Dr Musa Nordin Profile picture
Jun 8, 2021 8 tweets 4 min read Read on X
KKM mesti amanah & cekap dlm komunikasi
Semua pasti gembira dgn tren kes COVID yg menurun
Tetapi ini mesti diimbangi dgn ujian COVID yg mencukupi
Ini penting utk mempastikan kita mengesan bilangan kes COVID setepat mungkin
Yaitu kita tidak under-diagnos bilangan kes dinegara kita
Utk mengetahui kita telah mengawal pandemik dgn baik, kadar ujian positif COVID mesti <5%
Kadar positif ini ditentukan oleh WHO
Rajah menunjukkan bahawa kita gagal utk mencapai kadar positif ini
Maknanya masih banyak kes didalam negara kita yg tidak dikesan dgn ujian massa COVID
Kita boleh anggarkan kes harian COVID dgn kaedah berikut
Kadar kematian diMsia =0.56% [ (3536 kematian/627652 kes) X 100% ]
Maka jika pada 8 Jun 2021 kita rekod 76 kematian, maknanya bilangan kes COVID sepatutnya  76/0.56 X 100 iaitu 13,571.
Tetapi kita hanya merekod 5,566 kes
Respon FTTIS masih tidak pantas & cekap!
KKM hanya guna RTK-Ag sebagai ujian diagnostik dikawasan yang kadar positifnya >10%
Ini kadar WHO yg lapuk sebelum May 2020
Dikawasan yg kadar positifnya <10% KKM masih mewajibkan ujian PCR
Ini bertentangan dengan nasihat Expert Advisory Group (EAG) seperti didlm rajah berikut!
Kedegilan KKM ini akan melambatkan proses Isolasi, Kesan Kontak & usaha memecahkan rantaian transmisi COVID
KKM mesti ambil peluang MCO3.0 utk buat ujian yg meluas dgn program FTTIS yg pantas & cekap.
Jika tidak, kita akan terperangkap dgn kes yg bakal melambung apabila MCO dilonggarkan.
Seperti yg berlaku selepas MCO1.0 (18Mar-4May 2020) dirangsang oleh PRN Sabah &
MCO2.0 (13Jan-5Mar)
Saya hanya khuatir:
1. Pimpinan KKM masih guna kaedah FTTIS yg lembab
2. Masih guna piawaian WHO yg lapuk
3. Pimpinan KKM kini tidak berwibawa
4. Atau mereka dah burnt out
5. Atau agak ego, degil & tidak mendengar nasihat pakar lain seperti EAG
Kita harus bertindak!#DemiNegara

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More from @drmusanordin

Sep 29, 2023
22 nations in Global BLS Movement
1️⃣ Australia 🇦🇺
2️⃣ Philippines 🇵🇭
3️⃣ Malaysia 🇲🇾
4️⃣ Indonesia 🇮🇩
5️⃣ Pakistan 🇵🇰
6️⃣ India 🇮🇳
7️⃣ Jordan 🇯🇴
8️⃣ Kenya 🇰🇪
9️⃣ South Africa 🇿🇦
🔟 Ghana 🇬🇭
@FIMAweb
@imamalaysia
@imaret_my
@BritishIMA

Image
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1️⃣1️⃣ Malawi 🇲🇼
1️⃣2️⃣ Nigeria 🇳🇬
1️⃣3️⃣ Bulgaria 🇧🇬
1️⃣4️⃣ UK 🇬🇧
1️⃣5️⃣ Canada 🇨🇦
1️⃣6️⃣ Niger 🇳🇪
1️⃣7️⃣ Tanzania 🇹🇿

instagram.com/p/CxxgDmoJXTo/…
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1️⃣8️⃣ New Zealand 🇳🇿
1️⃣9️⃣ Palestine 🇵🇸
2️⃣0️⃣ Germany 🇩🇪
2️⃣1️⃣ Zimbabwe 🇿🇼
2️⃣2️⃣ Afghanistan 🇦🇫

m.facebook.com/story.php?stor…
Read 5 tweets
Aug 27, 2023
Catch-up Pneumococcal Vaccination for Children born in 2018 & 2019
✅From June 2023-May 2024
✅Don’t miss this 1 shot of PCV13 vaccine
✅Walk in at Health Centers OR
✅Register on My-Sejahtera Image
✅Please inform all parents with kids born in 2018 & 2019 who have not received the 1 dose Pneumococcal Vaccine (PCV13) to get it ASAP at all our KKM Health Centers.
✅Protect against Pneumococcal meningitis, pneumonia, ear infections, sinusitis.

#CatchUpPCV13
#BeWiseImmunise


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The ABC of Vaccination:
1. Coverage
2. Coverage
3. Coverage
Coverage of PCV for 2020 birth cohort from Jan-Sept 2021:
1st dose: 95%
2nd dose: 93%
Dropped during pandemic 🥵
Let’s target coverage at least >70% for herd immunity

codeblue.galencentre.org/2021/12/24/pne…
Read 4 tweets
Aug 22, 2023
Setakat 19 Ogos 2023 (7.5 bln) ▶️23 kematian Pertussis!
Tertinggi sejak 2011
Melebehi 22 kematian pada tahun 2018.
19/22 (86%) kematian 2018 berumur <6 bln.
Audit terperinci mesti dikongsi untuk intervensi kesihatan umum yg tepat.
Susah nak cari data KKM
Boleh share di-DOSM?
Image
Kajian 2019-2020▶️25/56 (45%) kes bawah 2 bln.

2020▶️98/136 (72%) kes bawah 6 bln.

Aug 2023▶️189/329 (57%) kes bawah 12 bln.

Kebanyakan kes Pertussis:
✅Terlalu muda untuk vaksin (un-vaccinated) ✅Tak cukup dos vaksin untuk umur (under-vaccinated) Image
Solusi untuk ⬇️ kes dan kematian Pertussis:
✅Vaksin Tdap (Tetanus-Diphteria-Pertussis) ibu hamil utk melindungi bayi
✅Vaksin 6 serangkai (termasuk Pertussis) 2,3,5,18 bulan yang pertama
✅Vaksin tambahan untuk remaja dan dewasa

sciencedirect.com/science/articl…
Read 4 tweets
Feb 6, 2023
Just thinking!
The issues in the MOH are
✅Chronic maybe 10-20 yrs
✅With an acute on chronic crisis
✅Due to the acts of omission or commission
✅Mainly by technocrats warming seats in Putrajaya
✅Who marginalised the best & bold brains in MOH who dared to open their mouths
✅But of course the jurassic political stewardship is like hopeless with no roadmap for the future of healthcare
✅But despite lousy political masters, I’ve served under 2 excellent DG’s who made MOH a class act
✅Undoubtedly the current YBMK can do better.
✅But if one has a mediocre set of technocrats, one is compromised in one’s health deliverables.
✅And mind you, this technocrat malaise is not just in the MOH
✅The paucity of ideas, imagination, motivations & skill sets is pervasive in the civil service-kinda open secret la!
Read 7 tweets
Feb 3, 2023
Conservative 🇲🇾Muslim scholars & NGOs were proven wrong when they resisted
✅opioid substitution therapy
✅needle exchange programs

Alleging it would
⬆️drug use
⬆️permissive lifestyles

Instead cases of HIV/AIDS plunged⬇️in
🇲🇾IVDUs

pubmed.ncbi.nlm.nih.gov/20006483/
Calibration from the perspective of Maqasid (Higher Objectives) Shari’ah:
⬆️No of lives saved: Hifz an-Nafs
▶️To live another day to repent & improve: Hifz ad-Deen

⬇️Morbidities to preserve their intellect & progeny: Hifz al-Aql & Hifz an-Nasl

⬆️Cost-savings: Hifz al-Maal
1980s- Heroin abuse considered a🇲🇾national threat
Drug rehab programs failed miserably!
Criminal & punitive centric👊

Prevalence:
Malay IVDU▶️87% (2009)
Majority▶️20-29 yr (2009)

IVDU Quality of Life (QOL)
❌Very poor QOL
❌Frequently ill
Read 8 tweets
Jan 22, 2023
Since 1998 I’ve cared for women & children living with HIV/AIDS in @imamalaysia Rumah Solehah
I have some insight into the problem though not as great @adeeba @ummuafeera whose passion & dedication I totally admire & respect!
✅Unfortunately, many who dabble in the PrEP issue have virtually no hands on experience in dealing with this most painful, sensitive & explosive issue.
✅They lack empathy and more crucially, they lack rahmah, compassion & love for the marginalised communities
✅They stigmatise further these vulnerable groups mainly young Muslims, instead of engaging with them to decrease their risky behavior & saving them from being infected with HIV/AIDS
✅You don’t achieve abstinence with one turn-over camp or 1-2 sessions of dr consult!
Read 8 tweets

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