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The number of cholera patients in Terengganu has increased to 185 from 145 people since Sunday.
This includes 39 tested positive as carriers of the water-borne disease.
Sabah recorded 18 confirmed cases, one of which is from Gaya island and the remaining from Semporna, said Deputy Health Minister Datuk Rosnah Abdul Rashid Shirlin.
She said the nature of cases in the two states was different, with the one in Terengganu showing resistance to several commonly-used antibiotics.
"The strain is Sabah seems to be reacting normally to the antibiotics, several patients have recuperated and were allowed to go home," she said after opening an international conference on rural medicine in Universiti Malaysia Sabah yesterday.
The source of the outbreak in Terengganu had been narrowed down to two keropok factories and chickens sold at the Gong Pauh market in Wakaf Mempelam.
The Semporna fish market where the outbreak was detected has been closed.
On another matter, Rosnah said so far there was no indication of a second wave of influenza A hitting Malaysia.
Sabah received its first batch of 20,000 doses of vaccines on Nov 1.
About 200,000 doses of the vaccines will be given to pregnant women and those with chronic diseases by January.
The government, she said, had ordered a total of 400,000 doses, of which half would be given to frontliners such as health officials, police and Immigration staff.
"We still have to take the necessary precautions even though there has been no indication of a second wave."
On the purchase of the Sabah Medical Centre here, Rosnah said that the Public Works Department was in the midst of increasing the number of beds, from 180 to 455.
"We are upgrading the medical facilities, too, and this is expected to be completed within six months."
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