Don’t fall into same trap as MOH and quote absolute nos ONLY
Epidemiology101 calculates RATES.
S’gor has SECOND highest incidence rate
S’gor has THIRD highest prevalence rate in the country.
Despite her VERY HIGH workload, Case Fatality Rate is the 4th LOWEST in the country ImageImage
S’gor should be TARGET for INTENSIVE Vaccine Rollout!
Yet S’gor has the LOWEST VACCINE COVERAGE in the country!
JKJAV has FAILED to address BASIC yet PIVOTAL vaccine rollout issues
Is it any wonder that the front-liners in S’gor in public & private healthcare are VERY FURIOUS! Image
Absolute TRAVESTY of vaccine access, equity & distributive justice
We’ve had enough of sweet talk!
Roll up your sleeves, get down to REAL Vaccine Actions & guarantee deliverables.
@Khairykj JKJAV MUST deliver vaccines to priority FRONTLINERS & STATES
STOP playing politics!
Jawatan Kuasa Jaminan Akses Vaksin (JKJAV) tolong-lah jangan buat kesilapan seperti KKM dengan hanya melapur nombor orang yg divaksin

Asas Epidemiology101 mesti mengira KADAR vaksinasi!

S’gor menunjukkan kadar Insiden COVID yg ke-2 tertinggi diMalaysia Image
Kadar Prevalens COVID di-S’gor adalah yg ke-3 tertinggi
Walaupun bebanan kerja yang tinggi, kadar kematian diS’gor adalah yg ke-4 paling rendah
S’gor sepatutnya menjadi tumpuan untuk program vaksinasi COVID
Sebaliknya kadar vaksinasi diS’gor adalah yang paling rendah diMalaysia Image
JKJAV & KKM telah gagal untuk menyelaras program vaksin dengan tepat, berkesan & profesional
Maka, tidaklah hairan jika #Frontliners amat marah & keciwa dgn cara-kerja JKJAV dan KKM
Budaya kerja yg tidak cekap & profesional ini adalah bertentangan dengan nilai2 murni akses vaksin
Kesaksamaan & keadilan akses vaksin mesti dijaga
Hentikan politik pandemik ini!
Kita sudah mual dgn kata2 polititik yg manis
Gulungkan lengan baju anda & fokus kpd gaya kerja yang mengutamakan vaksinasi #Frontliners & negeri2 yang paling tinggi kadar COVID
#AllahRahmatiMalaysia

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More from @drmusanordin

5 Mar
There's a world of difference bet privatization of vax program ie leave to market forces VS utilizing APHM/GPs to vax target pop specified by NIP
None calling for the former! Pls resist straw-man argument
U may not know but Covid vax are available on the private market globally
If APHM can purchase additional supply, BEYOND national stockpile, WHY should Gomen or You object?
Last I heard we were still a democracy or EO subverted that right too?
I doubt it’s market failure!
It’s really a gomen failure-Msia’s perennial problem

google.com/amp/s/www.hind…
Private hospitals in India, a/c 74% of vaccines given on Day 2 in India.
Charged up to ₹250 (RM14)/shot
Connected Black-Market guys in M’sia demanding RM300-400/shot
JKJAV not seriously addressing this threat to our Vaccine Rollout!
Turning a blind eye to this national threat
Read 5 tweets
27 Feb
Ada kawan dlm grup tanya
Only 0.4 % mati
Lagi 99.6% recover
So why need vaccine?
Camna nak jawab soalan tu?🤭
Camni!
Risiko kena covid diMsia 1%
You nak ke?
I tak nak.
So I ambil Vaksin mRNA Pfizer/Moderna
-95% tak kena
-kalau kena pun-MILD covid-tak masuk Spital
-Tak MATI !
You tak vaksin
-ZERO protection
-20% kena COVID teruk
-masuk Spital
-pakai oxygen
-masuk ICU
-masuk tiub utk nagas
-diSpital 2-3 bulan.
-Silap-silap 0.4% GOL!
NAK ke?
Katakan Tak GOL!
-1/10 kena pulak LONG COVID
-berbulan2 sakit lepas kena COVID
-sakit dada
-rasa lemah selalu-fatigue
-sesak nafas-takleh hiking mcm dulu2
-pening kepala
-brain fog
-hilang memori
-sakit lutut
-sakit perut
-nak kerja pun susah
-nak tidur pun susah
-depress aje
Read 5 tweets
13 Feb
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)
Read 7 tweets
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

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