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Sabah battles monkey malaria surge and rising chronic diseases in 2023

A deadly mix of infectious and lifestyle diseases tests Sabah's healthcare. Can new wellness hubs and cross-agency efforts turn the tide? From mosquito-borne threats to record obesity, the state races to protect public health.

The image shows a black and white engraving of two monkeys sitting on a tree branch surrounded by...
The image shows a black and white engraving of two monkeys sitting on a tree branch surrounded by lush plants. At the bottom of the image, there is text that reads "Monkeys in the Jungle".

Sabah battles monkey malaria surge and rising chronic diseases in 2023

Sabah is facing a growing health challenge from monkey malaria, with 357 cases and one death reported in the first four months of 2023. The disease spreads from monkeys to humans through mosquito bites, with Ranau, Kudat, and Tawau identified as the main hotspots. Meanwhile, rising rates of obesity, high cholesterol, and sedentary lifestyles continue to strain the state’s healthcare system. Monkey malaria is caused by the parasite Plasmodium knowlesi, transmitted when infected mosquitoes bite humans after feeding on macaques. Authorities stress the importance of early detection and prompt treatment to prevent severe outcomes. Collaboration with the Wildlife Department and Forestry Department is essential to control the spread, particularly in high-risk areas.

Beyond infectious diseases, Sabah’s health concerns extend to non-communicable conditions. The state reports an obesity rate of 50.4%, high cholesterol at 32.1%, and nearly 25% of the population smoking. Sedentary behaviour affects 57.7% of residents, contributing to Malaysia’s annual RM64.3 billion cost for managing such diseases. To tackle broader health issues, the government has established 38 Wellness Hubs nationwide, including five in Sabah. These centres focus on reducing stunting and malnutrition among children. The long-term goal is to expand the network, ensuring at least one hub per parliamentary constituency across the country.

Sabah’s health authorities remain focused on curbing monkey malaria through cross-agency efforts and public awareness. At the same time, the Wellness Hubs aim to address chronic health problems by promoting early intervention and healthier lifestyles. The combined approach targets both infectious and non-communicable diseases to improve overall public health in the state.

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