Page 95 - ANUAL REPORT MOH 2017

• Food Poisoning
The incidence rate of food poisoning per 100,000 populations has decreased to 42.25 in 2017 compared
to 56.62 in 2016. This figure is within the 5-year median rates for food poisoning which is 49.79 per
100,000 populations. The total episode of food poisoning has also decreased to 404 episodes as
compared to 526 episodes in 2016. The total episodes of food poisoning involving schools in 2017
have also decreased to 181 episodes as compared to 257 episodes in 2016. In 2017, from a total
of 404 episodes of food poisoning nationwide, 181 (44.8 per cent) episodes took place in Ministry of
Education’s (MOE) schools. This represents an increase of 21.13 per cent from food poisoning episodes
in 2016 at MOE school canteens and hostel kitchens.

Food Poisoning associated with 1Malaysia Milk Program (PS1M) has markedly reduced from 96
episodes in 2011 to four (4) episodes in 2017. Continuous monitoring of PS1M along the supply chain
and supplier’s compliance to Standard Operating Procedures set by Ministry of Health and Ministry of
Education has significantly improved the management of PS1M.

• Mortality Associated with Food Water Borne Disease
Deaths due to Food Water Borne Disease are largely preventable. Mortality is commonly associated with
delay in seeking treatment, toxicity of causative agents such as marine toxin and the presence of other
co-morbid medical condition. Case Fatality Rate (CFR) has reduced to 0.08 in 2013 to 0.03 in 2017.

Table 14
Food and Waterborne Disease Mortality 2015 to 2017
Number of Death Associated with
Total
Year Food Deaths
Poisoning Cholera Typhoid Paratyphoid Dysentery
2015 2 2 6 1 0 11
2016 6 0 3 1 1 11
2017 4 0 4 1 1 10

Source: Disease Control Division, MoH

ZOONOSES SECTOR
The notifiable zoonoses diseases are Ebola, Leptospirosis, Nipah, Plague, Rabies and Avian Influenza.
In addition, there are two non-zoonotic diseases monitored by Zoonoses Sector, which are Hand Foot
and Mouth Disease (HFMD) and Melioidosis.

• Leptospirosis
In 2017, there were 4,365 cases of leptospirosis reported into the eNotifikasi system including 27 deaths;
compared to 5,285 cases with 52 deaths in 2016. The incidence of leptospirosis reduced as well. 68
per cent of cases were men and 47 per cent were among the age group of 25 to 55 years. There were
16 leptospirosis outbreaks reported and most of them occurred in residential areas.

94 ANNUAL REPORT 2017 MINISTRY OF HEALTH MALAYSIA