It is very unfortunately for the ministry of heath enforcement team getting all the bad press after they decided to shutdown a dialysis centre in Penang for not follow the regulation.

Among the offence of this dialysis centre is fail to employ nephrologist to treating dialysis patients.

Here is the article in China Press (sorry, it’s it Chinese,  here is a section which is translated by google translate )

(Kuala Lumpur, 2, News) private and non-governmental organizations in establishing dialysis centers must be in strict compliance with laws and regulations, obtain a license before it is put into operation, or face seizure, the maximum fine of 50 million ringgit, or 6 months imprisonment.

According to the 1998 private health facilities and services Act (Act 586), without valid license dialysis center operations, enforcement action will commence in May when faced with strict punishment.

Moreover, those that were classified as “illegal operation” of the dialysis center, certainty of health law enforcement authorities sealed completely shut down operations. Ministry of Health will be launched in May this year, closed down operations.

Some private dialysis center industry is too stubborn, not only to ignore the provisions of the license application, also fail to control its operations”

This is the business name to dialysis as a senior executive professional reliable sources, today the “China Daily” said that an interview.

He said that before 2006, the Ministry of Health to allow dialysis center will be registered and put into operation, to give 3-year grace period, for a full license, 3 years after the application is successful, if  it’s fail, the dialysis center have to apply to extend the registration.

For the general public, which angered by the MOH move, may fail to realise the importance of regulate dialysis centres.

Private dialysis centre is a lucrative business in Malaysia.

There are more and more of patients sufferred from diabetes and hypertension and these are the major causes of kidney failure.

To set up a centre, what the centre need is to have basic setting up for dialysis and dialysis machine and with qualify nursing personnel and to complete the picture, a visiting nephrologist follow up with the dialysis patients.

A centre who failed to hire qualified nurses and doctor reveal the failure of the management.

Even the centre is aim for non-profit and doing charity work, it’s does not explain many other charity centers were able to obtain the license.

Back to my nephrology posting day, there is a new dialysis centre in KL who failed to hire a nephrologist. The reason is simple, the nephrologist refuse to visit  the a dialysis centre who ignored rules such as cleanliness.

The general public failed to understand the risk of getting infection during dialysis. The most common infection a patient can get is line-related sepsis, which in plain language, bacteria enter the body via a catheter which is used for  access.

The other serious infection is getting either hepatitis C or B from sharing machines with a dialysis patient which known to be a hepatitis B/C carriers.

I personally hope the MOH will published the main reason why they decided to shutdown the dialysis centre and regain the people confidence in our public health service.