1BERITA MPA – JULY 2004

3rd Floor (Annexe Block), National Cancer Society Building, 66, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur.

Tel: 2691 5379/2698 9966 Fax: 2691 3446 E-mail: mpaeds@po.jaring.my Web page: www.mpaeds.org.my

THE MALAYSIAN PAEDIATRIC ASSOCIATION JULY 2004 FOR MEMBERS ONLY

Thalassaemia is an important health problem in Malaysia. There are about 2500 transfusiondependent patients and with a carrier rate of 3-5% it is estimated that 120-350 new cases ofthalassaemia are born annually. Only about 30% are on iron chelation therapy due to the highcost of providing desferrioxamine, which is not subsidized by the government. Hence, manypatients are not treatedoptimally resulting in a highrate of complications due toiron overload. There iscurrently no preventionprogramme in place exceptwhen new cases areidentified.

Over the years, thethalassaemia societies fromthe various states havestruggled passionately andactively to raise funds tohelp subsidisedesferrioxamine for patients.Patients do receive safe and adequate blood transfusions and are not charged for theirtransfusions in the daycare. The main stumbling block to the provision of free desferrioxaminefor all patients by the government is the financial commitment, which is estimated to beRM24 million (USD6 million) annually. The government has also insisted that a preventionprogramme must be in place before desferrioxamine is subsidised.

As part of the continuing struggle and endeavour for the cause of thalassemia, the Federationof the Malaysian Thalassaemia Societies (FMTS) and the Malaysian Paediatric Associationtogether with the Ministry of Health Malaysia pooled their resources together to organise the1st ever National Thalassaemia Seminar for patients, parents and professionals. The historicevent took place on the 8-9th of May 2004 at the Corus Hotel, Kuala Lumpur. The event wasattended by the Honorable Minister of Health Malaysia, Dato’ Dr. Chua Soi Lek who alsoofficiated the 11th anniversary of the International Thalassaemia Day which fell on the 8th of May.

Editorial Board

Prof Zulkifli IsmailDato’ Dr Iean Hamzah Sendut

MPA 2003/2004EXECUTIVE COMMITTEE

PresidentProf Zulkifli Ismail

Immediate Past PresidentDr Nazeli Hamzah

Vice-PresidentProf A Rahman A Jamal

Hon SecretaryAssoc Prof Tang Swee Fong

Asst Hon SecretaryDato’ Dr Iean Hamzah Sendut

TreasurerDr Musa Mohd Nordin

Committee MembersDr Koh Chong TuanDr Thiyagar NadarajanDr Mohd Hanifah Mohd JamilDr Soo Thian Lian Dr Syed Zulkifli Syed ZakariaDr Noor Khatijah Nurani

Co-opted Committee MembersProf Datuk Mohd Sham Prof Choo Keng Ee

Affiliated to:

• Malaysian Council For ChildWelfare

• ASEAN Pediatric Federation

• Association of Paediatric Societiesof the South East Asian Region(APSSEAR)

• International PaediatricAssociation (IPA)

The Berita MPA is published formembers to keep them informed ofthe activities of the Association.

The views & opinions in all thearticles are entirely those of theauthors unless otherwise specified.

We invite articles and feedbackfrom readers – Editor

1st NationalThalassaemia Seminarand the InternationalThalassaemia Day

Continued on page 3

2BERITA MPA – JULY 2004

From The President

ThoughtsPresident’s

The National Seminar on Thalassaemiawas a resounding success, attracting alarge attendance and activeparticipation all around. Now that it isover, we ought to look back at theevent in total and see what we reallyaccomplished.

We managed to bring the plight ofthalassaemics to the attention of theMinister of Health who, being a doctorhimself, already understood thesituation all too well. The topmanagement team in the Ministry ofHealth (MOH) had been primedpreviously (during the annual MOHdialogues each year) on the sameissues by all the state thalassaemiaassociations nationwide. The MOHofficials were receptive at the seminarand expressed genuine empathytowards the problems plaguingthalassaemics and their families.

A significant outcome of the event wasthe renewed commitment of MOH toproceed with a cabinet memorandumto provide desferrioxamine (DFO) atsubsidised rates for transfusion-dependent thalassaemics. Thesuggestion had been raised on otheroccasions before but this was the firsttime that it was articulated by Dato’ DrNarimah Awin, the Director of FamilyHealth Development, and also by theMinister himself.

Dato’ Dr Narimah has since started theball rolling and I am sure things willmove in the right direction for ourpatients. We have seen so many ofthem die before this move that it willbe a big breakthrough if and when the

Ministry approves free DFO fortransfusion-dependent thalassaemics.This will, of course, have to go in linewith a massive education blitz so thatwe do not have to cope with a never-ending birth of new patients.

More say for Paediatric Nurses

The recent Symposium for PaediatricNurses held in Melaka was anothersuccess. We did not want to just haveanother symposium with everybodygoing home afterwards feeling theyhad learnt something or other. The aimthis time was to get the paediatricnurses together so that they couldform a more united body affiliated tothe MPA. Dr Syed Zulkifli managed toget them to start meeting to discusstheir plans for continuous nursingeducation. Hopefully, they will followthrough with further discussions.

There is a Nursing Sub-committee inMPA which, other than hingeing onMPA activities, is rather inactive.Although nurses can benefit from ourscientific meetings, we often fail torecognise that the level of discussionand understanding may be slightlybeyond them.

For this reason, MPA will continuehelping to facilitate a specific nursingsymposium every year to keep theminformed. In addition to medicalinformation, nurses have other thingsin nursing management that they needto handle. So, we would encouragenurses to organise more activities forthemselves with most of the rest of uslending a helping hand.

Increasing crime againstchildren

The newspapers nowadays are filledwith crime reports. Violence againstchildren has now moved from theusual child abuse that was highlightedby the famous Balasundram case in1990 to more violent crimes by peopleoutside the family circle. While we arejust trying to grapple with the 60 or socases of shaken baby syndrome peryear in Hospital Kuala Lumpur andmore throughout the country, childrenare now facing the increasing threat ofsex-related crimes, some committed bychildren themselves.

As paediatricians, we cannot help buttry to look at the root cause for this.Are these crimes are the result of aneducation system that stresses booklearning while sidelining moral andreligious development? If so, why arethey also occuring among religiousschool students as well? Have wedeprived our children of a valuablecommunity asset called conscience orhave we as adults set bad examples tofollow? The lack of compassion for ourfellow humans was recentlyexemplified when one of my patientssuffering from epilepsy had a seizurealong the aisle of his classroom. Theother children just trampled over himwhen the recess bell rang! What kindof adults will these students become inthe future? Just a thought to sharewith you...2

Zulkifli IsmailPresident 2003-4zulkifli@email.com

Some Light At The End Of The Tunnel

3 BERITA MPA – JULY 2004

The success of the event was beyondexpectations with more than 400participants packing the cozy conferencevenue. All in all, 200 patients and parentsattended in addition to 200 doctors andnurses. The scientific programmeincluded topics on iron chelation and irontoxicity at length, state-of-the-arttechnology including molecular diagnosisand pre-implantation diagnosis, ethics ofprenatal diagnosis and stem celltransplantation. There was also aconcurrent programme for patients andparents and among the issues discussedwere on improving compliance to ironchelation therapy, anticipatingcomplications and getting funding foriron chelation. There was also a veryemotive session where patients andparents spoke on their life experiencesand their journey through the trials andtribulations of being either a patient or aparent.

In his opening address on 8th May, MPAPresident Prof Zulkilfi described thepatients on whom he had startedtreatment many years ago and who arecurrently being referred to him forcardiac failure secondary to either chronicanaemia or iron overload. Some haveeven passed away. He urged the Ministryof Health to consider providing free orsubsidised desferrioxamine tothalassaemics as this issue has beenbrought up by all the thalassaemiasocieties. He reiterated the difficultieswith which thalassaemia societies have togo through to compete for donations.

At the launching of the InternationalThalassaemia Day on the 9th of May, theorganising chairman Professor Dr. ARahman A Jamal, in his speech,highlighted the plight of the patients andtheir parents. Whilst there are a numberof patients surviving beyond theirtwenties, many still die in the seconddecade due to cardiac complicationssecondary to iron overload. The actualcost of treating complications of ironoverload unknowingly is surpassing thecost of providing optimal iron chelationto these patients.

If the participants came to hear the goodnews they have been waiting fordecades, they were certainly notdisappointed. The Minister of Health waswelcomed with a rousing reception and

what he said in his speech simultaneouslymoved the audience to tears andprovided the glimmer to the wholemeeting. Being a medical doctor, theminister understood well aboutthalassaemia and had seen his fair shareof patients during his service days. Whathe could not understand was why it hastaken too long a time for the issue andproblems to be resolved. He was bothclinical and decisive in hisannouncements and of the strategic planby the Ministry of Health to tackle theproblem. A task force is already in placeat the ministry and he had alreadybriefed and discussed with thechairperson, the indomitable Dato’ Dr.Narimah Awin on the strategy. Amemorandum for the cabinet will beprepared and there will be 4 main steps:1. An intensive and widespread healtheducation and promotion campaign toincrease public awareness aboutthalassaemia as well as educating thepublic about the disease, 2. The provisionof free iron chelation therapy for allpatients, 3. The implementation of aprevention programme throughpopulation screening, and 4. The settingup of a National Thalassaemia Registry. Itwas a promise announced with passionand commitment and something thatshould have happened many years ago.But to all of us who were there, it wasworth the wait. Shortly after the speech,a group of 30 thalassaemia patientsparaded on stage to deliver a ‘WISH LIST’to the Minister. An 8-year-old girl withthalassaemia major solemnly read thewishes to the audience moving many totears. Amongst the 8 wishes were: thatthey be treated with fairness, compassionand understanding, they receive the beststandard care, received treatment fortheir iron overload at minimal or no costat all.

The meeting also hosted 3 internationalspeakers namely, Dr. Antonio Piga from the University of Torino, Italy, Dr. Fernando Tricta from ApotexInternational, and Dr. Samuel Chongfrom the National University ofSingapore. Dr. Antonio Piga spoke on theIron chelation therapy: Past, present andfuture during which he highlighted thediscovery and use of desferrioxamine asthe premier iron chelator, followed by thediscovery of the oral iron chelator,Deferiprone and also the promise of new

oral iron chelators with lesser side-effects.Later in another talk, he mentioned thattrials comparing combination therapyusing Deferiprone and Desferrioxamineversus monotherapy and it is beginningto look that combination therapy mightperhaps be the answer to better ironchelation. However, the use ofdeferiprone as a stand-alone iron chelatoris allowed if the patient cannot beadequately chelated with desferrioxamineor cannot tolerate desferrioxamine. Dr.Fernando Tricta’s lecture on Iron toxicityand monitoring iron overload touched onthe use of better and more accuratemethods of monitoring iron overload.These include liver iron content,monitoring 24-hour urinary iron excretionand the use of the T2* MagneticResonance Imaging (MRI) to quantify ironoverload in the heart and liver. Dr.Samuel Chong elegantly described thetechniques of pre-implantation diagnosisthat would be more acceptable, albeitmore costly, than prenatal diagnosis andabortion of fetuses confirmed to havethalassaemia. Local speakers also covereda variety of topics. There was also asession where patients and parents relatetheir life experience dealing with thedisease. The finale was a 2-hour questionand answer session that had parents andpatients asking questions ranging fromblood transfusions, iron chelation,prenatal diagnosis, abortion and theprejudice of employment. There wasextensive media coverage during theseminar where members of the press and the electronic media interviewed the Minister, the speakers, parents and patients.

The 1st National Thalassaemia Seminarwas certainly a landmark seminar, whichhad participants from all quarters, hadthe best of speakers in their respectivefields, and was conducted in anatmosphere laden with raw passion,belief, expectations and hope. It was analmost perfect meeting of minds andbodies and at the end of the dayeveryone went home with an invaluablegift i.e. the gift of hope and commitmentto provide the best possible care for allthalassaemia patients. Unity isStrength!2

A Rahman A JamalOrganising Chairmanrahmanj@mail.hukm.ukm.my

EventsContinued from page 1

4BERITA MPA – JULY 2004

A paediatric nursingweekend seminar!What a brilliantidea. Plus it’d be thefirst ever!

Well, me and mybig mouth. Withonly four confirmedparticipants fourweeks before thebig event, I couldn’thelp feeling acreeping sense ofdread. “Cancelled!”, “Shame!” and other words ofignominy flashed repeatedly in my mind. I even dreamt ofthe Treasurer declaring, “Never before in the history of theMPA ...”. Till today, I still wonder why, of all the Committeemembers, it had to be him to figure in my nightmare ...

Anyway, the ever-confident ‘matriarch’ of MPA providedsome comfort with her words of experience andencouragement. As she predicted, the number ofparticipants started increasing as the days went by. Myheart rate started slowing, coming down to 140 at T minustwo weeks (40 confirmed participants), down some moreto 100 and ... you get the picture.

One week before the big event, we had 86 confirmedparticipants. Whew! I could live with that. I was saved, myprayers were answered, etcetera, etcetera, etcetera.

Walked into the lobby on D-day. “Syed, we’ve got twomore but didn’t get their faxes. But it’s OK; we’ve gotroom”. Lingered around the registration counter. Anotherunpre-registered participant appeared and got the “It’s OK,she can share with me” treatment. Just a few more lateregistrants and we were home free with 123 participantson board. Feeling well and truly saved, I popped over to myroom for a nap.

After being as well ‘rested’ as one can be with twodemanding kids running around in the room, I went downto the Ballroom for the first two events of the Getaway –the opening ceremony and a dinner talk. As foot touchedstair just before the hospitality table, I was struck by thelatest news – five more participants had just arrived ...unlisted in our full-house hotel!

The words, “Shame”and “Never before inthe history of MPA...”started flashing again.Taking a deep breathand acting like I hadeverything figured out(being the OrganisingChairman and all), Iheaded towards theregistration counter. Butbefore this oral cavitycould be exposed to theelements, Datin declared

to my achy breaky heart that “All’s been settled. We’ve gotrooms for the latest group of unexpected participants.”Saved again! What would I have done without her?

I rushed back to the Ballroom for the arrival of thePresident. I was sure he wanted me to put on my bestbehaviour, introduce him in my most charming manner, andmost importantly, not tell any of my regular jokes.

Anyway Prof Dr Haji Zulkifli Haji Ismail was late (what a rareoccurrence). The first thing he asked was about the talk hewas supposed to deliver that night. He was so eager toconvert more people to the infant massage ‘cult’ that hewas a bit disappointed when I told him that he had to dothe opening first.

I thought he would exercise his executive powers andcancel the ceremony. If he had done so, I would haveobjected as the Organising Chairman, seeing that it wasthe first-ever conference organised specifically for paediatricnurses and possibly (as someone said) the first-ever stand-alone seminar for nurses. Thinking along those lines, Icouldn’t help feeling my head expanding.

After the formalities of the opening ceremony, Prof Zulwaited until we were halfway into dinner before making uspay for it – that is, by making us listen to his talk. When itended, we all felt like we needed another dinner and twofree lunches as well.

Jokes aside, the talk was very interesting and informative. Alot of scientific evidence for infant massage was putforward. Without a doubt, Prof Zul covered every possiblegroup of children that can be massaged – from healthy

Nightmare Nursing Getaway

Turns Out Well

Events

term infants and premmies, to infants of drug-abusingmothers and HIV-positive babies. As always, Prof Zulmanaged to convince the audience of the importance ofsuch therapy for the betterment of health for the childrenof Malaysia. Most of the nurses seemed eager to try it outthemselves.

It was at that moment that I began feeling that that wasgoing to be a good and rewarding weekend after all.2

Was it a dream? The President congratulating me for a jobwell done last night? Oh, the yearning to be accepted...

Anyway, it was Day 2 of the Nursing Getaway. So far sogood but I was not yet out of the woods; there was still the first day of seminars to go through with the minimumof hiccups.

Right on cue, the first session was put in motion by theintroduction of the first speaker – none other than thenumero uno of the nursing profession in Malaysia, theChief Matron of the Ministry of Health Malaysia herself,Puan Bibi Florena Abdullah.

She spoke on “Nursing InThe New Era”, a scenariowhich nurses of today needto approach. The audiencewas mesmerised by Puan Bibias she shared herexperiences from the not-too-distant past till now, andrelated the progress andchanges she had witnessedthrough her years in thenursing profession. Therewere a number of interestingquestions following her talk. After thoroughly enjoying the Saturday morning with Puan Bibi, it was difficult to lether go.

The next talk was just as interesting. Puan RashidahMohamed, Head of the Nursing Programme, Departmentof Community Health, University Putra Malaysia, spoke on“Implementation of Nursing Research”. I have never seen anurse as passionate about research than this lady. Hats offto Puan Rashidah for her wonderful talk which, I am sure,had inspired quite a number to follow her lead in tacklingnursing research.

The subject of friendliness then came up when one ofMelaka GH’s finest, Consultant Paediatrician Dr ZainahShaikh Hedra provided an “Introduction to The Child-friendly Hospital”. In sharing the meaning of a ‘childfriendly hospital’, the speaker highlighted her personal

experiences, including visiting a few centres overseas. Therewere interesting questions from the floor and these wereentertained to the audience’s satisfaction. The talk had theeffect of stirring my imagination which led to myruminations about the possibilities, like ‘nurse-friendlyhospitals’, ‘doctor-friendly hospitals’, ‘hospitals with friendlydoctors and friendly nurses’, and ... err, so on.

Then came the first and only hiccup of the weekend. PuanRashidah had come back to deliver a second talk which wasabout “Personal & Professional Development for Nurses”.Unfortunately, her presentation could not be projectedbecause it was prepared using an unfamiliar programsoftware. So, we had to make do with handouts. With orwithout the aid of projection, the lady could really talk. Shewas even more passionate than in her earlier session. Thenurses were captivated, their faces aglow with inspireddetermination to excel in their profession.

Next came a comprehensive talk-cum-experience-sharingsession relating to the “Role of Nurses in the Prevention ofInfections”. The speaker, Sister Faridah Ahmad Sheikh fromthe Paediatric Institute, HKL, touched on the various aspectsof prevention that needed the nurses’ attention.

Then came moi (pronouncedmu-ah, that’s French for yourstruly, the author of this article)speaking on “Nursing theAbused Child”. It’s a topic that’sclose to my heart and if you’rewondering why, it’s because itused to be close to my behind. Iwas a handful when I was youngand used to get into a fewsituations ... that will bedescribed in gory detail in mycoming autobiography comingsoon to a theatre near you.Anyway, despite the yawning

and furtive glances at the clock on the wall, I think my talkwas well-received and am now patiently awaiting thepromised invitations to speak at a number of hospitals onthe same subject.

Finally, the first clinical management talk of the day,“Management of Dengue Haemorrhagic Fever”. If I may beso bold to say so, the talk was superbly presented byConsultant Paediatrician, Dr Lina Lim, again from amongthe finest in Melaka GH. The audience was satisfied. In fact,I was harassed by quite a few nurses who insisted that Isurrender to them a hard copy of Dr Lina Lim’s talk. Fearingfor my safety among the amazons, I complied. Whew! Theysure can be assertive when they want to ...2

Syed Zulkifli Syed ZakariaNursing Getaway Organising Chairmansyedzul@mail.hukm.ukm.my

5 BERITA MPA – JULY 2004

Day 2

Events

11 BERITA MPA – JULY 2004

AnnouncementsWORLD FORUM ON THE CHILD

Date : 27-30 August 2004Venue : International Islamic University MalaysiaContact : AzlinAddress : The Secretariat,

World Forum on the Child 2004,Dean’s Office, Kulliyah of Medicine,International Islamic University Malaysia,25150 Kuantan, Pahang, Malaysia

Phone : 609 571 6402Fax : 609 571 6770 / 5133615 E-mail : medean@iiu.edu.my

24th INTERNATIONAL CONGRESS OF PEDIATRICS, CANCUNMEXICO, 2004

Date : 15-21 August 2004Venue : MexicoAddress : Pico de Verapaz 435-4o piso

Col. Jardines en la Montana14210 Mexico, D.F.

Phone : +52 55 5449 1500Fax : +52 55 5449 1555 E-mail : info@icp2004.com

8th ASIAN & OCEANIAN CONGRESS OF CHILD NEUROLOGY

Date : 7-10 October 2004Venue : Hotel Taj Palace, New Delhi, IndiaContact : Prof Veena Kalra Address : Organising Secretary,

8th AOCCNDepartment of PediatricsAll India Institute of Medical SciencesAnsari Nagar, New Delhi -110029 India

Phone : 91 11 2659 4424 / 2659 3209Fax : 91 11 2686 2663 / 2652 1041 E-mail : kalra@8thaoccn2004.com

12th ASEAN PEDIATRIC FEDERATION CONFERENCE

Date : 25-28 November 2004Venue : Dusit Resort, Pattaya, Thailand Address : Secretariat Office,

Pediatric Society of Thailand,9th Floor, The Royal Golden Jubilee Building,2 Soi Soonvijai, New Petchaburi Road,Bangkapi District, Bangkok 10320Thailand

Kayati Binti Jais @ Hj MdDahlanNo 13, Jalan 3Taman Sri Teratai44000 Kuala Kubu BharuSelangor

Saidah Bte JubriNo 14, Jalan 2/2ABandar Baru Bangi46350 Selangor

Norlian Binti Jauhari9374-G Taman Indah75150 Bukit SebukorMelaka

Habibah Bt A JalilLot 4207 Bt 6 Jalan GombakPO Box 23553700 Kuala Lumpur

Nora Omar33, Kg Seri Mariah31000 Batu GajahPerak

Norihan Bt HashimJA 2399Kg Kesang Jaya77000 jasinMelaka

Norazliza Bt AhmadNo 3 Jalan Chang Yinh FattFaib Perak30040 Ipoh, Perak

Salmah Saadon14 jalan SD 2/22Taman Seri Duyong 275460 Melaka

Madihah Bt Mohd ShahNo 47, Jalan PinangKg Melayu68000 Ampang, Selangor

Lee En Moi @ AnnaPPM 11, Elopura90000 Sandakan, Sabah

Nurul Fariza Bt Mohd MustafaPaediatric WardAmpang Puteri Specialist HospitalNo 1, Jalan Mamanda 968000 Ampang, Selangor

Norsahida Bt SahariPaediatric WardAmpang Puteri Specialist HospitalNo 1, Jalan Mamanda 968000 Ampang, Selangor

Yeo Mui Ee217 F, Taman Kenanga Seksyen 3Gajah Berang75200 Kuala Lumpur

Raja Rosilawati Binti RajaHussinLot 440, Jalan Sek KebangsaanLudang15150 Kota Bharu, Kuantan

Roslinda Binti Abd. AzizBatu 6, Jalan Kuala Urai16010 Kota Bharukelantan

Norasmila Bt JamailLot 2089, Jalan Tok MalekKg Kutan Hulu16250 Kota BharuKelantan

Chan Soh Iyan1048 Taman Ang Beng KooiJalan Pengkalan ChepaKota Bharu, Kelantan

Siti Ramlah Bt AyobLot 1844, Kampung Wakaf MerahRendong, 17030 Pasir MasKelantan

Kartini Bt Ali101 Blok 1Kuarters Hospital, Jalan Korma83000 Batu PahatJohor

Dr Amir Hamzah B AbdulRahmanNo 5, Lorong Permatang BadakMaju 525150 KuantanPahang

Dr Choo Keng Ee878, Kampong Baru, Pasir Pekan16060 Kota BharuKelantan

Dr Ang Yow MingNo 1, Lorong Bukit Ubi 21Taman Bukit Sekilau MewahJalan Bukit Sekilau25200 KuantanPahang

Dr Sharifah Ainon SyedMokhtarConsultant Paediatric CardiologistDepartment of PaediatricsHospital Pulau Pinang10450 Pulau Pinang

Dr V ManonmaniDepartment of PaediatricsMelaka-Manipal Medical College463-1, Jalan Batu Hampar,Bukit Baru75150 Melaka

NEW ASSOCIATE MEMBERS

CHANGE OF ADDRESS

Special Alert: IOM Report Rejects Link Between Autism andMMR Vaccine and Thimerosal-Containing Vaccines

A major report issued today by the Institute of Medicine(IOM) rejected MMR vaccine and thimerosal-containingvaccines as a cause of autism. The findings, based on reviewsof current scientific evidence, are a significant affirmation ofvaccine safety. The new report is an excellent resource fordoctors who want to reassure parents about the safety ofvaccines. Said AAP President Carden Johnston, M.D., “Formost parents, today’s report gives them the assurance theyneed to fully vaccinate their children.”

NEW LIFE MEMBERS

Dr Bee Boon PengNo. 653, Lorong S2A 14/4Green Street HomesSeremban 270000 Negeri Sembilan

NEW ORDINARY MEMBERS

Dr Mangalam Sinniah240 Jalan C5, Taman Melawati53100 Ulu Kelang, Kuala Lumpur

Dr Chen Seong Joon37, Jalan Damai Bakti 3Alam Damai56000 Cheras, Kuala Lumpur

Puan Arpah AbasNational Pharmaceutical ControlBureauMOH, Jalan UniversityPO Box 31946730 Petaling Jaya, Selangor

Dr Foong Kin WaiDepartment of PaediatricsHospital Batu PahatJalan Kurma83000 Batu Pahat, Johor

Dr Syed Nazir MS KadirDepartment of PaediatricsUniversity Malaya Medical CentreJalan Pantai, 59100 Kuala Lumpur