Wednesday, 10 December 2014

Disability in not a dirty word.

Disability is not a dirty word

December 10, 2014
A contributor tells his story about how an operation that was meant to “improve his condition” left him paralysed for life.
COMMENT
By Anthony Thanasayan
anthony 

Last Wednesday, International Day of Persons with Disabilities (IDPD) was celebrated, with the first IDPD being announced by the United Nations (UN) nearly a quarter of a century ago.

This day was set aside to bring attention to the plight of disabled persons around the globe, which total more than one billion of the world’s population.

This makes people like me, the largest minority group in the world. And the majority of disabled persons, according to the UN live in developing countries like Malaysia.

Ask any disabled activist or handicapped organisation and they will tell you that the best strategy for creating a better world for us is to advocate our rights and needs among the public.

On IDPD, I found myself doing just this very thing.

I was invited to KL to speak at a luncheon organised by UNICEF Malaysia.

My topic was on disability, of course.

My job was to sensitise about 30 members of their staff, of whom some were foreigners. I was asked to share what it means to be handicapped and what it’s like living in our society.

The first thing I decided to do, was to do away with statistics.
After all, all of them by virtue of their work were practically “gurus” in the science. 

And I didn’t want to bore anybody and have them dozing off midway through my talk.

Thankfully, that was far from the reaction I got.

From start to finish, throughout my 60-minute presentation which included a short video on my service dogs and question and answer time, they were all ears and smiles to everything I had to say.

I shared with them about my early days of disability.

I told them that after I was born, and the moment the doctors found out I had spina bifida, their prognosis was that I wouldn’t make it past my first birthday.

“Well, lo and behold, here I am in front of you after my 53rd birthday, and all those ‘prophets of doom’ doctors are now dead in their graves,” I declared to the crowd.

It was a great opening to my speech. One which brought peals of laughter from the audience.

I told them how difficult it was for me to grow up as a child with a disability.

My primary school in Klang, Selangor, was reluctant to enrol me because of my walking difficulty. (I walked with a severe limp on my right leg.)

Finally, the authorities relented but by then, I had to start at the second grade since one year had already gone by.

However, two years later, a surgery performed on my good leg which was meant to “improve my condition”, left me permanently paralysed.

The orthopedic pediatrician who performed the surgery on me insisted that it was not his professional skill that went awry, but my body that had somehow “failed to respond to his procedure”.

For some weird reason he kept on telling me that he would love to “have my legs chopped off and put me in a flowerpot”. He said that with my “lovely smile”, I would look very good in it.

That was the first time in my life, that as a boy of ten, I was introduced to what a “sick joke” was.

The doctors also taught me a lot of “dirty words” during my three-months of hospitalisation.

This was done frequently when I became a case study for scores of medical students during exam time.

At times, there would be as many as 12 to 15 persons present at one session.

They would surround my hospital bed and introduce some pretty nasty words to me – words I had never heard before.

Words like “deformed hands”, “crippled feet, “not normal”, “hopeless”, “ugly” and more were verbalised, before they poked my body with blunt and sharp objects to make their point.

I was left feeling like a creature from outer space that was left to live out my existence.

Thankfully, all that changed when I went to the US for a disability leadership course run by disabled persons.

There, I took my very first public bus despite being in a wheelchair. I also went river-rafting and skiing in a speedboat on the sea – strapped and seated in a special wheelchair-ski.

I also witnessed canines assisting disabled persons (minus the dirty words).

Unlike healthcare workers, the special dogs were totally non-judgmental, full of positivity, and always enthusiastic about helping.

The UN group loved the special video I showed them of my canines assisting me at home – pushing my wheelchair, picking up my mobile phone, and even helping me in the bathroom.

Everyone watched with rapt attention. The meeting room was filled with plenty of warm smiles all around.

The question and answer session said it all.

Instead of asking me about technical stuff, they wanted to know what made me tick in my unique mission every day. They also wanted to know how I managed to train my dogs to be service canines.

I told them it was my Doberman, Sheltie and Alsatian that inspired me the most, and effectively kept depression away.

I told them it was my American disabled friends who were service dog trainers themselves, who taught me how to work with canines to help and provide therapy for the disabled.

All this was done through the power of the Internet, which by the way, is one of the themes for this year’s IDPD.

I don’t recall ever being in the company of so many supportive people in recent times.

And most importantly I had great fun!

Anthony Thanasayan is an FMT columnist

Thursday, 27 November 2014

Closing the gap in HIV, AIDS prevention

Closing the gap in HIV, AIDS prevention

November 27, 2014
A community-based organisation hopes to see more money spent on fighting HIV and AIDS in Malaysia.
COMMENT
by Anthony Thanasayan
hiv aids_300This year, World AIDS Day, which is celebrated annually on December 1, will give Malaysians a moment to reflect on the nation’s response to HIV and AIDS.

According to the marketing and communications director of Pink Triangle (PT) Foundation, Raymond Tai: “December 1 will be an opportunity for us to join forces with the world community to unite in the fight against HIV.”

Tai, who started off as a volunteer before joining PT full time, has been with the community-based organisation for the last 20 years. 

PT advocates HIV and AIDS prevention, support and care.

“It will also be a chance for us to show our support for People Living with HIV (PLHIV) and to commemorate people who have died from AIDS,” he said, adding that it would be a timely occasion to reflect on the progress and challenges that Malaysia has made in the fight against HIV and AIDS.

Tai noted that since the first case of HIV was discovered in Malaysia more than 25 years ago, the total number of PLHIV in Malaysia is estimated at 85,332.

In December last year, Malaysia had a cumulative figure of 101,672 reported HIV cases, 20,285 AIDS cases and 16,340 cases of AIDS-related deaths.

The epidemic in Malaysia, he pointed out, remains concentrated among key affected populations, namely People Using Drugs (PUD), sex workers, Men who have Sex with Men (MSM) and transgenders.

The annual number of new HIV cases reported by the Ministry of Health (MOH) has been on a decline from a peak of 6,978 in 2002. It has stabilised in recent years. In 2013, only 3,393 new cases were reported, with an average of about nine new cases every day.

The good news is that the official notification rate of HIV has also continued to experience a decrease – from 23.4 in 2005 to 11.4 cases per 100,000 people in 2013.

This is close to meeting the United Nation’s Millenium Development Goals (MDG) target of 11 cases per 100,000 people by 2015.

“What is of concern, however, is that we believe that a good number of HIV cases remain unreported, as HIV testing is still considered sensitive,” said Tai who is also a member of the Council of Representatives in the 2012-2014 Asia Pacific Council of AIDS Service Organisations.

During the early phase of the HIV epidemic in Malaysia, the abuse of drugs via injections was the driving factor.

This trend has changed in recent years, from only one sexual transmission for every nine PUD in 1990 to two sexual transmissions for every eight PUD in 2000.

In 2012, sexual transmissions superseded PUD as the main factor for the HIV epidemic, with a ratio of seven sexual transmissions for every two PUD cases.

According to Tai, PLHIV in Malaysia are predominantly male and constitute 90 per cent of cumulative HIV cases.

However, the female to male ratio changed from 1:99 in 1990 to 1:10 in 2000, with the gap closing in 2013, at 1:4.

In addition to the concentrated epidemic scenario, there is concern about the percentage of cumulative HIV infections reported in young people aged between 13 and 29 years.

“In the past decade, the Ministry of Health has done a commendable task in reversing the rise of HIV among injecting drug users by introducing the distribution of clean needles and syringes to injecting drug users, and methadone maintenance therapy to encourage heroin users to switch to methadone,” Tai said.

Tai believes that while these efforts need to be maintained, what warrants immediate attention is the rising trend of HIV infection through sexual transmission.

According to data obtained from the www.aidsdatahub.org, only 12 per cent of Malaysia’s expenditure on HIV and AIDS in 2012 was spent on prevention.

And from that figure, only 50 per cent of prevention efforts, or USD5 million was targeted at key affected populations, of which 60 per cent constituted people who inject drugs.

That left only USD10 million to spend on female sex workers, and USD 10,000 for the MSM population.

“The lack of funding on sexual transmission prevention has left non-governmental organisations such as PT Foundation on the brink of closure despite being in existence for as long as HIV has existed on the shores of Malaysia since 1987,” lamented Tai.

Tai said he hoped this would change soon as the beneficiaries of AIDS-related deaths include the families, partners of PHIV and the children from these key affected populations.

Anthony Thanasayan is an FMT columnist.

Monday, 10 November 2014

An increasingly ageing world

It’s an increasingly aging world

November 10, 2014
There’s a need for universal health care to prevent older people from slipping into poverty and being unable to pay for health services.
COMMENT
By Anthony Thanasayan
OKU-Orang-Kurang-UpayaOne of the frustrations I have faced growing up with a disability all of my life, and later working as a councillor with the Petaling Jaya City Council (MBPJ), is coming across people who think that being handicapped is something that only happens to other people.
They couldn’t be more wrong.
Basically, this false notion is the reason why government at the various levels seems to respond in a sluggish manner to calls from disability groups for infrastructure to include disabled and elderly-friendly facilities.
MBPJ is an exception in this case.
Little by little, the planning, engineering and building departments here have begun taking positive measures to build a barrier-free society for everyone.
We are not only concerned about the growing elderly population with increasing disabilities, but equally worried about the many handicapped citizens “imprisoned” in towns and cities that have never really cared for them or considered their participation in society.
While several councils in Selangor said they needed “more convincing facts” that the lack of facilities was a problem, others are mostly in a state of denial that people with disabilities even existed, and if so in significant numbers.
An increasing aging population
A report last week by American broadcast institution, the Voice of America (VOA), on an increasingly aging population should serve as a timely wake-up call for everyone concerned.
The VOA quoted the World Health Organisation (WHO), as saying that “Governments the world over must now prepare to deal with an increasingly aging world.”
“Otherwise, the growing burden of chronic diseases will seriously affect the quality of life of older people and create economic and other hardships for national health systems.”
The VOA revealed that these findings appeared in a new series on health and aging published in the British journal, The Lancet.
According to them, the latest statistics show that by 2050, an estimated two billion people will be aged 60 and older, more than double the 841 million today.
The WHO noted that 80 per cent of these older people will be living in low and middle-income countries.
A burden to society
The increase in longevity in affluent countries is largely due to the “decline in deaths from cardiovascular disease resulting from simple, cost-effective strategies to reduce tobacco use and high blood pressure.”
A VOA interview with WHO Senior Policy and Strategy Adviser in the Department of Aging and Life Course Islene Araujo revealed that life expectancy in Africa now is 60 years.
She explained that cardiovascular diseases such as stroke and infarction are not only responsible for killing most elderly people but causing stroke survivors to “become disabled, burdening society”.
She also pointed out that cardiovascular diseases can be prevented by controlling hypertension, which can save many lives and avoid disability.
Besides heart disease and stroke, VOA reported that other major illnesses of aging include cancers, chronic lung disease, sensory disorders, vision problems, mental and neurological disorders.
One WHO report author told the VOA that “there are low-cost strategies that can help older people live healthier lives” like reducing one’s salt intake.
A policy change
According to the VOA, the report’s authors also suggested changing policies to encourage older adults to remain part of the workforce beyond their retirement age.
They also agreed with the WHO’s call for universal health care to prevent older people from slipping into poverty and being unable to pay for health services.
The VOA also suggested that people of all ages should not smoke, do more physical activity, and practice moderate alcohol consumption and good nutrition in order to enjoy good health dividends later in life.
Anthony Thanasayan is an FMT columnist

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Thursday, 30 October 2014

A world without dogs in meaningless

A world without dogs is meaningless

 | October 30, 2014
This writer cannot imagine a world without special canine friends like Vai, Biman, Soo, Reba and Zhar.
anthony and dogHere are some “doggie nuggets” for those wanting to discover the true nature of “man’s best friend”; and why, for so many of us, it’s nothing but an unstoppable love affair with our pets.

They are taken from my personal notes – all of them true – based on experience living with special canines for more than two decades.

THINK OUTSIDE OF THE BOX: My first service dog was a Malacca-born Rottweiler named Vai. He lived with me for 13 glorious years. I visited a pet shop looking for an Alsatian. 

The only dog available was the “happy-go-lucky” nine-week-old Rottie.

I wasn’t sure, at first, if this breed with a so-called “reputation for notoriety” was the kind of companion I wanted to take home with me. However, I changed my mind when the feisty pup suddenly leapt out of its cage and landed straight into my lap, licking me all over.

It was exactly what the doctor had ordered!

As a person born with a disability and having lived most of my life in a wheelchair, people without disabilities were always telling me what to do and how to live my life, instead of letting me make decisions on my own.

Vai taught me how to break out of that vicious mould for true happiness. Despite his robust size, he was also the gentlest canine I had ever met.

He saved me once when I unknowingly placed my foot on a nest of fiery red ants in the park. I couldn’t feel a thing because of my paralysed legs. Vai alerted me to them by pulling my wheelchair and got me out of there quickly.

AND ALONG CAME A LOVING GERMAN SHEPHERD: Born in Ipoh, Biman II, was my second assistance dog. He made a great team with Vai. Biman’s speciality was his extraordinary ability to perform basic tasks for me.

Once I accidentally locked myself out of the house with the keys inside together with the German Shepherd.

Realising what had happened, Biman miraculously went inside, zeroed his nose on the bunch of keys and adroitly picked them up. He came galloping towards me after that with the item securely between his jaws.

The German Shepherd also taught me to laugh at whatever life decided to serve me and to be strong during the most painful of moments.

I never realised that Biman was literally an angel sent from heaven to protect me until the day I lost him at the age of seven to cancer. There was a terrible electrical storm – one I had never witnessed before – as Biman breathed his last, while a group of veterinary surgeons fought hard to try and save his life.

Then, someone told me that when dogs suddenly died, there was a very special purpose for it. Could Biman have become a “fall guy” for a cancer that was actually meant for me?

Despite losing an amazing canine friend, I remained positive and defiant – the way my canine shepherd would have wanted me to be.

MORE ANGELS WITH TAILS: Bangsar-born Soo, my Golden Retriever, was also 13 years old when he went to heaven. He was the only service dog to travel with me to more public places than the others.

These included a shopping complex where everyone “oohed and aahed” at him and no one shooed us away; the Malaysian AIDS Council, the UN building in Kuala Lumpur and even a 24-hour return car journey to Penang. Soo knew that his sole purpose was to look after me, 24/7.

Australia-born Reba my Shetland Sheepdog discovered a nasty pressure sore in my foot which I didn’t realise was there because of my paralysis. The doctors rushed me into surgery to prevent it from turning gangrenous. Any later, they said, would have cost me not only a limb but my very life.

The top dog in my home today, undoubtedly, is my three-year-old Zhar, a Dobermann born in Petaling Jaya. He is a class above all else.

He does a variety of tasks to help me live a normal life. He makes sure I drink at least two litres of fluid a day to help me keep urine infection at bay.

He does this by bringing a full bottle of water to wherever I am – on the bed, in my wheelchair next to the computer or outside. Zhar also retrieves every single object I accidentally drop on the floor.

Zhar is also my bodyguard in the back seat when I drive. Even though we are in my room, he can hear when strangers arrive at the front gate or the slightest sounds on the roof.

Though he takes his job seriously, he is also a gentle giant when situations call for it.

Zhar is by my wheelchair at bedtime and checks on me with his wet nose now and then throughout the night to make sure I am okay. He wakes me up in the mornings when the alarm fails. It’s time once again to meet new challenges for another day.

I honestly can’t imagine a world without special canine friends like these.

Wednesday, 15 October 2014

How to ensure thical animal testing

How to ensure ethical animal testing

October 15, 2014
In vitro studies which must be carried out first, was an "alternative method" that has allowed animal experimentation to be discontinued in some fields of study.
By Anthony Thanasayan
RATHER see live billboardThe proposed Malaysian Animal Welfare Act brings hope for the ethical care and use of animals for research.
In the second part of an interview with Dr.Abdul Rahim Mutalib, a veterinarian and president of the KL-based Laboratory Animal Science Association of Malaysia (LASAM), he continued his defence of animal testing as long as it was performed “ethically and to the highest standards”.
According to Abdul Rahim, animal studies can only be carried out following an exhaustive literature search on the current status of that particular field of study and whether there were any existing in vitro studies (data obtained without using animals).
He said in vitro studies which must be carried out first, was an “alternative method” that has allowed animal experimentation to be discontinued in some fields of study.
“However, the number of animals used in research had not seen any significant reduction. This is mainly because more scientists nowadays are using animals in their research and the number of animals used in research remains in the millions worldwide,” explained Abdul Rahim.
He said that in many developed and developing countries, animal experimentation is governed by Acts and official guidelines. He added that these established guidelines are usually published by the countries’ National Research Council or Councils relating to the care and use of animals for research.
According to Abdul Rahim, this was started by scientists 60 to 70 years ago when they realised that animal experimentation had to be carried out on animals with improved health and welfare because “only good quality and healthy animals will give results which are reliable”.
“These guidelines detail the ethical principles of carrying out animal research, and take care of the animals’ welfare before, during and after the experiment,” he said while noting that currently Malaysia does not have any such law or guidelines.
He was however encouraged by the upcoming proposed Malaysian Animal Welfare Act which he revealed would include a section dealing with the use of animals for scientific purposes covering research, testing and teaching.
He felt that the law would bring about proper guidelines to ensure ethical research and improve the welfare of the animals.
“This will also elevate Malaysia’s standing among the research community worldwide in that we carry out research using animals with ethical principles,” said Abdul Rahim.
How animals are researched in Malaysia
“We have used animals for research ever since the Institute for Medical Research (IMR) in KL was established in the early 1900s. I am sure researchers during those early years would have followed some accepted guidelines, perhaps those from overseas, otherwise their findings would not have been accepted by the scientific community and be published in journals,” reasoned Abdul Rahim.
He said that Malaysian researchers realised the need to conform to the global scientific community standards on animal research and studies so in 1954, Malaysia’s first ‘Institutional Animal Care and Use Committee (IACUC) / Animal Ethics Committee (AEC)’ was formed at the IMR to guide researchers on the best practices for animal research.
“IACUC reviews all proposals on studies that use animal models and approve them only if all conditions are met. Currently not less than 12 independent committees exist at various research institutions and universities in Malaysia,” he added.
IACUC has helped ease the process of obtaining approvals from regulatory agencies and ensured the publication of research findings on animals.
“IACUC consists of scientists with in-depth knowledge on the use of animals in research,” said Abdul Rahim who explained that one member must be an experienced veterinarian in the field of laboratory animal science or medicine while another must be a member of the public with no experience in the use of experimental animals.
This was to ensure the opinions and views of the public on the use of animals in research were addressed.
“The principles used by the committee in determining the use of animals in research is the 3R Principle which is, Replacement, Reduction and Refinement. These three principles are closely related to ethics and animal welfare before, during and after studies,” Abdul Rahim explained.
He added that the most important requirement of the proposed animal study was scientific merit.
The responsibilities of the IACUC
Abdul Rahim said that the IACUC is also responsible for the welfare of the animals and has to make sure that the “environment where the animals are confined are comfortable”.
Through reports gained from yearly inspections, the IACUC is then able to recommend improvements that improve the welfare of the animals and reduce their stress.
He said that it was equally important for the committee to conduct training or workshops to ensure that the animals were not unduly stressed.
“The Committee will not permit an untrained person to handle the animals. Reducing or minimising stress on experimental animals is the most important factor in carrying out a study. Animals suffering from stress will produce inaccurate data and the results of the study may not be valid. Eventually, all effort will lead to animal waste. This is unethical,” said Abdul Rahim.
Regulation is the solution
“Experimental animals have been used for a long time in Malaysia. Although there is no specific law or guidelines on the use of animals in research in Malaysia, this does not mean that a researcher can simply do anything on animals to the effect of jeopardising its welfare.
Abdul Rahim said that higher learning and research also have existing policies and procedures on the use of animals. He said that with a proper procedure in place, “the demands of the scientific community worldwide will be met”.
Recommended actions
To conclude, Abdul Rahim said that an act needed to be enacted and official guidelines established in regards to the care and use of experimental animals; with a central body to monitor and regulate the facilities.
“The agency should also function to regulate the licensing of public and private facilities that wish to operate and conduct experiments using animals. This is in line with the practice of developed countries.”
Dr.Abdul Rahim Mutalib can be contacted via email: abrahim.mutalib@gmail.com
Anthony Thanasayan is a FMT columnist

Wednesday, 1 October 2014

Veterinarian defends animal testing

Veterinarian defends animal testing

October 1, 2014
President of LASAM argues that the use of animals in medical research cannot be completely abolished.
By Anthony Thanasayan
animal testingWorld Animal Day which is celebrated this Saturday, is an event that was started in 1931 to highlight the plight of animals and celebrate the relationship between man and animal.
This day is also used by animal lovers and activists to call attention to key animal rights issues such as veganism, rescuing and re-homing, and animal experimentation.
One of the most controversial, and perhaps widely misunderstood animal rights issues is the unethical use of animals for testing in medical research.
Recently, I spoke with Dr.Abdul Rahim Mutalib, a veterinarian and president of the KL-based Laboratory Animal Science Association of Malaysia (LASAM) who argues that animals are still needed for research and testing purposes.
“Biological scientists worldwide also agree to it. Although many in-vitro systems such as the mechanical laboratory equipment, cell or organ culture and computer simulations have been used in biological research, none has been able to completely replace the use of animals. The animal is a ‘complete in-vivo system’, explained Abdul Rahim.
He pointed out that in-vitro systems can only show a limited response when a stimulus is given, unlike the in-vivo system of the animal.
“When a stimulus is given to the animal, several responses will occur immediately or simultaneously.
“More often, several consecutive responses will occur over a period of a few hours, days or weeks. There are also responses that will occur after several months or years. This phenomenon does not exist in the in-vitro system,” he clarified.
According to Abdul Rahim, the use of laboratory animals in experiments can be classified into a number of categories – pathogenicity studies (the study of a disease process), safety and efficacy testing of products meant for human consumption/use such as vaccine and drugs, and studies on new surgical techniques.
Other categories include propagation of certain types of microorganisms such as viruses and bacteria, cancer studies and many more.
In studying diseases, whether human or animal, laboratory animals are used as animal models.
Abdul Rahim pointed out that one of the primary uses of animal experimentation is to determine the safety and efficacy of drugs or products designed for human use.
These tests include determining the short and long-term toxic effects of a drug or product. Animals used in this type of test is divided into two categories namely, laboratory animals such as rats and mice and higher mammals such as dogs and monkeys. Testing done on the animal model is called pre-clinical testing or trial.
Abdul Rahim reasoned, “Although the physiology of animals such as the rats and dogs or monkeys are not exactly the same as that of the human physiology, there are many similarities.
“Hence, many experimental results carried out in animals can be extrapolated to humans.”
“Clinical trials are only carried out when these pre-clinical trials have been shown to have no detrimental effects on the animals.
Once this has been established and accepted by the scientific community, clinical trials in humans are then carried out,” he said in defense of animal testing.
According to Abdul Rahim, it is imperative that drugs for treatment be certified safe before it is used to treat humans.
Vaccines for humans and even animals have benefited from animal testing which uses animal models to determine their safety and efficacy. He added that animal testing has also benefited surgical techniques such as cardiology and eye surgery.
Abdul Rahim revealed that the expertise required to carry out these techniques in humans can only be obtained after numerous experiments or practices have been carried out on animals.
In the study of the pathogenesis of infection or cancers, animals are also used as models to determine the response which will eventually lead to finding a suitable drug to cure cancer.
He cautioned that it was still necessary however to determine whether a disease can be studied in a particular animal model as in many instances, only a certain animal species can serve as an experimental model for a particular disease.
“Currently, there are thousands of strains of rats and mice developed through inbreeding and transgenesis, and other laboratory animal species that are used as models to study diseases and drug testing.
“Various strains of mice and rats have been produced that spontaneously developed diseases such as diabetes, hypertension, obesity and cancer and are the animals of choice as animal models in these studies,” concluded Abdul Rahim.
Dr.Abdul Rahim Mutalib can be contacted via email: abrahim.mutalib@gmail.com
Anthony Thanasayan is a FMT columnist

Sunday, 21 September 2014

Children with disabilities need more attention


 
MOST OF US may not realise it, but when it comes to people with disabilities, children probably have it far worse than do adults and the elderly. This is true not only for Malaysians with disabilities but also in countries around the world as well.

Children with disabilities remain one of the least reached out communities almost in every society. In hospitals, they tend to receive some of the poorest and bleakest prognosis about their future living with a disability.

Disabled children frequently do not have the same opportunities in a learning system like schools compared to their non disabled counterparts. Most people mistakenly think that handicapped people are unable to be gainfully employed.

Some even think that it is better for them to die than to even try to eke out a living or existence for themselves.

And as far as children with disabilities are concerned, they virtually have no say whatsoever in matters that involved them. Even nongovernmental organisations for children, rarely invited kids with disabilities to participate.
The same sad state of affairs goes with disabled organisations who mistakenly assume that disabled kids are getting attention elsewhere.

As for governments, they hardly bother inviting handicapped children to meetings in order to hear about their views and concerns.  

More than 50 healthcare and social workers including persons with disabilities themselves together with key government representatives attended a two-day special forum in a leading hotel in Kuala Lumpur to try and change all that.

The event was organised by UNICEF Malaysia. It resulted with the setting up of a brand new initiative called, "The Malaysian Partnership on Children with Disabilities or MPcwd.

It was formed to raise the voices of children with disabilities and help promote their rights in Malaysia. This will be done through networking, advocacy and communication programmes and activities by the participants who attended the forum.

MPcwd aims to help children with disabilities and their families to advocate for their rights, raise awareness about their struggles and remove stigma and other obstacles that prevent them from living a high quality of living.

Dr Sazlina Kamaralzaman was one of the participants at the UNICEF event.
Born in Perak but raised in Kuala Lumpur she is now lecturer at the School of Rehabilitation Sciences, Faculty of health Sciences, Universiti Kebangsaan Malaysia - a position she has held since the year 2000.

"I became an advocate for children for cerebral palsy (CP) after I was inspired by their lives - one of them was my nephew who died of complications to the condition at the age of 11," explained Dr Sazlina who is currently the chairman of Malaysian Advocates for Cerebral Palsy.

"Whilst I was devastated that even with my knowledge in Medicine, I was not able to save my nephew and others because there is no cure for CP, the good news is there are many devices and services that can help CP children lead a high quality of life," Dr Sazlina added.

"The most frustrating part, however, is, even though medical are around, not many kids who need our help are able to get to us."

Dr Sazlina then went on to share her impressions about the Malaysian Partnership for children with disabilities forum.

She pointed out that unlike the many previous discussions on disability which she had attended representing her university, the UNICEF forum was her first as an advocate for disabilities.

"This was the first time I realised that I was not speaking on my ‘research subjects’ but about a group of individuals whom I love very much and was fighting hard for their rights to be heard.

"This created a totally new atmosphere. After hearing what some of the academicians said, I couldn't help saying to myself, “Oh oh, this was what I sounded like before in other forums… like a broken record!” Dr Sazlina laughed.

The forum made her even more passionate about raising CP in all issues.

For Dr Sazlina, without a doubt, the strongest point of the event was the UNICEF forum facilitator Amy Farkas, a specialist in inclusive development and disability rights.

She was able to pick up cues from what the participants said and managed to gear them in the direction of what was needed to be done in taking on the challenge to champion the rights of children with disabilities in our society.

"Her patience in being able to deal with all our ideas, some rather burnt out after our years of service with the disabled gave us useful input to re challenge ourselves."

Having said that, Dr Sazlina, is cautiously optimistic as to where the forum's goal will lead to in the end.

Some of the participants she spoke to after the forum - especially from the government - were already expressing some reservations especially about whether it will be able to change a system that has been used to one way of thinking for so long.

Only time will truly tell, as they say.

Note: All MPcwd advocacy efforts will be guided by national and international frameworks, including the Convention on the Rights of the Child (CRC), Convention on the Rights of Persons with Disabilities (CRPD), the Millennium Development Goals, the Sustainable Development Goals (post-2015 Agenda), the Asia-Pacific Decade of Persons with Disabilities (2013-2022) including the Incheon Strategy to “Make the Right Real” for Persons with Disabilities in Asia and the Pacific, and national goals like Vision 2020 and the 11th Malaysian Plan.

The MPcwd was established under the umbrella of the Global Partnership on Children with Disabilities (GPcwd), led by UNICEF and which globally is made up of more than 575 individuals representing over 240 government and civil society organizations.

The aNt