Monday, December 22, 2008

HIV and Harm Reduction

I am glad to read that the HIV cases have dropped drastically since the introduction of Harm Reduction Program in 2005.

I recalled vividly the amount of resistance that I have to face from all people when I first brought up this issue in the Cabinet in 2005.

I was called by one Menteri Besar of a PAS government that I was probably the most stupid Health Minister that this country has ever had.

Since under the Needle Exchange program, the MOH has been giving needles and condoms to high-risk individuals and HIV carriers. A lot of people reacted with horror to my suggestion although it is proven to be successful in many other countries.

I must admit some of the resistance came from Ministry of Health officials who think that this is religiously correct to oppose to the Harm Reduction project.

To ensure that the Harm Reduction program is a success, I also push for Methadone replacement therapy for the addicts who constitute the main source of HIV infection thru the sharing of needles.

Under the Methadone replacement therapy, the drug addicts are no longer dependant on the needles but of oral intake of liquid methadone.

In this respect, I must thank the Prime Minister and Deputy Prime Minister for their strong political will and support to the program.

It was with their support that the program was able to push through the Cabinet and the special committee on HIV.

Today, I am glad to know that the number of HIV cases has dropped from 6756 cases in 2003 to 3452 cases (end of this year).

In order to sustain these successes, it is important that there should be:

1) Education with greater awareness

2) Treatment

3) Counseling

4) Funding

5) Training of MOH health personnel and counselors

6) Continuous close work with NGOs especially the AIDS council and supporting group

7) Political commitment and common sense.

We cannot depend on pre-marital mandatory HIV testing to control HIV infection. It is only good at that point of time and provides a false sense of security.

It is education and awareness of HIV spread that is more important.

The logistic involved in mandatory testing is huge and the pick-up rate is low, which is about 5 cases per 10, 000 testing. These resources should be used for counseling and treatment of HIV patients.

A lot of HIV patients are not captured in our usual medical services provider and are poorly managed.

A better understanding of its mode of transmission of HIV and its prevention is the best tool to fight HIV, not mandatory pre-marital testing.

With better understanding, individual will go for testing voluntarily.

There must be confidentiality and follow-up management if test is positive.

减害计划(Harm Reduction)自2005年实行以来,爱滋病例明显地大幅度减少,对此我觉得欣慰不已。








1) 教育

2) 治疗

3) 辅导

4) 资助

5) 为卫生部医药人员和辅导员提供培训

6) 与非政府组织,特别是大马爱滋病理事会和爱滋病支援组织持密切合作

7) 政治承诺和基本常识






呉 和豪 said...

YB Dato Seri Dr. Chua Soi Lek
This article is very educational and informative.Analysis of a problems should be from every perspective.
Tackling of a problems should be done from many aspects.
Good results would be achieved only when complete combinations of favorables factors exist as expoumded in AVATAMSAKA scripture.

Sadhu Sadhu Sadhu, May Dato Seri be always be protected by Buddha,Bodhisathha, and Deities

Lau Hock Chai said...

happy to say the numbering is drop. but the actual number out there will be much difference. may be?? see what we read in news about the crimenal reported drop but is it really drop? datuk sri you know that the numbering statement we used it as a guard line but not the real fax.

shan said...

with boooleh brains coming out from kampung universities, aren't we expecting toooo much

呉 和豪 said...

YB Dato Dr. Chua Soi Lek

Prevention is much much more better than cure.A problem should be analysed from various perspectives ,and solved through the combination of various approaches

malayamuda said...


its indeed alarming......we have people who practise free sex these days, IVDU people who inject themselves.

Innocent men and women have to be protected. HIV tests should be made mandatory, infact the whole sex profile blood test should be made mandatory

cybervista said...

We can read the following article:

Mandatory testing flawed ... by thenutgraph

We must be careful of the following paragragh and it does tell the truth!

=> An individual's right to privacy, individual security, and personal autonomy must not be compromised

In fact, the Malaysian AIDS Council (MAC) and the Malaysian Positive Network (myPlus) both go one step further, saying that mandatory testing actually does more harm than good. These AIDS organisations also call on the government to adhere to international human rights standards. An individual's right to privacy, individual security, and personal autonomy must not be compromised.

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