SOCIAL SECURITY ORGANISATION OF MALAYSIA SOCSO WORKERS’ HEALTH PROMOTION SEMINAR 2014 DR. AZLAN DARUS THE SOCSO HEALTH SCREENING PROGRAM – TREND AND USAGE DR. AZLAN DARUS MPH MPH(Occ Health) MFOM CIME AOEMM Manager Prevention and Health Promotion Unit Medical and Rehabilitation Section SOCSO
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THE SOCSO HEALTH SCREENING PROGRAM – TREND AND USAGE
DR. AZLAN DARUS MPH MPH(Occ Health) MFOM CIME AOEMM
Manager Prevention and Health Promotion Unit
Medical and Rehabilitation Section SOCSO
SOCIAL SECURITY ORGANISATION OF MALAYSIA
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SEMINAR 2014
Non-Communicable Diseases
• The burden of non-communicable diseases in Malaysia is high. (National Health Morbidity Survey 2011)
– Fifteen percent of Malaysians above the age of 18 years old was found to be diabetics. The prevalence among those above 40 years old was 17.6%, steadily increasing according to age groups, reaching 31.6% once they reach age 55 years old.
– The prevalence of hypertension among those aged 40 years and above was 35.8%, with increasing trend as they aged.
– Similarly within the same group were the prevalence of hypercholesterolaemia (40.5%), obesity (31.6%) and pre-obese (41.0%).
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SOCIAL SECURITY ORGANISATION OF MALAYSIA
0
1,000
2,000
3,000
4,000
5,000
6,000
20
00
20
01
20
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20
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20
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20
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20
13
NU
MB
ER
YEAR Cardiovascular
Diabetes
Cancer
Mental disorders
SURVIVOR’S PENSION REPORTED FOR NCD CASES: YEAR 2000 - 2013
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
20
00
20
01
20
02
20
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20
05
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NU
MB
ER
YEAR
Cardiovascular Diabetes
Cancer Mental disorders
Respiratory Total
INVALIDITY PENSION BENEFIT REPORTED FOR NCD CASES YEAR 2000 - 2013
SOCIAL SECURITY ORGANISATION OF MALAYSIA
0
2000
4000
6000
8000
10000
12000
2010 2011 2012 2013
8167 8672 9174
10950
4149 4179 4514 4959
Total Survivors Pension
Survivors Pension due to NCD
51%
48%
49%
SURVIVORS PENSION 2010-2012
NCD constitutes large percentage of claims…
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
2010 2011 2012 2013
11972 12814
13615
17552
4252 4222 4572 5734
Total invalidity
Invalidity due to NCD
34%
33%
36%
INVALIDITY 2010-2012
46%
33%
SOCIAL SECURITY ORGANISATION OF MALAYSIA
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SEMINAR 2014
General health screening
• Has long been a common element of health care in some countries
• Intended to reduce morbidity and prolong life – Possible benefits
• Preventive treatment reducing morbidity and mortality
• Detection of precursors of disease e.g cervical dysplasia
• Detection of sign and symptoms of manifest disease otherwise not considered important
• Some may improve lifestyle following screening and counselling
Lasse T Krogsbøll , Karsten Juhl Jørgensen , Christian Grønhøj Larsen, Peter C Gøtzsche ; BMJ 2012;345:e7191 doi: 10.1136/bmj.e7191
SOCIAL SECURITY ORGANISATION OF MALAYSIA
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SEMINAR 2014
General Health Screening
• In the UK, publicly funded NHS check programme in 2009. Full implementation in England in 2013 – Have so far offered the screening to 1.3 million people.
– Almost 650 000 had gone through the screening
– Despite criticism from the certain parties’ the UK government is continuing the effort; with good participation rates
‘We could save 650 lives a year, prevent 1,600 heart attacks and strokes, and
prevent over 4,000 new cases of diabetes if there was full take-up,’
Norman Lamb- Health Minister http://www.healthcheck.nhs.uk/
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SEMINAR 2014
General Health Screening
• In Japan; nationwide health screening programme targeting metabolic syndrome since April 2008. – Screening and risk based counselling – Raise public awareness on metabolic diseased and
promote better lifestyles
• In S. Korea; national screening program introduced in 1995. – Enhanced to “National Screening Program for Transitional
Ages” in 2007 – Target two age groups; 40 and 66 years old – About 55.5% participation rates in 2009
Kohro, Furui, Mitsutake et al. ; Int Heart J March 2008
Hyun Su Kim, Dong Wook Shin, Won Chul Lee et al. ; J Korean Med Sci 2012; 27: S70-75
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SEMINAR 2014
General Health Screening
• In Singapore; – Integrated Screening Programme
• nation-wide programme for Singaporeans aged 40 years and older • screened for diabetes, high blood pressure, high blood cholesterol, obesity and
cervical cancer at registered GP clinics. • Subsidized screening cost; user pays for consultation
• In Malaysia; – Free health screening for government employees age 40 years old at
government health clinics • Since 1969 (managerial and professionals) • 2003 to include all employees • Not mandatory, but “strongly encouraged”
– NGOs – For private employees;
• Depends on medical benefit provided by companies
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SEMINAR 2014
The SOCSO Health Screening Programme
• Offered to all insured persons by SOCSO at the age 40 years old.
• As a way to provide benefit token to all active employees
• To increase insured persons awareness of non-communicable diseases
• Promote healthy lifestyle and health empowerment via early detection and counseling by the doctors
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SEMINAR 2014
• Health Screening as a means; not the end
– ENABLING employees in the country to take charge of their health
• By knowing their own health status
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