Rotavirus vaccine is available as an optional vaccine in Malaysia. The counselling of optional vaccines is considered an integral part of the health services offered in a private paediatric clinic. While ensuring that all babies are up-todate with their compulsory immunization, counselling of optional vaccines like the rotavirus vaccine could give parents the choice to make an informed decision on the acceptance of this vaccine. Over a period of two years, we counselled the parents regarding diarrhoea caused by rotavirus disease and the rotavirus vaccine. In this study, the factors that were significantly associated with the acceptance of the rotavirus vaccine were the gender of the baby, the mother's age, the mother's occupation, the mode of payment for the vaccine, the number of previous visits to the clinic by the parents, the number of counselling sessions given to the parents and the pre-counselling awareness or knowledge of rotavirus disease and rotavirus vaccine. It is hoped that these findings may assist busy clinicians in their continuous efforts to provide health education and vaccination counselling to the parents of their patients.

Goat’s milk can be considered as one type of natural functional food due to its variety of nutritional benefits. Nowadays, the dairy milk production in Malaysia is highly focusing on cow’s milk compared to goat’s milk. However, the demand for goat’s milk is increasing especially among Muslims as it is considered as one of the foods which consumed by the Prophet Muhammad (pbuh). A cross-sectional study was conducted involving 221 residents in Pulau Langkawi, Kedah, Malaysia. This study showed that the practice of drinking goat’s milk among the local residents was still low; only 11.8% of the residents consumed goat’s milk daily and 40% chose goat’s milk in its powdered form. The main barriers to goat’s milk consumption included: not interested to consume goat’s milk (54%), unpleasant taste (51.3%) and non-staple food (50.8%). This study also found that knowledge (r2= 0.200, p = 0.003) and attitude (r2= 0.174, p<0.001) are positively correlated with goat’s milk consumption. In conclusion, further health intervention need to be done to promote the practice of drinking goat’s milk. With proper knowledge and positive attitude, the consumption of goat’s milk may improve the quality of life and sustain an optimal wellness and health throughout life.

Introduction: Nasal colonisation of S. aureus in healthy children was 18% to 30%. One to three percent of them were colonised by Methicillin-resistant Staphlycoccus aureus (MRSA). Although MRSA infection has become increasingly reported, population-based S. aureus and MRSA colonisation estimates are lacking. The main objective of this study was to determine the prevalence of S. aureus carriage among children. Methods: Nasal samples for S. aureus culture were obtained from 250 children from three kindergartens in the Klang Valley, after consent was obtained from the children and their parents. Swabs were transported in Stuart medium, and inoculated on mannitol-salt agar within four hours of collection. Identification and disk diffusion test were done according to guidelines. Polymerase chain reaction was done on MRSA isolates for the presence of mecA and lukS/FPV genes. Results: Overall prevalence of S. aureus and MRSA carriage were 19.2% (48/250) and 1.6% (4/250) respectively. mecA gene was present in all isolates, 50% isolates carried Panton-Valentine leucocidin (PVL) gene. Sccmec type I was found in 2 isolates and the remaining isolates has Sccmec type V. Conclusion: The prevalence of S. aureus and MRSA carriage were similar to other studies. However, risk of contracting severe infection might be higher due to presence of PVL gene in half of the MRSA isolates. � 2016, Malaysian Medical Association. All rights reserved.