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DAP offers full co-operation with government to stop increasing SARS incidence by ensuring full public support and confidence in a nation-wide SARS alert and awareness campaign


Media Statement
by Lim Kit Siang

(Petaling Jaya,  Monday): I have today sent a third email in a week on the Severe Acute Respiratory Syndrome (SARS) outbreak to the Acting Prime Minister, Datuk Seri Abdullah Ahmad Badawi, offering the DAP's full co-operation with the government to stop increasing SARS incidence by ensuring full public support and confidence in a nation-wide SARS alert and awareness campaign.

Referring to Abdullah's call yesterday to Malaysians not to panic over the first SARS death in the country, I stressed that the Achilles' heel of the National Committee on SARS campaign is the lack of public confidence that it is fully implementing the Cabinet directive for full transparency on the SARS outbreak.

I referred to an excellent article by veteran journalist Foong Pek Yee in today's The Star entitled "Public must be given proper health warnings" who quoted an unnamed senior medical specialist as saying: : "It is very important to get the public on the side of the medical authorities, right from the beginning and at every stage when handling outbreaks or potential outbreaks."

This is where the authorities have failed to date, whether on the current deadly SARS outbreak, the ongoing worst dengue in the nation's history which have killed over 100 people, the nipah virus epidemic in 1999 which killed over 106 people or the coxsackie virus epidemic in 1997 which killed more than 30 children in Sarawak in 1997.

As Fong rightly pointed out, the "No SARS case" assurance by the Health Minister Datuk Chua Jui Meng and the commendation of the World Health Organisation (WHO) regional representative for the Health Ministry's "swift action" in checking SARS had given the Malaysian public "little comfort", and their "suspicious culture" (Chua's own words) have been proved right when the Cabinet decision for full transparency on SARS last Wednesday showed that there were 59 suspected SARS cases - which could not have turned up overnight!

In my email to Abdullah today, I expressed concern that restoring and ensuring full public confidence, co-operation and support in the nation-wide SARS alert and awareness campaign has not been given top priority, which can only come about if the public are fully convinced that the health authorities are fully complying with the new Cabinet policy of full transparency on the SARS outbreak and not pursuing a semi-transparency approach by withholding all the facts and figures about the SARS outbreak or engaging in a game of semantics to downplay its full severity, particularly in failing to comply with the WHO case definitions of "suspected" and "probable" SARS cases.

When the Health Minister and the Health director-general were striking the "no SARS cases, no suspected SARS cases or deaths caused by SARS" stance, I sent an email to Abdullah expressing my disbelief that there were no SARS cases in the country.

Now that the Health Minister and the Health director-general are claiming that there are 75 suspected SARS cases as on Saturday but not a single "probable" SARS case, I told Abdullah that I do not believe the figures released by the National Committee on SARS.

I offered however to be proved wrong by the Health Minister or the Health director-general, and I am prepared to openly admit that I was wrong in my disbelief if either one of them could convince me otherwise.

If I do not believe that the National Committee on SARS is fully complying with the Cabinet directive of full transparency on SARS, how could the authorities expect the public to have such a belief and to have full public confidence and support in the nation-wide SARS alert and awareness campaign?

It is a matter of grave concern that after the four daily updates, the Health Minister and the Health director-general failed to give a daily update yesterday, probably on the ground that it was Sunday, except that the coronavirus or the paramyxovirus responsible for the deadly SARS disease do not observe Sunday holidays! The global death toll from SARS have reached 95 spanning over 20 countries in four continents, just short of the century figure.

The rule imposed by the National Committee on SARS that only the Health Minister or the Health director-general can give figures about SARS should be rescinded, for it is not calculated to inspire confidence that the authorities concerned are complying with the Cabinet policy of full transparency on the SARS outbreak.

The respective hospital superintendents, particularly the designated hospitals for SARS, should be allowed to give daily updates of SARS cases to the media and the public - as this would be the best assurance to the Malaysian people that there is full transparency and no "cover-up", the most powerful weapon to combat rumour-mongering which could lead to panic.

The media should be able to trace and state the truth about every rumour about SARS incidence directly from the respective hospital superintendents anywhere in Malaysia, rather than to wait for a sanitized version of semi-transparency from the Health Minister or the Health director-general in Kuala Lumpur.

For instance, there just appeared on an Internet mailing list of a report of a suspected SARS case in Sabah concerning a German tourist, who was allegedly admitted to Sabah Medical Centre at about 12 noon on April 1 with symptoms resembling SARS. He was guest of a leading hotel in Kota Kinabalu, who joined a group of Hong Kong tourists to climb Mount Kinabalu on March 10. Few days later, he was down with illness and was attended by the hotel's resident doctor. But after many days of medication -- no improvement. The doctor decided to send him to Sabah Medical Centre and he is now being transferred to Queen Elizabeth Hospital for quarantine.

There should be a mechanism where the Sabah authorities should be able to either confirm, deny or clarify such reports without having to wait for the daily updates by the Health Minister or the Health director-general in the Federal capital.
 

(7/4/2003)


* Lim Kit Siang, DAP National Chairman