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•   Pertussis
             Pertussis has shown an increasing trend since 2010 following the use of PCR tests to diagnose cases.
             In 2017, number of cases increased to 353 cases compared to 298 cases in 2016. About 62 per cent
             of these cases were aged less than 5 months old. The number of death cases increased to 13 deaths
             compared to two (2) deaths in the previous year. Seven (7) of the death cases were infants who either
             were not eligible for pertussis immunization (1-month-old) or had not completed the primary vaccine
             doses (3 months old). 10 pertussis clusters were reported in 2017.


                                                      Figure 8
                         Pertussis incidence per 100,000 populations in Malaysia, 2010 to 2017



















             Source: Disease Control Division, MoH


             •   Hepatitis B
             The increase in hepatitis B cases since 2012 was contributed by increased awareness among medical
             practitioners to screen and report hepatitis cases. The notification rate of Hepatitis B was 15.41 per
             100,000 populations in 2017, higher than in 2016. The number of cases among Malaysians born after
             1989 (year of the hepatitis B immunization started in national immunization schedule) was 265 in 2017
             compared to 557 in 2016. Most Hepatitis B patients (97.9 per cent) were 18 years and older.

                                                      Figure 9
                 The notification rate of Hepatitis B per 100,000 populations in Malaysia,  1988 to 2017

                    25      FOMEMA                                  Acute &
                Notification Rate per   100,000 population  15      Chronic
                    20



                    10
                     5
                     0



                                                            Year
              Source: Disease Control Division, MoH






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