MAPTB Key Activities

MAPTB XXXXXXXMAPTB NewsletterJuly 2008 Number 1 PP12731/6/2008ContentsEditor’s Note 2Message from the President 3of the Malaysian AssociationFor The Prevention of TuberculosisMessage from the Honorary 4Secretary General of the MalaysianAssociation For The Prevention ofTuberculosisOffice Bearers - 2006 / 2008 5Overview Report on the 1 st 6 - 9Asia Pacific Region (IUATLD - APR)Conference 2007, 2 - 5 August 2007Resolution of the 1 st Asia Pacific 10 - 11Region (IUATLD - APR) Conference2007 made on 5 August 2007MAPTB & DOTS 12 - 13MAPTB Key State Activities 14 - 21MAPTB Photo Gallery 22 - 23Continuation of MAPTB 24 - 32Key State ActivitiesAnnouncement of The Union 33World Conference Paris 2008The Global Plan TO STOP TB 34 - 352006 - 2015 Actions for LifeDiscovery & Evolution of TB 36 - 37World TB Day 2008 Key Messages 38Universal TB Prevention Guidelines: 39Cover Your CoughTB Fact Sheet 40 - 41Appeal for Financial Aid by the 42Honorary Treasurer of the MalaysianAssociation for The Prevention ofTuberculosisMAPTB Directory 43Editorial BoardAdvisorY. Bhg. Dato’ Seri Yeop Jr. b. Hj. Yeop Adlan,SPMP, DPMP, PJN, PMP, PJK, JP.EditorDr. B VenugopalanPhotographerPuan Noorsheela bte Mohd SidekEditorial CommitteeTuan Hj. Ibrahim b. Hamzah, AMP.Tuan Hj. Sahul Hamid b Hj. A. Karim,JSM, KMN, PPN, PIS.Y. Bhg. Datuk Godfrey Raphael Lim,PGDK, ADK, BSK.Tuan Hj. Ahmad bin Abd. Hamid, PPN.What is TuberculosisTuberculosis, or TB, is an infectious bacterialdisease caused by Mycobacterium tuberculosis,which most commonly affects the lungs. It istransmitted from person to person via dropletsfrom the throat and lungs of people with theactive respiratory disease.In healthy people, infection with Mycobacterium tuberculosisoften causes no symptoms, since the person's immune systemacts to “wall off ” the bacteria. The symptoms of active TB ofthe lung are coughing, sometimes with sputum or blood, chestpains, weakness, weight loss, fever and night sweats.Tuberculosis is treatable with a six-month course ofantibiotics.1

EDITOR’S NoteDr. B. VenugopalanMedical DirectorMalaysian Association For The Prevention of Tuberculosis (MAPTB)Another year has quickly passed us by and this issue of the MAPTB newsletter will provide a quick snapshot of thevarious activities implemented by the state and Federal MAPTB branches. As has been the focus over the last few years,MAPTB ‘s role is targeted towards increasing TB advocacy at all levels of the community and motivating TB treatmentcompliance through the Treatment Allowance Scheme (TAS).MAPTB has considerable advantage in moving across the message of TB among the community, especially the ruralcommunity and urban poor, due to its well established informal networking that lends a “personal touch” to thesemessages. This is well illustrated by the activities that had ranged from talks being held in the long houses in Sarawakto the hotels in Kuala Lumpur.The TAS scheme will continue to be an important core community service role of the MAPTB as this the only activitywhere funds are directly disbursed to TB patients to improve treatment compliance. However, although the numberof TB patients receiving TAS is high, there is currently lack of data to demonstrate the impact of TAS in improvingpatient’s compliance to TB treatment. It is recommended that the state MAPTB liaise closely with the state/ districthealth department to line-list the TB patients on TAS and to monitor the outcome of their treatment, in terms ofcompliance and cure rate. Analysis of this information will be useful to evaluate the impact of the TAS programmeand also be used as an advocacy tool to highlight the contribution of MAPTB to the national TB control programme.The main highlight for 2007 was the successful organization by MAPTB of the 1st Asia Pacific Region Conferenceof the International Union Against TB & Lung Disease (IUATLD) in Kuala Lumpur from the 2nd-5th August 2007.This international conference was attended by more than 1000 delegates and the strong scientific programme gavecomprehensive emphasis to the various aspects of TB and lung diseases management. This conference wasadministratively managed by a Professional Conference Organizer (PCO) who did an excellent job in the run-up tothe conference and during the conference proper. Many delegates, including from international organizations such asthe World Health Organization and the IUATLD, commended the strong scientific programme and the efficientconduct of the conference. The successful organization of this conference by MAPTB has firmly highlighted theimportant role that this organization is playing in the national TB control programme.Finally, the theme of the World TB Day 2008 “I am stopping TB’ aptly describes the important role of each individualin the fight against TB that includes advocacy, prevention, early diagnosis, treatment compliance, rehabilitation andovercoming stigmatization. To mark this global event, the state MAPTB branches have organized varied activities tomark this international day, in collaboration with the Ministry of Health and other non-governmental organizations.2

MESSAGE from the President of theMalaysian Association For The Prevention of TuberculosisY. Bhg. Datuk Seri Yeop Jr. b. Hj. Yeop Adlan, DPMP, PMP, PJN, PJK, JP.,President of The Malaysian Association For The Prevention of Tuberculosis &President of The Union, Asia Pacific RegionIt is with great happiness that I meet you once again at this annual event. In my message, I wish to share with youtwo very distinct topics - one that relates to hosting 1st Asia Pacific Region Conference of the International UnionAgainst Tuberculosis and Lung Disease in Kuala Lumpur from 2nd August to 5th August 2007, after a lapse of 39years after being last held in Malaysia, and another that speaks of the effort of MAPTB members’ strong commitmentin the continuation of their fight against TB.The first few months of the year 2007 have been especially active with the members of Organising Committee of the1st Asia Pacific Region Conference taking all the necessary steps to ensure that no stones remain unturned for asuccessful conference. August 2007 was a most busy month. The conference was indeed a great success and wellpraised by the participants. The response towards the Conference was overwhelming with an attendance of morethan one thousand delegates from local and overseas. Malaysia could be considered as the favoured destination for theyear 2007 in terms of attendance for international conferences. At the same time we celebrated our success of thismemorable conference, I would like to thank everyone who directly and indirectly contributed to the success of theconference. We are indeed proud to be associated with The Malaysian Thoracic Society as co-organiser of thisconference. I wish to extend my heartfelt appreciation to Yg. Bhg. Datin Dr. Hjh Aziah Ahmad Mahayiddin for herunending guidance and support.In the control of TB, MAPTB has continued extensively its TB Treatment Allowance Scheme (TAS) that providedfinancial assistance to the needy TB patients to continue seeking TB treatment until they are fully recovered, thusreducing the defaulter rate that could hamper the National TB Control Programme in our country. Labuan whose TBAssociation is registered as Labuan Anti TB Association is the new state affiliate of MAPTB and they will beimplementing this programme soon. It is my fervent wish that the TB TAS will be implemented in all states ofMalaysia. We will also continue with the TB awareness projects in organizing TB exhibitions and TB seminar at statesand districts where we hope to reach the grassroot level. On TB awareness, we had printed TB leaflets and pamphletswith facts of TB for distribution to the general public. Berita MAPTB is now an annual newsletter published by theFederal body. In every issue, we make every attempt to include articles on facts of TB with updates on the current TBsituation in Malaysia and by WHO. These are valuable resources for readers to enhance their knowledge on TB. Wewill try to develop more creative and refreshing articles for future issues. The theme for World TB Day 2008 is “I AMSTOPPING TB.” Let us stop TB together.It is my privilege to serve the Association and I hope that MAPTB can continue to stop TB in this challenging workwith a smart partnership with Ministry of Health. I wish to thank all my fellow colleagues and members of MAPTBfor their full co-operation and putting together all these years for the interest and success of MAPTB. May God blessyou.3

MESSAGE from the Honorary Secretary General of theMalaysian Association For The Prevention of TuberculosisTuan Hj. Sahul Hamid bin Hj. A. Karim, JSM, KMN, PPN, PIS,Honorary Secretary General of The Malaysian Association For The Prevention of Tuberculosis &Honorary Secretary of The Union, Asia Pacific RegionWelcome to this edition of MAPTB Newsletter, this may be the first time you are reading this bulletin, for others itis a continuation of our annual publication to reach the ears of the general public on our activities. Read on to findout what we have for you.As we sailed through the busy year of 2007 of hosting the successful 1st Asia Pacific Region Conference of theInternational Union Against Tuberculosis and Lung Disease held from 2nd to 5th August 2007, the year 2008 hadrolled out to be another exciting year for MAPTB to replay our role in stopping TB. It is everybody’s intention to putin good effort in achieving the objective to lend support, complement the National TB Control Programme of theMinistry of Health so as to ensure that TB does not pose a major public health problem in the country despite its recentrise in the country. My focus for this year to put in more efforts to speed up the reimbursement of the payment ofTB Treatment Allowance Scheme (TAS) monthly to all state associations while waiting for The Ministry of Health torelease the Government Grant for the year 2008. Next, I will look into other means to generate more income for theAssociation with the vision that one day MAPTB will be financially independent. For the TB awareness, MAPTB willgive support to its 14 state affiliates to continue with their road shows, organize TB seminars, TB talks and TBexhibitions especially in the rural areas. For the implementation of TB TAS we are taking steps to assist our stateassociations to set up office at every district in their states as we want the TAS to benefit all needy TB patients in thecountry and at the same time, these district associations will also carry other anti-TB activities and projects to createmore TB awareness.MAPTB is a voluntary and a charitable organization depending on public donations to carry out its activities. Onbehalf of the Association, I wish to thank gratefully all donors, well wishes and business houses for their generousdonations that had enabled MAPTB to further intensify its activities on a larger scale.MAPTB has come a long way with a history of 60 years after being formed in 1948, where it stated its role in antituberculosiswork. Along the journey of our history and development, I strongly believe that Association cannot growto this stage without the contribution of the members. The effort put in by these valued members over the yearskeeps it all together and formed a strong association that has inspired others to work with us that today MAPTB hasachieved local and international recognitions. For the last three consecutive years, MAPTB’s members had beenawarded with the National TB Leader Award (Tokoh Tibi) by the Ministry of Health. MAPTB members had alsoreceived Federal Awards by the Honorable Yang Di-Pertuan Agong for their contribution in the anti-tuberculosisworks. MAPTB had also received invitations from international organization to participate in their conventions. Allthese awards and accolades show the achievement of MAPTB. Your achievements are MAPTB’s achievements forMalaysia towards a world free from TB. All Malaysians will surely look forward to this. MALAYSIA BOLEH.Last but not the least, I would like to thank the Council Members, representatives of all state associations and stafffor their support and services rendered to the association over the years.4

Office Bearers - 2006 / 2008PRESIDENTYg. Bhg. Datuk Seri Yeop Jr. Bin HajiYeop Adlan,SPMP, DPMP, PJN, PMP, PJK, JP.2ND VICE PRESIDENTMr. A. Nadarajan,PJK.DEPUTY PRESIDENTTuan Haji Ibrahim Bin Hamzah,AMP.DEPUTY HONORARYSECRETARY GENERALEncik Azlan bin AbdullahHONORARYSECRETARY GENERALTuan Haji Sahul Hamid Bin HajiA.Karim,JSM, KMN, PPN, PIS.HONORARYMEDICAL DIRECTORDr. B. VenugopalanCONSULTANTCHEST PHYSICIANY. BHG. Datin Dr. Hjh. AziahAhmad Mahayiddin,JSM, KMN, AMN.HONORARYADMIN. DIRECTORDr. Hj. Khalid bin Hj. Ibrahim1ST VICE PRESIDENTY. Bhg. Datuk Godfrey Raphael Lim,PGDK, ADK,BSK.HONORARYTREASURERMr. Hew Kiang Hoe,AMP, AMN.5

Overview Report on the 1 st Asia Pacific Region (IUATLD APR)Conference 2007, 2 - 5 August 2007Malaysian Association for the Prevention of Tuberculosis was honoured to organize the Asia Pacific Region (IUATLD-APR) Conference which was held from 2-5 August 2007 at the Shangri-la Hotel in Kuala Lumpur, Malaysia.Organising CommitteeCongress President : Mr. Yeop JrSecretariat : Mr. Sahul HamidOrganising Chairman : Dr. Aziah Ahmad MahayiddinDeputy Organising Chairman : Mr. Ibrahim HamzahChairman of Invitation Committee :Mr. Mohamed AliLogistics : Mr. Azlan AbdullahPublicity / Hospitality : Mr. Ahmad HamidFinance : Mr. Hew Kiang HoeSocial : Mr. Ong Kim ChooiScientific CommitteeChairman : Professor Dr. Liam Chong KinMembers : Dr. Abdul Rasid KasriDr. Abdul Razak MuttallifDr. B VenugopalanDr. Chuah Siew KeeDr. George Kutty SimonDr. I KuppusamyDr. Jamalul Azizi Abdul RahmanDr. Jiloris F DonyAssociate Professor Dr. Pazilah IbrahimPre-Congress Workshop : Associate Professor Dr. Roslina Abdul ManapFree Paper Poster Presentation : Dr. Fauzi Mohd AnsharFree Paper Oral Presentation : Professor Dr. Richard Loh Li CherPublication : Dr. Ashari YunusBusiness Manager : Dr. Patrick Chan Wai Kiong6

Overview Report on the 1 st Asia Pacific Region (IUATLD APR)Conference 2007, 2 - 5 August 2007The Conference proved to be very successful with the attendance of 1097 delegates from 38 countries. The localdelegates from Malaysia accounted for close to thee quarters of the total number of participants while the 85 delegatesfrom the Philippines constituted the largest number of overseas participants from a single country.Number of delegates according to country of originCountryNo. of delegatesCountryNo. of delegatesCountryNo. of delegatesAustralia 16Bangladesh 17Brazil 1Brunei 1Cambodia 16Canada 1China 21France 3Ghana 1Greece 12Hong Kong 9India 16Indonesia 16Iran 8Ireland 1Japan 5Korea 3Kuwait 2Malaysia 742Mongolia 9Myanmar 4Nepal 5Netherlands 2New Zealand 2Pakistan 28Philippines 85Qatar 1Saudi Arabia 5Singapore 23South Africa 2South Korea 4Sri Lanka 1Taiwan 18Thailand 8United ArabEmirates 2United Kingdom 1USA 1Vietnam 5Total 1097MEMBERCOUNTRIESOFASIA PACIFIC REGION7

Overview Report on the 1 st Asia Pacific Region (IUATLD APR)Conference 2007, 2 - 5 August 2007The scientific programme comprising 4 pre-conference workshops, 3 plenary lectures and 25 symposia was designed to covera wide spectrum of topics on tuberculosis and lung diseases which pose a heavy healthcare burden in the Region. In addition,there were four lunch symposia which were sponsored by the pharmaceutical industry. The theme of this Conference,‘Overcoming an Old Scourge with a New Face’, was highly befitting of the current scenario in the Asia-Pacific region. The4 pre-conference workshops provided an intensive approach to clinical issues in National Tuberculosis Control Programmesin 12 high, medium and low TB burden countries in the Asia Pacific Region; Sleep Apnoea; Diagnostic and InterventionalPulmonology; and Smoking Cessation. In the main Conference, symposia in the three parallel tracks of Clinical Tuberculosis,Non-tuberculosis Respiratory Diseases and Non-clinical Issues dealt with the core challenges of TB management andcontrol such as early diagnosis, effective treatment and treatment compliance as well as new diagnostic methods for TB weregiven special emphasis. At the same time, the Conference also took a very close look at the common and importantrespiratory diseases such as bronchial asthma, chronic obstructive pulmonary disease (COPD), sleep apnoea, pneumoniasand emerging respiratory infections as well as related issues such as smoking cessation and tobacco control.A total of 161 free communication papers were accepted of which 66 papers were presented orally and 95 werepresented as poster discussion.The faculty consisted of a rich assembly of 41 international and regional experts and 20 Malaysian speakers whoshared scientific advances and their practical experiences with the delegates. The contribution of the distinguishedfaculty certainly elevated the standard and quality of the Conference. The scientific contents of the symposia were ofa high standard and all the sessions were well attended with active participation of the audience.The Opening Ceremony on 2 August 2007 was graced by The Honourable Director General of Health, Tan Sri DatukDr. Hj Mohd Ismail B. Merican and the delegates were entertained by a multicultural performance by the City Counciltroupe. On 3 August 2007, the Faculty and members of the Organising Committee were feted to a dinner held at theSeri Melayu Restaurant. The Congress Dinner on 4 August 2007 was well attended and the delegates and theiraccompanying persons were entertained by a rousing cultural performance by Tourism Malaysia and jazz music. It washeartening to note that a good number of delegates remained and attended the last day of the Conference which wasa half day programme. The Conference ended with Professor Liam Chong-Kin, the Scientific Committee Chairman,presenting the conclusions and resolutions of the Conference (Appendix 1). The Honourable Deputy Director ofHealth, Dato’ Dr. Hj. Ramlee bin Hj Rahmat officially closed the Conference.The generous support by the various local pharmaceutical and medical equipment companies is much appreciated.We certainly hope the Conference had been enriching and the scientific programme intellectually stimulating toclinicians, medical scientists, allied healthcare professionals and members of non-governmental organisations and hadachieved its mission of advancing knowledge of tuberculosis and other respiratory diseases in the Asian Pacific region.The next APR Regional Conference will be held in Beijing, China from 9th to 12 September 2009.Group photograph of Key Officer and guests of honour taken at the Opening Ceremony8

Overview Report on the 1 st Asia Pacific Region (IUATLD APR)Conference 2007, 2 - 5 August 2007The Opening Ceremony on 2 August 2007 was graced by The Honourable Director General of Health, Tan Sri DatukDr. Hj Mohd Ismail B. Merican and the delegates were entertained by a multicultural performance by the KualaLumpur City Council troupe. On 3 August 2007, the Faculty and members of the Organising Committee were fetedto a dinner held at the Seri Melayu Restaurant. The Congress Dinner on 4 August 2007 was well attended by thedelegates and their accompanying spouses were entertained by a rousing cultural performance by Tourism Malaysiaand jazz music. It was heartening to note that a good number of delegates remained and attended the last day of theConference which was a half day programme. The Conference ended with Professor Liam Chong-Kin, the ScientificCommittee Chairman, presenting the conclusions and resolutions of the Conference (Appendix 1). The HonourableDeputy Director of Health, Dato’ Dr. Hj. Ramlee bin Hj Rahmat officially closed the Conference.The generous support by the various local pharmaceutical and medical equipment companies was much appreciated.We certainly hope the Conference had been enriching and the scientific programme intellectually stimulating toclinicians, medical scientists, allied healthcare professionals and members of non-governmental organisations and hadachieved its mission of advancing knowledge of tuberculosis and other respiratory diseases in the Asian Pacific region.The next APR Regional Conference will be held in Beijing, China from 9th to 12 September 2009.APR Scientific CommitteeMeeting in progress which was recently held in Beijing, China on 6th and 7th June 2008 todiscuss the programme of 2nd APR conference.For more information of the 2009 APR regional Conference, please contact ProfessorDuanmu Hong Jin (second from the right), President of Chinese Anti-tuberculosisAssociation, 97 Ma Chang, Tong Zhou District, Beijing, China 101149.Tel: 0086 10 69543261-6588 Fax: 00 86 10 69533743 Email: dmhj@tb123.orgOfficers of APR Scientific Committee.Front row from left: Dr. Ral Antic (Australia), Mr. Yeop Jr. (Malaysia), Professor Li Xing Zhang (China),Professor Duanmu Hong Jin (China).Back row from left: Dr. Takashi Yoshiyama (Japan), Ms. Babe Chan Ying-Yee (Hong Kong), Mr. Sahul Hamid (Malaysia),Dr. Camilo Roa Jr. (Philippines).9

Resolutions of the 1 st Asia Pacific Region (IUATLD APR)Conference 2007 made on 5 August 2007Appendix 1Prevention and Control of Tuberculosis and Smoking-Related Lung DiseasesThe Conference,1. Acknowledges and recognises that➢ the Western Pacific Region has met the 2005 targets for tuberculosis (TB) control, which include region-widedirectly observed treatment, short-course (DOTS) coverage, detection of 70% of the estimated TB cases, andsuccessful treatment of at least 85% of such cases;➢ successful implementation of the Stop TB Regional Strategy 2000-2005 has facilitated achievements of these targets;➢ the Western Pacific Region is committed to the regional goal of reducing TB prevalence and mortality by onehalf by 2010, relative to 2000, thereby contributing to the TB-related United Nations Millennium Development Goals;➢ achievement of the 2005 regional TB control targets is only an intermediate step towards achieving this regionalgoals of reducing by one half the burden of TB by 2010;➢ the current 3% annual decline in TB prevalence and mortality would have to increase to an 8% annual decline,based on WHO modelling, for the Region to achieve the 2010 regional goal;➢ tobacco consumption and diseases related to tobacco consumption are on the rise in the Region;➢ there is an urgent need for a comprehensive and integrated tobacco control programme;2. Expresses➢ concerns over the quality of DOTS implementation in some parts of the Region, the need to work towardsensuring equitable access to TB care, and the need to engage all health care providers in TB control;➢ further concern at the threats of multidrug-resistant TB, TB-HIV co-infection as well as extensive drug-resistantTB (XDR-TB) that could undermine the achievements made so far in TB control;➢ concerns that compared to TB control, tobacco control has so far been neglected although tobacco use is aserious public health problem;3. Endorses➢ the Strategic Plan to Stop TB in the Western Pacific 2006-2010, aimed at providing guidance to countries andareas in the Region to address the challenges and sustain the momentum towards the 2010 regional goals;10

Resolutions of the 1 st Asia Pacific Region (IUATLD APR)Conference 2007 made on 5 August 20074. Requests all Member States➢ to further strengthen the political commitment for TB control, to strengthen health systems and to work toensure the availability of the human resources required for TB control and to take an active role in ensuringsustainable financing for TB control;➢ to develop or finalize and implement national TB control plans guided by the Strategic Plan to Stop TB in theWestern Pacific 2006–2010, including monitoring and evaluation of results based on agreed indicators and targets;➢ to implement measures in countries and areas in the Region that have not yet achieved the regional TB controltargets for 2005: 100% of the population with access to DOTS; 70% of estimated TB cases are detected; and85% of the detected cases are successfully treated;➢ to work and push for effective tobacco control measures in their respective countries;5. Requests the Regional Director of WHO➢ to work closely with Member States, partner organizations and relevant stakeholders to further strengthen theircommitment to TB control to address primarily the need to sustain financing and to work towards ensuringadequate human resource capacity;➢ to provide effective support to Member States in developing and implementing 5-year national plans for 2006-2010, including monitoring the four core targets, i.e.,- Beyond 70% case detection- At least 90% of identified MDR-TB patients are provided with 2nd-line anti-TB drugs- At least 90% of identified TB patients with HIV, who are eligible for antiretroviral treatment are provided with anti-retroviraltreatment and- At least 90% of health facilities outside the TB programme are involved in delivering high quality DOTS servicesthat will address the specific challenges to achieve the regional goal by 2010 and the Millennium DevelopmentGoals by 2015;➢ to support Member States, specifically those that have not achieved the 2005 intermediate TB control targets,in further strengthening their efforts;➢ to support Member States in addressing the tobacco epidemic and in advocating comprehensive and integratedtobacco control programmes focusing on:- preventing people from taking up tobacco consumption- promoting smoking cessation- protecting non-smokers from exposure to tobacco smoke and- regulating tobacco products.11

MAPTB & DOTSMalaysian Association for the Prevention of TuberculosisThe Malaysian Association for the Prevention of Tuberculosis is a non-profit , non-governmental organization(NGO), that is dedicated to assisting the Government of Malaysia in the fight against TB.It’s primary aim is the prevention, control, treatment, research and relief of Tuberculosis.Its activities include:•••Providing health education to the publicProviding financial assistance to needy TB patientsCollaborating with the Ministry of Health in the implementation of the DOTS (Direct ObservationTreatment)The five major components of DOTS, as described by WHO, are:•Political commitment and resources - TB control is a public health responsibility, and top-down support iscrucial. This component must be the strongest link in the chain.•Microscopy - Accurate diagnosis using sputum-smear microscopy among symptomatic patients is the first stepin early detection of active TB infection. It sets the DOTS cure cycle in motion and protects others frominfection.12

MAPTB & DOTS•Treatment - Standardized six to eight-month regimens for all patients with active TB, with directly observedtreatment for at least the first two months, is necessary. The success of this phase is contingent upon a sound,functional health-sector infrastructure and trained personnel.•Medicines - Regular, uninterrupted supplies of the four to six most effective anti-TB drugs is essential. Fullcompliance with the drug regimen results in nine out of ten patients being cured.•Monitoring - A standardized recording and reporting system allows assessment of each patient's treatment andprogress. Rigorous overall record-keeping also acts as early warning for emerging disease trends (such as MDR-TB).What's So Special about DOTS?DOTS cures active TB. It is remarkably effective. Without treatment, seven in ten people with infectious TB willdie of the disease, on average within four to five years of onset, even if they are young when they contract thedisease.' Though non-DOTS TB-control programmes in low- and lower-middle income countries may decreasedeaths considerably, such programmes are usually less successful at curing TB. Many sufferers remain chronicallyill and continue to unknowingly transmit the disease to family, friends, and even strangers.Conversely, good DOTS programmes rapidly reduce both death and disease, curing more than 85 percent ofpatients. In human terms, DOTS gives young people marked for premature TB death a chance to lead full andproductive lives, raise children to adulthood, and make contributions to their communities and society. Additionally:•DOTS saves lives•DOTS stops the chain reaction of transmission•DOTS prevents treatment failure and the emergence of even more deadly starins of drug resistant TB•DOTS reduces TB recurrence rate•DOTS indirectly alleviates poverty•DOTS overcomes TB’s stigma•DOTS provide a model for strenghening health services•DOTS saves taxpavers’ money and livesBenefit of DOTS•Tackle TB - There is really no other choice. The right to disease prevention, diagnosis, treatment, and the cureis not only a fundamental human right; it also makes sound economics, social and public health sense.•The means are there - Affordable and effective interventions are availableto save lives, prevent drug resistance,and reduce TB transmission.•The target are clear & consensual - Countries have contributed to diagnose 70 percent of the estimated newactive TB patients and to successfully treat 85 percent of these patients by 2005.13

MAPTB Key ActivitiesMAPTB FEDERAL6 September 2007 - TB Talk at Rumah Charis, SEA Park, PetalingMAPTB Federal was invited by the Rev. Christopher Lee, the Advisor/Coordinator of Rumah Charis to organize aTB talk at the Rumah Charis Community Point, 1A, Jalan 20/16, Paramount Garden, Petaling Jaya to the seniorcitizens who are member of the Very Strong Old People Club of Rumah Charis. Dr. Alex Leow from the Instituteof Respiratory Medicine presented a 45 minutes talk in Cantonese dialect on TB, followed by a question and answersession. During the talk, TB leaflets and MAPTB Newsletters were being distributed to the participants. The gatheringfocused on educating the senior citizens above 55 years old with knowledge on the facts of TB.MAPTB KEDAH12 August 2007 - Programme on “Bebas Tibi” was held at Dewan Ramai Kuala Kedah.Hon. Secretary Mr. P. S. Maniam giving away prizes to quiz winners.Tuan Hj. Syed Mohd Zainudin giving away prizes to quiz winners.In conjunction with the Chinese New Year, Committee members ofMAPTB Kedah visited Rumah Sejahtera - Old Folks Home at PokokSena to distribute ang pows.14

MAPTB Key ActivitiesMAPTB PENANG24 March 2007 - Exhibitions & TalksIn conjunction with the launching of the State Level World TB Day 2007, an exhibition was held at the Sungai DuaHealth Centre in Province Wellesley North. The Launching Ceremony was officiated by the Honorable Mr. P.K.Subbaiyah, the Chairman of the State Health, Welfare and Caring Society Committee.The booth of the MAPTB Penang was manned by the President, Hon. Treasurer, the District Director of the N.E.D.,Tuan Haji Syed Sultan bin K.P. Majid and Ms Khoo, the Office Administrator.Back on the island, another Exhibition on TB in conjunction with the World TB 2007 celebrations in Penang was heldfor 5 days at the Government Health Clinic in Maclister Road from 26 till 30 March 2007. There was a good turnoutof visitors to the Exhibition because during these five days there were Health Talks and Quiz sessions where manyprizes were presented to the successful participants.Another event was a 3-day Exhibition and Talk from 25 till 27 April 2007 at the Dewan Budaya, Methodist Boy’s School,Penang. During these three days, an Exhibition, Video Shows and a Quiz Programme on TB were also carried out.On 3 November 2007, an Exhibition was held during the Anti Smoking and Healthy Lifestyle Campaign in conjunctionwith the Health Promotion Campaign with the leaders. It was organized by YB Dato’ Lim Gim Soon, StateAssemblyman for the KOMTAR Constituency in Penang. A Health Camp for Blood Pressure Check and Body MassIndex and also a Blood Test for Sugar and Cholesterol were also conducted.COMMEMORATION OF WORLD TB DAY 2007 - Gifts for TB patientPresentation of gift hampers and Ang Pow toTB patients at Hospital Penang on19 April 2007Presentation of gift hampers and Ang Pow toTB patients at Hospital Bukit MertajamHospital on 23 April 2007Presentation of gift hampers and Ang Pow toTB patients at Hospital Balik Pulau on24 April 200715

MAPTB Key ActivitiesMAPTB PENANGCOMMEMORATION OF WORLD TB DAY 2007 - Gifts for TB patientCommemoration of World TB Day 2008 atDistrict level, Barat Daya, Penang with presentationof hamper to TB patients on 5 April 2008.Participants Dewan Gerakan Masyarakat,Bandar Teluk Kumbar, Pulau Pinang.Members of MAPTB Penang at theExhibition Booth.MAPTB PERAK23 March 2008 - A TB Health Education Awareness CampaignA TB Health Education Awareness Campaign was jointly organized with the Rotary Club Kuala Kangsar, HospitalKuala Kangsar, Hospital Sungei Siput and Diabetes Association of Perak held at Dewan SRJK(C) Tsung Wah KualaKangsar, Perak. Activities carried out were:-1.) TB Awareness Talk by Mr. Chandran Kanniah, 4.) Lung Function testSecretary of MAPTB Perak5.) TB & Quit Smoking counseling2.) TB Exhibition 6.) Distribution of Health Education materials3.) Carbon Monoxide Analyzer testThe programme was well received by the people around Kuala Kangsar and Sungei Siput with about 600 people whothronged the hall to get their information and checks. There was an evaluation on the programme whereby valuablefeedbacks were received as follows:-1.) TB Awareness was very good and such talks be 5.) 66 people counseled on Quit Smokingorganized in other rural areas6.) 600 TB leaflets in local languages were distributed2.) 55 people had high carbon monoxide levels. 7.) Residents insist such programme to be held every 6 months3.) 10 people had poor Lung function test 8.) Residents also keen to have talks in Chinese and Tamil4.) 40 people counseled on TB16

MAPTB Key ActivitiesMAPTB PERAK23 March 2008 - The launching of World TB Day at the state level.This event was jointly organized by MAPTB Perak, State Health Department, MMA and Perak Tengah District HealthDepartment. The celebration was held from 7.00 a.m. to 1.00 p.m. at Dewan Institut Kemahiran Bina Negara BandarSeri Iskandar Perak. The VVIP for the launching was Dato Seri Yeop Jr b Yeop Adlan. He declared open the WorldTB Day celebrations. Activities that was carried out were:-1.) Public Forum TB-Perak MAPTB Secretary 5.) Testimonial of TB patientsEn. Chandran Kanniah was on the panel.6.) Drama on TB Treatment2.) TB Exhibition from 9 districts of Perak 7.) TB Roadshow3.) Drawing & colouring Competition of TB 8.) Lucky Draw4.) SenamrobikThe Programme was well received by the people from Perak with about 700 people who attended the public forumand entire function.17

MAPTB Key ActivitiesMAPTB KUALA LUMPUR14 January 2007 - Taman Seri Sentosa, Jalan Klang Lama, Kuala LumpurAssociation for The Prevention of Tuberculosis Kuala Lumpur participated in a Campaign toward a Community FreeFrom Drugs (Masyarakat Makmur Tanpa Dadah) by setting a TB exhibition booth with a display of TB posters. TheCampaign was launched by Yang Berhormat Dato’ Sri Shahrizat Abdul Jalil, Menteri Pembangunan Wanita, Keluarga& Masyarakat.21 January 2007 - PPR Muhibbah, Cheras, Kuala LumpurAssociation for The Prevention of Tuberculosis Kuala Lumpur participated in Perasmian Majlis Pelancaran ProgramGerak Padu and Majlis Perasmian Kawasan Rukun Tetangga PPR Kg. Muhibbah, Daerah Cheras at Dataran PPRMuhibbah which was officiated by Y.B. Encik Joseph Entulu Belaun, Deputy Minister of the Prime Minister’sDepartment.18

MAPTB Key ActivitiesMAPTB KUALA LUMPUR19 May 2007 - TB Seminar at Hotel Midah, Jln Kampong Attap, Kuala LumpurAssociation for The Prevention of Tuberculosis Kuala Lumpur organized a TB Seminar on TB Awareness which waswell attended by more than 100 participants. Speakers from Institute of Respiratory Medicine and City Hall HealthDepartment were being invited to present the health talks24 March 2007 - Sekolah Menengah Sri Petaling, Kuala LumpurIn conjunction with the commemoration of World TB Day 2007, Association for The Prevention of TuberculosisKuala Lumpur organized a TB Exhibition and a Quiz session with prizes awarding for winners for the school childrenof Sekolah Menengah Sri Petaling.29 June to 1 July 2007 - Taman Tasek Titiwangsa, Kuala LumpurAssociation for The Prevention of Tuberculosis Kuala Lumpur participated in Program Gempadah (Gerak GempurDadah) organsied by Agensi Antidadah Kebangsaan Wilayah Persekutuan Kuala Lumpur.19

MAPTB Key ActivitiesMAPTB KUALA LUMPUR30 June 2007 - Lutheran Church, Setapak, Kuala Lumpur.Association for The Prevention of Tuberculosis Kuala Lumpur organized a health carnival at Lutheran Church, Setapk Kuala Lumpur. Activitiesfor that day were display of TB posters, distributing TB leaflets and MAPTB Newsletters to the visitors, blood donation campaign etc.15 July 2007 - Dataran Projek Perumahan Rakyat Jalan Jelatek, Datuk Keramat, Kuala Lumpur.Association for The Prevention of Tuberculosis Kuala Lumpur participated in the Program Semarak Merdeka 2007 organisedby Kementerian Wilayah Persekutuan, Kuala Lumpur at Dataran Jelatek Gemilang PPR Zone Titiwangsa, Kuala Lumpur.16 August 2007 - TB Talk at Pusat Komuniti IKHLAS PT Foundation Jalan Raja Laut, Kuala LumpurAssociation for The Prevention of Tuberculosis Kuala Lumpur organized a TB Talk presented by Dr. Alex Leow of Institute RespiratoryMedicine, Jalan Pahang, Kuala Lumpur at Pusat Komuniti IKHLAS. More than 60 members from this Foundation attended the TB Talk.20

MAPTB Key ActivitiesMAPTB KUALA LUMPURFestival Projects 2007In conjunction with the fasting month of Ramadan and celebration of Hari Raya Adilfitri, Association for The Prevention ofTuberculosis Kuala Lumpur raised fund at Bazaar Ramadan by selling festival goodies at Jalan Bangsar Kuala Lumpur, Carparkat Stadium Bandar Tun Razak, Cheras Kuala Lumpur and Taman Tun Dr. Ismail, Kuala Lumpur during the fasting month.MAPTB KUALA LUMPURCarpark at Stadium Bandar Tun Razak, Cheras KL Jalan Bangsar, Kuala Lumpur Taman Tun Dr. Ismail, Kuala Lumpur6 October 2007 - Association for The Prevention of Tuberculosis Kuala Lumpur (APTBKL)Association for The Prevention of Tuberculosis Kuala Lumpur (APTBKL) presented festival hampers to the TBpatients at the Institute Respiratory Medicine at Jalan Pahang , Kuala Lumpur.President of APTBKL, Tuan Hj. Ibrahim Hamzah gave a hamper toTB patientDeputy President of APTBKL, Dato’ Ismail b. Dollah Harun gave ahamper to TB patientHead of Institute of Respiratory Medicine, Datin Dr. Hjh AziahMahayiddin gave a hamper to TB patientAPTBKL, Honorary Secrtary Tuan Hj. Ahmad Abd Hamid gave ahamper to TB patient21

MAPTB Photo Gallery1 st Asia Pacific Region (IUATLD -2 to 5 August 2007, Hotel Shangri LThe Honorable Director General of Health,Tan Sri Datuk Dr. Hj Mohd Ismail B. Mericanpresenting his speech during the opening ceremonyGuest of honour, VIPs and participants attending theOpening CeremonyTan Sri Datuk Dr. Hj Mohd Ismail B. Merican officiating the opening ceremonyFrom left: Representative from World Health Organisation for Brunei Darulsalam, Malaysia and Singapore,Dr. Han Tieru, Congress President, Mr. Yeop Jr, The Honorable Director General of Health, Tan Sri DatukDr. Hj Mohd Ismail B. Merican, Organising Chairman, Datin Dr. Aziah Ahmad Mahayiddin,Chairman of Scientific Committee, Professor Dr. Liam Chong Kin and Honorary Secretary General ofMAPTB, Tuan Haji Sahul bin Hj A KarimMembers and Staff of MAPTB Members of MAPTB attending the Opening Ceremony Speakers of the Scientific SessionsMalaysian Association for the Prevention of Tuberculosis - 57 th Annual General Meeting (3 rd August 2007)

MAPTB Photo GalleryAPR) Conference 2007a, Kuala LumpurMembers of Asia Pacific RegionThe Union exhibition booth. Centre: ExecutiveDirector of The Union, Dr. Nils E BiloCouncil Meeting of Asia Pacific RegionChairman of Scientific Committee, Professor Dr.Liam Chong Kin presenting the recommendations andconclusions of the conference at the Closing CeremonyCongress President, Y. Bhg. Dato Seri Yeop Jr (left)presenting the Certificate of Award to host the 2 ndAPR 2009 Conference in Beijing, China to thePresident of Chinese Anti-Tuberculosis Association,Professor Dr. Duanmu Hong Jin (right)Cultural show performance by Tourist Promotion BoardDato’ Dr. Hj. Ramlee bin Hj Rahmat presenting theclosing speechGroup photo of key officers at the Closing CeremonyWelcoming guest of honour, The Honourable DeputyDirector of Health, Dato’ Dr. Hj. Ramlee binRahmat to officiate the closing ceremonyCongress president, Y. Bhg. Dato Seri Yeop Jr (right)thanking Dato’ Dr. Hj. Ramlee bin Hj Rahmat forhis valuable timeThe Director of Disease Control, Ministry of Health,Dato Dr. Hassan Bin Abdul Rahman (left) andHonorary Secretary General of MAPTB,Tuan Haji Sahul Hamid Bin Hj A Karim (right)exchanging notesOrganising Chairman, Y. Bhg. Datin Dr. AziahAhmad Mahayiddin

MAPTB Key ActivitiesMAPTB SELANGOR24 March 2007 - TB Exhibition at Hospital Ampuan Rahimah, Klang, SelangorOrganized in commemoration of World TB Day 2008 which falls on 24th March each year.11 August 2007 - Commemoration of World TB Day at State Level of Selangor.The event was jointly organized by the State Health Department of Gombak and Sungai Buloh Prison and held at DewanTan Sri Dato’ Murad Ahmad, Sungai Buloh Prison, Selangor. MAPTB Selangor was invited to participant by setting a TBexhibition booth. Mr. Hew Kiang Hoe, the President of MAPTB Selangor was awarded with the State Tokoh TB Award.13 November 2007 - Commemoration of World TB Day at District Level in SelangorThe event held at JKKK Kampong Delek, Klang, Selangor. There was a Seminar on TB and Denggi. MAPTB Selangorworked in collaboration with the Health Department of Klang District by setting up an exhibition booth with a display ofTB posters and distribution of TB leaflets to visitors.24

MAPTB Key ActivitiesMAPTB SELANGOR24 November 2007MAPTB, Selangor set up an exhibition as a co-organiser with State Health Department of Selangor in conjuctionwith the commemoration of World TB Day and World AIDS Day at district level of Sabak Bernam.29 November 2007Commemoration of World TB Day at District Level, Hulu Langat in Selangor held at Maktab Penjara Kajang.16 December 2007MAPTB Selangor participated in the Health Carnival organized by the State Health Department Kuala SelangorMAPTB, Selangor at Balai Mesyuarat Puncak Alam Fasa 2, Selangor.25

MAPTB Key ActivitiesMAPTB MALACCA7 Sept 2007, Annual General Meeting 17 Dec 2007, Giving Red Packets to TBpatients at Chest Clinic Hospital Malacca17 Dec 2007, TB patients receivingRed PacketsMAPTB TERENGGANUCampaign month on TB Awareness held at DewanSivik Pasir Panjang on 28 April 2007The Participants involved in the CampaignAnnual General Meeting held on 28 May2007MAPTB LABUAN20 October 2007Association For The Prevention of Tuberculosis Labuan (LABATA)’s 1st Annual General Meeting was held at MerinderHotel at Labuan, Wilayah Persekutuan. The National President, Dato Seri Yeop Jr. bin Hj Yeop Adlan and HonorarySecretary General, Tuan Haji Sahul Hamid bin Hj A Karim were invited to attend the Annual General Meeting26

MAPTB Key ActivitiesMAPTB JOHORE26 April 2007 - MAPTB JOHORE Annual General Meeting• TB Exhibition at Foyer of Polyclinic HAS - The event was held fortnightly to educate and create greater TBawareness for TB patients and general public.• TB Seminar for Paramedics was held on 16 August 2007 at Hospital Sultanah Aminah specially for paramedics asan update on TB Control and Treatment.• TB Talk was presented to the 70 officers at Custom Office at Custom Complex, Johore Bahru on 28 December 2007MAPTB JOHOR AGM - The membersAGM MAPTB JOHOR - Chairman Hard At WorkMr. Teow Geok Beng - Vice Chairman MAPTB Johor Bahru giving aTB Talk - To Custam Officers - 28.12.07“ Thank You” Custom Department Johor Bahru.TuberculosisControl27

MAPTB Key ActivitiesMAPTB KELANTANCommemoration of World TB Day 2008 held at the State Health Department Pengkalan Chepa, Kota Bharu, KelantanTB exhibition and Conference at National Level held at Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan.28

MAPTB Key ActivitiesMAPTB SARAWAK7 - 8 March 2007 - National TB Meeting 2007Y. Bhg. Dato’ Seri Yeop Jr. b. Hj Yeop Adlan expressing his views duringquestions timeMeeting in progress17 May 2007 - TB Exhibition held at Marudi DistrictA joint event by Association For The Prevention of Sarawak (ATAS) and State Health Department of Marudi District29

MAPTB Key ActivitiesMAPTB SARAWAK7 February 2007Presentation of Food Hampers to TB patients at Limbang District in conjunction with the celebration of Chinese NewYear 2007YB Dr. Abdul Rahman b. Hj. Ismail (ADUN Bukit Kota Limbang)gave away Food Hampers to TB patientsYB Dr. Abdul Rahman b. Hj. Ismail cutting the ribbon to officiate theopening of the TB Poster Exhibitions.TB Posters Exhibition Stalls held at Furaman Hotel, Limbang inconjunction with the Chinese New Year 2007Medical Health Talks on the causes of Tuberculosis at Rumah Imau akMandeh longhouseTB is curable,ACT NOWX-Ray of TB patientbefore treatment30X-Ray of TB patientafter treatment

MAPTB Key ActivitiesMAPTB SARAWAK26 March 2007Presentation of Food Hampers to TB patients at Mukah District in conjunction with the celebration of Hari Raya Aidil Fitri 2007ATAS’s distributions of Foof Hampers to TB patients in conjuction withthe Hari Raya Puasa Adilfitri, Bahagian Mukah.Dr. Osman b. Hj. Suhaili help Y. Bhg Datin Louise Luncha Kanyanwith the hamper to TB patientsDistributions of Food Hampers to TB patients held at the Menara Pehin SetiaJaya, Bahagian Mukah in conjuction with the Hari Raya Puasa Aidilfitri.Group Photo - ATAS’s Executive Committee, Pegawai Kesihatan,Bahagian Mukah Hospital, Medical Staff and TB patients.12 December 2007 - 2nd Meeting of the MAPTB East Malaysia Zone Council held at the Lawas District HospitalMeeting was chaired by YBhg Datuk Godfrey Raphael Lim fromSABATAFrom Left - Tn Hj. Sapiee Hj. Lundu, En. Tay Kia Hing, En. HenryMogindol, YBhg Datuk K. J. Joseph31

MAPTB Key ActivitiesMAPTB SARAWAK13 - 19 December 2007TB exhibition jointly organized by ATAS and State Health Department/Hospital Lawas.TB patients from the various kampongs during ChristmasPresident A.T.A.S. YBhg Datin Louisa Luncha Kanyan officiated theOpening of the TB posters ExhibitionsPresident MAPTB, YBhg Dato’ Seri Yeop Jr. Hj. Yeop Adlandistributing Christmas Season Food Hampers to TB patientsPresident A.T.A.S YBhg Datin Louisa Luncha Kanyan distributingChristmas Season Food Hampers to TB patientsMAPTB SABAHIn conjunction with commemoration of World TB Day 2008, Food Hampers were given away to TB patients32

Announcement of The Union World Conference Paris 2008The 39th Union World Conference on Lung Health of the International Union Against Tuberculosis and Lung Disease (TheUnion), which will be held at the Palais des Congrès in Paris, France, from 16 to 20 October 2008.The theme of the Conference is “Global threats to lung health: the importance of health system responses”.In light of the increased prominence of the importance of global public health security subsequent to the recent global threatsto lung health, we believe that it is highly important that the next World Conference brings forth and explores the challengesof building up and strengthening the readiness and preparedness of health systems in preventing global threats to lung heathand mitigating their impact, not only on the health of the populations, but also on their national and trans-border social andeconomic consequences.This Conference will address how best we, as the lung health community, can help identify and eliminate the system-relatedbarriers to the effective prevention of lung health threats and put in place both the much-needed public health measures and theappropriate medical care for the affected. Such measures will go from building a well-functioning surveillance system to equippinghealth facilities with the necessary technology and providing them with competent lung health workers for proper care.The 2008 World Conference will not only provide the platform for a rigorous assessment of the global threats to lung health,but that it will also contribute to our commitment to act globally for a better coordinated and more effective response, regardlessof where we, the lung health professionals, live or work.Conference secretariat(Registration and Scientific Programme, including abstracts)International Union Against Tuberculosis and Lung Disease (The Union)68 boulevard Saint-Michel 75006 Paris, FranceTel: (+33) 1 44 32 03 60 Fax: (+33) 1 53 10 85 54 / (+33) 1 43 29 45 10E-mail contacts:paris2008@iuatld.org (registration issues)scientific2008@iuatld.org (scientific programme and abstracts)Registration feesCategory Before 18 July 2008 From 18 July 2008 (**)Union Member (*) 450 Euros 500 EurosNon-Union Member (*) 500 Euros 550 EurosStudents (in training and under 35 years old) 250 Euros 250 EurosPost-graduate course (each) 100 Euros 100 EurosOne-day registration 180 Euros 200 EurosAccompanying person 50 Euros 50 Euros33

The Global Plan to Stop TB 2005 - 2015 Actions for LifeActThis Plan is a call for action. Foradvocates in countries and at globallevel to argue the case for investing inthe Plan. For all countries to fullyimplement the actions set out in thePlan, and to mobilize sufficientdomestic and external resources tomake this happen. For civil society todemand access to quality TB care and tothe fruits of research and development.For community groups to supportpatients to come forward for diagnosisand to complete their treatment.As Partners with a strong commitmentto Stop TB, we can coordinate our actions to implement the Plan. In actingtogether as Partners, the sum of our efforts will be far greater than if we eachacted on our own. Our actions in implementing the Plan will result in millions oflives saved.These are actions for life - actions towards a world free of TB.CollaborateThis Plan is the embodiment ofcollaboration, involving the efforts ofthe just over 400 Partners that make upthe Stop TB Partnership. Expandingthis collaboration is crucial to thesuccess of implementation of the Plan.New collaborating Partners will bedrawn from within the health sectorand from other sectors.Ensuring that this collaboration is aseffective and dynamic as possible is aresponsibility of all Partners and of thePartnership Secretariat. Effective anddynamic collaboration requiresunderstanding and insight into areas beyond our own special areas of interest. Itrequires mutual understanding of our different roles and capabilities, that areharnessed in pursuit of our common targets and goals.The success of the Plan depends on the collaborative efforts of all Partners.CommitWe have made progress in global TBcontrol, but much remains to be done.Building on this progress so far, thePlan sets out our commitment toimplementing a new, ambitious strategyto Stop TB. We are committed toachieving our objectives in workingtowards the Partnership's targets for2015 and the Millennium DevelopmentGoals.Our commitment to successfullycarrying out the Plan implies acommitment to mobilizing resources,expanding our efforts, and sustainingactivities over the long term. Global TB control is a marathon, not a sprint-thetargets in this Plan for 2015 are a step on the road to the long-term goal of TBelimination by 2050.We are committed to promoting the ideals embodied in the Plan, and passingthem on to the next generation.AchieveTargets provide a spur to action and a benchmarkfor measuring progress. In terms of reachingtargets, full funding (US$56 billion) andimplementation of the Plan would result inachievement of the Millennium DevelopmentGoal relevant to TB. It would also result in globalachievement of the Partnership's 2015 targets tohalve prevalence and death rates from the 1990baseline. Achieving these targets means makingenormous progress in all regions with prevalenceand death rates halved, or almost halved, over theperiod of the Plan from 2006 to 2015.The statistics underpinning these targets are aboutpeople. Achieving the targets means making adifference to the lives of many millions of people:to the lives of the 50 million people to be treated,and their families; to the 14 million people whose lives will be saved; to the lives of the people who infuture will be spared the suffering and death caused by TB, as we develop the new diagnostics, drugsand vaccines that will pave the way for the elimination of TB by 2050.Achieving the Partnership's targets for 2015 is a step towards the goal of TB elimination by 2050.34

The Global Plan to Stop TB 2005 - 2015 Actions for LifeInvestImplementing the Plan requires aninvestment by many partners - aninvestment in time and effort. ThePlan also requires many Partners toinvest financial resources. The totalcost of realizing the Plan is US$56billion over ten years. Past experienceindicates that a financial investmentto Stop TB is a good investment -one that yields results.All countries have made acommitment to ensure theavailability of sufficient domestic andexternal resources to achieve theMillennium Development Goal relevant to TB. An investment of US$56 billionover the next ten years will result in 50 million TB patients treated, 14 million livessaved, and the development of the new diagnostics, drugs and vaccines that canrevolutionize global TB control.Investing in the Plan brings better TB control, healthier communities and less poverty.ReachTB represents a global threat tohealth. Full implementation of thePlan will expand the reach of qualityTB care towards all patients,wherever they live and irrespective ortheir gender, age, socio-economicgroup or type of TB.To ensure all TB patients have accessto quality care, the Stop TBPartnership will reach out to a widerange of Partners. In reaching out toall those who have a role to play toStop TB, we reach out to thecommunities blighted by TB,touching millions of lives.The Partnership's aim is for quality TB care and the benefits of research anddevelopment to reach everybody in need.AdvocateEverybody involved in creating,developing and delivering the Planmust act as an advocate to ensurethat TB features prominently on theglobal political and health agenda.People with TB and communitiesaffected by TB who are empoweredto speak out will be potent advocatesfor change. "Business as usual" is notenough.The Plan provides a sound argumentfor the resources needed for action,and is therefore a powerful tool foradvocates. Sustained advocacy willhelp persuade national governments and donors to fulfil their commitment toStop TB by investing in the Plan.Each of us can speak out and help mobilize support for the Plan to Stop TB.TreatAccess to quality diagnosis andtreatment is a human right for all whohave TB. Over the ten years of thePlan, about 50 million people will betreated for TB under the Stop TBStrategy. Treatment benefits theindividual with TB and the community.Since TB is spread from person toperson, protecting the communityfrom TB depends on ensuringeffective treatment of individuals withthe disease.At the heart of the Plan is an approachthat links innovation withimplementation. As new diagnosticsand drugs become available, their implementation will enable patients to be treatedmore quickly and more effectively. Progress in vaccine development raises the prospectof a new, safe and effective vaccine being available by 2015. This will make preventiona key ally of treatment.Treatment of TB saves lives and protects our communities.InnovateThe Plan has a two-track approach to StopTB: maximizing the benefit of applying theexisting tools for TB control, while at thesame time developing the new tools(diagnostics, drugs and vaccines) that are sourgently needed. Innovation is key to boththese approaches. The Plan encompassesinnovative methods of expanding access toquality TB care. The Plan also encompassesthe innovation of research anddevelopment in making available the new,improved tools to Stop TB.Until recently, TB as a global health issuesuffered from a lack of investment in thedevelopment of innovative tools to StopTB. Full funding of the Plan will transformthis situation, as new diagnostics, drugs and vaccines become increasingly available. The dramaticbreakthrough to eliminate TB by 2050 depends on these innovative tools.Innovation is the key to progress, through maximizing the benefit from existing tools andpromoting the development of new tools to Stop TB.HopeThe revitalization of global efforts toStop TB since the early 1990s hasrestored a sense of hope. In the past,a sense of hopelessness pervadedefforts to control many diseases ofpoverty, including TB. There was anacceptance that TB will always bewith us. The substantial progressmade against TB brings hope to allPartners as the work begins toimplement the Plan.Where poverty stalks the globe,communities have suffered the lossesdue to TB from generation togeneration. The actions set out in the Plan to Stop TB will provide hope. Hopefor the millions of people suffering and dying from TB. Hope for futuregenerations that our actions will spare them from the ravages of this disease.This hope is embodied in the Plan's actions for life - actions towards a world free of TB.35

Discovery & Evolution of TB1921Discovery of BCG Vaccination by French scientistsCalmette & Guerin• To protect humans against Tuberculosis,1901Wellington ConradRontgen receivedNobel prize for hisdiscovery of X-ray• The most vital diagnosistool for tuberculosis:Discovery&1882Robert Koch discoveredMycobacteriumtuberculosis as• Caused TB asmost dreadedinfectious desease1800Beginning of public health intervention• The first public sanatorium established inthe US in 188236

Discovery & Evolution of TB8000 - 4000 BCTransmission of bovine infection to human due to• Domestication of cattle and milk consumptionEvolutionof TB1000 BCWorldwide spread ofdisease due to• Migration of Indo-Europeans into Eurasiaand Europe460 BCHippocrates identifiedconsumption as• Always fatal and mostwide spread diseaseof the time1792Benjamin Martin published “A new theoryof consumption” as• Disease is contagious• Caused by “minute living creatures”37

38WORLD TB Day 2008

Universal TB Prevention GuidelinesCover your CoughStop the spread of germs that make you and others sickWhy you should cover your cough?Droplets that come out of the mouth and nose during coughingor sneezing causes serious respiratory illnesses such as:• Influenza• Whooping cough• Severe Acute Respiratory Syndrome (SARS)• Tuberculosis (TB)These illnesses can spread easily in crowded places where people are in close contactHow you can stop the spread of germs when you are sick• Wear a mask• Avoid open coughing and sneezing• Cover your nose and mouth with disposable tissue orhandkerchief when coughing and sneezing. Throw thetissue into a waste paper bin.If you have no options, you may use yoursleeve or scarf to cover your nose andmouth when coughing or sneezing.However, avoid contact with otherpeople until you havechanged your clothing• Avoid crowded places• Do not share towel or personal items• Avoid touchingyour nose, eyes and mouth39

TB Fact SheetWhat is TB?Tuberculosis is a dangerous infectious disease. It causessuffering and also death if left untreated.Tuberculosis is caused by tiny germs called Tubercle Baciliwhich usually attacks the lungs. It can also effect other partsof the body such as the brain, bones, lymph nodes, kidneysand skin.Apakah itu penyakit TIBI?Tibi merupakan sejenis penyakit berjangkit merbahaya yang bolehmembawa maut sekiranya tidak mendapat rawatan yang sempurna.Penyakit ini disebabkan oleh kuman Tibi (Tubercle Bacili) yangbiasany menjangkiti paru-paru. Ia juga boleh menyerang bahagianbahagianlain badan seperti selaput otak, tulang, kelenjar, buahpinggang dan kulit.• Brain• Bone• Lungs• Glands• Skin• Kidney• Otak• Tulang• Paru-paru• Kelenjar• Kulit• Buah pinggangSigns & Symtoms of Pulmonary TB• Cough lasting for 2 weeks or more• The sputum may be blood-stained• Fever, often with sweating, usually in the evening or at night• Loss of weight or exercise• There may be chest pain especially on coughing or deepbreathing• Getting tired easily and feeling weakTanda & Gejala Penyakit Tibi Paru-Paru• Batuk berterusan lebih dari 2 minggu• Kahak yang mengandungi darah• Demam dan berpeluh lazimnya pada sebelah petang dan malam• Susut berat badan dan hilang selera makan• Sakit dada apabila batuk atau semasa menarik nafas panjang• Mudah letihTUBERCULHow TB Spreads?TB is a airborne disease. TB germs arespread through the air in tiny dropletsdischarged in a cough by a personsuffering from active Tuberculosis ofthe lungs or also known as pulmonaryTB. Anyone who breathes in these tinydroplets which contain TB germs is atrisk of being infected and contractingthe disease.Cara JangkitanKuman Tibi disebarkan melalui udara. Pesakit Tibi akanmengeluarkan kuman Tibi ke udara apabila batuk atau bersin. Setiapindividu yang menyedut udara tercemar ini terdedah kepada jangkitankuman Tibi.How to Diagnose TB?• Your sputum tested, and/or• A chest x-ray at the nearest healthcentre or hospitalCara Mengesan Tibi• Melakukan pemeriksaan kahakdan/atau• Menjalani pemeriksaan x-ray di klinikkesihatan atau hospital terdekatTreatment of TB by the DOTS strategyDOTS (Directly Observed Treatment-Shortcourse) strategyhas been highly recommended by th World HealthOrganization (WHO).DOTS strategy:• Patient should take medication for 6 months• It consists initially of daily treatment for 2 months and themedicines taken in the presence of trained medical staff.• This is followed by treatment administered two times aweek for 4 months which is taken under supervision by atrained observer.Rawatan Tibi DOTSDOTS (Directly Observed Treatment-Shortcourse) atau PengawasanRawatan Jangka Pendek Secara Terus merupakan strategi yangdisarankan oleh Pertubuhan Kesihatan Sedunia (WHO) untukmerawat penyakit TIBI.40

TB Fact SheetOSIS/ TIBIPrinsip-prinsip DOTS adalah:• Pesakit perlu mengambil ubat selama 6 bulan• 2 bulan pertama pesakit diminta menelan setiap dos ubat setiaphari dengan disaksikan oleh anggota kesihatan yang terlatih• Pada peringkat sambungan selama 4 bulan pesakit perlu mengambilubat 2 kali seminggu di bawah penyeliaan seseorang yang dilantikPencegahan• Dapatkan suntikan BCG bagi- Bayi yang baru lahir- Murid sekolah : Darjah 1 (7 tahun) sekiranya tiada parutdi lengan• Dapatkan pemeriksaan segera sekiranya anda mengalami batukberterusan lebih dari 2 minggu• Kontek, iaitu ahli keluarga atau individu yang rapat dengan pesakitTibi hendaklah tampil membuat pemeriksaanGeneral Advise• Allow plenty of sunlight into your house because sunlightkills TB germs in the air• Good ventilation prevents TB from spreading. Open allyour house windows during the day• Practice a healthy lifestyle and take a balanced dietIf this treatment is followed regularly the aptient can be cured completelyDengan rawatan yang sempurna pesakit boleh sembuh sepenuhnyaHow to Prevent TB?• BCG vaccination provides good protection to the childfrom dangerous forms of TB- Newborn- Schoo children : Standard 1 (if no scar)• If you have cough lasting for 2 weeks or more, see thedoctor as soon as possible• Family members and others who are in close contact toTB patients are advised to do the necessary examinationNasihat Am• Banyakkan cahaya matahari masuk ke dalam rumah keranacahaya matahari boleh membunuh kuman Tibi• Pastikan rumah anda mendapat pengudarran yang sempurnadengan membuka pintu dan tingkap• Amalkan cara hidup sihat dan makan makanan yang seimbangFacilities AvailableSputum examination and treatment of TB is available free ofcharge at all goverment hospitals and health clinics.Kemudahan Mengesan dan RawatanPemeriksaan kahak dan rawatan penyakit Tibi boleh diperolehi secarpercuma di semua klinik dan hospital kerajaan.41

Appeal for Financial Aid by the Honorary Treasurerof the Malaysian Association For The Prevention of TuberculosisAll donations received will be issuedwith a Tax Exempt receipt.Cheque should be made payable to“Malaysian Association For ThePrevention of Tuberculosis”.For direct remittance, bank in to OCBCBank A/C No. 701-121539-6.Please fax in you donation slip and bankin slip to 03-22744156 for an officialreceipt to be sent to you.42

MAPTB Organisation & Contact AddressCOMMITTEEPRESIDENTYg. Bhg Dato’ Seri Yeop Jr. bin Hj. Yeop Adlan, SPMP,DPMP,PJN,PMP,PJK.JP.DEPUTY PRESIDENTTuan Hj. Ibrahim bin Hamzah, AMP.VICE PRESIDENTYg Bhg Datuk Godfrey Raphael Lim, PGDK,ADK,BSK.VICE PRESIDENTMr. A. Nadarajan, PJK.HONORARY SECRETARY GENERALTuan Hj. Sahul Hamid bin Hj. A. Karim, JSM,KMN,PPN,PIS.DEPUTY HONORARY SECRETARY GENERALEncik Azlan bin AbdullahHONORARY ADMINISTRATIVE DIRECTORDr. Hj. Khalid bin Hj. Ibrahim, ASK,BSK.HONORARY MEDICAL DIRECTORDr. B. VenugopalanHONORARY TREASURERMr. Hew Kiang Hoe, AMN,AMP.CONSULTANT CHEST PHYSICIANYg Bhg Datin Dr. Hjh Aziah Ahmad Mahayiddin, JSM,KMN,AMN.STATE REPRESENTATIVE TO EXECUTIVECOMMITTEEPerlis - Mr. Pritpal Singh, PMP,PJK,PJB.Kedah - Mr. P.S. Maniam, AMN,PPN.PJK,BKM.Pulau Pinang - Mr. Ong Kim Chooi, PKT,PJK,PJM.Perak - Mr. K. Chandran, AMP.Selangor - Tuan Hj. Mohamed Ali, AMP,PIS,PPT.Negeri Sembilan - Mr. Tan Soo Hee, AMN,PMC,PSK,PKL.Melaka - Mr. S.V. Vijayathevan, DSM,PJK,PPM,JP.Johor - Mr. A. Visvalingam, PIS.Terengganu - Yg. Bhg Dato’ Haji Mansor bin Mohd, DPMT,JSM,AMN,PJK,JP.Kelantan - Tuan Hj. Ahmad bin Md Isa, PJK,PB.Sabah - Y. Bhg Datuk K.J. Joseph, PGDK,AMN.Sarawak - Mr. Michael Au Lee Koon, BBS.Kuala Lumpur - Tuan Hj. Ahmad Abd Hamid, PPN.Labuan - Mr. Lee Yu ChongSECRETARIATNo. 2, Lorong Syed Putra Kiri, 50460 Kuala LumpurP.O. Box 10484, 50714 Kuala LumpurTel. 03-22743070 Fax: 03-22744156E-mail: mapt@streamyx.com Web: www.maptb.org.myX-RAY FACILITIESDato’ Thuraisingham Diagnostic CentreNo. 54, Jalan Genting Kelang, Setapak, 53300 Kuala LumpurTel: 03-40234524MAPTB X-RAY SERVICE(Klinik Teoh & Cheah)No. 3 Jalan 20/7, Paramount Garden, 46300 Petaling JayaTel: 03-78755933STATE ASSOCIATIONMAPTB PerlisNo. 66 Jalan Raja Syed Saffi, Taman Choo Kee, 01000 Kangar, PerlisTel: 04-9762851 Fax: 04-9762851MAPTB Kedah784 Jalan Limbong Kapal, (Tingkat 2), 05000 Alor Setar, Kedah Darul AmanTel: 04-7319591 Fax: 04-7319591MAPTB Penangd/a Kawasan RT Datuk Keramat, Halaman Melaka, 10400 Pulau PinangTel: 04-2289322 Fax: 2289322E-mail: maptbpg.ngo@yahoo.comMAPTB Perak34 Persiaran Bercham Selatan 25, Taman Desa Bercham, 31400 Ipoh, PerakTel: 05-54783000 (H) 012-4692765 Fax: 05-5456300E-mail: chandran_kanniah@yahoo.comsMAPTB SelangorNo. 2C, Lorong Syed Putra Kiri, Off Jalan Syed Putra, 50460 Kuala LumpurTel. 03-22743070 Fax: 03-22744156E-mail: mapt@streamyx.comMAPTB Negeri SembilanNo. 6 (Tingkat 2) Jalan Dr. Krishnan, Seremban, Negeri SembilanTel: 06-7612569 Fax: 06-7612569E-mail: danielcmleow@hotmail.comMAPTB MelakaNo. 2 Dewan Hang Tuah, 75399 MelakaTel: 06-2864699MAPTB Johore2-C Jalan Yahaya Awal, 80100 Johor Bahru, JohoreTel: 07-2232815 Fax: 07-2245742MAPTB TerengganuNo. 71A, Wisma DME, Tingkat Atas, Jalan Sultan Ismail, 20200 KualaTerengganu, TerengganuTel: 09-6232259 Fax:09-6227313MAPTB KelantanKlinik Dada, Hospital Kota Bharu, 15586 Kota Bharu, KelantanTel: 09-7447244 Fax: 09-7447244Sabah Anti Tuberculosis AssociationP.O. Box 10436, Kota Kinabalu, 88805 SabahTel: 088-254916 Fax: 088-255916E-mail: sabata@tm.net.myAnti Tuberculosis Association SarawakP.O. Box 469, 93710 Kuching, SarawakTel: 082-243241 Fax: 082-426400E-mail: joysau@tm.net.myAssociation for the Prevention of Tuberculosis Kuala LumpurNo. 2, Lorong Syed Putra Kiri, 50460 Kuala LumpurTel. 03-22743070 Fax: 03-22744156E-mail: mapt@streamyx.comPersatuan Mencegah Penyakit Tibi W.P. LabaunNo.17(U0018) Jalan Merdeka W.P. Labuan, P.O. Box 82100, 87030 Labuan, FTTel: 087-412987 Fax: 087-411966E-mail: pplb@tmnet.com.my43

Action for LifeAgainst TBPrinted by: PERCETAKAN SKYLINE SDN BHD No. 35 & 37, Jalan 12/32B, TSI Business Industrial Park, Batu 6 1 /2 Off Jalan Kepong, 52100 Kuala Lumpur.Tel: 03-6257 4824 / 6257 4846 / 6257 1217 • Fax: 03-6257 7525 / 6257 1216 • Email: general@skylineprintpress.com