Pfizer vaccine authorised in 61 countries.
First given EUA by @WHO
NPRA must quickly license Moderna/AZ/Sputnik V
All 3 published in @NEJM
@TheLancet
J&J only require one dose
FDA will meet on 26 Feb to review J&J EUA application
Novavax 89.3% Efficacy
JV with Serum Institute to produce 2 Billion doses/yr
Certain quarters are quietly administering Chinese vaccines to select members of the public!
These have NOT been licensed by NPRA
This clandestine marketing of unlicensed vaccines must be investigated by MOH & JK Khas Jaminan Akses Vaksin COVID-19 (JKJAV)
All vaccines have proven to be efficacious in preventing SEVERE #COVID19
The Vaccine Efficacy (VE) range from 85-100% against SEVERE #COVID19
148 million doses have been administered
54.7% Israel pop immunised
33.7% UAE pop immunised
Real world experience VE in Israel: 92% (95% in Pfizer & Moderna Trials)
51K >60yr took 2 doses of Vaccine: 60% decrease in new cases & hospitalisations
Amazing results since:
1 Israel in 3rd wave-719K cases, 5304 deaths (O.7%)
2 3rd Lockdown
3 Widespread B117 mutant
Early studies indicate AZ vaccine decrease #COVID spread by 67%
And Moderna by 60%
Herd protection to:
1 children <16yr who can’t b immunized
2 lack of vaccines
3 anti-vaccine persons
4 vaccine contraindicated eg past anaphylaxis theguardian.com/society/2021/f…

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More from @drmusanordin

7 Feb
No daily tests=1643 per million =1643 x 32=52576 tests
No daily cases=136.57 per million =136.57 x 32=4370 cases
Positive Rate=8.9%
Still above WHO 5%=Uncontrolled Epidemic
malaymail.com/news/malaysia/…
200,000 tests/day
Expect to see at 5% =5/100 x 200,000 =10,000 cases daily
Don’t burden labs who r burnt out
Use RTK-Ag-Surveillance tool of choice
PCR testing backlog is “absolutely horrendously useless as a system for public-health surveillance”
harvardmagazine.com/2020/08/covid-…
68 lab tepu @ 76K ujian/day Uni/Army/Private lab dikerah tingkat kapasiti!

PCR: Mahal-Lambat-Test diMakmal-Org Lab burnt out-Backlog-FTTIS lembab-COVID merebak!

RTK-Ag: Murah—Laju-1 jam dpt result-Buat dilapangan-Takde Backlog-FTTIS laju-Upload SIMKA-Rantaian COVID stop!
Read 5 tweets
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
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
Read 4 tweets
4 Feb
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
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

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