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

6 Jun
Case & death curve is virtually vertical!
FTTIS & Vaccine Rollout under-par
MOH & JKJAV recalcitrant in failed modus operandi
S’gor-4th highest Infection Rate
But has lowest CFR-NS (0.51%), S’gor (0.45%), P’ng (0.31%)-Hmm!
< National CFR Average (0.54%)
9 states >National Average ImageImageImageImage
Lessons from COVID-19 Infection Rates VERSUS Vaccination Rates Breakdown by STATES:
1. National Coverage at 7.1% is abysmal.
2. S’pore is 39%
3. All states should be like Putrajaya – 47% uptake
4. OR focus on HIGH Infection States to plunge the spiralling cases & deaths Image
5. S’gor with 4th HIGHEST Infection Rate has 2nd LOWEST coverage!
6. MOH & JKJAV is this political vendetta? Just asking!
7. Why is Sabah’s coverage lowest at 5.6% when S’wak with similar demography is nearly double at 10.1%
8. Don’t wait like HIDE 14 months later to analyse! Image
Read 4 tweets
30 May
Hello! MOH collapsed itself with some help from black sheep M’sians!
Since Oct 2020, when MOH did not RETEST nor QUARANTINE Sabah returnees it unleashed the 3rd Wave
The MOH is SET in it’s inefficient & ineffective FTTIS
MOH must RESET to Rapid Response FTTIS
Use RTK-Ag TESTING
Remove Rate Limiting PCR from work-chart!
Digitize & Automate FINDING & TRACING
ISOLATE promptly
Digitize Home Monitoring for Cat 1&2
SUPPORT with basic essentials

drmusanordin.com/2021/01/15/ftt…
Boost Vaccine Confidence
Ramp up VACCINE Rollout
Prioritize High Infection States & Outbreak Areas NOT Elections!
Allow private healthcare to procure & administer
Delay Vaccine Second Dose
Single Pfizer/AZ dose in those with prior #COVID19

drmusanordin.com/2021/05/12/tow…
Read 4 tweets
25 May
This is a touching personal account of a Malaysian family living with COVID-19 in the UK.
@rahmahghazali
The family is empowered in the UK
with smart risk communication that enhances knowledge, information and skills. (1)

threadreaderapp.com/thread/1396418…
We have a technocrat who rattles out numbers and parrots paternalistic nuances daily.

And a condescending politician who barely understands the repercussions of the poorly thought and off the cuff SOPs. (2) theedgemarkets.com/article/confli…
National Health System (NHS) aka MOH offers home testing with rapid test kits.
Our MOH is obsessed with PCR which burdens our labs & only gives delayed results unlike RTK-Ag kits!
I have lobbied for affordable if not free test kits since Mar 2020, but fell on deaf MOH & NSC ears.
Read 11 tweets
20 May
Community Testing (ComT) by @stfc_selangor
MOH “HIDE” the data @Selangkah_my “FINDS” with big data analytics & machine learning
STFC Digital VS MOH Manual
Stop Fire-Fighting!
MOH Contact Tracing failed
Rollout ComT to detect sporadic cases & bust clusters
threadreaderapp.com/thread/1365838…
MOH burdens our Health Care Workers (HCW) with manual labor & paperwork!
In an era of Data Science & AI this is jurassic work culture & punishes an already fatigued work force of HCW!
The MOH must STOP Fire-Fighting!
The MOH Contact Tracing has absolutely failed! (2) ImageImage
We are facing a COVID-19 Catastrophe!
MOH must listen to Data Scientists & rollout the Community Testing programs in order to detect the 80% sporadic cases & bust the clusters (3)
codeblue.galencentre.org/2021/05/11/dg-…
Read 5 tweets
20 May
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)
Read 13 tweets
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

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