Nuances here more political than scientific.
IMHO the data shared (and unshared) points to a few scientific issues
1. It proves the sci that the election is a super-spreader event
2. Some returnees/politicians (no data shared) cud be super-spreader persons thestar.com.my/news/nation/20…
3. The massive surge of cases in Sabah reinforces this super-spreading phenomenon of the elections
4. The 30.8% Sabah cluster in Klang Valley could have been prevented if MOH: a)quarantined the returnees/politicians from #Sabah (b)re-tested the returnees
5. @DrAmarMOH showed down-trending of unlinked cases fr 63% to 7% (12 Oct). Shows that Klang Valley outbreak was clustered. This is “relatively good” news since clusters are easier to detect-track-contain. It debunks need for CMCO if rapid testing-tracing-isolation was robust!
6. Unlike Sabah with a surge of 90% unlinked cases- sporadic & widespread in the community. Instead of targeted testing it should be mass testing, with rapid Ag kits not slow PCR. With results within 1-2 hr, allows rapid isolation and tracking and faster end to the outbreak!

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More from @drmusanordin

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!
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
Read 9 tweets
13 Oct
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
Read 4 tweets
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
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
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
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

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