Enough of being treated like sick second class citizens.

July 11, 2010

Deputy Health Minister Datuk Rosnah Abdul Rashid Shirlin when replying to a supplementary question from Chong Chieng Jen (DAP-Bandar Kuching), told the Dewan Rakyat (parliament) on 7th July 2010 that the doctor-patient ratio of was one doctor to 2484 residents in Sabah and one doctor to 2354 in Sarawak. This is compared to one doctor to 328 residents inPutrajaya and in Kuala Lumpur it was one doctor to 488 residents.

The huge discrepancy in this doctor-patient ratio between Malaya and Sabah/Sarawak is totally ridiculous and unacceptable after 47 years of the formation of Malaysia. It brings to the fore and begs the question are we in Sabah/Sarawak Second class citizens? Already saddled with being the two poorest states in Malaysia we now also hold first and second positions with the the worse health cares given.

This is a sad state of affairs as lives are lost daily due to the lack of doctors and specialists in East Malaysia. How many more of our loved ones are going to die before we will say enough.

This is coupled with a lack of basic health facilities like over 600 days of  Kota Kinabalu being without a general hospital with no end in the near future. Kota Kinabalu does not only need a new general hospital but also a University hospital for the medicine faculty of the University Malaysia Sabah (UMS).

Our people  admitted to Kota Kinabalu’s Queen Elizabeth Hospital and other district hospitals are told to sleep on the floor. Have we reached such a dire state of affairs that our hospitals cannot even provide us with a mattress or adequate medicines, while we see wastage on a large scale like for the opening ceremony of a certain imposing building in Kota Kinabalu.

Datuk Rosnah says that the cause of this severe shortage of doctors is due to a lack of interest and the heavy workload in the rural areas, but we say it is more a lack of incentive given to doctors to work in Sabah/Sarawak especially in the rural areas.

In the past, If the Ministry of Health was really serious about tackling the chronic problem of shortage of doctors then by offering incentives either in the form of adequate monetary allowances or priority in advancement to specialist courses to local Malaysian doctors would have gone a long way to reduce the doctor-patient ratio in East Malaysia. The hiring of contract doctors from overseas although not in all but  in most cases were more problematic than giving incentives to our Malaysian doctors.

The churning out of Medical graduates as a solution to the doctor shortage problem in the future is a merely “bums on seats” solution and numbers does not equate to quality of the medical graduate. This is seen by the increase of housemanship from one to two years. If the new doctors were well trained in their medical colleges than one year is enough to acclimatise to working  life and to be able to send them to function in the district hospitals where they are truly needed, not clogging up the general hospitals.

We say enough of being treated as second class citizens for 47 years, and no more deaths and morbidity due to a lack of doctors or specialists. Please Datuk Liow and Datuk Rosnah, keep your promises by giving us doctors and hospitals and enough of empty words by the Ministry of Health while our loved ones are dying.

Whatever happened to the much talked about 1Malaysia, or is this not the case when applied to the medical needs of the people of Sabah/Sarawak?

We in Sabah DAP will not seat quiet on this very important issue of the ridiculous long standing severe doctors shortage and lack of hospitals, mattresses and medicines as  healthcare is supposed to be a basic necessity which has been neglected too long already in Sabah/Sarawak.

- Dr Felix Chong Kat Fah,

Sabah DAP Medical and Health Advisory Bureau Chairman.


QEH and QEH2 – The never ending wait continues. The Borneanisation of QEH2.

June 2, 2010

Queen Elizabeth Hospital

Since september 2008 due to the decanting of the tower block at Queen Elizabeth Hospital (QEH),  Kota Kinabalu in particular and Sabah in general has suffered the insult of not having a general or tertiary referral hospital.

It is fast approaching 600 days now without a General hospital and despite the many promises of the Minister of Health and the Ministry of Health, overcrowding in the wards of  Queen Elizabeth Hospital (QEH)  where patients sleep and are treated on the floor are still the norm. Even QEH2 (the old Sabah Medical Centre) are also overcrowded.

The long suffering rakyat has been asked to be patient but for how long more, as patience only goes so far when our sick, loved ones are asked to sleep on the floor in QEH, and packed like sardines 4 or 5 to a room meant for double occupancy.

Whatever happened to the promises of the expedited construction of the twin towers at the QEH compound? No evidence of work can be seen at the site.

Whatever happened to the renovation works for the QEH2? When will it be completed?

In the meanwhile, our sick loved ones are shuttled between QEH,QEH2, Hospital Likas and Hospital Bukit Padang.

Besides the hardship and confusion to the public, it is also a burden to doctors, nurses and paramedics who are also shuttled around with the patients.

I would also like to mention here the dire need for a university Teaching hospital for the University Malaysia Sabah medical faculty, which was not even deemed important enough for addition in the tenth Malaysia plan.

A University Teaching hospital is as the name suggests a hospital for the training of our future doctors and a research centre of excellence with a full complement of medical academics cum specialists.

A general tertiary hospital would complement and work hand in hand with a university teaching hospital and would be a great boon to not only Kota Kinabalu, but for Sabah and Borneo. And with these institutions we can develop our medical tourism aspirations.

The name of Queen Elizabeth Hospital 2 (QEH2) shows little thought as like the lack of care being given to our Medical and Health services in Kota Kinabalu and Sabah by the Ministry of Health.

In the peninsular Malaysia, much care is given to the building of hospitals and also the naming of these hospitals with prominent pillars of society. But not in Sabah where it is arbitrarily called QEH2.

Is Sabah without any worthwhile leaders deserving the honor of having a hospital named after them? Tun Mustapha? Tun Fuad Stephens?

Maybe  named after a particular current leader that have the resources to help the rakyat by building a whole new hospital? Or Tun Sakaran Dandai, who has a marine park named in his honor? And many others.

This is a call for the  Borneanisation of our Hospital’s (QEH2) name.

We should not be silent but raise up our voices to demand for our rightful basic Medical and Health care in Kota Kinabalu especially and Sabah in general.

There is a blatant lack of political will or urgency on the part of our Minister of Health and other leaders on the plight and suffering of the people of Sabah.

We would like to again invite our hardworking and busy Prime Minister to make time to visit his subjects in Kota Kinabalu and “walk -about” in QEH and QEH2 and see for himself the true conditions suffered by patients and relatives there.

Being tax payers, voters, and “BN Fixed Deposit” we expect nothing less.

- Dr Felix Chong Kat Fah. Sabah DAP Medical and Health Advisory Bureau Chairman.


Sabah’s Sick Overcrowded Hospital or lack of Hospital.

May 25, 2010

The sick state of Sabah's Health system.

Our Loved ones getting treated on the hospital floor!

Sabah - No General Hospital! Where the poor to go!

My thanks to my good friend, Miss Lai Ee for the great art work.

Refer to:

http://drfelixchong.com/2010/06/02/qeh-and-qeh2-the-never-ending-wait-continues-the-borneanisation-of-qeh2/

http://drfelixchong.com/2010/05/08/chaos-crises-in-kk-hospitals-re-visited/

http://drfelixchong.com/2010/05/09/mykads-are-definately-given-to-illegals/

- Dr Felix Chong. Chairman, Sabah DAP Medical and Health Advisory Bureau.


MyKads are given to Illegals despite what NRD says.

May 9, 2010

(9th May 2010- I read with amusement the NRD’s reply to my statement about how Illegals are overloading Sabah’s Health Services published in the Daily Express on 25th April 2010.)

I must thank the prompt reply given by the National Registration Department (NRD) Public Relation Officer, Pn Jainisah Mohd Noor, but unfortunately I cannot agree with her premise that No MyKads has ever been given to illegals.

I start by seeking clarification to the Home Ministry’s plans to legitimize the stay of 69,000 IMM13 holders by giving them MyKads, thereby according them not only Malaysian citizenship but the Identity code of “12″ which means they were born in Sabah, although they were born in a foreign country and also automatically giving them the status of Bumiputras with all the inherent benefits.

This said our home minister, Datuk Hishammudin Tun Hussien is for humanitarian grounds. So what is to happen to our bona fide stateless locals who were born in Sabah or have stayed in Sabah more than 40 years that do not have MyKads? Many have been applying for MyKads countless times. Are they not deserving of being considered under humanitarian grounds or only IMM13 holders fall under the definition of humans?

Another point of contention is what happened to the 20 points agreement agreed upon on Sabah (North Borneo) formed Malaysia with Malaya, Singapore and Sarawak that was to safeguard Sabah’s immigration rights. It seems that the 20 points agreement has been conveniently forgotten in this regard.

These 69,000 IMM13 holders are only the tip of the iceberg of a bigger problem lurking below the surface which is that of the hundreds of thousands of illegals in their many colonies throughout the state.

I dare anyone to deny “Project IC” in the 1990s where ICs and subsequently MyKads were issued to illegal immigrants. Also similar mass immigration and naturalization of migrants in the 1970s under the USNO government, and in the early 1980s under Berjaya government.

There are the  thousands of illegal  immigrants on the electoral rolls because the NRD did not confirm that their MyKad was bogus or not. The case of  Hassnar Ebrahim, the Sandakan district chief who confessed being intimately  involved in Project IC. The court case to nullify the 1999 election results of Datuk Yong Teck Lee in The state constituency of Likas, due to the presence of thousands of illegal  immigrants on the electoral rolls.

The case of Salman Majid who had a MyKad but no evidence of being born in Sabah and its political implications. The UMNO division leaders who are illegal immigrants holding MyKads. And many more cases.

Coming back to my statement that Sabah’s Health services are overloaded by illegals or illegals with MyKads, It is the State Health Department that should have responded to my claim if what I have said is not correct, not the NRD.

Economically, Illegals or Pendatang Tanpa Izin (PTI) owe  so much money to especially the major hospitals eg. QEH, Hospital Tawau, Hospital Lahad Datu, Hospital Keningau etc, that the many millions of unpaid bills had to be written off.

The wards in the major hospitals are also catering for large numbers of illegals, who invariably will not pay for their expensive treatments.

Public health nurses spent a large amount of their time chasing after PTIs who refuse to seek proper antenatal care, even when our nurses go to their squatter colonies.

These pregnant mothers will  attempt home delivery and when birth complications  like post-natal  hemorrhage occur, they are rushed to the nearest hospitals hoping for miracles.

Many PTIs will only seek treatment when in critical conditions (like birth complications), after their illness has been neglected for a long time and will be brought in late. This is a burden on the hospital in terms of  human resources (like doctors and nurses), expensive and scarce equipment like ventilators, specialised procedures, surgery or medications.

All this makes the treatment of such PTI who utilizes our emergency and intensive care units very expensive. Many a time (speaking from experience) our locals find themselves deprived of life-saving intensive care machines like ventilators which on investigation was occupied by PTI.

Sabah also has the dubious honor of having high incidences of Maternal mortality, Infant and disease rates which can be attributed somewhat to the attitude of this PTI who are generally uneducated, breed like rabbits, refuse vaccinations for their children, live in unhygienic conditions and only seek treatment when at a critical stage.

The overloading of  Sabah’s health services is just a part of the problem caused by this illegals with or without MyKads.

The PTI MyKad holders and their paperless and stateless cousins are also undeniably blamed for the many socio-economic and criminal ills plaguing us today.

Many locals fear the day when we will be in the minority and become disenfranchised. As PTIs attain MyKads and voting powers, they will control the government and change the political landscape and trend forever.

I wish the relevant authorities and politicians will take this matter seriously, do some serious soul searching and not try to sweep it under the carpet or cover up.

It is time for  a Royal Commission  of Inquiry on the matter of illegal immigrants with or without MyKads.

Please Save Sabah, Save Malaysia.

- Dr Felix Chong Kat Fah. Chairman, Sabah DAP Medical and Health Advisory Bureau.


Chaos & Crises in KK hospitals. Re-visited.

May 8, 2010

Our medical and health services in Sabah are in a state of crises or
chaos. Since about September 2008 we have been without a tertiary
hospital in Kota Kinabalu. Our Queen Elizabeth Hospital is truly
“Rumah Sakit”. How long more do Sabahans have to suffer? Has the
Federal government forgotten their election promises?

The problem of overcrowding has become the norm in the Queen Elizabeth Hospital and is so bad that some patients are forced to sleep on the floor.  The building of a new hospital is no way in sight, even  the purchase of the RM245 Million Sabah Medical Centre did not help, our sick loved ones have no choice but to receive treatment on the floor.

Actually the building of the Twin tower ward block at the QEH site has been on the books since 1995, but 15 years later nothing has been done. This has exacerbated the current problem of overcrowding.

Not only is there  overcrowding at  QEH wards, but also in QEH2 wards where 4-5 patients are put into one room meant for two patients.

There has also been many cases of patients forced to go home even though their treatment is not completed due to this overcrowding. What happened to their quality care?

Coupled to this our sick loved ones are transported around like playing musical chairs among five medical centres of QEH-QEH2(SMC)-Hospital Likas-Hospital Bukit Padang-Lingzhi Museum. Continuity of medical care is almost impossible as patients lose case notes and investigations are lost leading to repeating investigations
and more cost and discomfort to the already sick patients.

Another important consideration of the overcrowding is the nosocomial (Hospital based) infections, where due to the close proximity of patients, infection eg. aerosol or droplet are easily spread. Patients is admitted for a minor disease and get discharged with a major one.

The doctors and nurses are also forced to work in such deplorable conditions where one doctor even wrote an open letter to our Minister of Health, describing the wards are like  refugee camps.But nothing
has been done.

The medical staffs are running around treating, escorting and trying to find patients that have become lost in the five medical centre medical maze.

Besides the need for a new hospital in Kota Kinabalu , there is a great need for the building of a Teaching Hospital in University Malaysia Sabah (UMS). The UMS teaching hospital was not even included in the 10th Malaysia plan, and is needed to promote medical care, to work in tandem with our government hospitals and most importantly to train our future doctors.

In line with his 1Malaysia – people first, Performance now, the people of Sabah, would like to invite our Prime Minister, YAB Dato’ Najib Razak to come to see for himself the sad state of affairs in our QEH wards and how our loved ones are being treated or rather mis-treated on the floor.

By : Dr. Felix Chong Kat Fah, Sabah DAP Medical and Health Advisory Bureau Chairman.


Hospital Ward overcrowding

May 4, 2010

Our medical and health services are in a state of crises or chaos. Since about September 2008 we have been without a tertiary hospital in Kota Kinabalu. Our Queen Elizabeth Hospital is truly “Rumah Sakit”. How long more do Sabahans have to suffer?

The problem of overcrowding has become the norm in the Queen Elizabeth Hospital and is so bad that some patients are forced to sleep on the floor. And with the building of a new hospital no way in sight, and the RM245 Million takeover of Sabah Medical Centre mere talk, our sick loved ones have no choice but to seek treatment on the floor.

The overcrowding is also not confined to QEH, but also to the SMC wards, where 4-5 patients are put into rooms meant for two patients.

There has also been many cases of patients forced to go home even though their treatment is not completed due to this overcrowding. What happened to their quality of care.

Coupled to this our sick loved ones are transported around like playing musical chairs among five medical centres of QEH-SMC-Hospital Likas-Hospital Bukit Padang-Lingzhi Museum. Continuity of medical care is almost impossible as patients lose case notes and investigations are lost leading to repeating investigations and more cost and discomfort to the already sick patients.

Another important consideration of the overcrowding is the nosocomial (Hospital based) infections, where due to the close proximity of patients, infection eg. aerosol or droplet are easily spread. Get admitted for a minor disease and get discharged with a major one.

The doctors and nurses are also forced to work in such deplorable conditions where one doctor even wrote an open letter to our Minister of Health, describing the wards are like  refugee camps. The medical staff are also running around treating, escorting and trying to find patients that have become lost in the five medical centre medical maze.


UMS- No Funds for Teaching Hospital yet.

April 23, 2010

The Dean of the UMS faculty of Medicine, Prof Dr Osman Ali has made a statement that the UMS has no funds to build a Teaching Hospital to cater for the training of some 320 Medical students currently.

Their request for said teaching hospital to be built on the UMS campus, under the 10th Malaysia Plan have been rejected.

Recently, I had questioned our CM as to the status of the Khidmat building which he promised in the previous budget to build a private hospital. The next day amid a great fanfare our CM, Datuk Seri Musa Aman announced that Khidmat building is to be used by UMS for building a Teaching Hospital.

If The Medical Faculty of UMS has no funds to build their own Teaching Hospital on the UMS campus, it stands to reason that the conversion of the long abandoned Khidmat building into a Teaching Hospital remains just a dream.

Unless maybe a benefactor that has the money and can afford it, like our CM comes forward and sponsors the  building of the Teaching Hospital.

I have actually predicted this turn of events in a previous blog. See http://drfelixchong.com/2010/04/15/wisma-khidmat-to-be-medical-school-so-says-cm/

It must be a nightmare come Clinical Examination time where there are no patients to examine or Hospital. I wonder how Clinical skills can be tested in such setting.

Coupled with a lack of experienced teaching staff, I worry about the quality of the UMS Medical graduates. Clinical skills need living patients and cannot be learned from textbooks, plastic models or dissected, preserved specimens.

Recently a new museum of preserved specimens was opened to the tune of RM 2 million. We don’t need this, we need a Teaching Hospital.

Frankly speaking, it saddens me how badly the UMS Medical Faculty needs a Teaching Hospital unlike their counterparts in West Malaysia that have their own Teaching Hospital.

Again Sabah are left out of  development despite contributing 95% of our oil and laying bare our rain forest for Timber. And also despite of the promises of the big shots in Putrajaya. They forget without Sabah BN would have been kicked out of Putrajaya.

See related: http://drfelixchong.com/2010/04/14/old-khidmat-building-as-a-state-owned-private-hospital-–-scraped/

-Dr Felix Chong Kat Fah.

Chairman, Sabah DAP Medical and Health Advisory Bureau cum Chairman, DAP Tanjung Aru Branch-


IMM13 only tip of the iceberg!

April 20, 2010

I am alarmed but not surprised that the Home Affairs Ministry plans to legitimise the stay of some 69000 IMM13 holders by giving them MyKads, thereby according them Malaysian citizenship. This said our Home Affairs Minister, Datuk hishammudin Tun Hussein is for humanitarian grounds.

So what about the many stateless  locals who were born in Sabah or have stayed in Sabah more than 40-50 years that do not have MyKads? They are not humans deserving of humanitarian considerations? Or are only IMM13 holders fall under the definition as humans?

To a Sabahan, just one look at a person will tell whether he is local and a PTI. But than to our federal masters who don’t even understand our language, religion or customs, they may find it harder to differentiate locals to PTIs. For example, the Allah issue and the use of “Bin” or “Binti” by non-Muslim Sabah Bumiputras that were big issues recently.

I fear this is just the tip of the iceberg for a problem that has affected Sabah for many years now and will change our socio-economic and political landscape if left unchecked.

On forming Malaysia in 1963 Sabah’s population was 650,000 and this has mushroomed (esp. in the 90′s) to 3.28 milion today. This huge increase is not in line with the expected or projected population.

The huge increase is in large measure due to the refugees  from mainly the Phillipines who escaped due to war. They were given IMM13 status, but they have stayed behind even after their war was over. They and the large numbers who have immigrated since then are now more economic refugees today rather than war refugees.

According to the book “Lest we forget” by Dr Chong Eng Leong and the many books on the Project IC have projected the paperless, PTI (pendatang Tanpa Izin) number more than 750,000 today. This is a conservative estimate.

What happened to the 20 points agreement safeguarding our immigration rights. They were placed as a safeguard and there for a reason. Only the Sabah state government can approve Permanent Residence or Citizenship in Sabah. This his pertinent as the MyKad issued to the IMM13 holders will bear the code “12″, meaning birth in Sabah, whereas they were born in the Philippines. The Home Affairs Minister maybe conveniently disregarding the 20 points agreement, which is not the first time the Federal government have done so.

Under “Project IC”, the PTIs were given IC’s to ensure that the government of the time gets the votes needed to stay in power. A selfish, irresponsible and short sighted act by the government that amounts to treason to the people of Sabah.

Many locals fear the day when we will be in the minority and become disenfranchised.  Imagine all this  PTIs with voting rights and power that will ensure  the BN government  stay in power forever. A frightful thought. One day a PTI will rule us, as votes means power. A more frightful thought.

Besides causing the shift in the political landscape and trend in Sabah, The PTI MyKad holders and their paperless and stateless cousins are also undeniably blamed for the many socio-economic and criminal ills plaguing us today. And in the near future things will just get worse and when they become more entrenched we will be unable to change things.

The time to change things is today, or it will be too late. We should not be complacent or our children or grandchildren will end up as labour under PTI masters.

-Dr Felix Chong Kat Fah, Chairman, DAP Tanjung Aru Branch cum Sabah Medical & Health Advisory Bureau.

*Related blog:http://drfelixchong.com/2010/04/13/how-pti-overloading-our-health-system/


A nice use for the Khidmat building.

April 16, 2010

The Khidmat building that nobody wants. What to do with it?

Four storeys of space. Wide open corridors.

Not suitable for hospital. No money or expertise to build it.

I think the Khidmat building is just ideal to be converted into the rearing of swiftlets for bird nest.

And why not? It will bring much needed income to the Sabah Credit Corporation that owns it and for the State government too.

Rearing swiftlets for bird nest is better than letting it be abandoned  or waiting for the uncertainty of the future.

And when the finances to build the clinical hospital is available than we can still chase away the swiftlets and build the hospital.

As a wise man said, think outside the box.


Wisma Khidmat to be Medical School??? So says CM.

April 15, 2010

As a follow-up to my press release asking our Chief Minister, Datuk Seri Musa Aman yesterday as to the status of the long abandoned Wisma Khidmat building which he had promised to be converted into a private hospital and announced during the last budget. This was budgeted to cost RM100 million, but to date nothing has been done except for many millions paid to the architects and various consultants. What has actually happened to the rakyat’s money?

Today Datuk Seri Musa Aman graced me with an answer that Wisma Khidmat is to be converted instead into a medical training hospital and teaching facility under the University Malaysia Sabah (UMS). The cost of this is to be borne by the UMS. It seems like “passing the buck” to the UMS.

This sounds very nice to the ears but lets look at it logically. Does the UMS have enough funds to convert this rundown and long abandoned building into a safe clinical facility. And mark my words it is not going to be cheap.

What happened to the plans for the building of a University hospital in the UMS campus? Why the duplication and wastage of funds?

Further the area surrounding the Khidmat building is quite limited and I fear that there will not be enough space for car parks of the staff let alone for the public.

The building of a hospital even a small teaching one is not like putting up a normal building. It is a specialized endeavor that involves much planning to ensure staff and patient safety, to ensure asepsis and sterility so there is no environmental or nosocomial contamination. It is not the setting up of a few walls and a coat of paint.

Then there are the support services like radiological, laboratory, pathology, CSSD (sterilising department) etc. All this require specially trained people. Where are the trained manpower going to come from?

Lastly and I think most important, are the students themselves. Who are going to supervise and train them. I am made to understand that there are not enough UMS clinical trainers for the students.

Are they going to be patients for them to play with or are they going to practice on themselves?

I wish the UMS Medical Faculty the very best since they are being passed the long abandoned Khidmat building that even the state government does not know what to do with it.

So in the meantime we will just have to wait and see whether anything happens to the Khidmat building as promised.

-DR Felix Chong Kat Fah

Chairman, Sabah DAP Medical and Health Advisory Bureau.

**Related to: http://www.theborneopost.com/?p=23877


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