logo
Stalwart's call to defend future generations

Stalwart's call to defend future generations

The Star08-06-2025
PETALING JAYA: The fight against tobacco is not just about eliminating a habit; it's about safeguarding our future generations, says NV Subbarow (pic), a stalwart of Malaysia's anti-­smoking movement.
As an education officer with the Consumers Association of Penang, Subbarow has spent nearly 35 years championing tobacco control, recently earning the presti­gious Tobacco Control Icon Award from the Health Ministry during the 2025 National Tobacco Control Conference and the national-level World No Tobacco Day celebration.
His work, which involves conducting lectures, interactive sessions, and discussions with students to highlight the dangers of smoking and vaping, has had a tangible impact that has seen many young Malaysians abandon these harmful habits.
Subbarow's journey began with a focus on traditional cigarettes, but as the landscape of tobacco use evolved, so did his strategies.
'When I started, it was just cigarettes. Now, the rise of disposable vapes presents a new challenge.
'These devices, often marketed in enticing flavours and easily accessible, have become a simple and inexpensive alternative for many, particularly the youth,' he said, adding that his interactions revealed a concerning trend.
'Children as young as eight or nine have been experimenting with vapes left unattended by family members.
'It's shocking when children say they were encouraged to try these gadgets under the guise of fruit flavours,' he said, highligh­ting a disturbing trend of rural vapers mixing substances like drugs and stimulants with the vaporiser's liquid.
To achieve both educational and cautionary results, Subbarow said he uses vivid imagery of nico­tine's effects and the dangers of e-cigarette or vaping-associated lung injury (Evali) to drive home the risks.
'Seeing these images often frightens students into quitting immediately,' he said, adding that the fear of having erectile dysfunction also works among older male students.
As Subbarow looks to the future, his resolve is unshaken.
Subbarow draws inspiration from figures such as the late SM Mohd Idris, the former president of CAP, and Dr Mary Assunta, an internationally renowned tobacco control researcher, whose legacies fuel his unwavering determination.
'Winning the award doesn't stop my campaign. I've got five more school programmes lined up after the holidays.
'I won't give up until Malaysia is smoke-free,' he said, adding that 20 students are currently seeking his guidance to quit vaping.
So far, he has reached about 30,000 individuals, including students, undergraduates, and youths from various backgrounds.
Teachers and parents have called him to convey their gratitude, sharing stories of how their children have abandoned the smoking culture.
Subbarow also called for stronger policies, including the Generational Endgame Bill aimed at a tobacco-free society by 2040.
'Without action, the vape culture will lead to more drug addicts in our country.
'The Malaysian government cannot wait further to implement a total ban on smoking and va­ping products, whether they come with flavours or otherwise.
'State governments that delay action are sitting on a ticking time bomb, creating a critical issue,' he said.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

10,800 on organ transplant waiting list, says health minister
10,800 on organ transplant waiting list, says health minister

New Straits Times

time9 minutes ago

  • New Straits Times

10,800 on organ transplant waiting list, says health minister

KUALA LUMPUR: A total of 10,800 people are currently waiting for organ transplants in Malaysia, an increase of 5.4 per cent from last year, said Health Minister Datuk Seri Dr Dzulkefly Ahmad. He said the figure highlights the urgent need to boost organ donation rates in the country, which remain significantly lower compared to other nations, including those with Muslim-majority populations such as Turkey and Iran. "In Malaysia, the ratio stands at only 1.33 donors per one million people, while Turkey has reached 7.5, the United States 36.9, and Spain at the top with 50.26 per million," he told a press conference after launching the National Organ Donation Awareness Week at Taman Tasik Titiwangsa. Dzulkefly said family refusal remained one of the main barriers to successful organ transplants despite more than 400,000 Malaysians pledging to donate since 1997. "This is the main hurdle we need to overcome. That is why this year's campaign theme is 'My Heirs, Respect My Pledge', which seeks to ensure that the wishes of pledged donors are honoured by their families," he said. As of July this year, 404,975 Malaysians have pledged to be organ donors. However, only 3,359 transplants have been carried out since records began, comprising 1,121 cadaveric and 2,238 living donations. Dzulkefly said Malaysia plans to elevate organ donation to the Asean health agenda. "I have asked for proposals to be prepared so that the issue can be tabled at the Asean health ministers' meeting later this year. He added that Malaysia's low performance in organ donation must be addressed through reforms in governance, better coordination at the National Transplant Resource Centre and sustained public education campaigns. He added that statistics show that organ pledges have risen steadily, with 29,960 new pledges in 2022, 31,058 in 2023, and 7,802 in the first seven months of 2025. Actual donations, however, remain low, with 43 cadaveric and 145 living transplants performed in 2022, compared with 82 cadaveric and 165 living transplants in 2023. In 2024, there were 79 cadaveric and 135 living transplants.

Hopeful signs but still a long journey ahead in organ donation, says Dzulkefly
Hopeful signs but still a long journey ahead in organ donation, says Dzulkefly

The Star

time2 hours ago

  • The Star

Hopeful signs but still a long journey ahead in organ donation, says Dzulkefly

KUALA LUMPUR: Some 3,359 organ transplants have been carried out from 1997 up to July 31 this year, says Health Minister Datuk Seri Dr Dzulkefly Ahmad. Of the number, he said, some 1,121 were from deceased donors, while 2,238 were from living donors. A total of 404,925 Malaysians pledged to donate their organs during this same period, he added. ALSO READ: Organ donation in critical need, family objection among reasons Dzulkefly said that so far this year, more than 16,000 potential organ donors have signed up through MySejahtera. 'The figure is hopeful, but is also a reminder that the journey is still long," he told a press conference after launching National Organ Donation Awareness Week here on Sunday (Aug 17). 'In reality, we are still facing challenges. "As of July, more than 10,000 kidney patients are waiting for transplants, in addition to those with liver, heart and lung conditions. 'The number of donors... is also still low,' he added. ALSO READ: Kelantan records lowest organ donation rate nationwide Dzulkefly said that among the challenges faced is when the next of kin object to organs being removed from a deceased donor. He said the authorities are working towards creating awareness among the public to respect the wishes of their deceased relatives who had pledged their organs. On another matter, he said efforts to reform the National Transplant Resource Centre and transform it into the National Transplant Centre are ongoing. ALSO READ: Over 10,000 patients waiting but organ donations remain low 'The purpose is to empower governance, increase capacity and hasten innovation in organ donations and transplants,' he said. Dzulkefly said engagements are currently underway, with inspiration taken from the successes of countries like Spain, Turkiye and China, which have boosted organ donation rates.

Meno-pause clause
Meno-pause clause

The Star

time5 hours ago

  • The Star

Meno-pause clause

TWO years ago, Davina Lee was prescribed hormonal therapy to help reduce the risk of cancer recurrence, following successful treatment almost a year after her diagnosis. But the content creator did not expect to face another challenge. While the therapy was effective in suppressing cancer cells, it drastically reduced her oestrogen levels. 'Since starting the medication, I've experienced a lot of changes that are similar to what women go through during perimenopause. My period stopped completely and I started having hot flashes in the middle of the night. Not just feeling warm, but waking up drenched in sweat, needing to wipe myself down and change my clothes. 'Not only did the people around me not understand what I was going through, but even I didn't really know what was happening myself. I was trying hard to make sense of it all.' Although her symptoms were caused by treatment rather than natural perimenopause, Lee felt she had endured many of the same challenges faced by women in their mid 40s to early 60s. While no official figures exist for Malaysia's perimenopausal and menopausal population – whether from natural biological changes or medical causes – experts agree that the number will rise sharply as the nation approaches ageing status. However, the country has yet to realise menopause as a top priority; whether in workplace policy, healthcare infrastructure, mitigation measures, or public awareness. In comparison, Australia's latest budget, for instance, allocates more than A$573mil (RM1.6bil) to its universal healthcare, which includes specific support for menopausal women. Correspondingly, there is also a growing trend of an expanding market catering to menopausal women – the global menopause market, projected to reach US$89.3bil (RM388.5bil) by 2032, is fuelled by growth in dietary supplements and health apps. Still, Malaysian Menopause Society president Dr Ho Choon Moy says while the matter is not entirely ignored in Malaysia, there has yet to be a coordinated national action plan. 'Menopause-specific policies are still in the early stages, but what is needed next is a coordinated national action plan, bringing together government, academia, civil society and industry to prioritise menopause not just as a medical issue, but a public health and economic imperative.' What we have now Dr Ho says it cannot be denied that systemic changes are beginning to take shape – the Health Ministry's preventative health push under the Agenda Nasional Malaysia Sihat (ANMS) includes screenings and lifestyle counselling that could encompass perimenopausal and menopausal care. During an interview at the recent Asia-Pacific Menopause Federation 10th Scientific Meeting in Kuala Lumpur, she notes that the National Women's Health Blueprint is 'still evolving', alongside growing advocacy to treat menopause as a key life stage requiring proactive care rather than reactive treatment. 'In the private sector, some hospital groups and women's clinics are establishing dedicated menopause services, including hormone clinics and lifestyle support.' Dr Ho says what is needed next is a coordinated national action plan to prioritise menopause not just as a medical issue, but a public health and economic imperative. — AZMAN GHANI/The Star Dr Ho notes that Malaysia is also seeing promising albeit early signs of multi- stakeholder collaboration such as public- NGO partnerships. For instance, Universiti Malaya and Universiti Sains Malaysia are partnering with pharmaceutical companies to research botanical treatments for menopausal symptoms. 'Pharmacy chains are also teaming up with digital health platforms to deliver education and screening for midlife women.' Malaysia is also actively engaged on the international stage, having led the Asia Pacific Menopause Federation for the past two years and contributing to the development of guidelines and regional knowledge exchange. Yet a national framework is still lacking, particularly for equitable access in rural and low-income areas. 'For example, fertility testing is not covered by private insurance. Now, some insurers are beginning to consider midlife female health screenings [such as bone health, cardiovascular risk] in wellness packages.' Dr Ho says a comprehensive approach which includes revamping workplace policies is also crucial as more women work into their 50s and 60s, with menopause still seen as 'taboo' by many employers. 'Menopause is no longer a private issue. There are already some multinationals and women-led SMEs starting to adopt menopause-inclusive practices such as flexible hours, access to medical leave, or ergonomic support. 'In countries like the UK, menopause is being pushed into labour policies. Malaysia has yet to follow suit, although discussions on gender-sensitive health policies are growing.' Without workplace support, midlife women may reduce their hours or exit the workforce entirely, and the economy will lose valuable experience and leadership. 'This is a missed opportunity in a rapidly ageing population,' Dr Ho says. Mind matters Lee says that when she confided in close friends about her struggles, one of them wondered if she was overreacting – even questioning whether what she felt was 'real'. 'I don't blame him for doubting me. Because if I was confused, it must have been even harder for him to understand why, at 37, I was acting that way,' she says. The challenges extended into her professional life. While her colleagues were initially supportive, covering for her during panic attacks and offering comfort, the constant need for assistance began to weigh on her. 'At work, during the first few times I had panic attacks, my boss and colleagues were kind enough to cover for me or comfort me. But after a while, I started to feel embarrassed that it kept happening and that I always needed them to pick up my slack,' she recalls. Psychiatrist Dr Jason Ng says Lee's experience reflects a deeper, systemic gap in the way healthcare approaches menopause – with a heavy focus on physical symptoms and quick medication, but less on mental health. 'Both mental health and reproductive health services tend to be undervalued and under-resourced, with centres being quite few and far in between, and even rarer outside of city centres. 'I believe that a good way forward is a multidisciplinary approach – integrated clinics for the menopausal period involving mental health clinicians as well as general practitioners or gynaecologists. 'Psychoeducation is key, and this should be adapted to take into account societal and cultural factors in order to engage the community respectfully.' Dr Ng suggests adding mental health screening at menopause clinics and using digital platforms or telepsychiatry to expand affordable access. Dr Ng suggests adding mental health screening at menopause clinics and using digital platforms or telepsychiatry to expand affordable access. — Photo provided He also calls for a cultural shift in how society views ageing and femininity, beginning with education and public awareness. 'The key message would be the normalisation of difficulties in menopause and ageing, and that mental health is an equally important part of the menopause transition. Clinicians need to be aware and take into account the background of the patient, tailoring their explanations and approaches to them. 'This might include differences in religious, ethnic and familial beliefs around ageing, the role of women, and mental health disorders. Education and psychological interventions can be adapted to their views, and the engagement of cultural role models in the community such as faith leaders, traditional healers and community elders are also important, as they can be allies rather than enemies.' Health before economy Sang May Lee, 59, a member of the SeniorsAloud NGO which promotes a healthy lifestyle among senior citizens, says different women have different menopause journeys, with some facing severe symptoms and heightened cancer risks due to hormone imbalances and age. 'And from the hormone imbalance and age factor, the risk of cancer may increase. So maybe some medical examinations or early detection tests should be made mandatory and free of charge for all females above 40 years old,' Lee says. She says following the Covid-19 pandemic, medical insurance has become too expensive. 'So if the government is really sincere in wanting to protect the older, menopausal women workforce, the policymakers should seriously look into this matter. Healthcare needs to be easily accessible but also affordable. 'Health comes before the economy. When older women in the workforce have regular medical checkups, specifically related to menopause, and get proper medical attention and advice, they will stay healthier and need not exit the workforce early. 'It will be beneficial to the country in the long run too. It is a better investment in older women's health rather than giving out subsidies.' Overlooked opportunities Beyond workplace reform, Dr Ho say there is also untapped potential for industries to meet the needs of this growing demographic. She points out that Malaysia's wellness and pharmaceutical sectors are beginning to spot opportunities in an area long overlooked – the unmet needs of menopausal women. The growing interest spans multiple segments, from traditional remedies to digital health tools. 'Local brands are capitalising on culturally accepted botanicals like kacip Fatimah and tongkat Ali, often marketed for libido, mood, or vitality. However, product quality and evidence can be variable,' she says. Technology is also making inroads with telemedicine platforms that are now offering consultations related to menopause. 'Meanwhile, health-tracking apps including those focusing on hot flushes, mood, or sleep, are beginning to penetrate the market,' Dr Ho adds. Dr Ho also says that the consumer product space is evolving in parallel. 'We're seeing a rise in vaginal moisturisers, supplements with botanicals, phytoestrogens and probiotics tailored to midlife health.' At the same time, changing consumer expectations are also shaping the market. 'There is growing demand for 'natural' or 'clean-label' options, with consumers preferring halal-certified, plant-based, or traditional solutions – provided they are backed by safety data,' Dr Ho notes. Her assessment aligns with a recent Yahoo Finance data report, which shows Asia-Pacific accounting for 39% of global growth in the women's health and beauty supplements market, including products for midlife and menopausal women. Demand for treatments targeting symptoms like hot flushes is expanding rapidly, supported by greater awareness and acceptance of menopause as a key health concern.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store