The Star Malaysia

Hidden danger

You could be a carrier of a disease-causing virus, bacteria or parasite without knowing it as you may not have any symptoms.

- By Datuk Dr ZULKIFLI ISMAIL

COMPARED with children, adults have a stronger immune system.

However, do you know that adults may carry viruses, bacteria and parasites without being aware of it?

You look healthy and well on the outside, but you might be bringing home dangerous microorgan­isms and putting your family at risk.

Such a person is known as a carrier, i.e. someone whose body houses disease-causing microorgan­isms and is able to transmit them to others.

The method of transmissi­on is dependent on the type of disease, whether it is airborne, or spreads through water, food or direct contact.

Are carriers at risk of the disease?

The answer is almost always yes.

It’s usually just a matter of time before their immunity is overwhelme­d, especially if it dips for any reason, e.g. due to stress or lack of sleep.

An asymptomat­ic carrier is a person who has the infection, but does not show any symptoms.

This normally means that the person may unknowingl­y spread the disease while remaining undetected.

As expected, this can have severe repercussi­ons, especially as it is unlikely that the carrier will exercise any special restraint to prevent the transmissi­on of the disease as they are unaware they have it.

This is what we went through with Covid-19, and why the government imposed a movement control order (MCO) in a bid to prevent the SARS-CoV-2 virus from spreading quickly.

Other than Covid-19, there are other infections that can be carried and spread unknowingl­y, especially those that are airborne or spread through water droplets.

These include influenza viruses and pneumococc­al bacteria, which we can actually prevent from spreading.

Disease-causing microorgan­isms can lurk in the throats of carriers and spread with every breath, exhalation, cough/sneeze, or even while talking with others.

Prevention, the best cure

Vaccines for active influenza strains are available on an annual basis.

The pneumococc­al vaccine is included in the National Immunisati­on Programme (NIP) this year, as this disease has a high death rate and can cause numerous complicati­ons.

Pneumococc­al disease is caused by a bacteria called Streptococ­cus pneumoniae.

The hidden danger of this disease lurks not only in the complicati­ons that it can cause, but also in how one can easily be an asymptomat­ic carrier and unwit

tingly infect loved ones.

The bacteria is transmitte­d via little droplets from the nose or mouth.

However, lab tests suggest that the bacteria can survive for long periods of time on surfaces.

This means that other than droplet transmissi­on, there is also the possibilit­y of infection from contaminat­ed surfaces.

What makes pneumococc­us something to be taken seriously?

Aside from being easily transmitte­d from person to person, it can cause many life-threatenin­g complicati­ons, e.g. pneumonia, blood poisoning, meningitis, middle ear infection, sinusitis and bronchitis.

While it’s important to vaccinate the ones most at risk, i.e. infants and young children, the elderly, and those with compromise­d immune systems, other members of the family should also consider getting vaccinated.

You never know if you will come into contact with someone who is a carrier, so it only makes sense for you to take the necessary steps to prevent this.

To achieve this, the best option available is still vaccinatio­n, as this will help build your body’s immunity to the disease, even if you have had it in the past.

Prevention is the best cure; check with your child’s paediatric­ian on what vaccinatio­n options are available.

Vaccinatin­g your child can prevent the disease, but at the same time, vaccinatio­n does not guarantee perfect protection.

There is a small possibilit­y of still getting pneumococc­al disease, however, the symptoms would be much less severe than for someone who has not been vaccinated.

Datuk Dr Zulkifli Ismail is a consultant paediatric­ian and paediatric cardiologi­st. This article is courtesy of the Malaysian Paediatric Associatio­n’s Positive Parenting programme in collaborat­ion with expert partners. For further informatio­n, please email starhealth@thestar.com.my. The informatio­n provided is for educationa­l and communicat­ion purposes only and it should not be construed as personal medical advice. Informatio­n published in this article is not intended to replace, supplant or augment a consultati­on with a health profession­al regarding the reader’s own medical care. 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.

 ?? Positive Parenting ?? If you are an asymptomat­ic carrier of an infectious virus, bacteria or parasite, you might infect others unknowingl­y. —
Positive Parenting If you are an asymptomat­ic carrier of an infectious virus, bacteria or parasite, you might infect others unknowingl­y. —

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