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Dr Musa Mohd Nordin Profile picture
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27 Jan, 4 tweets, 2 min read
Reka program semasa dr pelatih diSabah 2012
@DhesiMD bina pengkalan data yg bersepadu yg boleh menjejak kesihatan setiap ibu terutama yg berisiko tinggi & setiap kanak2 eg pastikan imunisasi cukup
Perlukan:
-Pengkalan data (pipeline data) yg kemas & bersepadu
-Dikongsi bersama
-Keputusan berasaskan data Data driven decisions
eg Zaman COVID-Kenal pasti siapa yg perlu di Uji/Jejak/Isolasi/Support
-Macam pilot yg perlu data untuk land the plane
Cabaran:
-Perlukan anjakan minda
-Infrastruktur pengkalan data yg bersepadu  eg connectivity antara KKM dgn swasta/GP  
-Baru boleh maju dgn AI/Block chain/
Harapan:
-Masa depan adalah sains data
-Mesti utamakan sains digital
-The future is now
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More from @drmusanordin

Dr Musa Mohd Nordin Profile picture
27 Jan
ISSUES OF @frontliners
1 Low MORALE-lack of empathy fr KKM leaders,they not at ground 0,not listened to,no avenue to express grievances,bullied,lack basic amenities,lack PPE etc
2 OVERBURDENED-lack of nos,piled with more to do
3 Poor HEALTH-sick with COVID,depressed,burnt out
4 Lousy REMUNERATION-COVID elaun to all inc in Ops Room,bring fwd frozen leave
5 FTTIS-S (Support) must inc Support for HCW!
6 SOLUTIONS-How do we rapidly rectify the ACUTE on CHRONIC issues of
-LOW MORALE
-UNDERSTAFFED
-OVERBURDENED
-UNDERPAID
-NON-EMPATHETIC LEADERS
 -BULLYING
Cabinet MUST NOW KNOW critical role of HCW
16 MP/Ministers had COVID
@chedetofficial had HEART ATTACK-we got IJN
Almarhumah Tun Endon had CANCER-we had Institut Kanser Negara Putrajaya
This is how Msia works!
A VVIP must be sick, die, get COVID B4 we see real, tangible changes
Read 5 tweets
Dr Musa Mohd Nordin Profile picture
24 Jan
Salam Ulang Tahun #COVID19Malaysia Pertama
Malaysia akan terperangkap didalam satu kitaran PKP yang berterusan jika ia tidak melakukan perakara yang asas didalam usaha mitigasi untuk mengurangkan kes COVID-19
google.com/amp/s/www.mala…
Kaedah Find-Test-Trace-Isolate-Support (FTTIS) masih tidak beroperasi dgn berkesan.
KKM berdegil dgn pengunaan PCR
PCR ujian yg baik untuk kegunaan diagnostik & rawatan dihospital.
Tetapi ia lembab & tidak merupakan alat terpilih kesihatan awam utuk saringan COVID-19 di medan.
KKM mesti tukar ASAP kpd ujian pantas antigen (RTK-Ag)
Ia boleh diagnos COVID-19 dlm masa 1 jam
Ia tidak memerlukan makmal yang canggih & mahal.
Kes positif boleh diberitahu cepat-sehari aje-boleh diisolasi.
Dlm 2 hari contact tracing boleh dijlnkan & kuarantin boleh dilaksana.
Read 8 tweets
Dr Musa Mohd Nordin Profile picture
24 Jan
Sad #COVID19Malaysia One Year Anniversary
First case 25/1/2020
Total Cases: 183,801
5638/Million pop
1 case per 180 persons
Active Cases: 41,677 (23%)
Critical: 265 (0.14%)
Total Deaths: 678
Deaths: 21/Million
Positive Rate (Tests): 5.6% (Target<3%)
worldometers.info/coronavirus/
What I said in Mar 2020 holds true today.
All of our efforts to combat COVID-19 would remain futile if our leaders do not lead by example and walk the talk.
If the minister who preaches daily on TV about the nation’s pandemic situation is “cakap tak serupa bikin” ...
And the head of the healthcare services practices double standards and bow to the whims and fancies of the politicians, then the nation will perpetually remain at the mercy of the coronavirus and will be continually trapped in a vicious cycle of MCOs.
Read 9 tweets
Dr Musa Mohd Nordin Profile picture
8 Jan
Present COVID predicament wud have been averted if KKM had heeded SOP:
1 Quarantined Sabah returnees who r Super-Spreader(SS) persons
2 Re-tested returnees from Sabah PRN- SS event
3 Dealt appropriately with prison & detention centre clusters- SS event
bernama.com/en/general/new…
OK! Its now water under the bridge.
BUT, their obsession with MCO will inflict collateral damage to poverty/mental health/malnutrition/domestic violence/education/kill livelihoods/explode unemployed numbers, bankrupt SMEs and run down this nation’s economy thevibes.com/articles/opini…
We will b in a perpetual cycle of MCO because KKM is stuck with an archaic pandemic playbook.
Since Oct 2020 they ignored the advice of public health experts from academia, military & those outside KKM to re-strategize their pandemic management. codeblue.galencentre.org/2020/10/12/mak…
Read 6 tweets
Dr Musa Mohd Nordin Profile picture
8 Jan
In early & late COVID the viral load is LOW
Thus less infectious
Poor pick up by RTK-Ag ie less sensitive but of little consequence since non-infectious

threadreaderapp.com/thread/1344186…
At high viral loads and very infectious including asymptomatic & pre-symptomatic cases at CT<25 RTK-Ag detection is >95%
Thus surveillance tool of choice
Foremost proponent of rapid testing @michaelmina_lab explains it in these 2 threads. Enjoy threadreaderapp.com/thread/1330756…
Testing to diagnose a patient with #COVID19 is different from testing a person to accurately identify people who are most at risk of transmitting SARS-CoV-2.
Such individuals tend to have higher viral loads which makes the virus easier to detect.
science.sciencemag.org/content/371/65…
Read 5 tweets
Dr Musa Mohd Nordin Profile picture
8 Jan
To get a consensus from 46 esteemed colleagues representing a myriad of medical specialties and professional bodies is truly a WOW moment!

codeblue.galencentre.org/2021/01/07/ope…
While government and ministries are overwhelmed, these doctors and many more are the living examples of the song originally recorded by English singer Billy Ocean in 1985 "When the Going Gets Tough, the Tough Get Going" m.malaysiakini.com/news/557881
The 10-point framework of action is based on good science, sound economics and common sense
It isn’t rocket science!
It is doable & will lift us out of the pandemic
Pray that the government embraces this 10-point plan and kick start with the formation of the COVID-19 Task Force.
Read 7 tweets

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