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Shortage of Oncologists - Government Hospitals



There are only 26 oncologists at government hospitals to handle the 30,000 cancer patients diagnosed annually. Deputy Health Minister Datuk Seri Dr Hilmi Yahaya said these numbers only represented those who sought treatment at government hospitals. 
The oncologists are serving in the Kuala Lumpur, Penang, Johor, Sarawak, Sarikei and Likas hospitals, and the National Cancer Institute.
“The number of patients are expected to rise in the future,” he said yesterday. 
He said about half of the 30,000 patients were suffering from stage three or four cancers. “For every stage three or four cancer patient that we know, we believe there is one who goes unreported,” he said.
He cited breast, lung and colorectal cancer as the three main forms affecting Malaysians.
“Cancer is the cause of the 4th highest number of deaths in the country, or 13% of all deaths here,” he added.
On efforts to increase the number of specialists, he said that 1,000 scholarships were offered for various medical disciplines annually. “Of the 1,000, only 500 who passed served with the Government. But 100 of those doctors will usually resign to go into private practice,” he added.
/theSTAR 17-05-2016


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Latest Player in the Hospital sector.



Diversified group Oriental Holdings Bhd, with cash reserves of RM1.1bil, has gone into healthcare business. The company, with interests from automotive to plantations, started its healthcare operations in January 2015.
It has a 300-bed fully-integrated hospital in Malacca called the Oriental Melaka Straits Medical Centre (OMSMC). Oriental operates the hospital through 51%-owned Melaka Straits Medical Centre Sdn Bhd.
Its healthcare division also houses the Oriental Nilam College of Nursing and Health Sciences, which is placed under Nilam Healthcare Education Centre Sdn Bhd..
The division is, however, still in a loss-making position due to high start-up and capital expenditure. “At this moment, it is not contributing to our profits yet. It will still be making an operating loss until next year,” Managing Director of Healthcare division Dr Tan Hui Ling said.
“The healthcare division’s performance is expected to improve over the next few years, mainly from the results of OMSMC, and is expected to register yearly positive operating profits and net profits in the years 2017 and 2020 – in the third and sixth year of operations of OMSMC, respectively,” she added.
The healthcare division was the only loss-making one among Oriental’s businesses, accounting for a segment loss of RM26.4mil with a revenue contribution of RM14.19mil in the financial year ended Dec 31, 2015
Due to high capital investments, FY15’s depreciation and amortisation costs for the division amounted to RM12.41mil, which is close to half of its segmental loss. “The total start-up capex cost for the healthcare division is RM266mil for both the hospital and college,” Tan said.
“Losses are still projected to be incurred by this segment in the second year of operations. Operating losses are projected to reduce by 30% and no significant reduction in net loss in FY16 due to increasing depreciation and interest costs,” she added.
The healthcare division’s assets amounted to RM236.95mil in FY15.
Moving forward, Tan anticipates strong growth in both inpatient and outpatient numbers that will help increase returns to the group. “We are very confident that these figures will be achieved. OMSMC served 32,120 outpatients and 2,167 inpatients in FY15 and the numbers are expected to grow to 50,000 outpatients and 5,000 inpatients per year respectively in FY16,” she said.
The growth will be supported by a capex allocation of RM12.5mil for FY16.
“This is mainly for opening new wards for inpatients and acquiring additional medical equipment for new disciplines and services to be introduced. We have opened 76 beds, and will be opening one more ward this year with 29 beds. So, all in all, we will have 105 beds by the end of the year,” Tan said.
“We can build up to 300 beds at OMSMC but the Health Ministry only allows us to open it in stages,” she added.
The company will fund the capex mostly through borrowings, she said.
Oriental’s projected strong growth in the healthcare segment is in line with that of other industry players such as IHH Healthcare Bhd.
However, the break-even time for Oriental is longer compared to industry leaders such as IHH that has an average break-even time of less than three years, likely due to the latter’s economies of scale dynamics. IHH’s break-even time also depends a lot on the location of its hospitals.
 /theSTAR 09-05-2016
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Malaysia Ringgit strenghtened against the USD



Malaysia’s ringgit strengthened today as a rally in crude oil prices brightened the prospects for the region’s only major net oil exporter.

The ringgit led the advance in Southeast Asian currencies as global funds returned to emerging markets after the US Federal Reserve signaled a gradual approach to raising interest rates.

Brent crude extended a recovery from a 12-year low reached in January, auguring well for a nation that derives 22 percent of government revenue from oil-related sources.

“A dovish Fed, supportive oil prices, stabilizing market sentiment and decent interest in local currency bonds” spurred the ringgit’s gains this month, said Christopher Wong, foreign-exchange strategist at Malayan Banking Bhd. in Singapore.

The ringgit strengthened 0.6 percent today, 30-03-2016, and 5.8 percent in March to 3.9715 a dollar as of 9:35 a.m in Kuala Lumpur, according to prices from local banks compiled by Bloomberg.

The currency is set for its biggest monthly advance since September 1998.

Overseas investors are returning to Malaysian assets after a 35 percent slump in Brent crude last year spurred the ringgit’s biggest annual loss since 1997. The yield on 10-year Government bonds declined nine basis points this month to 3.85 percent and was little changed on Wednesday.

The benchmark equities gauge has advanced 4.2 percent in March, and is up 1.8 percent for the year as global funds bought 4.45 billion ringgit ($1.12 billion) of the nation’s stocks in 2016 after 19.5 billion ringgit of outflows last year, according to data from MIDF Investment Bank.  
/Bloomberg 30-03-2016






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Malaysia targets RM1.3 bil for medical tourism in 2016



The Malaysian Health Ministry is targeting RM1.3bil in medical tourism in 2016
Datuk Seri Dr S. Subramaniam said his ministry spends RM20mil a year to promote and develop medical tourism, and “since the beneficiary is the private sector, we want their participation” in pushing the agenda. “Eventually, we want the sector to take full ownership,” he said in his keynote address at the ASLI Healthcare Forum 2016 yesterday.
Last year, medical tourists spent RM900 mil on treatments at private hospitals, which did not include their holiday spending.
There were 850,000 such tourists last year and more than half were from Indonesia. The others were from India, China, Japan, Britain, Africa and the Middle East.                                                                                 /theSTAR 30-03-2016
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New Entrant into Pharmacy space



Private equity firm Creador is allocating RM100mil in its venture into the pharmacy retail business through RedCap Pharmacy.

Founder and CEO of Creador Brahmal Vasudevan had on Tuesday unveiled plans to grow the chain into a major national player.

He added as the Malaysian consumer becomes more sophisticated, there would be increasing healthcare needs and retail pharmacies will play an important role serving this need.

“Based on our estimates, the Malaysia pharmacy space is still fairly "under penetrated". Creador sees an exciting opportunity for us to invest in and create a modern retail pharmacy offering world class experience for our customers. We have set aside RM100mil to support RedCap’s growth,” he said.
In phase one, Creador acquired D’Apotic Pharmacy last April as the platform to grow this investment. 
For phase two, Creador teamed up with Ian Cruddas, who was instrumental in building some of the large retail chains in Malaysia. 

“Together with our management team, Creador is committed to drive this transformation, leveraging on our experience in partnering with entrepreneurs across our key markets to build RedCap into a world class business,” added Vasudevan. 

Other successful consumer brands that Creador has invested in Malaysia include Old Town White Coffee, Bonia, GHL and CTOS. 
/theSTAR 17-03-2016

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KPJ Group adds more Hospitals



KPJ Healthcare Bhd will spend RM1.294bil to build eight hospitals in several towns over the next few years, its president and managing director Datuk Amiruddin Abdul Satar said. 


The new hospitals, including the Bandar Dato’ Onn Specialist Hospital in Johor Baru, KPJ Klang Bayuemas Specialist, Melaka Specialist Hospital and Port Dickson Specialist Hospital, are expected to be ready in 2018 and 2019. 

The proposed hospitals will add 1,210 more beds to the group, bringing the total to 4,110 from 2,900 in 2015. 

KPJ Healthcare will also open two new hospitals this year, one each in Pahang and Perlis costing RM182mil which is set to open in the second quarter of this year while another in Perlis in the third quarter respectively.


/theSTAR 17-03-2016

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Pharmacists Population



As of 22 February 2016, there are 20 local universities (with 26 programmes) approved by the Ministry of Higher Education (MOHE) and recognised by the Malaysian Pharmacy Board (MPB) to offer Pharmacy Degrees.

With 1200 graduates annually, there are currently 13,549 registered pharmacists and this figure contributes to the ratio of 1:2306 pharmacists to population. It is expected that Malaysia will reach the ratio of 1:2000 by the end of year 2016 as recommended by the WHO.


From the overall total, 55% are currently in the public sector.

Based on the capacity of the local universities, MPB has set the ratio of lecturer to student and clinical lecturer to student at 1:10 and 1:8 respectively. Hence, the student intake of 1,200 yearly for the pharmacy degree programme.


In view of the limited training facilities in the public sector and rising need in the private sector, policy on liberalisation of Provisionally Registered Pharmacist (PRP) Training in private sector was introduced in 2012.


Pharmacy graduates are allowed to carry out the one year PRP training at any of the following private facilities approved by MPB viz 149 community pharmacies, 10 private hospitals, 16 pharmaceutical manufacturing factories, one university facility and seven R&D facilities under Pharmaceutical Association of Malaysia (PhAMA). 

Even though liberalisation of PRP training has been implemented, pharmacy graduates still prefer to undergo PRP training in the public facilities. This is mainly due to more attractive salary being offered, with better career pathway and more intensive clinical training in the public sector.


Therefore, PRP training in the public facilities are more popular while there are less pharmacy graduates who opted to undergo PRP training in the private facilities.

As a result, it is perceived that there is an oversupply of pharmacy graduates from both local and overseas higher learning institutions. 

However, if the intake of pharmacy student is not controlled with a suitable quota, there may be an oversupply of pharmacists in the near future.


Moratorium on pharmacy undergraduate program is now being considered to prevent too many universities from offering the pharmacy programs locally.

The number of pharmacy students who intend to complete their pharmacy programmes overseas are to be monitored and must fulfil the minimum entry requirement as stipulated by MPB. This is to ensure the quality of all registered pharmacists in Malaysia.

/MPB 24-02-2016

Disclaimer: Views or opinions expressed are solely those of the Author and should be used with discretion. The Author shall not be held liable for any acts or omissions arising from the use of the information. The user will be personally liable for any damages or other liability arising hereof.


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