) presented to RTM on the importance of AEDs for saving lives in the event of a cardiac arrest. Continue >>

 

Latest Newsletter


go to newsletter section

 

Latest newsletter of Perak Medical Practitioners' Society
Click here >>

 

 

Resources / Links

Specialist Medical Practitioners Continuing Professional Development (CPD) Policies and Guidelines
Read >>

 

Joint Integrated Healthcare Committee (JIHC) Term Sheet
Click here >>

 

Joint Integrated Healthcare Committee (JIHC) Terms of Reference
Click here >>

 

National Pharmaceutical Regulatory Agency
Click here >>

 

NPRA: Reporting medicinal problems
Click here >>

 

Makluman Kontraindikasi Penggunaan Ubat Yang Mengandungi Codeine Untuk Kanak-Kanak Beumur Bawah 12 Tahun Dan Ibu Yang Menyusu Susulan Risiko Respiratory Depression
Click here >>

 

Peringatan: Langkah-Langkah Pengurangan Risiko Bagi Kesan Advers Kulit Tang Serius Susulan Penggunaan Allopurinol
Click here >>

 

VALPROATE
Guide for HCP >>
Patient Information >>
Sodium Valproate (Guide for HCP) >>

 

NDST REport 2011
Click here >>

 

Garis Panduan Pemantauan Keselamatan Produk ESAs dan Pelaporan Kesan Advers PRCA
Click here >>

 

Report On Suspected Adverse Drug Reactions
Click here >>

 

MADRAC KE 146 - Traditional Medicine found Adulterated
Read >>

BPFK website: Cancellation of Registered Traditional Products / Notified Cosmetics
Read >>


Pharmacy Services Division: List of Adulterated Products
Read >>

 

Pharmacy Services Division: Press Releases
Read >>