Health

A preventable cancer keeps spreading

Colorectal cancer patients are getting younger

From left: Dr Ida Normiha Hilmi, gastroenterologist and hepatologist of the Universiti Malaya Medical Centre, Dr Raman Muthukaruppan Chettiar, president of the Malaysian Society of Gastroenterology and Hepatology, and Dr Raja Affendi Raja Ali, dean and professor of medicine at Sunway University. –
Picture courtesy of Sri Pelancongan Sabah.

Gastroenterologists (specialists in digestive diseases) may differ on diagnosis and treatment of many digestive and liver disorders. But they are agreed that colorectal or colon cancer is the most preventable, treatable and beatable cancer. And this has become their mantra. But who is listening? Colon cancer has unwittingly become the second most prevalent cancer after breast cancer in Sabah. What is worrying is that patients are getting younger. Many of them are in their 30s or even younger. Four-fifths of them turn up in later stages of the disease, according to Dr Raman Muthukaruppan, president of the Malaysian Society of Gastroenterology and Hepatology. And this has sent doctors searching for answers.

Continue reading “A preventable cancer keeps spreading”
Health

A Duchenne dilemma

Malaysian sufferers of a deadly muscle-wasting disease are denied the latest drugs

From left, Dr.Heng Hock Sin, Consultant Paediatric Neurologist at Sabah Women and Children’s Hospital, Murad Abdul Rashid, Deputy Senior Assistant Secretary General of the Integrity And Special Task Office (KePKAS), and Catherine Jayasuriya, founder and executive director of Coalition Duchenne with Rayce Low Rok Chun, a 12-year-old Duchene patient from Kuala Lumpur

There is still no cure for a fatal but rare muscle wasting disease named after a 19th century French neurologist that affects about 300,000 boys worldwide. About 3,000 Duchenne muscular dystrophy patients are in Malaysia and as many as 300 of them are in Sabah. But new drugs developed in the last six years that hold promise of a cure have been denied them because of their prohibitive costs. Ironically, it is a Sabah woman, whose son suffers from Duchenne, who has contributed significantly to the development of the first three exon skipping drugs ever to have been approved by the American Food and Drug Administration to treat the deadly disease. More recently, the FDA has approved the first gene therapy which doctors say may be close to a cure for Duchenne. But none of the Malaysian patients, particularly those in Sabah, can avail themselves to these. A year’s treatment with Amondys 45 (casimersen), an exon skipping drug, can cost as much as RM6.5m ($1.5m) while a one-time gene therapy with Elevidys (Delandistrogene moxeparvovec) costs RM14.2m, making it one of the most expensive drugs in the world.

Continue reading “A Duchenne dilemma”
Health

A not so rosy picture of cancer care

Prohibitive costs deny patients of the best treatment

Dr Ros Suzanna Ahmad Bustaman

The mention of cancer invariably conjures up a death sentence. It is Sabah’s fourth leading cause of death. Every year about 1,200 people die of it while about 1,400 new cases are reported. Oncologists (cancer specialists) however say many of these deaths could have been prevented as many cancers are treatable, if not curable, if only they were discovered early. And the latest drugs and state-of-the-art equipment can help patients with advance stage of the disease survive. Top health officials tried hard last month in Kota Kinabalu to paint a rosy picture of Sabah’s cancer care at the 34th Annual Scientific Congress of the Malaysian Oncological Society (Ascomos). Reality however speaks otherwise.

Continue reading “A not so rosy picture of cancer care”

Health

A stroke of solemn awareness of a silent killer

Talk on Malaysia’s second leading cause of death touches a raw nerve

Christina Liew (in yellow): a growing awareness of a silent killer

Stroke is Malaysia’s second leading cause of death behind heart disease. There are 40,000 new victims every year. About 14,000 of them, slightly more than one-third, died. Such is the solemn and frightening picture painted by Christina Liew, Sabah’s tourism, culture and environment minister, at a Stroke Awareness Talk in Kota Kinabalu on Oct 21 to mark World Stroke Day.

Continue reading “A stroke of solemn awareness of a silent killer”

Health

Rising dementia patients frustrate doctors in Sabah

Although there is no cure for the disease, health experts say its early detection can help patients live better

Dr Gordon Pang
Dr Gordon Pang

One in five elderly patients suffer from dementia in Sabah, according to doctors who are familiar with the disease. More than three-quarters of them have Alzheimer’s that robs them of their memory and ability to take care of themselves. And the number is rising.

Continue reading “Rising dementia patients frustrate doctors in Sabah”