Convincing the non-believers for vaccination

With the Covid-19 vaccine rollout starting soon, the onus is on the government to engage the fence sitters.

RECENT news that Indonesia has made Covid-19 vaccination for its citizens compulsory has given rise to speculation that Malaysia could follow suit.

With the National Covid-19 Immunisation Plan around the corner, the government machinery has swung into gear to convince the people that vaccination is the only way out of this pandemic that has imprisoned our lives.

The government has already hinted of fines for those who decline the vaccine and there is also a possibility that individuals who reject the vaccination could have their movements restricted. This means that they will be barred from entering business premises or restaurants.

While there are no plans at this time to draw up legislation to make it compulsory for everyone to be vaccinated, the sledgehammer approach may not be as effective as we think.

The World Health Organisation (WHO) believes that making vaccines compulsory is counter-productive, as it will increase vaccine hesitancy that is already present.

I believe that Malaysians can be divided into three categories: proponents of the vaccine, anti-vaxxers and the fence sitters, people who though unopposed to taking the vaccine, are yet to be convinced that vaccination is essential for herd immunity.

It will be nigh on impossible for the government to convince the anti-vaxxer movement. They may be small in number, but these fellow Malaysians, like others around the world, are dead set against the vaccination plan.

In fact, some of these anti-vaxxers are also Covid-19 deniers. They believe that the pandemic is a conspiracy that has been exaggerated by the media and that Covid-19 is a hoax.

So no amount of cajoling or threats are going to make them change their minds. It is the third category that the government should focus on – Malaysians who are wary or unsure of taking the vaccine.

There needs to be a massive public relations drive to reach these fence sitters. From vaccine safety issues to side effects, from registration protocols to logistical challenges, the government needs to address the concerns of this segment of the populace. Public education is going to be key, not harsh fines, penalties and sanctions.

And it should not only be government agencies that embark on this blitz. Key opinion leaders, influencers and NGOs should be roped in to assist in this, our biggest ever immunisation programme.

Of crucial importance is getting the vaccination message across to the rural areas and not just our urban centres.

The government made the right move by also allowing free vaccinations for foreign workers. There must now be a concerted effort to get undocumented foreign workers to also come forward to receive vaccines. There could be as many as a million undocumented workers in the country, and if they are not vaccinated, our objective of reaching herd immunity will not come to fruition.

It should be pointed out that we will not be taking shortcuts to achieving herd immunity.

The Pfizer vaccine that will arrive on Sunday requires two doses, 21 days apart. Even though other countries have spaced this out to as much as eight weeks, thereby vaccinating a greater number of people, Malaysian authorities have already confirmed that they will stick to the manufacturer’s recommended dosage.

But in the race to vaccinate its populations, we are already behind many countries.

For example, more than 15 million people in the United Kingdom have already received their dose. This works out to almost 24 doses per 100 residents.

In the United States it’s 16 doses per 100 and in the European Union as at mid February it is five doses per 100 residents.

Surprisingly France, which has one of the best public healthcare systems in the world, has been slow to administer vaccines to its population. This could be because of the strong anti-vaccine sentiment in the country.

A poll last year revealed that only 54% of French were willing to be immunised.

So, that should be a concern for our government too. We need to do our best to combat anti-vaccine propaganda because we have no time to lose.

As more of the world is vaccinated, travel bubbles will open up. Soon travellers will be required to show a digital health passport, possibly via an app on your phone that proves you have been vaccinated.

This may be the only way travel restrictions will be lifted.

As more companies roll out vaccinations, Covid-19 doses will eventually become as common as a flu shot. That is a reality that Malaysians must expect and embrace.

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Get groomed for Zoom: Four ways you can look better on video calls

Sitting further away from the camera, wearing neutral colours and doing simple makeup that helps to define your features are all good ways to present well over a video call. Photograph: Getty Images

Work From Home - Audio/Video Tips

https://youtu.be/X2E4Rww0NQs 

From better angles to lighting and dressing up yourself and your background, here’s what experts say you’re probably doing wrong on video calls. — dpa

 

Wow, doesn’t he look tired today! Since video calls have become part of our daily work routines and entire groups of friends have virtual parties, the technical and aesthetic flaws of video chat have never been more apparent.

With these four tips, you can make it look like you’re streaming from a TV studio and look your best in front of the webcam.

1: Consider the perspective (don’t film up your nostrils)

Even with the tiny webcams built into laptops, a lot can be done. It starts with how it's positioned, explains video hardware specialist Natasja Sluka.

“A look from above can unintentionally give off an arrogant vibe.”

Try to position your camera at eye level, just like in a personal conversation. To avoid filming into your nostrils when using a laptop camera, you should place the laptop higher up, for example on some books.

Around 50 to 100 centimetres, or an arm’s length, is a good distance from the face. This also makes for a good image with some free space around the head and shoulders.

2: Let there be light (but not back light)

A lot can go wrong when it comes to lighting. A window or bright lamp behind you means everyone will see a dark shadow where your face should be.

But too little light also doesn’t make for a good picture. Sluka advises using daylight as much as possible.

Warm colours with light yellow or red tones, as opposed to fluorescent light, help create a healthier complexion.

If all of that is not enough, a lamp behind your notebook will bring more light onto your face.

If you want to do it right, then buy a ring light, says make-up artist Jasmin Reuter.

The light is reflected in the eyes of the person being recorded, and shadows on the face are also eliminated.

”For those who don’t want to put on make-up just for a video call, a ring light and a really good camera is my top tip, ” she says.

“You almost look better than in real life, as the frontal illumination of the face makes your complexion look nice and soft.”

3: A little foundation doesn’t hurt (you too, men)

The camera is merciless and can act like a magnifying glass.

”Blotchy, shiny skin is all the more noticeable on video calls, ” says Reuter.

“If you have to go on an important call, such as one that’s being recorded, I would advise men to use some no-pigment foundation to counteract the shine.”

Depending on the camera position, under-eye circles can appear even darker. If in doubt, use some concealer.

If you wear make-up anyway, Reuter advises using some blusher on video calls.

“And some mascara, which opens your eyes and makes you look more alert.”

Some patterns on your top can give off an agitated vibe, and may even flicker on someone else’s screen.

It’s therefore recommended you avoid eye-catching patterns such as checks or stripes, says Reuter.

If you wear large earrings or necklaces and a headset at the same time, then watch out that they don’t touch each other.

Otherwise you’ll annoy everyone on the call with a constant banging noise.

4: Dress up your background, too

You’ve probably discovered countless interesting things in the home of the people you’ve talked to during a video call. The other person might not have wanted to show you all that.

”Check in advance what’s in view and think about what impression you’re giving off, ” says Sluka. Making sure things look tidy won’t hurt either.

Alternatively, there’s a range of tools included in video conferencing applications like Teams, BigBlueButton, Jitsi and Zoom that will let you do things like blur the background.

”This makes sense if the shelf in the background is a bit of a mess or there is a pile of dishes in the kitchen in the background, ” says Sluka.

However, the soft focus doesn’t always work accurately: Sometimes your hair or hands disappear, especially when you move.

Some programs will let you display any background image - particularly useful for people in small and dark rooms. Plain, light backgrounds work wonders, perhaps a photo of a beautiful, light office.

Holiday photos and funny designs might serve as a conversation starter, but ultimately are just a distraction.

And should you invest in real conferencing equipment? It's a matter of opinion, says video expert Sluka. Most of the time, the built-in cameras - especially with new notebooks - are really good.

For older computers, it can make sense to buy separate hardware, but the sound is more important. The first thing to invest in is a good microphone or new Bluetooth headset. – dpa 

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Be sexually safe this Valentine’s

Don’t let your partner kiss you if they are recovering from a cold sore or ulcer caused by HSV-1 as they can still pass the virus on to you. — AFP

G. vaginalis is the most common bacteria in the vagina and a common cause of bacterial vaginosis. — Filepic

https://youtu.be/2iWShIc3SiI 

 Absolutely amazing video clip... I really appreciate it..... Its an eye opener for our new generation who forget their roots and traditions. That's what have made us retrogress somehow to lead to immoral aspects.... Thumbs up to sender, Sister Swa

 

Being in a monogamous relationship, or abstaining from sex, doesn't necessarily guarantee from sexually-transmitted infection.

 Valentine's day usually invokes the notions of love and romance.

Just imagine, you are on a nice dinner date with your other half and spend the night together in an almost fairytale-like evening.

But this lovely memory soon gets shattered when you or your partner discover unusual symptoms in the genital region.

Suddenly, worry – and even suspicion of each other – fills the atmosphere between the two of you.

And it doesn’t help that it is a topic many people might find difficult to bring up with their partners.

Truth be told, most men and women who are in faithful relationships or who have not had sex before do not expect any unusual symptoms in their genital region.

To suddenly discover a wart, a painful ulcer, or even a smelly and fishy discharge from the vagina, can be distressing.

Whether it’s kissing, skin to skin contact, or vaginal, oral or anal sex, each of these interactions can pose a risk of disease transmission.

But before you jump the gun and start thinking that your partner has cheated on you or lied about their sexual history, hold your horses – he or she could still be innocent!

Here are the top three sexually-transmitted infections (STIs) that one may develop even if you are in a faithful relationship OR have not had sex before.

> Herpes simplex virus (HSV) 1

HSV-1 results in an incurable viral disease commonly known as herpes, which usually causes cold sores and oral ulcers in and around the lips and gums.

These cold sores and ulcers usually cause quite a bit of discomfort, especially when eating.

However, during the recovery stage of the cold sore or ulcer, you will usually not feel anything and may not even remember that you have it.

But it is still infectious at this stage and you may inadvertently spread the virus to your partner while kissing them.

The tricky part comes if you’ve engaged in oral sex with your partner.

Your partner may then develop ulcers around their genital region.

It is a misconception that genital ulcers are exclusively caused by HSV-2 as HSV-1 can also cause such ulcers.

According to the World Health Organization (WHO), about 70% of the world’s population are carriers of HSV-1. The good news is that oral and genital herpes are often asymptomatic (do not have symptoms).

They also do not spread to your partner when there are no active ulcers.

They only flare up when your immune system is weakened and become contagious through contact when an ulcer is present.

Flare-ups can occur once every few months to once every few years, to even once every few decades.

You may experience tiredness, chills, fever and body aches before the painful ulcers emerge, often in the same place either at the genitals or mouth.

It is not all doom and gloom however, as you can get an accurate diagnosis with either a swab test of the active ulcer or a blood test two to three months after an active infection.

Getting a confirmed diagnosis can equip you with knowledge on how to prevent this infection with lysine supplements or by treating any active ulcers with antiviral medicines such as valacyclovir.

If left untreated, these ulcers often get painful, but will eventually recover by themselves after two to three weeks.

> Human papillomavirus (HPV) warts

I know it’s a lot to take in after hearing about HSV, but hang in there as we discuss our next disease: HPV warts.

These are cauliflower-like warts caused by HPV.

There are over 100 strains of HPV.

Apart from the 14 cancer-causing high-risk strains, there are also numerous low-risk strains that cause warts.

HPV warts do not turn into cancer, but are often unsightly and manifest themselves in and around the genital region.

HPV is a very common virus that can be found in a large majority of sexually-active persons.

However, it is often well-controlled by our immune system and does not cause any major symptoms.

HPV can be exchanged between you and your partner during sexual contact.

And when your body encounters a new HPV strain, it can cause the warts to develop.

The good news is that although it is unsightly, these warts are often harmless and can be treated with a variety of options, including creams, freezing with liquid nitrogen, and ablation with heat or electrocautery.

While these warts are easily treatable, a cause of greater concern are the high-risk strains like HPV 16,18 and 45.

These strains affect women more because of their ability to cause cervical cancer.

However, both women and men can protect themselves and their partners by getting vaccinated against these strains.

So fret not if you notice an unusual cauliflower-like lump or wart in the genital region; just speak to your doctor to get it assessed and treated.

> Bacterial vaginosis

Last but not least, one of the biggest causes of a fishy and foul-smelling vaginal discharge is the condition known as bacterial vaginosis.

It occurs when there is an imbalance between the good and bad bacteria in your vagina, and is often caused by the bacteria called Gardnerella vaginalis, the most common bacteria in the vagina. 

In the event of a big build-up of bacteria, it can also cause one to develop symptoms of vaginitis, i.e. inflammation of the vagina, resulting in swelling, pain, and even painful sexual intercourse.

Until now, doctors and scientists do not know the exact mechanism of how this occurs, but sex – with or without condoms – often exacerbates this condition.

This condition can be easily diagnosed with a vaginal swab and treated with a vaginal pessary or oral antibiotics.

If you have read up to here, fret not, today can still be an amazing day for you and your partner – just make sure you practise safe sex and get yourselves tested for STIs as a precaution if you haven’t already.

By Dr Julian Hong who is a general practitioner (GP) in Singapore. For more information, email starhealth@thestar.com.my. The information provided is for educational purposes only and should not be considered as medical advice. The Star does not give any warranty on accuracy, completeness, functionality, usefulness or other assurances as to the content appearing in this column. The Star disclaims all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.

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