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Noor Hisham bin Abdullah (born Yew Ming Seong; 21 April 1963) was a Malaysian civil servant and breast and endocrine surgeon. He was the Director-General of Health and President of Malaysia Medical Council (MMC)[1] from March 2013 to his retirement in April 2023. Prior to the appointment as the Director-General, he served as the Deputy Director General of Health (Medical) from February 2008 to March 2013.[2]

Noor Hisham is the chairman of the World Health Organization (WHO) Standing Committee on Health Emergency Prevention, Preparedness and Response (SCHEPPR).[3] He is a member of the Board of Directors of the Drug for Neglected Diseases Initiative (DNDi).[4] For his contribution in Global Surgery Initiative, Noor Hisham was appointed as a member of Technical Advisory Group on Universal Health Coverage in the Western Pacific Region (UHC TAG).[5]

Noor Hisham Abdullah was a leading figure in Malaysia's response to the COVID-19 pandemic[6] as well as the key figure in the effort to eliminate Hepatitis C in Malaysia and advancing Global Surgery initiative in the WHO Western Pacific Region and beyond.

Early life and education

Born as Yew Ming Seong (姚明祥) on 21 April 1963 in Sepang, Selangor to a poor Chinese family of Fuzhou people descent,[7] he spent his childhood in a kampung at Sungai Pelek.[8] He was raised by his single mother after his parents separated since birth and had lived in the off Jalan Loke Yew's San Peng Flats, Pudu, Kuala Lumpur.[9][10] He attended the Methodist Boys' School, Kuala Lumpur in Jalan Davidson.[11]

Because of his family's poverty, Yew was adopted by an Ustaz who was the principal of the Kolej Islam Klang (KIK) where he continued his upper secondary studies. He wanted to go into Islamic Studies in upper secondary school, but was convinced by the principal to take up science because of his exceptional grades. He continued his pre-university education at Sekolah Sultan Alam Shah (SAS), Cheras.[12] Later he married his adoptive father's daughter.[7]

Noor Hisham Abdullah obtained his primary medical degree in 1988, and Master in Surgery in 1994, both from National University of Malaysia (UKM).[13] He went on to sub-specialise in breast and endocrine surgery through fellowship training in various universities in Adelaide and Sydney, Australia.[9][14]

Medical and Healthcare Administration Career

Medical Practice (1988–2023)

Noor Hisham started his medical career as a houseman at the Kuala Lumpur University Hospital in 1988, and later in the Accident and Emergency Department in 1989.

Upon receiving Master of Surgery, he was appointed as a general surgeon in Kuala Terengganu Hospital in 1994. After three years as a general surgeon, Noor Hisham went on endocrinology fellowship training at various institutes in Australia.

Once returning from his fellowship in Australia, Dr. Noor Hisham was appointed as the head of the Breast and Endocrine Surgery Unit at the Kuala Lumpur Hospital in 1999. Three years later, in 2002, he took on the role of Head and Senior Consultant of Breast and Endocrine Surgery at Putrajaya Hospital, a position that he held until his retirement. Noor Hisham Abdullah was also the royal physician to the King of Malaysia during his clinical years.

As one of the pioneer in breast and endocrine surgery in Malaysia, Noor Hisham Abdullah led the development of the service in the Ministry of Health, Malaysia. Through his leadership, an Endocrine Institute was built in Putrajaya Hospital. The new complex was officiated by then Health Minister, Khairy Jamaluddin in April 2022.[15]

Prior to his appointment as the Deputy Director-General of Health (Medical), Noor Hisham was already an accomplished breast and endocrine surgeon. His expertise lies in performing thyroidectomy under local anaesthesia and he had produced numerous scientific papers in advancing technique in difficult and complex thyroidectomy. As a result, Noor Hisham Abdullah was frequently invited to present at the international surgical conferences. Most notable lecture was given at the 48th World Congress of Surgery in Krakow, Poland when he delivered the Martin Allgower opening lecture.[16][17]

For the recognition of his service to the breast and endocrine surgery, Noor Hisham was elected chair of the Global Surgery Committee of the International Society of Surgery (ISS) in 2017.[18] Noor Hisham was also elected as the President of Endocrine Surgery of Asia by his fellow surgeons.

Noor Hisham received the Excellence Service Award in 2000 and 2004 for the recognition of his service in Kuala Lumpur Hospital (HKL) and Putrajaya Hospital respectively.[2][19]

Director-General of Health (2013–2023)

Noor Hisham was the Deputy Director-General of Health (Medical) for five years from February 2008 before being promoted as the Director-General of Health in March 2013.[20] Due to his exceptional clinical, managerial and diplomatic skills, he became one of the youngest Director-General of Health ever appointed by the Ministry of Health.

Role during the COVID-19 pandemic in Malaysia

Noor Hisham was the Director-General of Health in charge during the COVID-19 pandemic in Malaysia.

Following the 2020 Malaysian political crisis, Noor Hisham stepped into COVID-19 press briefing during the political power vacuum period. In order to provide a clear risk communication and cultivate confidence from the nation during global health crisis, the cabinet agreed that Noor Hisham should continue the national COVID-19 daily press briefing despite the appointment of the new Health Minister, Dr. Adham Baba, who was widely criticised when he falsely claimed that drinking warm water can protect from COVID-19.[6]

Noor Hisham's daily COVID-19 briefings were praised for his calm and clarity during the global health crisis.[11]

In April 2020, he was selected for an international coalition for clinical research into COVID-19.[21][22] The China Global TV Network (CGTN), had recognised Dr. Noor Hisham as among the “top doctors” of the world alongside America's Dr. Anthony Fauci and New Zealand's Dr. Ashley Bloomfield for the handling of COVID-19 pandemic.[14][23] He also was named again among the COVID-19 heroic trio by Singaporean news outlet, The Independent.[24]

Role in Improving Equity and Access to the Treatment of Hepatitis C and Eliminating Hepatitis C in Malaysia

Malaysia as a developing country is often caught in a middle-income nation trap where some drugs are patented and access to new drugs is impossible due to exorbitant price despite the availability of generic drugs elsewhere. With the assistance of Third World Network (TWN), Drugs for Neglected Diseases initiative (DNDi), and Médecins Sans Frontières/Doctors Without Borders (MSF), Noor Hisham provided a leadership to improve access and equity for the Hepatitis C treatment in Malaysia.[25][26]

In 2017, the Ministry of Health, Malaysia initiated a negotiation with Gilead Sciences Inc for the voluntary license of a miracle drug for Hepatitis C, Sofosbuvir. Despite multiple efforts, negotiation broke down and forced Malaysia to issue compulsory license in an effort to increase accessibility of the drug which was previously priced at €43,000 for one person’s 12-week treatment of sofosbuvir.[27] Due to the exorbitant price, the Ministry of Health, Malaysia then decided to trigger Doha Declaration on TRIPS and Public Health (Doha Declaration) in 2001 by member nations of the World Trade Organisation, in order to bring down the cost of the treatment to USD300 per course thus sparking hostile legal backlash from Gilead Sciences Inc and the United States.

In response to Malaysia's action, Gilead then announced on Twitter that it had included Malaysia in the voluntary license for its wonder drug Sofosbuvir.[28] Noor Hisham faced gruelling cross-examinations by the patent lawyers and the Medicines Patent Pool (MPP) committee in Geneva to defend the country's decision to issue a compulsory license for Sofosbuvir.

In his leadership as the Director-General of Health, Malaysia also started a new drug trial for Hepatitis C treatment with DNDi. [29] This then lead to the improvement in the treatment of Hepatitis C with much greater success cure rate with the introduction of Ravisdavir. This is the first drug produced through south-south collaboration to improve access and equity for the treatment of Hepatitis C. In August 2023, World Health Organisation (WHO) included Ravidasvir in the list of essential medicine (EML).[30]

Role in Advancing Global Surgery Initiative

Noor Hisham is committed in ensuring surgical services accessible and affordable to all. Through the Ministry of Health team, he led Malaysia and WHO Western Pacific Region to develop the Action framework for Safe and Affordable Surgery in the Western Pacific Region (‎2021-2030)‎.[31]

In Malaysia, 94% of the population have access to basic surgery. Yet, this figure masks important differences within the country, with 2 million people in East Malaysia without access to timely surgery and waiting times for elective surgery more than six months. Malaysia is strategically targeting these and other areas of need based on an analysis of waiting times, geographical distribution of surgical facilities by level and other performance indicators.[32]

As a breast and endocrine surgeon, Noor Hisham regularly participated in teaching and training the difficult thyroidectomy procedure, most notably in Malaysia Field Hospital in Cox's Bazaar.[33]

Recognition and Accolades

On 4 July 2020, Noor Hisham was awarded the '2019 Most Notable Alumni' by his alma mater UKM's Medical Faculty.[34] On 17 July, he received the BrandLaureate Award 2020 for Outstanding Brand Leadership along with the 'Certificate of Recognition and Appreciation' for Ministry of Health by the World Brand Foundation.[35][36] On 19 August, he was named as the recipient of the national level Maal Hijrah Figure Award 2020AD/1442AH.[37] Noor Hisham received the Rotary Club's Paul Harris Fellowship, the highest honour given by them to individuals who have contributed to good causes, from the club Kuala Lumpur Chapter on 13 September.[38] On 18 December, women's magazine Nona honoured him with a special Nona Frontliner Award during the Nona Superwoman Award 2020 presentation.[39][40] On 20 December, he was presented a special award during the Anugerah MeleTOP Era 2020 (AME 2020) jointly hosted by Astro's both MeleTOP television entertainment programme and ERA radio station.[41][42]

On 18 March 2021, a year since the first COVID-19 pandemic Movement Control Order (MCO) was imposed, Noor Hisham received the Ibn Khaldun Merit Award of International Islamic University Malaysia (IIUM) from its chancellor Raja Permaisuri Agong Tunku Azizah Aminah Maimunah Iskandariah.[43][44] Noor Hisham received the International Surgical Fellowship Award from the International Society of Surgery (ISS) during the 'Virtual Surgical Week' (VSW 2021) held from 30 August to 3 September.[45] On 15 December, the Nona magazine presented Noor Hisham again, who had received 2020 Nona Superwoman Award a year earlier, for the main 2021 Nona Superhero Award this time.[46][47] On 18 December, Noor Hisham awarded 2021 Leadership Award by the Malaysia Public Relations and Communication Association (PRCA) to recognises and honours his dedication in giving interviews to keep the public updated.[48]

In October 2020, Noor Hisham appeared as an animated character along with characters from BoBoiBoy franchise in a one-minute public service announcement to remind Malaysians to take steps to prevent COVID-19.[49][50]

Retirement

On 10 April 2023, it was reported that Noor Hisham would retire from his career after 35 years and being as Director-General of Health for slightly more than a decade on 21 April 2023, as he would reach 60 and the mandatory retirement age for civil servants.[51] Nine-days later on the 19th April 2023, Noor Hisham clocked out for the last time at the Ministry of Health. He said that his post-retirement plan was to take a rest after his long work.[52]

Currently, Noor Hisham Abdullah is the Chairman of National Heart Institute (Institut Jantung Negara),[53] Chairman of UCSI Healthcare Group[54] and Chancellor of Cyberjaya University.[55]

Controversies and Issues

Controversial political tweets and posts

In 2018, Noor Hisham was criticised for his politically inclined retweets. These tweets were viewed as pro-Barisan Nasional, who were the then-ruling coalition during the 2018 general election (GE14) campaign. One of his retweets was a message by former Prime Minister Najib Razak's, containing a photo announcing the ceremony of the Hospital Kajang women and children's complex with a verse of his[who?] hopes for BN's return to the state power of Selangor. Prior to that, Noor Hisham had also retweeted another message from Najib that showed a picture of Najib on a visit to the Kuala Lumpur Hospital, sending that BN would implement more for mothers and children if it continues to be given the mandate.[56]

Noor Farida Ariffin, a spokesperson for G25 (a group of eminent ex-civil servants of Malaysia), stated that Noor Hisham was abusing his position as public servants were not supposed to campaign for any political party. A founding member of G25 and former Treasury secretary-general, Mohd Sheriff Kassim said that the Ministry of Health should lodge a complaint against Noor Hisham to the Election Commission (EC).[56]

The electoral reform group, Bersih 2.0, also gave criticism to Noor Hisham by stating that he was in breach of public service regulations. He was named in Bersih's 'Hall Of Shame' alongside Najib. Bersih has stated that they were appalled that the Ministry of Health allowed its Facebook page to promote BN's manifesto during the GE14 campaign.[57]

SOP breach allegation

On 21 March 2021, photos of Noor Hisham were circulated online showing him going against the standard operating procedure (SOP) of the ongoing conditional MCO. The photos display Noor Hisham and other family members standing closely without any face masks for a photo-op during the wedding reception of his daughte. As a result, Noor Hisham has been criticised online for not setting a good example to the public.[58][59]

Ineffective Health DG claims

In July 2021, the former health DG Tan Sri Dr Mohamed Ismail Merican rebuked Noor Hisham as a "toothless tiger" for not being effective in leading the nation's COVID-19 pandemic management by failing to be firm with decisions, as well as being pressured by politicians.[60] Dr Mohamed Ismail, who was the former position holder in charge of the 2003 SARS outbreak, opined that if politicians tried to interfere, they would be told to stay calm and stop meddling.[61]

Personal life

Noor Hisham is married to Nik Suwaida Nik Mohyideen and has six children; four sons and two daughters. He also has a son from a previous marriage.[62][39]

Noor Hisham has played sports since his younger days.[9] He was a school athlete, played football during university days and enjoys scuba diving including underwater photography.[11] His hidden singing talent was revealed after an old video clip of him rendering the Shanghai Beach or Seung Hoi Tan (上海灘), a famous 1980s Cantopop song, resurfaced on social media.[63][64]

He is also known as a multilingual, being able to communicate fluently in English, Malay, several Chinese regional languages, including his native Foochow colloquial, and even a little Tamil.[7][11]

Honours

Honours of Malaysia

Foreign honours

Honorary degrees

References

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