- 2 days ago
Malaysia menyaksikan peningkatan membimbangkan kes denggi pada tahun 2026, dengan jumlah kes meningkat sekitar 20.7 peratus berbanding tahun lalu. Pada masa sama, kes Chikungunya turut mencatat lonjakan ketara, manakala perubahan dominasi virus serotip DENV-3 menimbulkan kebimbangan terhadap risiko jangkitan yang lebih meluas.
Category
🗞
NewsTranscript
00:25Sari kata oleh SDI Media
00:30Perubahan dominasi virus serotip DENV3 menimbulkan kebimbangan terhadap risiko jangkitan yang lebih meluas
00:35Dalam menghadapi situasi ini, Kementerian Kesehatan memperkenalkan pendekatan baharu menurusi komuniti bebas denggi ataupun singkatannya COMBAT
00:43yang menekankan perubahan tingkah laku masyarakat selain memperkukuh pendekatan One Health bagi menangani ancaman malaria zoonotik
00:50Persoalannya kenapa kes terus meningkat walaupun pelbagai kempen telah dijalankan
00:54Adakah Malaysia kini memasuki fasa baru dalam pengurusan penyakit bawaan vektor?
00:59Untuk kita faham berlanjut, kita bersama dengan tetamu kita di studio iaitu Dr. Tanusha Krishnan
01:03Pakar Perubatan Dalaman daripada Hospital Pakar KPJ Damansara II
01:08Selamat pagi, Doktor
01:09Selamat pagi, salam sejahtera, Kabir
01:11Selamat pagi, welcome untuk awal di pagi
01:12Today kita bincangkan tentang the rising concern of cases of denggi in Malaysia
01:18Mungkin untuk kita mulakan, doktor boleh terangkan dulu, doktor sebagai pakar dalaman
01:23Bagaimana doktor, sebagai doktor memainkan peranan dalam memerangi dan juga membantu mengubati mereka yang terkena dengan penyakit denggi ini
01:33Okay, sebagai pakar perubatan dalaman, I'm an internal medicine specialist
01:38In other words, so I actually tackle degi when patients sebenarnya masuk ke ward
01:43And that is where my role starts
01:45But for everyone to understand, it doesn't start from there
01:50We are not talking about now ways to, macam masa kecemasan baru nak prevent, nak fikir pasal nak prevent
01:59So we have to already sort of block this at the community level
02:05So my role comes much later in the hospital and the patient becomes ill, that's a bit late
02:10Not too late, I'm there to treat, we are all there to treat, all physicians are there to treat
02:15But macam mana nak memerangi starts from the community level
02:20So I think Ministry of Health has come up with multiple strategies
02:24Yang paling terkini ialah combat ni
02:28Whereby we are trying to make the community to understand that
02:34There must be a human behavioural change, perubahan tingkal laku terhadap
02:41To prevent denggi from getting worse
02:46So, atau untuk kurangkan populasi edis, aegypti and albopictus
02:54So, when you say we have to become a community that is a holistic approach to avoid denggi cases
03:02Right now we are seeing an increase of 20.7% increase from last year
03:07Yes
03:08Why? Because, you know, denggi has been in Malaysia for a long time
03:13We know that nyamuk edis is a danger to the community
03:16We know that air takungan is dangerous because we cannot leave the edis nyamuk untuk bertelur di situ
03:24Tapi, still increase cases
03:27Kenapa community? Adakah apa yang tak berubah?
03:29Okay, so I think the government's approach in the past was just creating awareness
03:37That's the difference
03:38What's the difference between combat, the strategy now and the strategy in the past
03:42Is that in the past, I think more focus was given on just creating awareness over years
03:47And a lot of actions was taken to
03:51Masa ada kes denggi naik, then there's a lot of fogging
03:55There's a lot of, you know
03:56Itu is actions taken langkah-langkah yang telah diambil untuk handle the acute problem
04:04But I think now, the difference in the strategy is to make it a day-to-day habit
04:09To create this habit
04:12In a simple example, like you don't forget to brush your teeth every day
04:17Don't forget to bathe every day
04:18So now, the idea with combat is
04:21You have to change your behavioural pattern from just having awareness to taking action
04:26And how do you take this action?
04:28Macam mana ambil langkah-langkah tertentu macam ni
04:30Is example kan
04:32We want to interfere with the life cycle of the vector
04:36So for that, what we can do as a responsible citizen day-to-day
04:41Is just doing the simple measures of watching out for stagnated waters and all that
04:49But if, let's say everybody's busy
04:50Now we're running a very busy lifestyle
04:52Once a week pun cukup
04:53So you take an action to actually clean your housing area
04:59Your own responsible areas
05:00Your space, your work space, your home space
05:03Surrounding your home
05:05Maybe areas surrounding your plot of land
05:08Whatever kan
05:10You take that action to abort the vector life cycle
05:15So what you do, you clean up, you throw away stagnated waters
05:19You clean up the roof gutters
05:21You do all this
05:22So that action, even once a week
05:25Is going to interfere with the life cycle of the vector
05:27Which is 7 to 10 days
05:29That it takes from the telur tu
05:32To jadi lava and pupa
05:35And to become adult mosquito tu
05:37It takes about 7 to 10 days
05:39So if you can just intervene that
05:41Kan, you block that
05:43And everybody, every citizen does that
05:46What do you think the impact would be?
05:48It would be a phenomenal impact in Malaysia
05:52Do you get where I'm coming from?
05:54Yes
05:54So rather than just having awareness
05:56Oh, we just keep our house clean
05:57We just keep our work space clean
05:59Instead, you take action once a week
06:0110 minit cukup kan
06:02Benda tu
06:03Kalau kita nak pergi just
06:04Just to do basic clearing
06:0610 minit cukup, one week
06:07So commit that time
06:09And make that change
06:10I think that would be very impactful
06:12So what the strategies
06:15That Ministry of Health
06:17And Malaysian Government
06:19Is coming up with
06:19Is fantastic actually
06:20So bit by bit
06:22I think we can actually
06:23Menangani
06:24This whole crisis situation
06:26I think I get what you're saying
06:28Because it is really important
06:29That we understand
06:29And we are aware
06:31Of what is going on
06:31But I think
06:32For people to actually take action
06:34Is that they have to know
06:36That what's at stake
06:37Because I think
06:38A lot of people don't know
06:40The severity of
06:42The danger of dengue actually
06:44Because I think
06:45Not a lot of people
06:46Have experience
06:47You know
06:47Getting the dengue virus
06:48And malaria
06:49Or even Cikungunya
06:51Right now
06:51Cikungunya
06:52Cikungunya
06:53Yes
06:53I have a trouble
06:55Pronouncing that
06:56But yeah
06:57People don't know
06:58The severity of the viruses
06:59And people don't know
07:00Like
07:00Are there places
07:01At high risk or low risk
07:03Like people think
07:04Or maybe at villages
07:05Tempat kampung-kampung
07:06Yang memang banyak
07:06Takungan air je
07:07Yang bersiku
07:08Untuk ada nyamuk edis
07:09Di bandar
07:10Di kondominium
07:11Yang a bit urban
07:12A bit modern
07:13Oh tak ada
07:13Tak risau
07:14Because why
07:15Why would
07:15Nyamuk edis ada dekat situ
07:16So I think
07:17People don't see
07:18The severity
07:18And people don't know
07:19Like if their place
07:20Is a high risk
07:21Of infection or not
07:22So
07:23Can you please
07:24Paint the context
07:25On
07:25How should people
07:26Take seriously
07:28This virus
07:29What is dengue
07:30What is malaria
07:31What is Cikungunya
07:32What is this new strain
07:33Of dengue 3
07:34And how highly
07:36At a risk
07:37Is their place
07:38That they are living in
07:39Can be infected
07:40With these vectors
07:42Okay
07:42Wow
07:43That's a lot
07:44Of information
07:44But yes
07:45I'm ready with it
07:46Okay
07:46So we're talking
07:47About urbanised
07:49Areas
07:49Now
07:50We are in
07:51Urbanisation
07:54Community
07:55Community
07:56So I think
07:57It's a myth
07:58To think
07:59That dengue
08:00I mean
08:01Edis mosquitoes
08:02The vectors
08:02Are only in the village
08:04Area where
08:04Ada banyak
08:05Takungan air
08:05Semua
08:06I think
08:07We are in a
08:08Very very
08:08Endemic place
08:09Doesn't matter
08:10Whether we are
08:10In the village
08:11Site
08:11Or whether
08:12We are in
08:12The city area
08:14Because of
08:15High urbanisation
08:16There is
08:18A lot of
08:18Construction
08:19Going on
08:19There's a lot
08:20Of
08:21Waters
08:22Technation
08:22A lot of
08:23Drainage problems
08:24And all of that
08:25So I think
08:26That is number
08:27One
08:27Environmentally
08:28If you look at
08:29It
08:29Look at
08:29Our country
08:30I mean
08:31Weather
08:31There's a lot
08:33Of
08:34Rainfall
08:34And
08:35We are a
08:36Tropical country
08:37So you know
08:38It's a hot
08:38Climate
08:38Throughout
08:39In between
08:40Rainfalls
08:40It's a fantastic
08:41Breeding ground
08:42A fantastic
08:44Breeding ground
08:44It's a fantastic
08:45Breeding ground
08:46Good for them
08:46Yes
08:46For the
08:47Mosquitos
08:49So
08:50We
08:51It's everybody's
08:52Business
08:53Dengue
08:54Is everybody's
08:55Business
08:55It's everybody's
08:56Responsibility
08:57Everybody's
08:58Ownership
08:59So
09:00I think
09:00Kat
09:01Willij
09:01Ke kampung
09:02Ke
09:03Bandar
09:03Ke
09:04Sama je
09:05We have to do that
09:06Once a week
09:07Ten minute
09:07Commitment lah
09:08I think
09:09Kalau macam tu
09:09Boleh je
09:10Kita combat
09:11Benda tu
09:11Number one
09:11Number two
09:12Your question
09:13About differences
09:14Of
09:15Dengue
09:17I mean
09:18Not differences
09:18The three
09:19Diseases
09:20That you just
09:21Mentioned
09:21Dengue
09:22Cikungunya
09:22And malaria
09:24What's common
09:24Between them
09:25Is the vector
09:26Is the same
09:26They are
09:27Mosquitos
09:28So again
09:29When we are
09:30Just looking at
09:31Dengue
09:31Because it's
09:32Just over
09:33Spelled
09:33Right
09:33Because it's
09:34Dengue
09:34Tapi
09:35By us
09:35Doing this
09:36We can also
09:36Combat malaria
09:38And cikungunya
09:39And malaria
09:39We see a lot
09:40Like for example
09:41Zoonotic
09:41With all this
09:43Monyet
09:43Monyet
09:43And all that
09:44You know
09:44In like
09:45All this
09:46Forest reserve
09:47Places
09:48Banyak kan
09:49Monyet
09:49Everywhere
09:50So they tend
09:51To transmit
09:52So if the most
09:52You
09:53Okay
09:53Please understand
09:54That dengue
09:55Is not infectious
09:56In that sense
09:56It can't be
09:57Human to human
09:58Transmission
09:58Memang
09:59Tak ada
09:59Tapi
10:00So it needs
10:01A vector
10:01Kan
10:02So vector
10:04So somebody
10:05Is bitten
10:05By dengue
10:07I mean
10:08Bitten by the
10:08Mosquito
10:09And then the
10:09Virus is
10:10Transmitted
10:11Into them
10:11For that
10:12To be
10:13Transmitted
10:13To the next
10:13Person
10:14You need
10:14A vector
10:14Again to
10:15Carry that
10:15From the
10:16Infected
10:17Person
10:17To the
10:17Next
10:17And to
10:18The next
10:18And to
10:19The next
10:19So similarly
10:21With malaria
10:22And cikungunya
10:25Again
10:25The disease
10:27Specifics
10:27Are a bit
10:28Different
10:30In the sense
10:30That malaria
10:31For example
10:32They present
10:33Very differently
10:34Maybe fever
10:35And all
10:35Is okay
10:36But they
10:36Can have
10:37Bleeding
10:37Tendencies
10:38They can
10:38Become very
10:39Unwell
10:41Somewhat
10:42The same
10:43But very
10:44Much different
10:44They can
10:44Cause
10:45Jaundice
10:46Their liver
10:47Can be
10:47Very badly
10:48Affected
10:48And all
10:49Of that
10:49I mean
10:50In a
10:50Different
10:50Way
10:50Dengue
10:51Can affect
10:52All organs
10:53It can
10:54Cause shock
10:54It can
10:55Cause very
10:55Severe
10:55Illness
10:56That
10:57In a
10:58Very acute
10:58Span
10:59Of time
10:59You know
11:00Like a
11:01Short
11:01Span
11:01Of time
11:04Whereas
11:04Chikungunya
11:05On the
11:05Other hand
11:05Also
11:06Presenting
11:06With fever
11:07And all
11:07But I
11:07Think
11:08Predominant
11:08Symptoms
11:09With
11:09Chikungunya
11:10Is joint
11:10Pain
11:10Which
11:11Can
11:12Go on
11:13Till
11:14After
11:15The
11:15Patient
11:15Is well
11:16That means
11:16After
11:16The fever
11:16Subsides
11:17After
11:17Two weeks
11:18Three weeks
11:19Even
11:19Months
11:19Sometimes
11:20There's
11:20Residual
11:21Pain
11:21In the
11:21Joints
11:22Which
11:23Is not
11:23Classically
11:24Seen
11:24In
11:25Dengue
11:25And
11:25Malaria
11:26Although
11:27They
11:27Are
11:28Carried
11:28By
11:28The
11:29Same
11:29Mosquito
11:29The
11:30Viruses
11:30Are
11:30Slightly
11:30Different
11:31In
11:31That
11:31Sense
11:32Common
11:33Vector
11:33Different
11:34Diseases
11:34So
11:35By
11:35You
11:36Just
11:36You
11:37Know
11:39Aborting
11:39That
11:40Life
11:40Cycle
11:40Of
11:41The
11:42Vector
11:42Itself
11:43You
11:43Are
11:43Targeting
11:44Three
11:44Different
11:45Diseases
11:45Overall
11:46So
11:47I
11:47Think
11:47It's
11:48Really
11:48Impactful
11:48And
11:49That's
11:49Why
11:50Combat
11:50And
11:51All
11:51Have
11:51Been
11:51Introduced
11:52You
11:55Know
11:56Your
11:56Behavioral
11:57Pattern
11:57Must
11:57Change
11:58So
11:58You
11:58Must
11:59Take
11:59Ownership
11:59Yes
12:00So
12:01That
12:01Way
12:01Talking
12:03About
12:03Dengue
12:03Three
12:04Dengue
12:05Three
12:05So
12:06Dengue
12:06Is
12:07Dengue
12:08Virus
12:08Short
12:08Form
12:09Dengue
12:09So
12:10Dengue
12:10Is
12:104
12:10Genese
12:111
12:112
12:113
12:124
12:12You
12:12Can
12:13Get
12:13Any
12:13Form
12:14Of
12:14These
12:15Dengues
12:16As
12:17Infection
12:17Let's
12:18Say
12:18You
12:18Get
12:18It
12:18The
12:18First
12:19Time
12:19You
12:20Are
12:20Not
12:23Immunized
12:24Or
12:24You
12:25Don't
12:25Have
12:25Natural
12:25Immunity
12:26Against
12:27It
12:27Life
12:28Long
12:28As
12:29In
12:29You
12:29Will
12:30Have
12:30From
12:30That
12:31One
12:31Particular
12:31Virus
12:33Lifelong
12:34Immunity
12:34But
12:34You
12:35Won't
12:35Be
12:36Protected
12:36From
12:37The
12:37Other
12:37Types
12:37Of
12:38Dengue
12:38Virus
12:38Straight
12:39Away
12:39So
12:40You
12:40Are
12:41Susceptible
12:41To
12:41Get
12:43Infection
12:44Again
12:44Re-infection
12:45Two
12:46Times
12:46Three
12:46Times
12:47Boleh
12:47So
12:48When
12:49Second
12:50Time
12:50You
12:50Get
12:50Infected
12:52It
12:52Can
12:53Be
12:53Worse
12:53Than
12:53The
12:53First
12:53Infection
12:54And
12:55Now
12:55I
12:56Think
12:56Entomological
12:57Studies
12:57Have
12:58And
12:59Surveillance
12:59Have
12:59Showed
13:00That
13:00Dan
13:01V
13:01Three
13:03Is
13:04Sort
13:04Of
13:06Serotipe
13:06That
13:06Is
13:07A
13:07Bit
13:07Strong
13:07So
13:08It
13:08Behavior
13:09Ada
13:09Berubah
13:10Sikit
13:10So
13:10It
13:11Become
13:11Stronger
13:12So
13:12If
13:13You
13:13Want
13:13Get
13:13Like
13:14A
13:14Dan
13:14V
13:14Three
13:15Infection
13:16It
13:17Anticipated
13:18That
13:18The
13:19Severity
13:20Is
13:20Probably
13:20A
13:20Bit
13:20More
13:21Because
13:21The
13:22Population
13:23Haven't
13:24Developed
13:25Immunity
13:25Betul
13:25Betul
13:26Towards
13:26Dan
13:26V
13:26Three
13:27Or
13:27Rather
13:27Dan
13:28V
13:28Three
13:28Behavior
13:28Has
13:29Changed
13:29The
13:30Character
13:30Of
13:30The
13:30Virus
13:31Has
13:31Changed
13:31Yeah
13:32So
13:32We
13:33Can
13:33Expect
13:34Something
13:34Worse
13:35If
13:35You
13:35Were
13:35To
13:35Get
13:35That
13:36Serotide
13:36Oh
13:38Okay
13:38But
13:38Then
13:39You
13:39Said
13:39That
13:39The
13:40Population
13:40Hasn't
13:41Have
13:41That
13:41Immunity
13:42Meaning
13:43That
13:43The
13:44Community
13:46If
13:46They
13:47All
13:47Have
13:47Been
13:48Infected
13:48By
13:48Dengue
13:49Yes
13:50Pretty
13:50Much
13:50But
13:51I
13:51Think
13:51Because
13:51Dengue
13:51Has
13:52Been
13:52Endemic
13:52For
13:52Many
13:53Many
13:53Years
13:53Decades
13:54In
13:54Malaysia
13:55And
13:56We
13:56All
13:57Have
13:57Some
13:57Amount
13:57Of
13:57Immunity
13:58Some
13:59Of
13:59Us
13:59Have
13:59Gotten
13:59Some
13:59Mild
14:00Infection
14:01On
14:01And
14:01Of
14:02But
14:03Den
14:04V
14:04Three
14:04I
14:05Think
14:05In
14:05The
14:05Latest
14:06Studies
14:06And
14:06Surveillance
14:07Done
14:08Shows
14:09That
14:09It
14:09Has
14:09A
14:10Little
14:10Bit
14:10Of
14:10Behavioral
14:11Change
14:11That
14:11Can
14:12Mean
14:13That
14:13The
14:14Virus
14:14Is
14:14A
14:14Little
14:14Stronger
14:15Than
14:16What
14:16We
14:16Are
14:17Immune
14:17To
14:18So
14:19In
14:19That
14:19Way
14:20It
14:20Can
14:20Affect
14:21Us
14:21A
14:21Bit
14:21More
14:21So
14:22One
14:23Way
14:23To
14:23I
14:24Mean
14:24To
14:24Be
14:24Very
14:26You
14:27Know
14:28From
14:28The
14:28Word
14:29Go
14:29I
14:29Think
14:30The
14:30Best
14:31Way
14:31Now
14:31Is
14:31Not
14:32Just
14:32The
14:32Awareness
14:33And
14:33The
14:33Knowing
14:33But
14:33It's
14:34To
14:34Take
14:34Ownership
14:35It's
14:36Time
14:36To
14:36Take
14:36Ownership
14:37Every
14:37One
14:37Of
14:37Us
14:37And
14:38That
14:39Needs
14:39Action
14:39From
14:39All
14:40Of
14:40Us
14:40Impactful
14:41Definitely
14:41Again
14:42About
14:42Awareness
14:43I
14:43Think
14:43It's
14:43Very
14:44Important
14:44For
14:44People
14:44To
14:45Still
14:45Know
14:46What
14:46Happens
14:47In
14:47The
14:51And
14:52How
14:52Severe
14:53It
14:54Can
14:54Cause
14:54Death
14:54As
14:55Well
14:55As
14:55I
14:55Believe
14:55But
14:56I
14:56Think
14:56We
14:56Going
14:57To
14:57Touch
14:57That
14:57In
14:57Our
14:57Second
14:58Vlog
14:58Because
14:58We
14:58Have
14:59To
14:59Take
14:59A
14:59Break
14:59For
14:59A
14:59While
14:59And
15:00We
15:00Be
15:00Back
15:00After
15:01This
15:19Okay
15:19Kita
15:20Bertemu
15:20Kembali
15:21Dalam
15:21Rancangan Awan
15:21Di
15:21Pagi
15:22Kepada
15:22Yang
15:22Baru
15:22Saja
15:22Menonton
15:23Kita
15:23Dari
15:23Tadi
15:23Sedang
15:24Membincangkan
15:24Tentang
15:25Penyakit
15:25Denggi
15:25Kerana
15:26Kes
15:26Denggi
15:27Sudah
15:27Meningkat
15:27Sebanyak
15:2720.7%
15:29Berbanding
15:29Tahun
15:29Lepas
15:30Dan
15:30Kita
15:30Bersama
15:30Dengan
15:30Pakar
15:31Di
15:32Studio
15:32Dr.
15:32Tanusha
15:33Krishnan
15:33Pakar
15:34Perubatan
15:34Dalaman
15:35Dari
15:35Hospital
15:35Pakar
15:36KPJ
15:36Damansara
15:37Dua
15:37Untuk
15:38Kita
15:38Faham
15:39Tentang
15:39Penyakit
15:40Yang
15:40Kini
15:41Semakin
15:41Menjadi
15:42Trend
15:42Di
15:43Malaysia
15:43Yang
15:43Perlu
15:44Kita
15:44Tangani
15:44Sama-sama
15:44Sebagai
15:45Komuniti
15:45Untuk
15:46Banteras
15:46Mencegah
15:47Daripada
15:48Kita
15:48Mengubati
15:48Penyakit
15:49Denggi
15:49And
15:50We
15:50Talk
15:50About
15:50All
15:51The
15:51Diseases
15:52About
15:52Denggi
15:52Cikungunia
15:54And
15:54Malaria
15:54And
15:55Serotip
15:56DENV3
15:57Yang
15:57Denggit
15:59Hipe
16:00Di
16:00Malaysia
16:00Sekarang
16:01Kita
16:01Mengerti
16:02Bagaimana
16:03Pasien
16:04Apabila
16:05Denggit
16:05Virus
16:07Apabila
16:08Denggit
16:08Hospital
16:09Bagaimana
16:10Denggit
16:10Sebenarnya
16:11Virus
16:13Denggit
16:13Bagaimana
16:14Denggit
16:15Denggit
16:15Denggit
16:16Denggit
16:17Denggit
16:18Denggit
16:19Bagaimana
16:19Denggit
16:20Denggit
16:20Denggit
16:21Denggit
16:21Denggit
16:21Denggit
16:22Denggit
16:23Denggit
16:24Yes
16:24Okay
16:25So
16:25Usually
16:26These patients
16:27Who are infected
16:28Will present
16:28With fever
16:29So
16:30They'll present
16:30With fever
16:31Very severe
16:31Headache
16:32And joint
16:32Pains
16:33Body
16:33This is
16:34Basic
16:34Symptoms
16:35But
16:35It can
16:35Be
16:36Very
16:36Exaggerated
16:38So
16:38When
16:39They come
16:39Into
16:39The hospital
16:39Usually
16:40The first
16:40Three
16:41Days
16:41Denggit
16:42Denggit
16:42Denggit
16:42Denggit
16:43Denggit
16:44Denggit
16:44Denggit
16:44Denggit
16:44Denggit
16:45Denggit
16:46Denggit
16:46Denggit
16:47Denggit
16:47Denggit
16:47Denggit
16:53Denggit
16:54Of illness
16:54With reference
16:56To day
16:56One
16:56Of fever
16:57Is
16:58The
16:59Like a
17:00Critical phase
17:01Where the
17:01Platelet
17:01Trend
17:02Tends
17:03To drop
17:03For the
17:04Understanding
17:05Of general
17:05Population
17:06And subsequently
17:07Is the
17:07Recovery
17:08Phase
17:08Which
17:09Starts
17:09Usually
17:10From
17:10Day
17:10Six
17:11Seven
17:11Onwards
17:23Denggit
17:24Denggit
17:30Subsequently
17:36After
17:37That
17:37If
17:37Let's
17:37Say
17:37The
17:38Denggit
17:38Denggit
17:38Denggit
17:38Denggit
17:39Denggit
17:39Denggit
17:40Denggit
17:41Denggit
17:42Symptoms, monitor BP, heart rate and so on so forth that gives us an idea of the hemodynamics
17:50that is the water status, blood status, any leaking of fluid into the organs and all of this
18:00because it can affect all organs whereby the organs can swell and water from the blood vessel
18:09it can seep and masuk ke organ-organ
18:15so these phases semua will happen when the platelet is dropping, when fever subsides
18:21so what the population needs to know is when fever subsides it doesn't mean the dengue is getting
18:28I mean the dengue fever is getting better, when fever subsides we are very watchful
18:33so that's why the doctors will say remain in the hospital, we will do daily blood checks
18:39we will check whether the patient is going into any complications
18:42some patients with classic dengue don't go into much complication, quite straightforward
18:48it's a self-limiting disease, that's the good news
18:51so if we are very watchful and mindfully treat, they get well and they go back
18:58but they can run into a little bit of complications especially in the mid-phase
19:02so if they do run into complications then we are there at the tertiary health care level
19:08to combat that, so we will give a lot of fluids, we will not really give fluids
19:14we have to manage fluids carefully with awareness case-to-case basis
19:21that will be a more specific way for me to say, we are not going to ask them to飲m
19:25banyak air, masuk banyak air, tak ada
19:27semua ada kiraan dia
19:28kiraan-kiraan tertentu lah, very specific
19:31ok, so now
19:32the idea is basically
19:35to deal with
19:37ketidakseimbangan air dalam
19:39badan, between organ
19:41and between salur darah, macam itulah
19:42untuk pemahaman
19:45semualah, kan
19:46otherwise it gets too complicated to explain everything
19:49but simply put, that's what
19:51it is, we monitor platelet
19:53trend, we monitor
19:55fluid level in the body
19:57we give when need, we don't
19:59give when donate, something like that
20:01manage that, and then we watch for
20:03recovery phase, recovery phase is when
20:05classically, the rashes
20:07come on, so usually
20:09people get very very worried when the rashes
20:11come on, but
20:12not really, bintik-bintik
20:15punya ruam tu, actually comes
20:17during recovery phase, ok, and
20:19that is a sign of recovery for us
20:21ok, what
20:23what is worrying about a rash
20:24in the early part of the disease is for
20:26example, nampak merah semua
20:28macam merah, you know
20:30the person is macam on fire
20:32macam tu, macam berapi lah
20:34you know, something like that
20:36we are a bit concerned in the initial phase
20:38but, bintik-bintik punya
20:40particular rash tu, usually
20:44it's in the recovery phase
20:45so, good news for all is that
20:48it's a self-limiting disease
20:49but, again
20:51when the dengue virus is
20:52stronger in certain areas
20:54we don't know those areas
20:56those stereotypes that is
20:57in that area kan
20:59which are very highly populated
21:02mosquito area
21:03kalau it's with the
21:05stronger virus
21:06then
21:07they may be
21:08badly hit
21:09or
21:10if this is the second time
21:13or third time
21:14getting dengue
21:14then
21:17you can
21:18respond
21:19your immunological
21:20responses
21:21could be worse
21:22worse
21:23yeah, so
21:23a patient
21:25can
21:26require
21:26ICU stay
21:27a patient
21:28can
21:30can have death as well
21:32which ensues
21:33if not
21:34present it on time
21:35to the hospital
21:36so, let's not take it
21:38very lightly
21:39present as soon as possible
21:40let's make sure that
21:41people don't go to the hospital
21:43we have to prevent it
21:44from the early stages
21:45and we have to take it
21:47as a community
21:48steps
21:48for them to prevent
21:50from the
21:51mosquitoes
21:52to breed
21:52at their places
21:53because
21:53when it comes to the hospital
21:55I think
21:55that's
21:56to the point that
21:57you know
21:57kecemasan
21:58it affects your body already
22:00your immunity is going down
22:02so
22:02I think
22:03for the last three minutes
22:04we need to
22:05make sure that
22:06the people understand
22:06that this is an initiative
22:07that they have to do it
22:08for a lifetime
22:09jangan tunggu fogging
22:10sahaja datang
22:11yes
22:12jangan tunggu
22:13orang dah
22:13so maybe you can
22:14give a call to action
22:15to them
22:16for the last three minutes
22:17and how to prevent
22:18this
22:18all together
22:19the awareness
22:20I want to create here
22:21is that
22:21remember that
22:23fogging is only done
22:24for live
22:25flying
22:26adult
22:27mosquitoes
22:28they are flying around
22:30so fogging only
22:32kills
22:32adult mosquitoes
22:33which are just
22:35flying around
22:35so at the water
22:36yes
22:37so it does not
22:38kill the eggs
22:39the lava
22:40in the waters
22:41it does not kill
22:42hence
22:43I think
22:44fogging
22:45is
22:45when a case
22:47is reported
22:48then public health
22:50goes and
22:50forks that area
22:51so yes
22:52that is one action
22:53but I think
22:54way before that
22:55we are taking
22:57more impactful
22:57action
22:58if we put
22:59combat
23:00into place
23:01so
23:02perubahan
23:03tingkah
23:03laku
23:04right
23:04it's a
23:05communication
23:05with the
23:06community
23:06to be
23:07impactful
23:08at aborting
23:10it at the
23:10life cycle
23:11itself
23:11that means
23:12take away
23:14stagnated water
23:14because then
23:15the telur
23:16and the
23:18laway
23:18is in there
23:19and all that
23:19and the pupa
23:20and all that
23:21so you
23:22are
23:23aborting it
23:24at that level
23:25that whole
23:25life cycle
23:26is cut
23:27so it cannot
23:28become an adult
23:29mosquito
23:29you're killing
23:30it at that
23:31level
23:31simple thing
23:32like throwing
23:32away the
23:32water
23:33and keeping
23:35the area
23:35clean
23:35how deep
23:37is the
23:37water
23:37how deep
23:38should it
23:39be for them
23:39to be able
23:40to breathe
23:40actually it
23:41doesn't need
23:41to be very
23:42deep
23:43as long
23:43as it's
23:44stagnated
23:44not running
23:45water
23:45so you
23:46don't get
23:46dengue
23:47and all
23:47in rivers
23:47and all
23:48that
23:49so it's
23:49stagnated
23:50water
23:50in containers
23:51pasu bunga
23:52containers
23:53roof gutters
23:54you know
23:54you see
23:55in the
23:55construction
23:55area
23:56or all
23:56old
23:57things
23:57that are
23:57kept
23:57behind
23:58in the
23:58store
23:58so it's
24:01very hard
24:01that's
24:02exactly
24:03where it
24:03is
24:03we don't
24:05go for
24:05big things
24:05they are
24:06there in
24:06the small
24:06waters
24:07and stagnated
24:08waters
24:10so yes
24:11so I think
24:11prevention is
24:13always better
24:13than cure
24:15let's just
24:16make it
24:17an impactful
24:18community
24:19program
24:21this has
24:22to be
24:22a lifestyle
24:24like
24:25the
24:25lifestyle
24:27so it has
24:28to be
24:29a lifestyle
24:29right
24:29you have
24:30to adopt
24:30it as
24:31a daily
24:31lifestyle
24:32okay
24:32if it's
24:33not daily
24:33at least
24:33weekly
24:34kan
24:36scientifically
24:36going by
24:37the
24:37life cycle
24:37so when
24:38people
24:39think about
24:39they have
24:39to clean
24:40their house
24:41what do
24:42they have
24:42to you know
24:43pentingkan
24:44make sure
24:44roof
24:45top
24:45kena ni
24:46tandas
24:46yang bertakung
24:47pun
24:47maybe the
24:48toilet
24:48yang
24:49lantai
24:50dia kan
24:50selalu mendap
24:51sikit
24:51ada air
24:52pun
24:52situ pun
24:52kena bersihkan
24:53betul
24:53it's not
24:54if let's
24:54say
24:54yes
24:55it is
24:56couple of
24:57days
24:57is enough
24:57just a couple
24:58of days
24:58is enough
24:59for it
24:59to
25:01telur
25:10so at home
25:12I think
25:12very simple
25:13your
25:15flower pots
25:16your
25:16vases
25:19yeah
25:19any
25:20form of
25:20stagnant
25:21water in the
25:22pail
25:22all this
25:23sometimes
25:24you just
25:24leave some
25:25water in the
25:25pail
25:25small things
25:26that we
25:26don't take
25:27attention to
25:28yeah
25:28I think
25:29this is
25:29an eye
25:30opening
25:31way of
25:32saying that
25:32you know
25:32you have to
25:33take care
25:33as a lifestyle
25:34not only
25:35that
25:35when you
25:35have cases
25:36then you
25:36do those
25:36things
25:37no
25:37yes
25:37that's
25:38too late
25:38yeah
25:38this is a
25:39routine
25:39you have to
25:39do every
25:40week
25:4010 minutes
25:41routine
25:41is enough
25:42for you
25:42to clean
25:42all those
25:43places
25:44that are
25:44breeding
25:44those
25:45eggs
25:45and make
25:46sure
25:46that your
25:46community
25:47and also
25:47your
25:47family
25:47is safe
25:48from
25:48these
25:49mosquitoes
25:49thank you
25:50so much
25:50to
25:50Dr.
25:51Tanusha
25:51Krishna
25:51for being
25:52with us
25:52today
25:52in our
25:53studio
25:53for this
25:54amazing
25:55session
25:55and we
25:56we will meet
25:57you guys
25:57later on
25:58later
25:58I'm
25:58Kaibir Aziz
25:59and this is
25:59Awani Pagi
26:00signing off
26:01thank you
26:02you
Comments