Four hundred and thirty five (435) cases 0f sexually transmitted infections (STIs) were notified from 20 (twenty) primary care clinics throughout Malaysia from June 1999 till September 2000 using the syndromic approach of STI management, adapted by the Ministry of Health based upon the criteria set by the World Health Organisation (WHO). Gonorrhoea was the most prevalent STI reported (30.34 %), followed by candidiasis (28.05%), syphilis (15.17%) and non-specific urethritis (NSU) — 14.02%) . As seen in most other parts of the world, the younger age groups (those between twenty and thirty nine years old) were found to be more commonly infected with STIs. Initial analysis shows that systematic data collection based on the syndromes and clear—case definitions (algorithms for the syndromic approach} need to be developed and added further to the current manual that is being developed for the health and medical staff at the operational it level. Exploration and expansion of behavioural surveillance research, management information systems of the syndromic approach, and development of new or additional strategies in the manual for the staff too, also need improvement. The Ministry of Health is also concerned about the quantity and quality of the available data based upon syndromic management of STI as compared to laboratory based criteria. Since this programme is very much client centered, the adoption of this approach generally might offer substantial improvements in the quality and effectiveness of STI care, either within the public or the private health care settings in Malaysia.
Development of mycoinsecticides with Cordyceps fumosorosea as an active ingredient is established as an alternate way to control the Metisa plana population while reducing chemical insecticide dependence. Three mycoinsecticide formulations (SS6, SS7, and SS8) with dispersing and wetting agents were developed as wettable powder formulations in this trial. SS8 demonstrated the best wettability, suspensibility, and dispersibility with viability at 107 (CFU)/mL even after three months of storage. However, SS7 developed with C. fumosorosea as an active ingredient was found to effectively reduce the bagworm population by more than 95%. The application of all mycoinsecticide formulations in the infested oil palm area was able to reduce the M. plana population by more than 95%, 30 DAT. The formulations also show no significant increase in mortality of the oil palm pollinator, Elaeidobius kamerunicus. This finding indicates that the C. fumosorosea tested has potential for managing bagworms without harming pollinators on oil palm plantations.