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  • More Foreigners Contribute To Higher TB Incidence In Singapore

    More Foreigners Contribute To Higher TB Incidence In Singapore

    A greying population and a rise in the number of foreigners have contributed to an increase in the incidence of tuberculosis (TB) in Singapore since 2008, a study led by researchers from the National University of Singapore (NUS) has found.

    The incidence rate of TB — the number of new cases per population at risk, at a given time — had been on a downward trend in Singapore since 1998, even hitting a historic low of 35.1 cases per 100,000 people in 2007. But the number began to climb to around 39 cases per 100,000 people from 2008.

    In their study, which was published in BioMed Central Public Health journal in October, the NUS researchers looked at more than 40,000 TB cases reported to the Singapore Tuberculosis Elimination Programme (STEP) registry between 1995 and 2011. They found that the higher incidence of the infectious respiratory disease among the elderly partly accounted for the increase in incidence of TB among Singapore residents; the resident elderly population here in 2011 was almost double its population in 1995.

    The researchers also found that another contributor to the overall burden of TB here came from the growing non-resident population, who were found to have higher TB incidence rates than residents. Since around 2005, the liberalisation of Singapore’s immigration policy saw a marked increase in the foreign population here, noted the study.

    “As you grow older, you also have conditions that weaken your immune system, and it’s the immune system that controls the tuberculosis bacteria,” said Dr Hsu Li Yang of the Saw Swee Hock School of Public Health at NUS, who led the study.

    His colleague, Assistant Professor Alex Cook, said that though STEP — a programme started in 1997 under which a nurse or doctor supervises patients with their daily medication, while their relatives, friends and colleagues are screened — managed to better control the disease over the years, the effects of an ageing population remained bigger than the results of STEP efforts.

    That is why the researchers noted that since 1995, the incidence rates of TB have been decreasing when compared across different age groups. This means that a 65-year-old in 2011 had a lower chance of getting TB as compared with an individual of the same age in 1995, for instance.

    Meanwhile, the proportion of TB cases involving non-residents increased from 25.5 per cent in 1995 to 28.9 per cent in 2004 and 47.7 per cent in 2011.

    “An increasing trend of non-resident TB cases contributing to the overall proportion of TB cases over the years could suggest that mass immigration from high TB incidence countries is increasingly contributing to the burden of TB in recent years in Singapore,” noted the study, which cited India and China as some of the countries of origin of these non-residents.

    But while non-resident TB cases contributed to the overall TB rates here, the researchers did not find a direct link between the increase in the foreign population and the risk of TB among local residents.

    With these findings, Dr Hsu noted that doctors in Singapore would have to be more aware of potential tuberculosis cases among the elderly. Already, foreign workers entering Singapore are undergoing stricter checks for TB, with their X-rays sent to the STEP registry, he added.

    The World Health Organization (WHO) estimated that nine million people developed TB and 1.5 million died from the disease last year. Singapore sits within a region that accounts for 29 per cent of the global TB incidence. Though TB is slowly declining each year and it is estimated that 37 million lives were saved between 2000 and last year through effective diagnosis and treatment, the WHO noted that the death toll was still unacceptably high, given that most deaths from TB are preventable.

     

    Source: www.todayonline.com

  • Shortage Of Fish And Vegetables Due To Monsoon In Malaysia Results In Price Hike In Singapore

    Shortage Of Fish And Vegetables Due To Monsoon In Malaysia Results In Price Hike In Singapore

    The monsoon season in Malaysia has led to a shortage of fish and vegetables, and the repercussions are being felt in Singapore.

    Vendors in local markets said that the shortage of fish from Malaysia has led to an increase in prices – from an average of S$4 per kilogramme to S$7 per kilogramme.

    Fish seller Leung Teng Foo said: “The supply has decreased by 30 per cent in the past few days. Fewer fishermen are heading out to fish due to strong winds and heavy rain. So there are fewer fish.”

    The vendors believe that the Malaysian government is worried that it might not be able to meet the domestic demand for fish and is cutting down on fish exports.

    Vegetables are also affected. Said vegetables seller Annie Woo: “Heavy rains would cause vegetables to rot. We don’t sell rotten vegetables in Singapore. Nobody wants to buy them.” To meet the shortage, vegetable sellers are selling more produce from China, Hong Kong and Taiwan.

    However, vegetables from Malaysia seem to have greater appeal among consumers. “Vegetables from Malaysia are cheaper,” said a consumer. “I am used to eating vegetables from Malaysia. So I tend to buy vegetables from Malaysia,” said another.

    But the impact of the shortage has been softened by a drop in demand, due to the holiday season when many Singaporeans travel overseas. This has helped to dampen the rise in food prices.

     

    Source: www.channelnewsasia.com

  • Zaid Ibrahim: Malaysian Malays Must Stop Voting Among Race Or Religious Lines To Improve Government

    Zaid Ibrahim: Malaysian Malays Must Stop Voting Among Race Or Religious Lines To Improve Government

    KUALA LUMPUR — Malays can be strong, but they must stop voting along race or religious lines and instead choose a political party that will improve the government, former de facto law minister Datuk Zaid Ibrahim said today (Dec 21).

    The Malay community could not work in isolation and needed other races for it to strengthen itself, Mr Zaid said in a rebuttal to Dr Mahathir Mohamad’s claim that Malay political power was weak that they had to “beg” from other races to win support.

    “If they can make that quantum leap and embrace a political party which will make the government better, instead of choosing the defender of race and religion, that will further their cause.

    “They must be willing to abandon the comfort of their own race or religious-based political party. That will mark a new beginning for us all,” said Mr Zaid in a post on his blog today.

    He added that Malays would only weaken themselves if they took the cue from their leaders and pitted themselves against the rest of Malaysian society. The notion that Malays could be stronger without the other races “is the idea of UMNO”, he added.

    “A nation’s progress is predicated on unity of purpose and optimising its people’s collective strength. This means that excluding non-Malays from the national agenda – as is practised today – actually weakens the Malays more than the non-Malays.

    “Superficially, the Malays may be seen as the ones in control, but the reality is far different. The decision-makers who frame national policies may be Malays but they do not have the financial and economic tools to empower other Malays to succeed on their own.

    “Consequently, future economic conditions will have to depend on Chinese money and human capital for it to be sustainable. If this analysis is proven correct, the only way the Malays can succeed is to collaborate and remain united with the rest of the Malaysian community.”

    Yesterday, Dr Mahathir said Malay political parties had turned the Malay community into beggars to the Chinese, as they had to woo the non-Malays to secure enough support to win elections.

    Dr Mahathir also claimed the divisions in the Malay community were to blame for its lagging economic performance.

    He said the country’s aim to become a developed nation by 2020 would bring little benefit to the Malays because of their weakness and disunity.

    However, Mr Zaid said today that the Malays’ economic performance depended on how united they were with other Malaysians, and not just among themselves.

    “There is no evidence to suggest that people of the same group or ethnicity can ever be united and strong just by being on their own.

    “They will just end up being insular and paranoid. In fact, there are many examples of communities growing stronger when they are united by diversity and a common purpose.”

    He added that the situation in Malaysia could change if the moderates, especially the Malays, became more assertive and not allow right-wing groups, such as Isma and Perkasa, dominate the limelight most of the time.

    “They must not expect that authoritarian rule to disappear without sacrifice and courage. Freedom, like breakfast, has a price.

    “Indonesians have paid that price for democracy with their lives, the least we can do is to be prepared to be hauled up to police lock-ups once in a while.”

    But he conceded that this was “easier said than done”, as Malays in business and in the government were hesitant to speak out and risk destroying their livelihood.

    Soon after Dr Mahathir’s remarks yesterday, Mr Zaid has also tweeted a response: “Tun, Malays are supporting DAP because UMNO is no longer relevant and PAS more suited in Baluchistan”. THE MALAYSIAN INSIDER

     

    Source: www.todayonline.com

  • Malays In Singapore Are Most Unhealthy

    Malays In Singapore Are Most Unhealthy

    According to the latest statistics released by the national disease registry, Malays in Singapore are the most unhealthy in terms of the rates of illnesses such as diabetes, kidney failure, heart attacks and strokes.

    Malays make up only 13.5% of Singapore’s total population but they account for 24.4% of all patients receiving dialysis.

    Dialysis is one of two possible treatments for end-stage kidney disease. The other option is transplant. The total proportion of Malays who have undergone kidney transplants also increased from 8.5% in 2003 to 10.1% last year as well.

    The rates of stroke was also higher in Malays with men up to 1.5 time more likely to suffer a stroke than their Chinese counterparts. This is based on age-standardised statistics.

    Malays also have the highest rate of heart attacks of all the races and this was attributed to generally higher cholesterol and hypertension rates.

    Another contributing factor was that Malays tend to be less aware of their own conditions compared with other races meaning that more people get to dire stages without regulating their diets and exercise regimes.

    While Malays were found to have higher rates of heart and kidney problems, Chinese patients generally had higher rates of cancer.

    Some contributory factors to health problems include lifestyle factors such as lack of exercise, smoking and too much fatty or salty food.

    The government is also aware of the problem and Speaker of Parliament Halimah Yaacob has also explained that community groups and mosques have been organising health promotion activities but more still needs to be done.

     

    Source: www.straitstimes.com

  • When Children Become Targets Of Terrorists

    When Children Become Targets Of Terrorists

    Last week, Taleban terrorists stormed an army-run school in Peshawar, Pakistan, killing at least 132 children and committing one of the deadliest attacks against children in recent years.

    The incident adds to a decade of terrorist activities which are becoming more cold-blooded and wanton than ever before and are particularly targeted at children, say historians and criminology experts.

    These innocent lives, they say, are regarded by every culture as worth protecting, which makes them the prime targets of modern-era terrorists who are out to make the most impact possible with their acts of violence.

    “Terrorists are looking for something of value that they can strike… targeting children is something that really hurts,” said Professor Emerita of History Anna Geifman of Boston University, who is also senior researcher at the political studies department at Bar Ilan University in Israel.

    “Terrorists want to show that they are willing to do anything so… we should take them seriously,” added Professor Laura Dugan from the Department of Criminology and Criminal Justice at the University of Maryland.

    Previously, terrorists “had their own code of how to behave”, said criminal justice administration professor Gus Martin of California State University.

    American terrorists, he said, would plant bombs and dial ahead so buildings could be evacuated, or Pakistani hijackers would free captives before blowing up the plane.

    But that morality began to shift in the 1990s, especially with the appearance of groups like Al-Qaeda; and on Sept 11, “a new era had dawned”, said Prof Martin.

    “Now the moral compass has completely changed – many of these groups have no hesitation in killing as many as possible.”

    Prof Geifman, who has written a book on terrorism called Death Orders, added that after the 9/11 attacks, terrorists had to look for the next “sensational and impressive” act of violence, and that was when they turned to children.

    One of the most notorious acts of terrorism targeted at children was the school attack and hostage-taking in Beslan, Russia in 2004.

    Rebels took over the school for three days and held 1,200 students, teachers and parents hostage in the school gym. They turned it into a death camp, denying children food and water.

    Many died when a bomb was detonated in the building, while others were shot by the rebels as they tried to escape.

    According to reports, more than 700 were wounded and more than 300 died – 186 of them children.

    Prof Dugan said attacks on educational institutions “started increasing dramatically” that year. And in the years after, it “becomes clear that schools that are targeted have young children attending them”.

    The proliferation of child victims could also have to do with terrorist groups copying each other, said experts. Prof Dugan said such trends have emerged before: “Suicide attacks have spread across groups since the early 1980s… another example is airline hijacking in the late 1960s and early 1970s.”

    In the case of Boko Haram, the terrorist group that kidnapped nearly 300 girls in Nigeria in April – and another batch of at least 185 a week ago – the attacks are a statement against Western education and the education of women. It believes that women should be at home raising children and looking after their husbands instead of getting educated.

    Some of these women are “kidnapped and sold into slavery”, said Prof Martin.

    Another explanation for targeting children is to make a “counterculture” statement, said Prof Geifman.

    “Whatever is precious in the other culture, they will try to negate and destroy.”

    She said that many terrorist groups, including the Islamic State in Iraq and Syria (ISIS) and Al-Qaeda, have a culture of revering death, whereas society in general “chooses life”.

    When they kill children, “they destroy the most precious symbol of life because there is nothing more alive than a child”.

    Many of these groups also believe killing these children is done with the blessing of their god.

    Said Prof Martin: “They feel if they do god’s work they will be clean and god favours this type of behaviour.”

    While governments work to stop these acts of terror, the man in the street also has a responsibility to stand up to such acts, said experts. Prof Geifman believes that while children are the immediate targets, ultimately the terrorist group is signalling to the public at large that the group should be feared.

    “We are the real targets,” said Prof Geifman. “The terrorists are talking to us.”

    But instead of avoiding school or work after an attack, life should go on, she urged.

    “They want to see every one of us act as a hostage… We should do the opposite and not succumb to fear.”

     

    Source: www.straitstimes.com

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