Ada org kata konsep incidence rate ni susah nak faham la!
Mungkin tu sebab KKM pun tak pakai?
I try to make it simpler ok!

Lets look at how UK use this incidence rate data to inform the British people

google.com/amp/s/www.bbc.…

I logged in my old council in *Leicester*
Immediately the system tells me in Leicester:
-there are 357 cases/100,000 fr 24-30 Jan
-there were 39,730 cases until 3 Feb
-there were 588 covid deaths reg until 22 Jan
-8.6 mil people have taken covid vaccine until 2 Feb
-they show me a graph of how the case rate has changed
-the case rate by age
-the changes in death rate
-compared with deaths over past 5 yrs in UK
-they show England’s death rates
-they tell me that the cases are now declining
-they show me the UK map which with one click I can know the cases per 100,000 in any area
-UK use cases per 100,000 pop NOT absolute no
-only with rates you can make comparisons
-this is the simplest way I can explain this concept of absolute no (KKM) versus incidence rate (SELangkah & UK)
-BTW UK kongsi semua data tak sorok2 :)

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More from @drmusanordin

6 Feb
Nampaknya KKM tak bijak2 lagi
Masih obses dgn ujian PCR
Aduhai! PCR ini strategi Kesihatan Awam yg lapuk
Padan lah respon FTTIS KKM lembab!
Menularlah covid giler2 sebab lambat sangat KKM dapat result (3 hari)

malaymail.com/news/malaysia/…
Dgn RTK-Ag dlm 1 jam (paling lambat 1 hari) boleh dpt result dilapangan POC (Point Of Care)
Dan KKM bila guna RTK-Ag dia proses diMakmal bukan di-POC!
Kan lambat tu!
200 ujian sekali gus
STFC sekali buat testing diPOC antara 1-2 ribu bro!
Tu sebab melambung kes diSgor ImageImageImageImage
Kata nak tingkat keupayaan ujian.
Tapi tahap positive kita masih tinggi 8.9%
WHO kata jika >5% pandemik tidak terkawal
Saya nasihat KKM biarkan “Task Force Perdana Menteri” ambil alih operasi untuk mitigasi dan keluarkan kita dari pandemik ini #DemiNegara ImageImage
Read 4 tweets
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
27 Jan
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
Read 4 tweets
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
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
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

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