7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 1/58

Keeping Our Children Safe

Zulkif l i Ismail 

Past President, Malaysian Paediatric Association

Chairman, Make It Safe for Kids (MISK)

President, Asia Pacific Pediatric Association (APPA)

drzulkifli.ismail@gmail.com

Our role as doctors

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 2/58

Outline

• Definition

• Some facts & figures• What we have done

• Local resource material

• What else can be done

Conflict of InterestNo conflict of interest as nocompany is interested insponsoring injury prevention

activities !

Zulkifli Ismail

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 3/58

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 4/58

Definition of “Safe” 

Zulkifli Ismail

Injury

Intentional Unintentional

Infection

Vaccine-preventable Non-VP

Pollution

Water Air 

Indoor 

Space

Outdoor 

Safetyis 

Not Just About Injury

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 5/58

Zulkifli Ismail

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 6/58

Zulkifli Ismail

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 7/58Zulkifli Ismail

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 8/58Zulkifli Ismail

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 9/58Zulkifli Ismail

Leading Causes of Death aged 1-4 yrs

Rank 1980 1985 1990 1995 1998

1 Pneumonia Pneumonia Congenitalanomalies

Pneumonia Septicaemia

2 Injuryother than

MVA

Septicaemia Pneumonia Septicaemia Injury other than MVA

3 Enteritis &diarrhoealdis.

Congenitalanomalies

Injury other 

than MVA

Injury other 

than MVA

Pneumonia

4 Congenitalanomalies

Injury other 

than MVA

Diseases of circ. system

Diseases of circ. system

Diseases of circ. system

5 Infective &parasiticdis.

Malignantneoplasms

Septicaemia Congenitalanomalies

Congenitalanomalies

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 10/58

Unintentional Injury Admissions~ Malaysia ~

Zulkifli Ismail

Source : Norlen Mohamed et al, Malaysian Institute of Road Safety Research

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 11/58Zulkifli Ismail

Seat-belts, helmets, car seats,bicycle and pedestrian lanes,daytime running lights, speed limits,drinking & driving laws, andgraduated driver licensing preventroad traffic injuries

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 12/58Zulkifli IsmailNorlen Mohamed et al, Malaysian Institute of Road Safety Research (MIROS)

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 13/58

Children in Road Injury - Malaysia

Zulkifli IsmailSource : Norlen Mohamed et al, Malaysian

Institute of Road Safety Research

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 14/58

Child Pedestrian Injury - Malaysia

Zulkifli IsmailSource : Norlen Mohamed et al, Malaysian Institute of Road Safety

Research (MIROS)

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 15/58

Reference

Zulkifli Ismail

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 16/58

Zulkifli Ismail

The Child as a Pedestrian

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 17/58

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 18/58www.infosihat.gov.my (KCHS>1999>modul latihan)

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 19/58www.infosihat.gov.my (KCHS>1999>modul

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 20/58

Zulkifli Ismail

Window guards, standards for playground equipment, andspecially designed children’s

products prevent falls

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 21/58

Zulkifli Ismail

Preventing Falls

H d I j i Child

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 22/58

Zulkifli Ismail

Head Injury in ChildrenHKL experience

• 335 / 388 Patients at A&E

• Home 183 54.6%

• Road 112 33.4%• School 16 4.8%

• Recreation 12 3.6%

• Others 12 3.6%Total 335 100%

Rohana, Ong, A Hassan 1994MJM Vol 53 (3) Sept 1998

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 23/58

Zulkifli Ismail

Always keep a hand on baby,no matter what age

 Adult supervision

No adult 134 40.0%

Parents 129 38.5%

Baby-sitter 16 4.8%

Friend 10 3.0%

Relative/older sibs 31 9.3%

Nursery / school 15 4.5%

TOTAL 335 100.0%

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 24/58

www.infosihat.gov.my (KCHS>1999>modul latihan)

www infosihat gov my (KCHS>1999>modul latihan)

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 25/58

www.infosihat.gov.my (KCHS>1999>modul latihan)

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 26/58

Zulkifli Ismail

Life jackets, fencing aroundswimming pools, covering water hazards and prompt first aidprevent drowning

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 27/58

Zulkifli Ismail

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 28/58

  N a

  t  i o n a

  l   D r o w n

  i n g

  P

 r e v e n

  t  i o n

  P r o g r a m   i n

  T  h a

  i  l a n

  d , 

  M  i n  i s  t r y o

  f   P u

  b  l  i c  H e a

  l  t  h

Bureau of Non-Communicable Disease, Department of Disease Control, Ministry of Public Health www.Thaincd.com 

www.facebook.com/thaincd  Slide courtesy of Prof Adisak Plitponkarnpim, ChildSafety Promotion and Injury Prevention Research

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 29/58

Bureau of Non-Communicable Disease, Department of Disease Control, Ministry of Public Health www.Thaincd.com 

www.facebook.com/thaincd   Slide courtesy of Prof Adisak Plitponkarnpim, ChildSafety Promotion and Injury Prevention ResearchCentre (CSIP),

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 30/58

  N a

  t  i o n a

  l   D r o w n

  i n g  P

 r e v e n

  t  i o n

  P r o g r a m   i

 n  T  h a

  i  l a n

  d , 

  M  i n  i s  t r y

 o  f   P u

  b  l  i c  H e a

  l  t  h

Promoting drowning prevention throughhealth personnel and MCH services

Slide courtesy of Prof Adisak Plitponkarnpim, Child Safety Promotion and InjuryPrevention Research Centre (CSIP),

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 31/58

Trends of Drowning 2000 to 2011

Slide courtesy of Prof Adisak Plitponkarnpim, Child SafetyPromotion and Injury Prevention Research Centre (CSIP),

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 32/58

32

• Program : Make it Safe for Kids

• Focus : Child injury prevention programme

• Owner : Malaysian Paediatric Association

• Partners : Ministry of Transport Malaysia,Ministry of Health Malaysia

• Sponsor : Johnson & Johnson

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 33/58

 Activities 2004/5

Launch of MISK 

followed by Media

Tutorial

Supported by J&J

MISK 

Booklet

PR 

Support

MISK Technical Taskforce Secretariat Support

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 34/58

34

MISK Launch

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 35/58

MPA website : www.mpaweb.org

MISK Booklet

• Entitled: Child Injury PreventionGuidelines for Malaysian Parents• 56 pages, in three languages.• Covers:

 – Prime Safety Tips In And Around TheHouse

 – Preparing For Baby’s Arrival  – When Baby Arrives

 – Feeding Safety – Toy Safety – When Baby Begins To Explore – When Child Is Able To Understand – 15 Safety Tips You Can Teach Your 

Child – Safety In The Living Room – Safety In The Kitchen – Safety In The Bedroom – Safety In The Bathroom – When You Are Not Around – Recognising An Emergency – First Aid Kit Must-haves – Cardiopulmonary Resuscitation

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 36/58

36

MPA website : www.mpaweb.org

Sunday Mail, 13 Dec 2004

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 37/58

37

MISK Press Coverage

Berita Harian, 14 Dec 2004 (half page)

37

Harian Metro, 1 Dec 2004

373737

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 38/58

MISK Press CoverageBerita Minggu 13 Feb 2005

Parenthood Magazine, January 2005

Mother & Baby, January 2005

Health Today, February 2005

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 39/58

MISK Press Coverage

Zulkifli Ismail

Three (3) article series in Berita Minggu Two (2) articles in Wanita (2 pages each for the months of Feb & March 2005)

Three (3) article series in Sin Chew Daily

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 40/58

 A Professionals-driven, Multi-faceted, Multi-organisational, Holistic Parent Education Initiative 

LPPKNMalaysian Mental

Health Association

Persatuan Pengasuh

Berdaftar Malaysia

Persatuan Tadika

Malaysia

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 41/58

Positive Parenting Magazine

Press

Seminars

Fairs

Malaysian

ParentsTelevision

www.mypositiveparenting.org

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 42/58

Target : Parents @ Clinics & Hospitals

42

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 43/58

PPG Vol 1 - 2012:

Feature Article

PPG Vol 4 - 2012

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 44/58

Feature Article

PPG Vol 4 –

2009PPG Vol 3 2007

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 45/58

PPG Vol 2, 2008PPG Vol 4, 2007

PPG Vol 3, 2007

PPG Vol 4, 2006

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 46/58

Zulkifli Ismail

PPG Vol 3, 2006

PPG Vol 2 - 2006

PPG Vol 1 - 2006

PPG Vol 2 - 2006

PPG Vol 1, 2006

E

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 47/58

Engagement

47

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 48/58

Have we done enough?

Zulkifli Ismail

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 49/58

Zulkifli Ismail

Smoke alarms, child-resistant

lighters and hot-water temperatureregulators prevent burns whilededicated burns centres reducetheir consequences

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 50/58

Zulkifli Ismail

Keep children

out of the Kitchen

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 51/58

Zulkifli Ismail

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 52/58

Burns Admissions HKL 2011

Age of patient Frequency Percentage(%)

< 1 month 1 0.8

1 month-1 year 23 18.9> 1-3 years 61 50

> 3-5 years 15 12.3

> 5-10 years 22 18

> 10 years 0 0

Total 122 100Source: Sr Jumilah, Burns Unit, Paediatric Institute, HKL 2011

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 53/58

CAUSE OF BURN

Cause of burn Frequency Percentage

(%)

Contact 2 1.6

Electrical 1 0.8

Flame/Fire 16 13

Hot liquid 2 1.6

Hot water 101 83

Total 122 100

Source: Burns Unit, Paediatric Institute, HKL 2011

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 54/58

TOTAL BURN SURFACE AREA

TBSA Frequency Percentage

(%)

< 10% 92 75

11-20% 17 14

21-30% 7 6

31-50% 6 5

> 50% 0 0

Total 122 100

Source: Burns Unit, Paediatric Institute, HKL 2011

Eff ti Child I j P ti

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 55/58

Effective Child Injury Prevention

Zulkifli Ismail

Paediatric

/ MedicalSocieties

Sponsors

($/RM)ICTexpertise

PressMedia

PRsupport

Ministryof 

Health

Ministryof 

Housing

Ministryof 

Transport

Legislation

WelfareDepartment

Spreading the message on keeping our

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 56/58

Spreading the message on keeping our children safe

• Use all media available & all distribution channels

• Press – Dailies, Magazines,

• Pamphlets

• Internet / Facebook / Youtube

• Continuous education / exposure•  A child at risk of injury is born every minute/second

• Incorporate injury prevention in other child health &parent education events

• School education system – practical teaching !

• Persistence, Commitment, Tenacity

• Explore & experiment with different distribution

channels parents new & oldZulkifli Ismail

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 57/58

Zulkifli Ismail

7/27/2019 Plenary 5 Dato Zulkifli

http://slidepdf.com/reader/full/plenary-5-dato-zulkifli 58/58

“Secrets” to Keeping Children Healthy 

Breastfeeding

Immunisation

Hand-washing

Safe Home