InfectiousDisease 101
In reality-No cases of ID are unlinked!
By it’s very virtue, ID means it’s linked from 1 case to another.
Sporadic or Unlinked is a temporary designation until investigation ie Contact Tracing (CT) uncovers the link-often part of a cluster or outbreak.
1st QR-based visitor logs tool for CT was @Selangkah_my Launched 5/5/2021 @my_sejahtera Check-In was launched 2/6/2021
What sets them apart? 1. The level of Analytic Sophistication 2. The ease of use for Health Care Workers (HCW)
CT automation means sifting through records of visitor logs & DO NOT require MANUAL corroboration.
By using patient’s phone number, @Selangkah_my algorithm sift thru millions of records, to create a list of “probable close contact”, ranked by its importance.
This ranking is important
So it won’t burden Health Inspectors (HI) to test persons who are unlikely to be infected. @Selangkah_my built a proprietary dwell-time algorithm to create a “prioritization” (purple dots)
This automation saved trillions of man-hours & allows digital CT
Thorough & timely CT is KEY to keeping case numbers LOW!
When @Selangkah_my was actively used in Selangor (May-Aug 2020) they managed to keep the positive cases (red line) low.
Whenever cases emerge, S’gor quickly did Find, Test, Trace, Isolate & Support (FTTIS)
Success of @Selangkah_my CT was cut short by MOH & NSC:
18/8/2020: MySJ was made mandatory. Biz were FINED if no MySJ displayed. @Selangkah_my was killed!
2/9/2020: Patient location data previously shared with the State Govt was STOPPED!
Stoppage of visitor logs & patient location data meant Selangor lost its CT ecosystem
From Sept 2020, the de facto CT ecosystem in Selangor was @my_sejahtera which only tracked 4% of COVID cases! codeblue.galencentre.org/2020/11/18/mys…
CASES ARE INCREASING IN SELANGOR NOW BECAUSE OF CT FAILURE. @my_sejahtera Contact Tracing has failed miserably.
See graph showing spiking cases (red line) in Selangor from mid-October 2020-3rd Wave!
MOH & MKN is now paying dearly for disabling the @Selangkah_my CT ecosystem.
The callous judgement call on that fateful day, will forever remain a black dot in the history of COVID-19 data science in Malaysia!
MOH & NSC contributed to the malignant trajectory of the 3rd, 4th … waves of COVID cases, ICU cases, ventilated cases & deaths (Courtesy DrAS)
Pride & Arrogance has got the better of our health and political governance.
Only by taming our Ego, can we triumph COVID & exit the pandemic, together and safely as a nation.
Time to be transparent & share data & allow @mohdhelmi to activate the @Selangkah_my CT ecosystem.
Collaborative and Integrated Real Time Digital Solutions are a pivotal component of the GREAT RESET to: 1. Stay Ahead of the Pandemic Curve and 2. Grow the WellBeing of our nation codeblue.galencentre.org/2021/02/19/sel…
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
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
✅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
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
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?
Kebanyakan kes Pertussis:
✅Terlalu muda untuk vaksin (un-vaccinated) ✅Tak cukup dos vaksin untuk umur (under-vaccinated)
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
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!
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
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!