ANNUAL REPORT 1998/1999
This report was presented at the 6th Meeting of The Heads of WHO Collaborating Centres in Malaysia, at Institute Medical Research, Kuala Lumpur, 23 December 1999.
1. NAME OF COLLABORATING CENTRE
WHO Collaborating Centre for Drug Information
Pusat Racun Negara ( National Poison Centre )
Universiti Sains Malaysia
11800 Penang, Malaysia
Telephone No: (604) 6570099, (604) 6577888 ext. 2265
Fax No: (604) 6568417
Email Address: firstname.lastname@example.org
3. TERMS OF REFERENCE
3.1 To establish, develop and facilitate a system of electronic drug information exchange among Member States of Western Pacific Region in particular, and the World Health Organization, in general.
3.2 To develop, update and implement training modules on Drug Information in Developing Countries with emphasis on the needs of the Western Pacific Region.
3.3 To arrange and conduct fellowship training in drug as well as poison information in support of the concept of rational drug use.
3.4. To collaborate with Western Pacific Regional Office in developing computer applications relating to drug information and pharmacoinformatics.
3.5 To collaborate with Western Pacific Regional Office in initiating a systematic data and information collection on activities related to the drug utilization, management and policies for identification of priorities and forecasting of needs.
3.6 To support countries and areas in the region to conceptualize, plan and set up drug information services tailored to their individual needs.
4. STAFF LIST *
Professor Dzulkifli Abdul Razak
Associate Professor Rahmat Awang
Associate Professor Mohd Isa Abdul Majid
Mr Razak Lajis
Dr Mohd Izham Mohd Ibrahim
- Head of Centre
- Head of Drug & Poison Information Services
- Head of Research & Documentation Services
- Head of Laboratory Services
- Head of Education and Prevention Services
Mr Rosman Ahmad
Mr Wan Zainal Wan Abdullah
Mr Noor Hasani Hashim
Mr Ahamad Abu
Mr Mohd Fauzey Mohd Salleh
Mr Mohamad Zainudin Md. Rashid
Ms Lucie Chuah
Ms Siti Eshah Hashim
Ms Natrah Mustapha
Ms Ramnah Ramli
Ms Rosni Ahmad
Mr Irwan Ariffin
- Officer in-charge of Graphics & Design
- Officer in-charge of Documentation
- Science Officer
- Science Officer
- System Analysts
- Staff in-charge of Website Development
- Administrative & Public Relation Personnel
- Data Maintenance & Computer Personnel
- Data Maintenance & Computer Personnel
- Clerk & Documentation Personnel
- Office Assistant
* The tasks designated are in addition to that of the National Poison Centre's job descriptions.
5. ACTIVITIES OF THE COLLABORATING CENTRE
5.1 Highlights of projects and research activities
- Major projects and research activities broadly related to Centre's terms of reference were:
Drug utilisation studies with emphasis on the drug wastages in the household. This is a pilot study conducted in Penang area as a forerunner to a larger study to be undertaken in other states in Malaysia, and/or countries within the region. The preliminary results were published in the Centre's bulletin ( PRN8099, No. 25, October 1999 ).
Study on effective drug regulation - a WHO multi-country project involving 10 countries worldwide. This is a structured descriptive study with some quantitative indictors, developed collectively, incorporated for assessment of effectiveness. The Centre was selected as the national focal point for Malaysia. A final draft report was submitted to WHO HQ in December 1998.
Information Exchange Network for the Pacific Island Countries. This is a project undertaken by the Centre, with support from the Western Pacific Regional Office, as an outcome of one of the recommendations in a recent workshop among Pacific Island Countries held in Fiji. It will be an expansion of the existing Drug Information Exchange for Pacific Island Countries (DIEFPIC) moderated by the Centre to include aspects of herbal medicines and also biologicals other than pharmaceuticals.
Drug Information Exchange for Asia Region. This is a network developed and maintained by the Centre since 1996. It is an outcome of a recommendation at meeting sponsored by WHO Western Pacific Region and Consumer International Regional Office for Asia-Pacific.
The WHO Collaborating Centre for Drug Information Homepage. This is an on-going project to document all the activities of the Centre as well provide and develop relevant databases to facilitate the sharing and updating of information among Member States especially in the Western Pacific Region. The URL is who.html
Compilation of Drug Information status in the Asia-Pacific region. This is a project which is in its initial stage, to document and develop databases to assess the current status of drug information in various countries especially in the Asia-Pacific region. It is intended to supplement the current data set on Summary of Selected Pharmaceutical Information in the WHO Western Pacific Region by Country for the purposes of monitoring and programme implementation.
Antibiotic Audit System – a collaborative on-going project with a number of hospital pharmacy in Kedah, Malaysia to establish a computerised antibiotic auditing programme developed at the Centre.
5.2 Training and informational support activities
WHO Bi-Regional Working Group Meeting on Hospital Pharmaceutical & Therapeutic Committee, and Drug Information Services, Penang, 13-15 October 1999. Sponsored by WHO HQ/WPRO. The meeting was attended by participants from 22 countries. The URL for this meeting is meeting.html
National Workshop on Drug and Poison Information Services, Penang, 17-19 August 1999.Sponsored by Pharmaceutical Services Division, Ministry of Health. The workshop was attended by drug information pharmacists from government hospitals nationwide.
- The Centre provided training/study visits on drug and poison information to eleven (11) individuals from six (6) countries (including Malaysia).
Ms Ayesha Faiq Ahmed, The Network of Rational Drug Use, Pakistan, August 1999
Mr Nguyen Duc Bon, Mr Tran Cuc & Dr Hoang Thanh Mai, Ministry of Health, Vietnam,
Mr Henry Irunde & Mr T Msuya, Pharmacy Board, Ministry of Health, Tanzania, July 1999
Mr Zaheer-ud-din Baber, Pharmacist, Pakistan, June 1999
Puan Noor Aini Abu Samah, Drug Information Unit, Department of Pharmacy, Hospital USM, Kubang Kerian, Pulau Pinang, April, 1999
Dr Rohini Fernandopulle, Department of Pharmacology, University of Colombo, Sri Lanka, October 1998
Dr Davone Vongsak & Dr Boungnon Boupa, Ministry of Health, PDR Laos, September 1998
- The Centre also supported teaching-learning activities for students from various institutions of higher learning namely, Universiti Sains Malaysia, Universiti Kebangsaan Malaysia and International Medical University.
- It also provided places for attachments and externships for students from other institutions for higher learning, namely, Universiti Sains Malaysia [98(8), 99(30)], Universiti Kebangsaan Malaysia [99(25)], Universiti Putra Malaysia [99(1)], Universiti Teknologi Malaysia [99(1)], Institut Teknologi Mara [99(1)] and International Medical College/University [98(30), 99(28)].
5.3 Consultations and representations
- Staffs of the Centre were involved in a number of consultancies in various capacities internationally. The Centre is represented in a few committees related to pharmaceuticals. Some examples are as follows:
As WHO Consultant for Workshop on Information Exchange for Pacific Island Countries, Nadi, Fiji, 17 October - 3 November 1999
As Temporary Adviser for Multi-country Study on Effective Drug Regulation, Nicosia, Cyprus, 31 May - 4 June 1999
As WHO Consultant to the Government of Fiji on Drug Utilisation Review, 9 April - 9 May 1999
As WHO Consultant to the Government of Brunei on Rational Drug Use, Bandar Seri Bangawan, 6-26 September 1998
As national focal point for Consultation on the Multi-country Study on Effective Drug Regulation, Geneva, 26-28 August 1998
As member of the WHO Expert Advisory Panel on Drug Policies and Management (1995-present)
As Executive Committee member of International Society of Drug Bulletins (1999-2001)
As member of the Malaysian Adverse Drug Reaction Advisory Committee, Ministry of Health Malaysia (1998-present)
As member of the National Essential Drugs Committee, Ministry of Health Malaysia (1997-present)
As member of the Drug Information Sub-committee on Essential Drugs, Ministry of
Health Malaysia (1997-present)
As a resource group in the development of Lifetime Health Plan, Mass Customised and Personalised Health Information and Education as well as Continuing Medical Education under Cybercode Consortium MSC for the Multimedia Super Corridor Telemedicine Project (1997-present)
As partner to develop applications for pharmacy information system, with particular emphasis on drug and poison information, jointly with Ramgate MSC under the Multimedia Development Corporation grant scheme (1999-present)
5.4 Publications and presentations
The Centre was commisioned to contribute two (2) chapters for the 'WHO Manual on Developing Drug Bulletins', a joint project between WHO-International Society of Drug Bulletins (ISDB).
Guidelines on the Drug Information Services – an instructive compilation, originated by the Centre, on how to develop drug information services which is undergoing the process of peer review.
- The following are selected drug information articles published in the mass media (News Straits/Sunday Times: Poison Control; Berita Harian in Bahasa Malaysia) and a popular science magazine (Dewan Kosmik in Bahasa Malaysia ) intended to increase the awareness of the public towards self-care and drug use issues.
Caring for the elderly by walking sure they get the right medicines, New Sunday Times, 26 December 1999
Cosmetics and You, New Sunday Times: Style, 19 December 1999
Minimising effects of Y2K bug on health services, New Sunday Times, 12 December 1999
Profit takes priority over care, New Sunday Times, 5 December 1999
Suplemen vitamin dan mineral (2), Dewan Kosmik, Disember 1999
Suplemen, vitamin dan mineral (1), Dewan Kosmik, November 1999
Taking stock of drug safety practices, New Straits Times, October 1999
Antibiotic resistance - a growing problem, New Straits Times, 2 August 1999
Asma dan rawatannya, Dewan Kosmik, Julai 1999
Kaedah melegakan rasa sakit (2), Dewan Kosmik, April 1999
Viagra dan kesan terhadap pengguna, Berita Harian, 17 Mac 1999
Viagra: Implikasi sosiobudaya, ekonomi dan perubatan, Berita Harian, 16 Mac 1999
Kaedah melegakan rasa sakit (1), Dewan Kosmik, Macl 1999
Melegakan batuk, selsema dan alahan (2), Dewan Kosmik, Januari 1999
Melegakan batuk, selsema dan alahan (1), Dewan Kosmik, Disember 1998
Local website on Viagra, New Straits Times, 14 December 1998
Ubat melegakan deman, Dewan Kosmik, Oktober 1998
Swapengubatan dalam penjagaan kesihatan, Dewan Kosmik, September 1998
Mendekati promosi kesihatan (2), Dewan Kosmik, Julai 1998
Mendekati promosi kesihatan (1), Dewan Kosmik, Jun 1998
Going generic and bringing health to all, New Straits Times, 25 June 1998
Be very cautious about 'wonder drug' , New Straits Times, 22 May 1998
Ubat: Ujian teliti sebelum dipasarkan, Dewan Kosmik, April 1998
Penjagaan kesihatan primer lebih popular, Dewan Kosmik, Mac 1998
Ubat: Pentingnya penggunaan yang selamat dan rasional, Dewan Kosmik, Februari 1998
Adverse effects of hydroquinone cream, New Straits Times, 27 February 1998
Industri farmasi belum mampu penuhi keperluan tempatan, Dewan Ekonomi, Januari 1998
- Between 1998-1999, the Centre published 24 issues of its own bulletins – PRN8099 (in English), and PenawaRacun (in Bahasa Malaysia) - directed at professionals and the public respectively. A special issue was published in conjunction with the first 1000 days of the establishment of the Centre (January 1998) and another in conjunction with the WHO Bi-Regional Working Group Meeting on Hospital Therapeutic & Pharmaceutical Committee, and Drug Information Service (October 1999). The two types of bulletins covered a number of topics related to rational drug use. They are accessible at and
- Below are papers presented at various seminars and workshops, local and international, mostly at the invitation of the organisers.
Basic concepts, roles and functions of drug information services, WHO Bi-Regional Working Group Meeting on Hospital Therapeutic & Pharmaceutical Committee, and Drug Information Services, Penang, 13-15 October 1999
How drug information service can support drug utilisation studies, WHO Bi-Regional Working Group Meeting on Hospital Therapeutic &Pharmaceutical Committee, and Drug Information Services, Penang, 13-15 October 1999
Evidence-based drug information resources, WHO Bi-Regional Working Group Meeting on Hospital Therapeutic & Pharmaceutical Committee, and Drug Information Services, Penang, 13-15 October 1999
New issues and development in drug information services, Kursus dalam perkhidmatan bagi Pegawai dan Pembantu Farmasi, Taiping, 30 September 1999
Independent Drug Bulletin in the Asia-Pacific region, 5th Congress of the International Society of Drug Bulletins, Amsterdam, Netherlands, 16-19 September 1999
How to evaluate clinical literatures, National Workshop on Drug and Poison Information Service, Penang, 17-19 August 1999
How do we handle drug information question, National Workshop on Drug and Poison Information Service, Penang, 17-19 August 1999
University-based drug and poison information services, National Workshop on Drug and Poison Information Service, Penang, 17-19 August 1999
How to evaluate medical websites, National Workshop on Drug and Poison Information Service, Penang, 17-19 August 1999
How to conduct a systematic search, National Workshop on Drug and Poison Information Service, Penang, 17-19 August 1999
What kind of reference resource sources is useful for Drug and Poison Information Services,National Workshop on Drug and Poison Information Service, Penang, 17-19 August 1999
Why set up Drug and Poison Information Services, National Workshop on Drug and Poison Information Service, Penang, 17-19 August 1999
Penggunaan ubat yang selamat dikalangan orang dewasa dan kanak-kanak, Pulau Pinang, 30 Julai 1999
Effective drug regulation: The Malaysian case-study, Nicosia, Cyprus, 3 June 1999
Drug utilisation review: An approach to rational drug use, Suva, Fiji, 30 April 1999
The use of herbal medicines by patients in the hospice at home programme, 2nd National Palliative Care Conference, Penang, 24-27 March 1999
Contribution of a drug information centre to rational drug use, Sri Lanka Medical Association Seminar on Rational Drug Use, Colombo, Sri Lanka, 26 March 1999
Role of the National Poison Centre in drug safety, International Pharmacovigilance Seminar, Kuala Lumpur, 13 October 1998
Communicating Risks: Health and environmental issues, Asian Media Information and Communication 7th Annual Conference, Bangkok, Thailand, 21-23 May 1998
Strategic alliance and partnership in the pharmaceutical sector within Asean during the region's protracted currency depreciation problem, Seminar on Priorities of Healthcare in the current Economic Downturn, Petaling Jaya, Malaysia, 4-5 May 1998
5.5 Other achievements
Awarded the Inaugural Universiti Sains Malaysia Quality Award for Service Section, 1998
Recipient of the 1999 Olle Hanson Award from Consumers International (ROAP)
Finalist for the Prime Minister Quality Award 1999
6. FUTURE DIRECTIONS
In the coming years, the Centre will strengthen its involvement in facilitating the development of electronic/computerised network throughout the region by offering consultancies and training to Member States. The Centre aims at being the drug information hub with emphasis on rational drug use.
It plans to play a leading role in the modelling drug and poison information services for the region especially in the use of pharmacoinformatics and Information Technology, in general. The Centre will conceptualise a migration from an 'information' centre to a 'knowledge' centre for the near future.
At the national level the Centre will continue to contribute to the development and application of the Telemedicine flagship in the relevant areas under the Multimedia Super Corridor project.
Overall it will continue to advance the concept and practice of rational drug use as stipulated in the term of reference.