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Fomema stepping up clinic audits, biometric checks

Fomema stepping up clinic audits, biometric checks

KUALA LUMPUR: The Foreign Workers Medical Examination Monitoring Agency (Fomema) says it is aware of syndicates helping unfit workers bypass medical checks.
"We take these matters very seriously," said Fomema chief executive officer Dr Afiq Farhan Md Hanif.
He said such cases were either detected through Fomema's internal systems or reported via credible feedback from the public or employers.
Impersonation and the use of falsified documents, such as fake passports, he said, undermined the integrity of the foreign worker medical examination process and compromised public health safeguards.
Fomema, he added, worked closely with enforcement authorities to facilitate investigations into fraudulent practices.
"We maintain regular engagement with panel service providers to enforce strict identity verification procedures during the medical examination process.
"In cases where a suspicious identity is detected, we immediately work with the clinic to verify the information and escalate the matter to the authorities."
If a suspected false identity is reported, Fomema will block the medical submission.
"We will notify the Immigration Department and the individual will be required to complete an online identity verification process. Fomema has a dedicated platform for this," Dr Afiq said.
If the identity is confirmed to be false, the individual will be disqualified from the medical examination and must repeat the screening at a different designated clinic, under stricter scrutiny.
"In such cases, Fomema may escalate the matter to enforcement authorities for further action."
This close cooperation, he said, helps ensure that irregularities are swiftly addressed.
Checks and Balances
Dr Afiq said Fomema's internal data management and verification systems played a vital role in maintaining the integrity of medical examinations.
"All submitted medical examination results are reviewed and verified by our trained in-house medical officers, who are alert to inconsistencies in the submitted data.
"Suspicious findings, including irregular test results or potential identity mismatches, are flagged for further investigation."
He said this process serves as a critical safeguard against malpractice and reinforces Fomema's commitment to a secure and reliable screening process.
Fomema also has a dedicated team that conducts ground inspections to ensure panel clinics adhere to standard operating procedures (SOP).
Clinics found to have violated SOPs will be investigated, potentially leading to the suspension or revocation of their panel status.
"We remain committed to upholding the highest standards of accuracy, accountability, and public trust," said Dr Afiq.
Strengthening Processes
Dr Afiq said Fomema is actively strengthening its processes to ensure the correct person undergoes the medical examination.
"Some of the key measures implemented include cross-checking data via Fomema's online portal with Immigration Department records to prevent registration using falsified documents."
All panel clinicians are also required to verify the identity of each foreign worker by inspecting their original passport.
Fomema, he added, also works closely with the Immigration Department to integrate biometric fingerprint verification at clinics.
"This is to further verify the identity of the foreign worker, ensuring that the individual at the clinic is indeed the genuine passport holder."
He said Fomema actively engages with panel clinics and other partners to raise awareness of cases involving falsified identities.
"While Fomema is not the authority responsible for verifying passport authenticity, we take a proactive approach by sharing real cases detected through our systems or reported by the public and employers.

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Expert: Fomema gaps let syndicates slip through
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KUALA LUMPUR: A security expert has called on the government to tighten oversight of the Foreign Workers' Medical Examination Monitoring Agency (Fomema), citing weak inter-agency coordination and poor system checks that have left the agency vulnerable to exploitation by criminal syndicates. Universiti Pertahanan Nasional Malaysia's (UPNM) Faculty of Defence Studies and Management Professor Dr Mohd Mizan Aslam said the current Fomema system lacked a comprehensive verification process, making it susceptible to identity fraud and document forgery. "Although the system is centralised, the database and monitoring mechanisms are not thorough. This opens the door for syndicates to manipulate data and forge health certificates," he told the New Straits Times. He said Fomema currently processed medical certifications based solely on submitted documents, without verifying whether foreign workers had criminal records, previous deportations, or were using false identities. "This loophole has serious implications. Without accurate identity verification — via biometrics or inter-agency checks — syndicates will continue to exploit the system," he added. Mizan comments come in the wake of a recent crackdown by the Immigration Department on a forgery syndicate capable of producing up to 100 fake passports daily. The syndicate, which charged between RM100 and RM150 per fake passport, also manipulated the biodata of undocumented migrants to obtain Fomema health clearances. These forged medical documents were sold for between RM600 and RM1,000 each. He said this exposed clear weaknesses in the system, adding that syndicates were not just bypassing immigration rules, but also public health safeguards. "This situation could lead to the return of diseases like tuberculosis and hepatitis B, especially as infected individuals from countries with weaker healthcare systems go undetected," he said. "Malaysia has successfully controlled these diseases through vaccination and health campaigns. But without effective screening, they could resurface and strain our health infrastructure." Mizan said that while international passport systems were generally secure, Fomema documents lacked similar safeguards. "Unlike passports, Fomema certificates do not have tamper-proof features like QR codes or digital watermarks. This makes them easier to forge and abuse," he said. To address the issue, Mizan urged the government to introduce biometric verification for all foreign worker medical screenings, strengthen access control to Fomema's database, and integrate its system with immigration and law enforcement agencies. He also proposed placing certified integrity officers at key government departments to monitor compliance and prevent internal collusion. While acknowledging growing concerns over the agency's integrity, Mizan stressed that Fomema should not be dismantled but reformed. "We shouldn't abandon Fomema. We need to upgrade its technology, tighten control mechanisms, and improve coordination across agencies so it can fulfil its role in safeguarding national interests," he said.

Catching infectious diseases in foreign workers before they spread
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Catching infectious diseases in foreign workers before they spread

As a developing nation, Malaysia's economy is heavily reliant on foreign labour, who play a vital role in supporting several of our economic sectors. Currently, foreign workers are sourced from 15 countries for seven critical sectors, which are manufacturing, construction, domestic work, agriculture, hospitality and services, mining, and farming. As of December 2024, the Immigration Department reported over 2.3 million foreign workers in the country, making up 14.6% of the total workforce. The government's policy under the Twelfth Malaysia Plan 2021-2025 (RMK12) is to cap the proportion of foreign workers at no more than 15% of the total national workforce. According to data from the Human Resources Ministry (as of Sept 30, 2024), the majority of foreign workers are employed in the manufacturing sector, with a total of 771,327 individuals, followed by construction (698,407), and hospitality and services (448,572). 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'Bear in mind, those who are here legally also mingle with illegal or undocumented workers, so there is a risk of getting infectious diseases. 'Guidelines from each source country are different from ours, hence annual medical screening has been mandatory since December 2023 so we don't miss any diseases.' Tuberculosis tops list Once they arrive here, these workers have to go for another comprehensive medical examination conducted at Fomema-appointed clinics, which includes a physical examination, blood/urine test and chest X-ray to detect tuberculosis (TB). Fomema screens for eight infectious diseases that create the biggest impact on public health. If the workers pass, they can proceed to get their work permit. Last year (2024), Fomema's records show that there were more than 15,000 cases of communicable diseases, with TB being the most prevalent, followed by hepatitis B and filariasis (see pie chart above). 'The data includes newly-arrived cases plus those who are already here. 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He points out that detecting TB via a chest X-ray is globally accepted and cost efficient, although the interpretation must be correct. The X-rays are monitored digitally by Fomema's radiologists via their X-ray quality control centre. 'If the quality indicator is not met, we will instruct the panel to redo the X-ray. 'Most TB transmission is through a cough, i.e. the respiratory system, so if they have active TB, the bacteria will travel from the lungs to the mouth and into the air. 'Latent TB has the potential to become active and we don't know when that will happen, hence those with latent TB are not permitted to work in Malaysia,' he says. Having said that, Dr Mohd Ridzal adds that those with a previous Covid-19 infection could also have scarring in the lungs, so if the doctor is unsure whether the scarring is due to TB or post-Covid infection, Fomema refers the case to a specialist to confirm diagnosis. 'For hepatitis B, we detect it every year. 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This parasite is transmitted by various mosquito species, including those in the genera Culex, Anopheles, Coquillettidia, Aedes, Mansonia and Ochlerotatus, depending on the geographic area. Most of these vectors are present in Malaysia. There are different types of filariasis, with the common one being lymphatic filariasis (LF), also known as elephantiasis. According to the World Health Organization (WHO), infection is usually acquired in childhood and causes hidden damage to the lymphatic system. The painful and profoundly disfiguring manifestations of the disease – lymphoedema, elephantiasis and scrotal swelling – occur later in life and can lead to permanent disability. People affected by LF are not only physically disabled, but also suffer mental, social and financial losses, contributing to stigma and poverty. In 2023, 657 million people in 39 countries were living in areas that require preventive chemotherapy to stop the spread of infection. 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Unlicenced doctor among six foreigners nabbed in Klang Valley Immigration raids
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The Star

time21-05-2025

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KUALA LUMPUR: Six foreigners, including an unlicensed doctor from Pakistan, were detained in raids on clinics run by illegal foreigners in Sungai Buloh, Shah Alam and Jalan Ipoh. Immigration Department director-general Datuk Zakaria Shaaban said the raids were conducted on Monday (May 19) after two weeks of intelligence gathering and surveillance. "We arrested the male Pakistani doctor along with three female Myanmar nationals and two other women from Pakistan and India, aged between 23 and 57. "The Pakistani doctor had overstayed. One of the Myanmar nationals had a temporary work permit for foreign workers (PLKS) pass, while another was a holder of a UN High Commissioner for Refugees (UNHCR) card. The remaining foreigners did not have any travel documents or valid passes," he said in a statement on Wednesday. Several items were seized, including a log book of patients, a clinic stamp, three foreign passports, mobile phones and uniforms of medical practitioners, he said. "We believe a few of the other foreigners were working as medical assistants or nurses," he added. Syndicate offered medical services, especially to foreigners, at low prices, Zakaria said. "The unlicensed doctor would perform medical checkups only at night. "We believe they had been operating for about a year," he said. Each patient is charged about RM90 and payment for the illegal services could only be made online, he added. "All those detained were brought to the KLIA Immigration depot for further action. "We also issued notices to a Malaysian man and a Filipino woman to come to the Immigration office to assist with the investigation," he said. Zakaria said the department will continue to take stern action against anyone who violates Immigration laws and regulations.

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