Suatu respon yg kurang matang dan tidak bertanggung jawab drp KKM
KKM nak berperang dgn STFC atau dgn COVID-19?
Tolong jgn melolong MCO saje!
Apa strategi yg wajib kKM lakukan ASAP?
Dah EO (Darurat) dan MCO sejak Sep 2020
Tetapi kes masih tinggi! (1)
Ini kerana srategi KKM gagal
Berikut cadangan yg KKM wajib lakukan bukan guna strategi lapuk KKM
1. Kuatkan MCO berasaskan fakta bukan semborono
Kenal pasti sektor, lokasi, aktiviti dimana penularan berlaku. (2)
Ketahui bahwa COVID merebak melalui udara. Pastikan ventilasi yg baik dibangunan & tempat yg sesak
2. Ujian yg percuma, bersasar & massa. Why? Supaya contact, walaupun tidak bergejala dikenal pasti & diKuarantin ASAP. Guna RTK-Ag BUKAN PCR. Ia murah dan keputusan dlm 30 minit (3)
3. Jgn lambatkan Isolasi/Kuarantin/Kesan Contact/Rawatan dgn mengulangi ujian PCR. Ini hanya membebankan HCW (Health Care Workers), tambah kos & tambah kerja-kertas. (4)
4. Urus COVID diKomuniti dgn mengguna alat digital. Ia secara otomatik memudahkan kesan contact, cepatkan Kuarantin, hentikan kerja kertas dan tidak bebankan HCW (5)
5. Dapatkan kerjasama GP untuk memantau pesakit risiko rendah dirumah (SELangkah & COSMOS Home Monitoring alat Digital) dan benarkan mereka bebaskan pesakit (Release Order) (6)
6. Optimakan penggunaan pusat risiko rendah (MAEPS). Ia hanya utk mereka yg tidak boleh kuarantin dirumah. JANGAN salah guna! (7)
7. Urusan COVID-19 diHospital & ICU. Kembangkan sumber katil COVID dgn mengintegrasi sektor awam, swasta & GLC. KKM tidak tegas, tidak jelas dan amat lembab didalam mengoperasikan tindakan ini. Gunakan kuasa dgn bijaksana dan bertanggung jawab! (8)
8. Pada jangka masa pendik, beri keutamaan vaksin kpd negeri yg paling teruk. Guna sumber dari swasta, NGO & militari
9. Imunisasi dengan satu dos. Sebab kekurangan dos, utamakan ramai org dengan banyak dos, berbanding sedikit org dgn dua dos. Lambatkan dos ke-2 vaksin COVID (9)
10. Komuikasi Risiko yang mendidik & memperkasakan rakyat. Jangan asyik menyalahkan saje. Rakyat adalah rakan kongsi & solusi bersama. Mereka bukan semata2 masalah. Perkasakan rakyat untuk melakukan penilaian risiko peribadi (self-risk assessment) (10)
11. Rancangan sosio-ekonomi utk keluar dari pandemik secara selamat & teratur. MCO tidak akan akhirkan pandemik. Rancang untuk masa depan dimana kita hidup (co-exist) dgn virus secara “damai” dimana ianya dibendung dgn baik dgn kaedah yg berasaskan fakta & epidemiologi semasa(11)
12. Keluarga, bisnis & industri mesti diberi peta jalan yg komprehensif terhadap apa tindakan yg perlu mereka ambil, apa rancangan yg perlu mereka fikirkan dan kesemua anjuran ini mesti diberi secara berterusan, berkala & dgn tempuh masa yg munasabah-bukan spontan & melulu (12)

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Dr Musa Mohd Nordin

Dr Musa Mohd Nordin Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @drmusanordin

17 May
What is your metrics for this outburst?
Unless we base our strategies on SOUND & SHARED data we will be trapped in WAVES & MCOs since MOH stopped sharing data in Sept 2020
#HIDE has exposed MOH’s failure to analyze big data (1/6)
Now MOH & JKNS has FAILED to curb the COVID spread in S’gor unlike before Sept 2020 when @stfc_selangor HELPED JKNS to plunge the cases with @Selangkah_my digitized & automated FTTIS Rapid Response!
Since Sept 2020, MOH FORCED @stfc_selangor to “Box in the Ring Blindfolded” (2/6)
Based on data:
5 states surpass the National Infection Rate (IR) average
Highest KL, then S’gor, K’tan, Sarawak, P’ng
MOH ada threshold for MCO ke?
To TIGHTEN SOP ie CIRCUIT BREAKER, KL dulu NOT S’gor-mass testing detects MORE cases
Stop playing parochial politics Minister (3/6)
Read 7 tweets
16 May
I’ve been there X2.
IMO CPRC have little sense of what’s happening at CAC.
Since Feb 2021, none from CPRC visited this biggest & busiest CAC except on 12/5/2021.
The CAC TOR is vague.
One only feels & emphatize with the burden when one sees the insanity at CAC Stadium Melawati
Logistics were haywire.
KKM could not even provide air-conditioning to the stadium!
Imagine volunteers & drs boiling in the PPEs!
And our sick patients in the sizzling hot Stadium.
@ProfAdeeba et al sought CSR from GLCs and secured air-con within 24 hrs!
I did not wanna interfere. But suggested the following ideas:
1. Get a few senior drs to walk OUT into the long queue.
2. Interview cases & if need be do a focused physical exam.
3. If clinically diagnose Cat 1 or 2 allow home.
Read 6 tweets
16 May
The Massacre of Palestinian Children & Women MUST STOP
Dato’ Dr Musa Mohd Nordin-Chairman
Puan Sri Norma Hashim-Treasurer
The basic human rights and dignity of the Palestinian people have been usurped since 1948.
Their ancestral lands were stolen, their villages burned, and they were forced out of their homes.
Since her inception in Dec 2008, Viva Palestina Malaysia (VPM) has been unrelenting in her pursuit towards advocating justice, peace, freedom, and self-determination for Palestine.
VPM has funded medical, educational, micro-financing, housing, and agricultural projects in Palestine.
The recent incursions on Al-Aqsa and the massacre of innocent lives, children and women in Gaza compels VPM to address the humanitarian crisis in Palestine.
Read 6 tweets
7 May
Why cases high despite Active Case Detection in Selangor?
Apart from socio-demography d/t DATA BLACKOUT
May-Aug 2020 @Selangkah_my in active usage.

+VE Cases (Red Line) kept LOW by:
-Digital & Automated (CT) Contact Tracing (unlike MOH’s manual tracing)
-Rapid Response FTTIS
SELangkah success story cut short due to:
1. Aug 2020-MySJ made mandatory
2. Sep2020-MOH stopped Data Sharing-SELangkah CT Ecosystem was disabled

Politics & MOH paying dearly for disabling the @Selangkah_my CT ecosystem.
They are stuck with manual tracing- Turtle Speed FTTIS
Data analytics after 1yr
Startling facts:
1. Super-spreaders 90% spread from <1% premises
2. >80% contacts traced to ISO & Q breakers
3. MySJ blind spots eg schools
4. Data can give 7 day alert b4 outbreak BUT ineffective FTTIS not busting clusters
Read 5 tweets
4 May
This is what EAG (Expert Advisory Gp) meant by empowering State/District/Rakyat with HIDE Analytics!
Check out the UK version which informs the British:
BASIC STATS
LOCKDOWN RULES IN YOUR AREA
bbc.com/news/uk-543739…
BASIC STATS:
Cases per 100K in the area?
Total Cases in latest wk?
Compared with previous wk?
COVID Deaths?
How many had 1st dose Vaccine?
Graphs to show:
Trends in Case Rate
Changes by Age
Trends in Death Rate
ANALYSIS of the DATA
LOCKDOWN RULES IN YOUR AREA:
1 Meeting friends & family
2 Going to work
3 Schools & Nurseries
4 Leisure time
5 Shopping
6 Others
Read 5 tweets
1 May
RED ZONE (>40 active cases) is NOT based on good science.
EAG stipulated it should be TARGETED MCO based on risk stratification:
1 Infection Rate (IR)
2 Coping capacity of healthcare
3 Essential services

nst.com.my/news/nation/20…
Too costly on lives, livelihoods & economy to mandate MCOs based on arbitrary metrics
@mohdhelmi factored 22 variables & utilised machine learning to do risk stratification of S’gor districts @Selangkah_my can be extrapolated-need national data sharing!
codeblue.galencentre.org/2020/12/14/cov…
P’ng, Johor & Kedah below national IR average
Why MCO?
What metrics minister using? What is the threshold to MCO?
Selangor borderline
BUT look at their risk stratification metrics with the heat-map
@Selangkah_my with Data Sci-Machine Learning-AI doing predictive risk modeling
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

:(