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The Rise Of Pneumococcal Pneumonia, An Overlooked Threat Amid Malaysia’s Aging Population

by Shivashangkari Chandran
March 12, 2025
Image Source: istock picture

Image Source: istock picture

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In 2024, pneumonia emerged as the leading cause of death in Malaysia, surpassing heart disease for the first time in over two decades. According to the Department of Statistics Malaysia, pneumonia-related fatalities reached 18.181, accounting for 15.2% of all medically certified deaths. This alarming trend has raised concerns among healthcare professionals, particularly regarding the increased risk of pneumococcal pneumonia among Malaysia’s aging population.

Understanding pneumococcal Pneumonia

Pneumococcal pneumonia is a serious lung infection caused by the Streptococcus pneumoniae bacteria. It leads to inflammation and fluid accumulation in lungs, making breathing difficult and reducing oxygen levels in blood. While the infection can affect people of all ages, it is a severe threat to elderly and individuals who have health conditions.

450+ Indian Woman Coughing Stock Photos, Pictures & Royalty-Free Images - iStock
Image Source: istock

Prof. Dr.Roslina Abdul Manap, chairman of the Lung Foundation of Malaysia, highlighted Malaysia’s rapidly aging population on this issue. Last year, 11.6% of Malaysians aged 60 above, and projections indicate that this figure will reach 23.4% by 2050. The growing number of older adults shows a significant health challenge, as aging naturally weakens the immune system making it harder to combat infections like pneumococcal pneumonia.

The Silent Threat: Why Pneumococcal Pneumonia is Dangerous

Pneumococcal pneumonia is dangerous because its symptoms are often mistaken for less severe respiratory infections. Common symptoms include high fever, persistent cough with phlegm, difficulty in breathing and chest pain.

However, in terms of the elderly, symptoms may not always be obvious. Instead of the typical fever and cough, older adults may experience confusion, extreme fatigue or general sense of weakness. This often leads to delayed treatment and recognition, increasing risk. Individuals with pre existing medical conditions such as diabetes, high blood pressure, heart disease or chronic lung disease are particularly vulnerable.

How Pneumococcal Pneumonia Differs from Influenza

While both can be serious, pneumococcal pneumonia is considered more severe. Unlike the flu is caused by virus and typically resolves with time, pneumococcal pneumonia is a bacterial infection that requires medical help, including antibiotics and supportive care.

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Dr. Roslina emphasized that even healthy individuals can be at risk as they age, “

As we grow older, our immune system naturally weakens, reducing it’s ability to fight off infections like pneumococcal pneumonia. This is proactive measures such as vaccination and early detection are crucial in preventing severe illness”.

Prevention and Vaccination

One of the most effective ways to prevent pneumococcal pneumonia is through vaccination. The pneumococcal vaccine helps the immune system recognize and combat the bacteria, reducing the severity and infection. In Malaysia the vaccine is only recommended for adults aged 65 and older, individuals with chronic diseases or people with weak immune systems due to medical conditions or treatments.

Who Needs a Pneumonia Vaccine and How Often?: Macomb Medical Clinic: Family Medicine Clinic
Image Source: Macomb Medical

Despite the availability of vaccines, awareness and updates remain low. Many older adults are unaware of the importance of the vaccine or do not consider it a risk. Healthcare professionals emphasized the need for more public health campaigns to educate people on this issue.

The Need For An Action

The increasing number of pneumonia in Malaysia is a wake up call for both public and healthcare authorities. While medical advancements have improved on treatment options, prevention remains the best effective strategy. Dr. Roslina urged the public, especially senior citizens and those with chronic conditions to prioritize their health,

“Pneumococcal pneumonia is silent but deadly disease. By taking preventive measures, such as vaccination and regular check ups we can protect ourselves and our loved ones from serious illness”.

As the risk of pneumococcal pneumonia increases it must become a national health priority. Through increased awareness, having accessible vaccination programs, and proactive healthcare policies, we can work towards reducing pneumonia related illness. To know more visit prevent pneumococcal pneumonia website

Sources: Bernama , CDC

Follow us on Instagram, Facebook or Telegram for more updates and breaking news. 

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