Selangor has the biggest population, highest GDP, second highest vaccine registration coverage, and second highest Covid-19 incidence rate, but the second-lowest vaccination coverage of its targeted population.

codeblue.galencentre.org/2021/05/28/mak…
Selangor, Sabah, and Johor have the 3 biggest populations targeted for Covid-19 vaccination (aged ≥ 18 yrs).

But these 3 states have the lowest vaccination coverage.

Perlis and Labuan have the smallest populations eligible for vaccination, but is in the top quartile of vax.
Selangor has the second highest demand for Covid-19 vaccination, behind KL.

But Selangor comes in dead last with regards to the percentage of those registered for vaccination either receiving at least one dose or having received both doses.
Selangor has the second highest Covid-19 incidence rate after Labuan, but Selangor is placed in the bottom quartile of Covid-19 vaccination coverage.

Perlis has the lowest Covid-19 incidence rate, but is in the top quartile of vaccination coverage.
Selangor has the biggest GDP in the country, but is among the bottom of Covid-19 vaccination coverage.

So, if it’s not based on demand (population size or registration rate) or need (number of cases or economic importance), how are Covid-19 vaccines allocated in Malaysia?
I should add a caveat -- my tweets in this thread are from the contributor's analysis to CodeBlue. Putrajaya omitted coz no GDP figure available.

I'm unsure of @Khairykj's Covid vax strategy, amid limited supply, but @JKJAVMY should reveal state breakdown of vaccine allocations.
And CITF should provide the rationale for its proportion of vaccine allocations to states.

Give a weekly state breakdown of allocations.

Otherwise, it looks like Selangor is dianak-tirikan, especially when it has the second-highest Covid incidence rate in Malaysia.

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More from @boosulyn

28 May
Malaysia's 1,046 Covid-19 Deaths In May Double 2020 Toll

1,046 Covid-19 fatalities were reported in less than a month from May 1-28 this year, more than twice the 471 deaths recorded in the whole of 2020.

codeblue.galencentre.org/2021/05/28/mal…
The highest daily number of coronavirus-linked deaths nationwide since the epidemic hit Malaysia in Jan 2020 was 63 deaths on May 26, with Selangor reporting 24 deaths, the highest in the country. Image
Malaysia reported 1,046 Covid-19 deaths from May 1-28 this year.

Top 5 states:
Selangor - 328 deaths
Johor - 132 deaths
KL - 110 deaths
Sarawak - 98 deaths
Kelantan - 74 deaths Image
Read 6 tweets
28 May
With a total lockdown for >6 weeks, non-Covid mortality will rise. Govt financial assistance must cover probably 99% of the population, with income replacement, since only the top 1% can survive the lockdown at this point.

Vax rates will likely be hit, no matter what CITF says.
We saw this with MCO 1.0 last year, and things are so much worse now. Back then, cancer patients were turned around at roadblocks.

Soldiers and policemen will look at the Covid public health crisis solely from a security lens.

So they may stop ppl from travelling for jabs.
A lockdown is not a magic wand that will destroy the virus.

When 7-wk MCO 1.0 was implemented, daily cases were <200.

We averaged 6.2k daily cases in the past 14 days, 31 times higher than MCO 1.0 cases.

A lockdown is only meant to relieve the health care system temporarily.
Read 8 tweets
27 May
All the no-show excuses listed in the 7 states show that Malaysians in general are complacent about Covid.

They just don’t see the virus as dangerous or vaccination as urgent.

I don’t know if it’s because of many people’s fatalistic attitude (ie: if I’m fated to die, so be it).
MM has a nice story on Sabahans’ similar cavalier wait-and-see attitude towards vaccination which some think takes too much work to get.

malaymail.com/news/malaysia/…
I am not sure what is the root cause of Malaysian complacency towards Covid vaccination — whether it’s fatalism, poor health literacy, or the belief that your jabs should be waiting literally outside your door before you take it.

But it’s a big problem the govt must recognize.
Read 7 tweets
27 May
There is only ONE manufacturing site for Malaysia’s Sinovac vaccine supply from 🇨🇳.

Even if state govts can get 100 distributors pun, they can only go to that one place which Putrajaya is already ordering from.

State govts can try to get Moderna, but still needs NPRA approval.
Malaysians should realize that it’s really very difficult to get Covid vaccines, you can’t get it like Panadol from any drug store.

Countries don’t get their vax orders in a single shipment. It’s staggered over months coz the whole world is ordering the vaccines.
Geopolitics is not abstract, it has actual consequences.

Read / watch on what’s happening in other countries and regions re vaccines.

Many countries inevitably end up behind those with their own manufacturing capacity on the vaccine queue.
Read 5 tweets
26 May
Under-60s Form Quarter Of Malaysia's Covid-19 Deaths In May

About 26% of 803 Covid-19 fatalities reported in Malaysia from May 1-24 were aged below 60 years, out of which 17% did not have any underlying diseases.

codeblue.galencentre.org/2021/05/26/und…
Out of the 803 Covid fatalities reported in Malaysia from 1-24 May, 209 (or 26%) were among those below the age of 60, while 594 deaths (74%) were among those aged 60 and above.

Among the 209 fatalities among under-60s, 36 (or 17%) did not have any reported underlying diseases. Image
From May 1-24, seven patients who died from Covid-19 were aged <30. On May 23, two deaths were reported among youths in their 20s, without comorbidities.

Covid deaths among under-60s are rising:
- 4-10 May: 5 daily deaths
- 11-17 May: 9 daily deaths
- 18-24 May: 14 daily deaths Image
Read 5 tweets
6 Jan
38 people have died from Covid in Malaysia in the first 6 days of 2021, including 3 brought-in-dead cases (2 in Selangor, 1 in Sabah).

We do not know their names or the families they left behind. In stark contrast to other countries, Malaysia doesn't humanise our epidemic.
Malaysia's Covid management system is broken. There are anecdotal reports of delays in test results, delays in picking up positive cases, delays in tracing contacts of positive cases, all of which allows rapid spread of the virus, burdening the system and creating a vicious cycle
MOH must be transparent and reveal the range of period for producing Covid test results, tracing close contacts, and picking up positive cases to send to hospital, broken down by state or even district, so that we know where exactly the problem lies. And we can try to fix it.
Read 12 tweets

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