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Saturday, 13 December 2025

Hard to rewrite history

Loose cannon: Takaichi’s war talks have prompted Xi to call Trump to remind him that US and China were allies during WW2. — AFP

Japan’s new gov­ern­ment has had to take a crash course in inter­na­tional dip­lomacy as it learns for­eign policy on the job.

FROM curtailed Chinese tourism revenues to a suspended summit of Chinese, Japanese and South Korean leaders, Tokyo continues to reap the fallout from novice Prime Minister Sanae Takaichi’s combative style.

Just 17 days into taking office, she unnerved Chinese leaders by suggesting that Japan may attack China if Beijing forcibly reclaimed Taiwan. This was the most extreme declaration by any Japanese leader in decades.

 

Takai­chi’s far-right for­eign policy was not unex­pec­ted given her polit­ical record, but its extent and in com­ing so early in her term raised uncom­fort­able geo­pol­it­ical tem­per­at­ures.

Japan’s liab­il­it­ies in for­eign rela­tions con­tinue to grow, not only with China but also much of Asia dev­ast­ated by its war­time aggres­sion. China reacted most robustly because it suffered Imper­ial Japan’s worst depred­a­tions within liv­ing memory, with tens of mil­lions of civil­ians slaughtered and many more bru­tal­ised.

Unlike Ger­many that has fully atoned for its WWII atro­cit­ies, Japan has not. Takai­chi belongs to an ultrana­tion­al­ist fac­tion of the Lib­eral Demo­cratic Party and is a lead­ing mem­ber of the unre­pent­ant Nip­pon Kaigi (NK) organ­isa­tion that routinely denies Japan’s war crimes and praises its con­victed war crim­in­als as her­oes.

Japan and China may one day fully nor­m­al­ise rela­tions, but not yet. The wounds of war still run deep, their grav­ity fur­ther aggrav­ated by a gov­ern­ment that denies its hor­rors at the highest levels.

Hitler’s Holo­caust still haunts a post­war West that con­tin­ues to

give Israel a blank cheque to do any­thing. Revul­sion at Imper­ial Japan’s even worse mas­sacres in China may take longer to sub­side.

What upsets China fur­ther is Takai­chi’s cava­lier indif­fer­ence to the facts. Most coun­tries includ­ing the US and Japan have long had a one-china policy that does not recog­nise Taiwan as an inde­pend­ent nation, yet Japan’s Com­mon Defence doc­trine she cited for Taiwan applies only to assist­ance for sov­er­eign nations.

This implies that no basis exists for identi­fy­ing Taiwan’s per­ceived secur­ity interests with Japan’s. Even efforts to repu­di­ate Art­icle 9 of Japan’s post­war peace Con­sti­tu­tion through re-inter­pret­a­tion have been denounced by crit­ics as uncon­sti­tu­tional.

Attempts at re-inter­pret­a­tion to allow for greater assert­ive­ness are not widely accep­ted. It remains a highly con­tro­ver­sial issue at home and abroad.

Japan’s hope to become a ‘nor­mal coun­try’ no longer beholden to post­war US tutel­age is neither unreas­on­able nor lim­ited to ultra-con­ser­vat­ives, provided it can acknow­ledge its own past, recog­nise cur­rent real­it­ies and engage its neigh­bours fully with ‘nor­mal’ trust and con­fid­ence. That can­not hap­pen with revi­sion­ist lead­ers who are polit­ic­ally unre­formed and his­tor­ic­ally delu­sional bent on rewrit­ing his­tory.

Takai­chi’s state­ment about pos­sibly attack­ing a China that has not attacked it is reason enough for wide­spread alarm. Japan did pre­cisely that to China and a slew of other coun­tries by people who remain unapo­lo­getic about Pearl Har­bor and other tra­gedies.

That loose and dodgy inter­pret­a­tion of Japan’s national secur­ity interests promp­ted Pres­id­ent Xi to call up his US coun­ter­part and recount how China and the US were once allies in the war against fas­cism. Pres­id­ent Trump then advised Takai­chi to cool off.

Even Asian coun­tries inspired by Japan’s rapid indus­tri­al­isa­tion and eco­nomic growth remain wary of its ultra-nation­al­ists’ fas­cin­a­tion with remil­it­ar­isa­tion. Japan’s post­war rise was made pos­sible only with con­cili­at­ory rela­tions with its neigh­bours.

NK mem­bers have included former Prime Min­is­ters Shinzo Abe and Shi­geru Ishiba, but they have been less extreme than Takai­chi. Fol­low­ing her out­burst last month, Ishiba openly and repeatedly rep­rim­anded her.

Although the late Abe cham­pioned the Us-led Quad­ri­lat­eral Secur­ity Dia­logue (Quad) in try­ing to isol­ate China, he later relen­ted. In 2017 he declared Japan was ready to join the China-led Belt and Road Ini­ti­at­ive (BRI), and the fol­low­ing year Japan was reportedly engaged in sev­eral dozen BRI projects.

After los­ing WWII, Japan’s Yoshida Doc­trine relied on US pro­tec­tion to build its eco­nomic strength, developed the Fukuda Doc­trine to offer a meas­ure of war repar­a­tions, and issued the Murayama State­ment as a means to repair ties with neigh­bours. Now all those efforts may be under­mined, par­tic­u­larly when Trump is seek­ing peace with China and downs­iz­ing alli­ance oblig­a­tions all-round.

How Takai­chi’s admin­is­tra­tion now pro­ceeds with China will decide its own pro­spects. With eco­nomic stag­na­tion already in its fourth dec­ade, the Japan­ese ‘mir­acle’ is over.

But whether Japan then declines or can still thrive will depend on how, and if, it can work with a rising Asia helmed by Chinese entre­pren­eur­ship and pro­ductiv­ity.

Tuesday, 9 December 2025

Plaque in the neck, Cleaning out the carotid artery

 

Cleaning out the carotid artery

A carotid endarterectomy is a surgical procedure to remove plaque from this important artery that supplies the brain, without which, a stroke could occur.

A STROKE occurs when an artery that carries oxygen and nutrients to and within the brain is either blocked by a clot or bursts.

The most common type is an ischaemic stroke, which is caused by a blood clot or fatty deposits (plaques) blocking or narrowing an artery (resulting in stenosis).

Meanwhile, an haemorrhagic stroke occurs when a blood vessel in the brain leaks or ruptures.

Sometimes, there may only be a temporary disruption of blood flow to the brain.

This is known as a transient ischaemic attack (TIA), where symptoms are momentary and resolve on their own in a few minutes, or at most, within 24 hours.

The symptoms – similar to a stroke – include sudden numbness or weakness in the face, arms or legs on one side of the body, trouble speaking, vision problems in one or both eyes, dizziness, and loss of balance resulting in a sudden fall.

Often referred to as mini stroke, a TIA is actually a warning sign of a future stroke, but because the symptoms are brief, people usually just shrug them off.

A shocking discovery

This is what happened to Indonesian businessman Eddy Giantono, 74, who experienced sudden weakness on his left arm, but felt fine subsequently.

He thought nothing of it, but mentioned the incident in passing to his family members.

While Eddy is not a smoker, he has been on medications to manage his high cholesterol, high blood pressure and diabetes for the past 20 years.

In addition, he suffered a heart attack 12 years ago and had to undergo heart bypass surgery.

Due to his medical history and noting that he was getting weaker, his family immediately took him to consult a doctor in Yogyakarta, where they live.

“The doctor said I had suffered a mild stroke (TIA) and there were many blockages in my carotid arteries (blood vessels that extend from each side of the neck to the skull).

“He recommended putting stents in, but since my heart bypass surgery was performed in Penang, I decided to seek a second opinion there as I have more confidence in the Malaysian healthcare system.

“Here I was told both my carotid arteries were blocked by 95% and 75% respectively, and I needed surgery.

“My doctor then referred me to another private hospital in Klang, Selangor,” recalls Eddy in a recent interview.

Removing the plaque

Treatment options to treat a blocked carotid artery depend on the severity of the blockage.

They typically involve a combination of lifestyle changes, medication, and medical procedures or surgery.

A blockage in the right carotid artery primarily affects the left side of the body.

This is because the brain has a “crosswired” structure, meaning the right side of the brain controls the left side of the body and vice versa.

As Eddy was a high-risk patient, he was advised to do a carotid endarterectomy on the right side.

As the block in the left carotid artery had not caused any symptoms, his doctor, consultant vascular and endovascular surgeon Dr Yow Kuan Heng, decided to take a wait-and-see approach.

A carotid endarterectomy involves making an incision in the neck, opening the carotid artery and physically removing the plaque build-up before the artery is stitched closed, often with a patch to widen it.

“Initially, my father wanted to postpone the operation as I was getting married, but the surgeon firmly said no as he was in danger of getting a stroke that could be fatal.

“So although he is a stubborn man, he had no choice but to agree,” says daughter Anatasya Giantono.

The surgery, carried out in August, was successful, and Eddy was already walking the next day, determined to go home as he didn’t want to change Anatasya’s wedding date.

“Even when he was in the intensive care unit, he insisted on being discharged,” she says, laughing.

“He gets homesick easily and doesn’t like being away for long periods.”

A week after he returned home, Eddy proudly walked his firstborn down the aisle. No one could tell he had recently undergone a complicated surgery.

Today, Eddy says he is “sihat sekali” (very well) except for speaking with a

slight lisp, which Dr Yow has said will normalise in time.

The surgical scars at his neck are fading fast and he has resumed his normal routine.

Thanks to early intervention, Eddy was most likely saved from a major stroke in the nick of time.

Get assessed quickly

Atherosclerosis – the thickening or hardening of the arteries caused by a build-up of plaque in the inner lining of an artery – can affect almost any artery in the body, including those in the heart, brain, arms, legs, pelvis and kidneys.

If the build-up is in the neck, it is called carotid artery disease; in the heart, it is coronary artery disease, in the leg, it is peripheral artery disease, etc.

According to Dr Yow, carotid stenosis from narrowing in the neck area is the fastest rising cause of ischaemic stroke in the world, particularly in the Asian region.

“Traditionally, doctors from this region felt that most strokes were happening in the skull, but that pattern has now changed due to the diabetic pandemic.

“The risk of a stroke is greatest when the narrowing in the neck is higher than 50% (classified as critical carotid stenosis).

“If there is a major stroke, you need drugs to break up the clot, but for TIA, you need to see a vascular surgeon as soon as possible to get assessed by scans,” he says.

A TIA is usually an indication of an unstable plaque in an artery supplying the brain, which can rupture at any time and cause a blood clot to form.

This clot can then break off, travel to the brain and block blood flow, leading to a stroke.

“It is important for the public to know that carotid endarterectomy is the firstline treatment for symptomatic carotid stenosis.

“In surgery, you immediately clamp the artery before opening it up, but in stenting, you have to push a guided wire through a hot zone of clot.

“That process, even with protection devices or filters, has a higher rate of stroke than surgery,” explains Dr Yow.

He adds: “In Eddy’s case, after discussions with my multidisciplinary team, we decided to operate only on the side that was symptomatic because he has moderate heart failure.

“Since he had no symptoms on the left side, we didn’t touch it.

“If he develops symptoms in future, then we have to think about surgery.”

He emphasises that physiotherapy must be done as soon as possible after surgery, and on average, patients are discharged from hospital by day three.

A repeat scan of the repaired carotid artery is carried out six weeks after surgery.

So, if you experience a TIA, head to the doctor as soon as possible and request for a carotid artery ultrasound or computed tomography (CT) angiography.

Don’t delay as every minute can make a difference.

The Star Malaysia
By REVATHI MURUGAPPAN starhealth@thestar.com.my


Related article:

24 Jul 2025 — Carotid artery disease occurs when fatty deposits, called plaques, clog the blood vessels that deliver blood to the brain and head (carotid ...
carotid artery disease from www.mayoclinic.org

Saturday, 6 December 2025

End of era for iconic Penang festival

The Sungai Nibong venue has become synonymous with the festival, drawing families during the year-end school holidays. — CHAN BOON KAI/The Star

PESTA Pulau Pinang is taking place one last time at its Sungai Nibong home before the site is taken up for the Mutiara Line Light Rail Transit (LRT) project.

The month-long festival, which runs from today until Jan 10, will not be held in following years as the land is scheduled to be handed over to MRT Corp in June for the building of the LRT depot and station.

Penang tourism and creative economy committee chairman Wong Hon Wai said there was no alternative venue ready and setting one up would require major infrastructure.

“Pesta will not be continuing in the interim as no alternative site has been identified,” he said.

“We understand that the Prime Minister has said the iconic festival should continue, but we have no site for now.

(Below) The scene at last year’s Pesta Pulau Pinang. — Filepic(Below) The scene at last year’s Pesta Pulau Pinang. — Filepic

“As such, this year will be the last Pesta until the Mutiara Line is completed.”

Wong said the state might bring the event back to Sungai Nibong after 2031, though in a reduced format due to space constraints.

“Replicating what we have here from scratch would take time and substantial investment.

“So, instead of shifting to a temporary site that may not be suitable, the state has decided to pause Pesta and possibly return once the LRT is ready,” he said.

He said the state was open to ideas of relocating the festival to Seberang Perai, but there were no concrete plans yet.

“Any move must ensure Pesta remains accessible and attractive to families from both the island and mainland,” he added.

Wong’s remarks followed earlier announcements that the Sungai Nibong grounds would be partially absorbed into the Mutiara Line LRT project as a station and supporting facility zone.

The LRT line is expected to be completed in 2031.

This marks the longest pause in the festival’s history.

Pesta Pulau Pinang began in the late 1960s as a year-end state fair to promote tourism and community activities.

It moved across various venues before settling in Sungai Nibong in the early 1970s.

Since then, the venue has become synonymous with the festival, drawing families from across Penang and the northern region during the year-end school holidays.

Prime Minister Datuk Seri Anwar Ibrahim had earlier said the fair held sentimental value and the takeover should be handled with care.

Wong said the state’s long-term plans aligned with that view.

“We are not scrapping Pesta. Construction must take place and once the LRT is completed, we could bring it back within the new site’s layout,” he said.

This year’s edition of the festival features concerts, rides and cultural showcases.

According to Pesta Pulau Pinang deputy manager Nuar Rizal Kamarudin, one of the highlights is the new Air Force ride, imported from Italy, and is suspended about 30m in the air.

“It joins the Kids Roller Coaster, Euro Wheel, Vortex, Sky Rider and Daytona rides.

“There are 17 game booths this year, with prizes like toys and teddy bears,” he said.

Daily concerts will feature popular Malaysian acts including Datuk Awie and Ella.

“We have multiple sought- after musical acts every night.

“This is a big deal, as it is rare that one has the opportunity to witness such acts for a mere RM5 entry fee,” said Nuar Rizal.

Other activities include silat and muay thai demonstrations, e-sports tournaments, a Bollywood night, colouring contests, a boria showcase and boxing matches.

Food-wise, there are 20 food trucks, 40 stalls and five kiosks serving Thai cuisine.

“We even have some surprises in store for our visitors, as we want to celebrate this final Pesta here,” said Nuar Rizal.

Pesta Pulau Pinang is open daily from 5.30pm to midnight.

Entry is RM5 for Malaysian adults and RM10 for foreigners. Children aged 12 and below enter free.

Monday, 17 November 2025

When fraud pays on Facebook


 Giant greed: According to internal documents reviewed by Reuters, Meta projected that roughly 10% of its 2024 revenue – around US$16bil – came from advertisements tied to scams, banned goods and other fraudulent content. — Reuters

Fake content and scam advertisements are a bane on social media. But it gets worse when platform owners actively allow such content just to make millions.

A MONTH ago, I found a video of myself on social media promoting an investment scam promising huge returns.

I was flabbergasted and horrified. The content looked like a TV interview I had given sometime back.

The difference was that my voice had been altered, using artificial intelligence (AI) skills, to talk about investment opportunities.

The original content was on human capital and the importance of training. The modified content, using the AI version of my voice, sounded just like the real thing. It was so good it was hard to tell the difference.

I do not know why I was chosen by these scammers as I do not see my unsolicited endorsement to be of any real value.

But this is the story. I filed a complaint with Facebook on Oct 1 and they replied on Oct 8, thanking me for the report.

“We use a combination of technology and human reviewers and identify content that goes against our Community Standards. In this case, we did not remove the content that you reported,” the reply said.

As I wrote this article, I re-checked and found the content still floating around on FB, promising that “every Malaysian who invests from RM1,200 is guaranteed to earn at least RM210,000 in the first month!” It adds: “Limited spots available.”

In short, Facebook owner Meta did not see anything wrong with the fake content using my face and voice to cheat people. Meta’s reply was mind-boggling and made me feel helpless about combating such fraud.

Last week, Datuk Seri Michael Chong cautioned the public against fraudulent schemes that employ AI to replicate the faces and voices of the Prime Minister and Yang di-pertuan Agong to dupe unsuspecting individuals.

The MCA Public Service and Complaints Bureau chief said he had identified two online advertisements featuring the PM and King. When they were reported, the ads were removed, but the syndicate had re-uploaded similar content, this time using the face sofa nm panda prominent business figure.

Using AI, the syndicate created investment advertisements requiring a payment of RM1,100 while promising returns of up to RM200,000.

Why did Facebook fail to act? Well, we may know now. An investigation by Reuters has cast a harsh light on the business practices of Meta Platforms Inc, the parent company of Facebook, Instagram, and Whatsapp.

According to internal documents reviewed by Reuters, Meta projected that roughly 10% of its 2024 revenue – around Us$16bil (Rm66.72bil) – came from advertisements tied to scams, banned goods, and other fraudulent content.

What is deeply troubling is that the documents suggest that Meta’s enforcement efforts against these bad actors were intentionally limited, constrained by “revenue guardrails” and automated systems that only block ads when there is at least a 95% certainty of fraud.

For Malaysia and for users of social media everywhere, the implications are profound.

This is not just about one tech giant’s failure; it is about the structural tensions between platform profit models and user protection, and the regulatory void that allows serious harm to happen.

In Malaysia, the Malaysian Communications and Multimedia Commission has already expressed alarm, noting that some of that revenue could stem from Malaysian-market ads, and has summoned Meta for answers.

Allowing platforms to be used for such scams and profiting from it makes Meta an accomplice to such cybercrimes.

These platforms should be held to account for the content they host and monetise.

If a platform is earning money from fraud-linked ads, that raises questions of complicity, not just oversight failure.

When a company’s business model allows or even subtly incentivises questionable advertisers, that means it does not value ethics.

It has been reported that Meta internally estimated the scale of “high-risk” scam advertisements at Us$15bil (Rm61.9bil) of such ads per day across its platforms.

The company’s justification is that it will only block advertiser accounts when automated systems are 95% sure the advertiser is engaging in fraud.

If it is not absolutely certain, it just charges them higher ad rates – effectively profiting from uncertainty.

In my case, despite my protest, we can assume that Meta did not find enough evidence that it was a fraud.

It was a case of “looks like you, sounds like you but we are not sure it’s a fraud despite your complaint”.

A Reuters report on Nov 11 said that “Meta knowingly profits off of them” – meaning the social media giant knew about ads for fake products and scam posts and projected that it could earn up to Us$16bil from running these ads featuring banned goods or scamming posts.

Meta is so powerful that it can snub protests and calls from regulators requiring it to publish clear data on scam advertising volumes and the ad revenue derived from them.

If the company doesn’t have any ethics why would it care two hoots about accountability? It knows the world is addicted to its products.

Responsibility does not seem to exist in the company statement.

The only way out is to teach Malaysians how to identify scam ads, report suspicious content, and hold platforms and advertisers to account.

Digital literacy is a frontline defence, and also, simply stop being greedy. If it sounds too good to be true, then it’s a scam.

Meta knows we are hooked on Whatsapp, Instagram and Facebook, and the world will not function a day without these products. It is untouchable.

We have miserably consented and surrendered all our personal data to Meta to use these products for free.

Now you know why and how these scammers get our details. Meta is enriching itself, and each time regulators want to haul it up, it cries that it’s an assault on the platforms.

Wong Chun Wai

Wong Chun Wai

Wong Chun Wai began his career as a journalist in Penang, and has served The Star for over 35 years in various capacities and roles. He is now group editorial and corporate affairs adviser to the group, after having served as group managing director/chief executive officer. On The Beat made its debut on Feb 23 1997 and Chun Wai has penned the column weekly without a break, except for the occasional press holiday when the paper was not published. In May 2011, a compilation of selected articles of On The Beat was published as a book and launched in conjunction with his 50th birthday. Chun Wai also comments on current issues in The Star.