Why Pneumonia is the Top Killer in Malaysia Why Pneumonia is the Top Killer in Malaysia
Penjagaan Pencegahan
Penyakit Berjangkit
Kecergasan

Reasons Why Pneumonia is the Top Killer in Malaysia

08 Disember 2025 · 7 mins read

Topics








Pneumonia is Malaysia’s most fatal disease. Discover the causes, who is at risk, and how early care and vaccination can save lives. Book an appointment now!

Pneumonia is normally confused with a minor complication of the flu, but it is much more severe than expected. The Department of Statistics Malaysia (DOSM) has revealed that pneumonia caused 18,181 deaths in 2024, corresponding to 15.2% of all medically certified fatalities. Despite these numbers, pneumonia is still not given enough credit when it comes to public health awareness.

Pneumonia, an infection causing the inflammation of air sacs in one or both lungs, leads them to fill with fluid or pus (Mayo Clinic, 2020). This causes coughing, fever, chills, chest pain, and breathing difficulties. Streptococcus pneumoniae, the main cause of pneumococcal pneumonia, is among the deadliest culprits.


Symptoms and Complications of Pneumonia

Pneumonia can quickly become fatal, specifically in older individuals or those with underlying health issues. Some factors contribute to the dangers of pneumonia in Malaysia.

Ageing Population

Malaysia’s population is ageing at a rate never seen before, with 11.6% of the population in 2024 being 60 years of age or over—numbers that are expected to increase to 23.4% by 2050 (Mail, 2024). Older individuals are more vulnerable because their immune systems weaken on their own over time.

Delayed Recognition

Pneumonia symptoms in older adults are normally non-specific, like confusion or fatigue, making it more difficult to identify. This usually causes late treatment, resulting in serious complications.

Misunderstood Seriousness

Many Malaysians still view pneumonia as a flu complication. However, pneumococcal pneumonia is far more serious and can develop quickly.

High-Risk Environments

Close-contact places such as airports, religious gatherings, and crowded healthcare facilities elevate the risk of exposure to respiratory droplets carrying the bacteria.

Symptoms and Complications of Pneumonia

Pneumonia symptoms can vary from mild to serious; it all depends on the age and health of the person and what type of pathogen is involved.

Constant Cough with Phlegm

A main symptom, it may produce yellow, green, or bloody mucus.

High Fever and Chills

Prevalent in bacterial pneumonia, specifically when caused by Streptococcus pneumoniae.

Chest Pain

Excruciating pain that is exacerbated when coughing or breathing may be an inflammation of the lung lining.

Difficulty Breathing

Fluid-filled lungs causing a lack of oxygen can cause shortness of breath.

Confusion and Disorientation

A common symptom found in older adults that is frequently confused with other illnesses.

Digestive Issues

Nausea, vomiting, and diarrhoea can also happen. Complications can be fatal, including:

Bacteremia

Bacteria spreading to the bloodstream can result in organ failure.

Pleural Effusion

Fluid may accumulate in the lungs, and drainage is needed.

Lung Abscess

Pus-filled cavities may progress and require surgical intervention.

People at Risk of Contracting Serious Pneumonia

Pneumonia is not an exclusive condition, so anyone can contract it. However, some people are met with notably increased risks of serious outcomes.

Babies and Young Kids

They are highly vulnerable because of underdeveloped immune systems.

Older Individuals (65+)

This category has the highest pneumonia-related death rates.

Individuals with Chronic Illnesses

Diabetes, COPD, heart disease, and high blood pressure are all pneumonia-related risk factors.

Immunocompromised Patients

People on chemotherapy or with HIV/AIDS are specifically vulnerable.

Smokers

Smoking damages the lungs’ ability to clear both bacteria and viruses.

Preventing Pneumonia Effectively

Pneumonia is greatly preventable through verified strategies despite its seriousness.

Vaccination

The pneumococcal vaccine guards against Streptococcus pneumoniae. It is safe and effective to co-administer it with the flu vaccine.

Good Hygiene

Constant handwashing and using hand sanitiser decrease the spread of respiratory infections.

Stopping Smoking

Quitting smoking enhances lung resilience and decreases the risk of pneumonia.

Strengthening Immunity

Exercise, a healthy diet, and enough sleep strengthen immune defenses.

Government Support

The Malaysian government provides up to RM1,000 in tax relief for vaccination costs, including pneumococcal vaccines for qualified individuals and family members.

Frequently Asked Questions (FAQ)

1. Is pneumonia more severe than the flu?

Yes, it is. Although they have similar symptoms, Pneumococcal Pneumonia is overall more severe and can be fatal.

2. Who needs to have a pneumonia vaccination?

Older adults (65+), children under the age of 2, and individuals with chronic or immune-compromising conditions are recommended to take the pneumonia vaccination.

3. Can you contract pneumonia more than once?

Yes, you can. People with weakened immune systems or chronic illnesses can go through recurring infections.

4. Can flu and pneumonia vaccines be taken together at all?

Yes, they can. Studies reveal that they can be safely co-administered for broader respiratory protection.

5. What are some initial signs of pneumonia in older adults?

Confusion, excessive fatigue, and subtle respiratory symptoms may be the sole warning signs in seniors.

Schedule an Appointment at Gleneagles Hospitals

Pneumonia has silently taken over heart disease into becoming Malaysia’s most fatal disease; this is all because of a population that is ageing quickly, a lack of awareness, and low vaccination coverage. Many still underestimate the seriousness of pneumococcal pneumonia, yet the statistics paint a painful reality: over 18,000 deaths in just a year, with the elderly and chronically ill posed at the highest risk.

Do not wait— your appointment today and begin your journey toward better health. Our team is here to support you every step of the way. You may also schedule an appointment via our website or download our My Health 360 application, which can be obtained at Google Play Store or the Apple App Store.

References

Mail, M. (2024, September 6). DOSM: Malaysia to become aged nation by 2040 with population over 60 set to surge. Malay Mail ; Malay Mail. https://www.malaymail.com/news/malaysia/2024/09/06/dosm-malaysia-to-become-aged-nation-by-2040-with-population-over-60-set-to-surge/149508

 

Mayo Clinic. (2020, June 13). Pneumonia. Mayo Clinic; Mayo Clinic Staff. https://www.mayoclinic.org/diseases-conditions/pneumonia/symptoms-causes/syc-20354204

 

SuggestedArticles