Chronic kidney disease taking a growing toll on Malaysia

Chronic kidney disease taking a growing toll on Malaysia
The prevalence of chronic kidney disease (CKD) in the South Asian country had jumped over the past seven years from 9 to 15 percent. (Shutterstock)
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Updated 31 December 2020

Chronic kidney disease taking a growing toll on Malaysia

Chronic kidney disease taking a growing toll on Malaysia
  • Low health literacy and lifestyle habits leading to surge in cases, experts say

KUALA LUMPUR: Kidney disease is on the rise in Malaysia, where at least 15 percent of the population are affected, with many unaware of their condition, officials and health experts have warned.

A recent study by Malaysia’s Ministry of Health showed that the prevalence of chronic kidney disease (CKD) in the South Asian country had jumped over the past seven years from 9 to 15 percent.

CKD is one of the main contributors to premature deaths worldwide.

“These patients do not have any symptoms at the early stage, and when a patient begins showing symptoms, often they are already at a more serious level,” Dr. Noor Hisham Abdullah, the ministry’s director general, warned as he revealed the statistics on Sunday.

The ministry’s deputy director for non-communicable disease, Dr. Feisul Idzwan, told Arab News on Wednesday that many patients with CKD fail to display symptoms during the early stages of the disease because the human kidney is highly adaptable and able to compensate for the loss of function.

“Signs and symptoms may not appear until irreversible damage has occurred,” he said, adding that the main causes responsible for two-thirds of CKD in Malaysia are diabetes and hypertension, as Malaysians often overlook annual screening for the two illnesses.

“The main causes of CKD in Malaysia are due to complications relating to diabetes and hypertension that are poorly controlled and monitored,” Dr. Idzwan said.

“Patients with a family history of kidney disease, abnormal kidney structure and older age are also susceptible to CKD, therefore it is important for these patients to undergo annual screening.”

The National Health Morbidity survey has shown an alarming increase of diabetes in Malaysia over the past decade — from 11.6 percent in 2006 to 15.2 percent in 2011 and 17.5 percent in 2015.

The prevalence of hypertension has risen to 30 percent, the survey showed.

Dr. Idzwan said that low health literacy and lifestyle habits such smoking and lack of physical activity are contributing to the problem.

“It is a combination of low health literacy and an obesogenic living environment. With low health literacy, patients do not have adequate knowledge to practice a healthy lifestyle and follow advice given by healthcare professionals. An obesogenic environment makes it difficult for patients to eat healthily and lead an active life.”

To start addressing the problem, the Nephrology Service of the Ministry of Health, with the help of the Malaysian Medical Tweet Association, the Malaysian Society of Nephrology, the National Kidney Foundation and Astra Zeneca on Sunday launched a website and social media campaign to raise awareness of kidney disease and reduce the incidence of kidney failure in the country.

“This website will be a one-stop center for the public and patients to obtain information related to the kidneys. I also understand that it will be expanded in the near future to cover various other aspects, such as pre-dialysis education and diabetes education,” Abdullah said.


Paphos summit: Israel will do ‘whatever it takes’ to stop Iran on nuclear front

Israeli, Emirati, Greek and Cypriot foreign ministry diplomats held meetings in Cyprus for two days starting from Friday. (Supplied/Greek MOFA)
Israeli, Emirati, Greek and Cypriot foreign ministry diplomats held meetings in Cyprus for two days starting from Friday. (Supplied/Greek MOFA)
Updated 16 April 2021

Paphos summit: Israel will do ‘whatever it takes’ to stop Iran on nuclear front

Israeli, Emirati, Greek and Cypriot foreign ministry diplomats held meetings in Cyprus for two days starting from Friday. (Supplied/Greek MOFA)
  • Ministers discuss economic and security issues, the coronavirus pandemic, and possible travel corridors

PAPHOS: Israel will do “whatever it takes” to ensure that Iran does not acquire nuclear weapons, foreign minister Gabi Ashkenazi said on Friday.

Speaking after a summit with his Greek and Cypriot counterparts and a senior representative from the UAE in Paphos, Cyprus, Ashkenazi said discussions centered around possibilities for building on prosperity and stability in the region.

“We also took time to discuss challenges that Iran and Hezbollah and other extremists pose to the stability of the Middle East and to the regional peace,” he said. “We will do whatever it takes to prevent this extremist ... success and definitely, to prevent this regime from having nuclear weapons.”

The Israeli, Emirati, Greek and Cypriot officials are holding meetings in Cyprus for two days from Friday.

Israel said the talks in Paphos on the island's west coast would be the first meeting of its kind involving the four nations, as part of efforts to advance regional strategic interests.

The ministers were also discussing economic and security issues, the coronavirus pandemic, and possible travel corridors to encourage tourism, Israel's foreign ministry said in a statement on Thursday.

Cyprus said the unprecedented four-way talks, lasting into Saturday, would “take advantage of the prospects opened” by "the recent normalization of relations between Israel and the United Arab Emirates.”

The UAE and Israel formalized ties last year, one of four deals the US brokered between Israel and Arab countries.

The talks also follow tensions between Turkey and its neighbours over gas exploration in the eastern Mediterranean.

The Cypriot ministry said the meetings would touch on the “pandemic and its effects, economic cooperation, energy (and) tourism,” among other issues, and aimed “to enhance peace, stability, and security in the wider region.”


Myanmar’s ousted MPs form new shadow government

Myanmar’s ousted MPs form new shadow government
Updated 16 April 2021

Myanmar’s ousted MPs form new shadow government

Myanmar’s ousted MPs form new shadow government
  • Helming the so-called ‘National Unity Government’ is Aung San Suu Kyi, in her position as State Counsellor, and President Win Myint — who is also under house arrest
  • The junta has said anyone working with the CRPH is committing ‘high treason,’ and have announced arrest warrants for hundreds of prominent activists and politicians

YANGON: A “parliament” working in hiding to oust Myanmar’s junta from power announced a new shadow government Friday, with deposed leader Aung San Suu Kyi at its helm alongside ethnic minority politicians.
The country has been in turmoil since the military detained Suu Kyi and seized power, triggering a massive uprising that the junta has sought to quell with lethal force.
Besides demanding for democracy’s return, protesters are also increasingly calling for more of a governing role for the country’s minority groups — which have long seen their voices marginalized by the ethnic Bamar majority.
The Committee Representing Pyidaungsu Hluttaw (CRPH) — a group of lawmakers mostly from Suu Kyi’s party attempting to govern underground via a shadow parliament — on Friday announced its leaders.
Helming the so-called “National Unity Government” is Suu Kyi, in her position as State Counsellor, and President Win Myint — who is also under house arrest and facing a barrage of charges from the junta.
They are flanked by a vice president who is ethnic Kachin and a prime minister who is ethnic Karen, said Min Ko Naing, a prominent democracy leader, in an address on the CRPH’s official Facebook page.
“We have organized a government which has the largest number of ethnic minority groups,” he said.
A list of appointed ministers also included prominent leaders from the Chin, Shanni, Mon, Karenni and Ta’ang ethnic groups.
The politicians were chosen based on results from the 2020 election, input from a nationwide anti-coup protest movement, and ethnic minority groups — including armed rebels in the country’s border territories, said Min Ko Naing.
“We have to pull it from the root... we must try to eradicate it,” he said, as he raised the three-finger salute — the symbol of resistance
“Only the people can decide the future.”
The junta has said anyone working with the CRPH is committing “high treason,” and have announced arrest warrants for hundreds of prominent activists and politicians — some of whom now hold positions in the new “National Unity Government.”
Myanmar has more than 130 official ethnic minority groups.
But the country’s political fate has long been tightly held by the Bamar majority — first under a nearly five-decade junta regime which forced a so-called “Bamarization” on minorities; and then under Suu Kyi’s administration.
Since the coup, more than 720 people have been killed in anti-coup unrest, according to the local monitoring group.


Pakistan appoints new finance minister in latest cabinet shake-up

Pakistan appoints new finance minister in latest cabinet shake-up
Updated 16 April 2021

Pakistan appoints new finance minister in latest cabinet shake-up

Pakistan appoints new finance minister in latest cabinet shake-up
  • Hammad Azhar, who was made finance minister less than a month ago, has now been replaced by Shaukat Tarin
  • Pakistan is currently working on national budget and on implementing economic reforms suggested by the IMF

ISLAMABAD: Pakistan's Prime Minister Imran Khan appointed a new finance minister on Friday, replacing Hammad Azhar, who received the portfolio less than a month ago.

Shaukat Tarin, the new appointee, is a banker who also served at the same position from 2009 to 2010 under the Pakistan Peoples Party administration of former prime minister Yousaf Raza Gilani.

The news was announced by the newly appointed information minister Chaudhry Fawad Hussain who shared the notification of the recent cabinet reshuffle in a Twitter post:

“Prime Minister Imran Khan has made changes in the cabinet, the details of these changes are attached.”

 

 

Azhar will now look after the Energy Ministry. He was given the additional portfolio of finance and revenue after Abdul Hafeez Shaikh was recently asked to step down last month over what the government described as rising inflation.

The change to the finance ministry comes at a time when the government is working on the annual budget which is likely to be presented in June. Pakistan's economic managers are also implementing structural reforms suggested by the International Monetary Fund to the country's economy.

Apart from the two cabinet changes, the prime minister also took the Economic Affairs Ministry from Makhdoom Khusro Bukhtiar and gave him the Ministry of Industries and Production.

Omar Ayub, who was previously supervising the Power and Petroleum Divisions, has now been tasked to take care of the Economic Affairs Ministry.

Senator Shibli Faraz has also been assigned the Ministry of Science and Technology which fell vacant when Chaudhry Fawad Hussain was appointed as federal minister for information and broadcasting.

“As info minister my task is to change misperceptions about Pak[istan] and highlight the vibrant effort of the Government,” Hussain wrote on Twitter.

 

 


Hong Kong media tycoon Jimmy Lai jailed for 12 months over huge democracy rally

Hong Kong media tycoon Jimmy Lai jailed for 12 months over huge democracy rally
Updated 16 April 2021

Hong Kong media tycoon Jimmy Lai jailed for 12 months over huge democracy rally

Hong Kong media tycoon Jimmy Lai jailed for 12 months over huge democracy rally
  • Jimmy Lai currently in custody after his arrest under Beijing’s sweeping national security law

HONG KONG: Hong Kong media tycoon Jimmy Lai was jailed for 12 months on Friday over one of the city’s biggest ever protests in 2019.
It is the first time the 73-year-old – who is currently in custody after his arrest under Beijing’s sweeping national security law – has received a sentence for his activism.


Police: 8 dead in shooting at FedEx facility in Indianapolis

Police: 8 dead in shooting at FedEx facility in Indianapolis
Updated 16 April 2021

Police: 8 dead in shooting at FedEx facility in Indianapolis

Police: 8 dead in shooting at FedEx facility in Indianapolis
  • The shooter wasn’t immediately identified
  • At least four were hospitalized, including one person with critical injures
INDIANAPOLIS: Eight people were shot and killed in a late-night shooting at a FedEx facility in Indianapolis, and the shooter has killed himself, police said.
Multiple other people were injured Thursday night when gunfire erupted at the facility near the Indianapolis International Airport, police spokesperson Genae Cook said.
At least four were hospitalized, including one person with critical injures. Another two people were treated and released at the scene, Cook said.
The shooter wasn’t immediately identified, and Cook said investigators were still in the process of conducting interviews and gathering information.
Police were called to reports of gunfire just after 11 p.m. and officers observed an active shooting scene, Cook said. The gunman later killed himself.
FedEx released a statement saying it is cooperating with authorities and working to get more information.
“We are aware of the tragic shooting at our FedEx Ground facility near the Indianapolis airport. Safety is our top priority, and our thoughts are with all those who are affected,” the statement said.
Family members gathered at a local hotel to await word on loved ones. Some said employees aren’t allowed to have their phones with them while working shifts at the facility, making it difficult to contact them, WTHR-TV reported.
Live video from news outlets at the scene showed crime scene tape in the parking lot outside the facility.
A witness who said he works at the facility told WISH-TV that he saw a man with a gun after hearing several gunshots.
“I saw a man with a submachine gun of some sort, an automatic rifle, and he was firing in the open,” Jeremiah Miller said.
Another man told WTTV that his niece was sitting in her car in the driver’s seat when the gunfire erupted, and she was wounded.
“She got shot on her left arm,” said Parminder Singh. “She’s fine, she’s in the hospital now.”
He said his niece did not know the shooter.