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Dr Musa Mohd Nordin Profile picture
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13 Oct, 4 tweets, 3 min read
On-point @ProfAdeeba
Didn’t they preach 3Cs?
Distance>2m+Talk<15 min+Mask are NOT high COVID risk!
CMCO is an OVERKILL
-Kills livelihoods
-Kills economy
-Harms mental health
-Spawns national HYSTERIA
Why punish MakCikKiah who wants to put food on table?
astroawani.com/berita-malaysi…
COVID-19 + MCOs disproportionately burdens low rank/paid workers aka #MakcikKiah selling goreng pisang at PPR flats
Causes big holes in their pockets and brains-anxiety/depression/suicides
M’sia MUST use all tools available NOT JUST MCOs! WHO dah kata-kan? malaymail.com/news/what-you-…
Unlike @DrAmarMOH others blurt nos without analysis of trends
Downtrending of unlinked cases=decreasing community spread
Data speaks against CMCO
RTK-Ag as part of pop-level strategy to “sweep” & isolate infected individuals is the way fwd to contain/eliminate #COVID19Malaysia
Unlike Sabah!
High unlinked cases=massive community spread
Test-Trace-Isolate response MORE challenging
Requires MASS-RAPID-AFFORDABLE-POPULATION testing with RTK-Ag
PCR remains a critical tool for the management of INDIVIDUAL COVID cases.
Different tools for different purposes!

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More from @drmusanordin

Dr Musa Mohd Nordin Profile picture
14 Oct
1/ Successes of Public Health (PH) is largely invisible
They go unreported-out of sight out of mind!
PH funding < Sec/Tertiary/Curative/Tehab
eg Success of Vaccines-Took us 15 years to get PCV in our Nat Imm Program in 2020
But 1 case of polio/diphtheria-Msia goes hysterical! Image
2/ To detect #COVID19 before it spreads, PH needs FREQUENT/ACCESSIBLE/RAPID TESTING
We cannot detect pre/asymptomatic cases before they spread if we do not test FREQUENTLY
RTK-Ag picks out the infectious cases.
A powerful test for #COVID19 contagiousness
youtube.com/embed/4vvgefwK…
3/ RTK-Ag perform best in areas of active transmission
And when collected from a case with highest viral loads (most infectious)
2 days before (pre/asymptomatic) and up to 5-7 days after symptom onset
Rapid testing=Rapid isolation=Faster control of spread=Containment Image
Read 8 tweets
Dr Musa Mohd Nordin Profile picture
1 Oct
10-20% COVID guys cause 80-90% spread
Lockdown hurts livelihood
Futile if generic+restrict wrong event/person
SO Lockdown super-spreader events/persons
eg 3C-events/elections/ministers/politicians
Cluster busting
Cheap/Rapid/Mass Testing
Think beyond MCO!
theatlantic.com/health/archive…
India-1.3B pop-6M COVID cases-2nd to US
Study of 85K cases & 600K contacts
5% caused 80% COVID infections-Pareto Logic
Selective Lockdown of high risk/super-spreader people/events NOT entire nation
Think beyond Ro.
Think “k” over-dispersed COVID bug
nytimes.com/2020/09/30/hea…
Politicians+Elections r SUPER-SPREADER persons+events
1 mass event+few politicians will sky-rocket #COVID19Malaysia
We r struggling to control/contain COVID
This is a totally irresponsible and reprehensible call
#No2SwakElections #KesianFrontLiners
malaymail.com/news/malaysia/…
Read 15 tweets
Dr Musa Mohd Nordin Profile picture
5 Sep
14 yrs siege limited entry of materials required to develop water and sanitation infrastructure.
Thus 97% of water is not-drinkable.
We built H2O treatment plants to provide safe & clean water world over inc Palestine, Org Asli villages, Cox Bazaar, Palu...
#SafeWater
HRH The Sultan of Perak inaugurated 10 H2O treatment plants and a dam built by IMARET for several Orang Asli villages
Safe water technology inspired & in partnership with Malaysian Armed Forces
#SafeWater
Soil in Cox Bazar, Bangladesh, housing 1 million refugees is cyanide rich.
Our H20 treatment plants had to eliminate this poison.
Several built to provide #SafeWater to the refugees
Solar activated.
Low maintenance
In partnership with @AlkhidmatOrg
Read 6 tweets
Dr Musa Mohd Nordin Profile picture
26 Jul
To begin with the lifting of mandatoryQ was premature!
Though unpopular but data centric skeptics challenged the move!
“..suggested that those returning from high-risk countries be subjected to mandatoryQ, particularly those returning from Indonesia ..

thestar.com.my/news/nation/20…
which formed 75% of returnees which tested positive for Covid-19.
The other 10% who have tested positive for Covid-19 were from Singapore and 9% from Britain, so we need to be particularly vigilant of returnees from these countries”
Skeptics warned “..the government to emulate the strict self-Q rules enforced in South Korea where local returnees & foreign visitors were closely monitored using a mobile application that could track their whereabouts and store info about their symptoms..”
Read 5 tweets
Dr Musa Mohd Nordin Profile picture
16 Jun
Ex-CDC chief writes: there’s far too much amateur epidemiology out there. Deaths, hospitalizations, and diagnosed cases are just part of the iceberg @KKMPutrajaya @codebluenews @FIMAweb @MPAEDS @boosulyn
threadreaderapp.com/thread/1271142…
Infection Fatality Rate: 0.8%
For every single death we expect: 125 COVID19 infections
DSH data:
Asymptomatic: 47%
Symptomatic: 53%
Total COVID19 deaths in Malaysia as at 15/6/2020: 121
Total infections expected: 121X 125 = 15,125
Total confirmed cases reported 15/6/20: 8,494
We have only detected 1 in every 2 who are infected
Asymptomatic #COVID19 undetected: 3,116
Symptomatic #COVID19 undetected: 3,514
We need to remain vigilant with tracing-testing-rapid response @KKMPutrajaya @codebluenews @FIMAweb @MPAEDS @boosulyn
Read 4 tweets
Dr Musa Mohd Nordin Profile picture
5 Jun
I will hazard a plausible reason for the excess:
1,412 deaths in people aged >60y in Oct-Dec 2019 and
461 deaths in Jan-Mar 2020.
If you see the graph you will be able too.
@KKMPutrajaya M’sia was experiencing an unusual influenza season! @boosulyn @MPAEDS @codebluenews
The rate of positive specimens reported to Flu-Net was:
2019-21.2%
Jan-Mar 2020-26.4%
Compare this to the positive rates in:
2016-8.6% (diag)
2017-13.3%
2018-10.7%
Even during the H1N1 pandemic the incidence was only 18.1% @immunise4life
The influenza-associated mortality rates/100,000 person years in S’pore (no M’sian data) is:
167.8 for those >65y versus 14.8 for all ages
ie 11X more
This explains the excess mortalities in the older people! @immunise4life
Read 5 tweets

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