PM, NSC, KKM, MOSTI putting all their eggs in the Vaccine Basket!
No one is doubting importance of ramping up V-rollout.
BUT it must NOT be done at the expense of FTTIS.
Protection for individual is at least 5 weeks after 1st dose.
Protection for nation earliest 4th quarter (1) ImageImage
Meanwhile we must ramp-up Testing!
We must detect the infected, isolate them and stop them from becoming outbreaks or clusters
Ramp-up Testing to drop Positive Rate <5%
Conservative estimate of daily test is 1% of the unvaccinated population Image
We’ve vaccinated 5 Million
Test required = 1/100 X 27 Million = 270,000
Tests from 19/7-21/7 =107,495 (11.06%)
Positive rate since May 2021 >5%
We can do 350-400K vaccinations daily but not Testing. Why?
Testing tak glamor berbanding dgn Vaksin ke?
bfm.my/podcast/evenin…
WHO syor:
Tingkat akses ujian secara percuma
Luaskan penjujukan genom
Beri insentif kpd yg jalani kuarantin
Asing kes positif.
Kesan kontak utk putuskan rantai penularan
Beri vaksin kpd golongan risiko tinggi.
FTTIS-V adalah ABC pengurusan pandemik

bharian.com.my/dunia/eropah/2…
Wake Up Call for PM, NSC, PPN, MOH, GKVTF, MOSTI et al
UK, Israel & Holland are well ahead of us in Vaccine Coverage
Yet are experiencing exponential spikes of Delta covid!
Stop putting all your eggs in the Vaccine Basket ImageImage
Big time Vaccine push and indifference to the back to basics of Public Health (PH) is insane!
This is not a push & pull between Vaccines & FTTIS
Both are integral components of Public Health Pandemic Management
bfm.my/podcast/evenin… ImageImage
24/7/2021 155K people tested/day (Positive Rate 10.2%)
23/7/2021 500K vaccine doses/day
This chronic marginalization of FTTIS since May 2021 has kept our Positive rate >5% ie Pandemic Out Of Control Image
Speed is of the essence
It took KKM 6 months before decanting non-covid & creating more covid hospitals
GKVTF had to be pushed to kickstart “CAC Maya” an idea mooted since Jan 2021
Is it any wonder we are in this terribly deadly mess?
Our rakyat are dropping dead like flies! Image
We need new guys at the helm of KKM, not old tired faces, short on ideas, biz as usual mindset.
They’ve failed us since Oct 2020.
The present is like a 6pm news reader churning out numbers with no serious strategy to exit the nation out of this pandemic drmusanordin.com/2021/05/23/pkp… Image
I’d advocate an authentic Public Health Physician from the army to helm KKM.
Not a surgeon or obgyn etc please.
For strategic leadership, precision, coordination and regimented logistics
of our broken hospital & ICU services
Time, Tide and Delta waits for no man! Image

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More from @drmusanordin

23 Jul
Our 3rd visit to CAC Stadium Melawati 23/6/202 @DrDzul
We were expecting to see a smaller crowd since KKM on 14/6 declared Cat 1&2 DO NOT need to go to CAC
They will be digitally monitored from home
We were disappointed!
By 6am the crowd was piling up!
The CAC expect about 5K!
Lorong diluar khemah hadir diCAC untuk potong gelang pink.
Mereka kini beratur sampai hujung jalan 550m!
Yang dibawah khemah -6 saluran kes baru covid.
Saya agak 90% covid kategori 1-2
Mereka tak sepatut ada disini.
Boleh dipantau dari rumah
Tengok baby tu-KKM tak kesian ke?
9 hari telah berlalu tetapi KKM masih lagi tidak operasikan pemantaun digital dirumah!
Greater Klang Valley Task Force (GKVTF) gagal untuk operasikan kaedah baru ini!
Pimpinan KKM mungkin sibuk siapkan protokol cantik diPutrajaya selama 9 hari … atau mungkin sibuk selfie?
Read 9 tweets
18 Jul
In influenza, hemagglutination inhibition (HAI) titer of 1:40 is thought to provide 50% protection from infection
This assay is used to predict Vaccine Efficacy (VE) and to assist in the annual reformulation of seasonal influenza vaccines.
 ema.europa.eu/en/documents/s…
Neutralizing antibody levels is highly predictive of protection in COVID
This apart from T cell responses or B cell memory responses as additional potential correlates of protection.

nature.com/articles/s4159…
Analysis of the relationship bet in-vitro neutralization levels & clinical protection suggested:
Neutralization level for 50% CLINICAL protection = 20.2% of mean convalescent level (14.4–28.4%)
For 50% protection from SEVERE infection = 3% of mean convalescent level (0.7–13%)
Read 8 tweets
5 Jul
The site KKM quoted is a conspiracy theorist
Pseudo-science they are propagandist
OMG! KKM dah termasuk dalam list
Senarai quack doctor yang specialist
PSI quoted WHO interim guidance out of context
KKM please read the full WHO text
Be wary of the PSI false pretext
Or become a victim of fake news next
who.int/publications/i…
KKM wanna rationalize their reduced testing
They quoted PSI a site known for cheating
Less than 5% KKM must be targeting
Then we will achieve cluster busting
Read 5 tweets
4 Jul
WHO kan dah suruh RTK-Ag testing
MOH marah & asyik melenting
We all buat digital contact tracing
MOH masih lapuk dgn telephoning
 
Ada one video on test, trace and vaccinate
It’s citizens it helps to educate
Based on science that’s so very accurate
MOH masih lagi procrastinate?
Jan 2020 dah suruh MOH decanting
Non-COVID patients they shouldn’t be keeping
So care of COVID they will be specializing
Better survival rates we will be showing nst.com.my/news/nation/20…
Because of MOH arrogance and failed viewpoints
And refusal to listen to counterpoints
The MOH is now past breaking point
Oh! What an utter disappoint
Read 4 tweets
1 Jul
Wait & See Lagi!
AZ followed by Pfizer vaccines generated a robust immune response
BETTER antibody response than AZ-AZ
Obviates rare risk of blood clots
Highest T-cell response  > P-P or AZ-AZ or P-AZ
Offers flexibility
Address late/low supply issues
 
thelancet.com/journals/lance…
Fortified by Spanish study
AZ-P antibody response 3.5X that of AZ-AZ
Only 1.7% participants reported headache, muscle pain, malaise
 
reuters.com/business/healt…
Whilst JKJAV wait & see or worst still procrastinate …
Canada, South Korea, Bahrain, Spain, Italy, Germany, UAE are going ahead with the mix & match schedule

reuters.com/world/middle-e…
Read 5 tweets
28 Jun
Selepas kajian Sepanyol, kajian UK juga sahkan bahawa:
1. Kombinasi AstraZeneca(AZ)-Pfizer(P) natijahkan respon antibody & sel memori melebihi AZ-AZ
2 Respon antibody tertinggi dgn P-P
3 Respon sel memori tertinggi dgn AZ-P

bbc.co.uk/news/health-57…
Kombinasi AZ-P:
1. atasi risiko darah beku AZ yang jarang berlaku namun lebih tinggi jika umur<50thn
2. tingkatkan perlindungan dari covid termasuk mutasinya
3. kombinasi lebih anjal
4. atasi isu kurang bekalan vaksin
MOH & JKJAV mesti pertimbang ASAP

reuters.com/business/healt…
Yg telah kena COVID, hanya perlu 1 dos Pfizer BUKAN 2!
COVID+Pfizer tingkatkan antibody 50X ganda!
Mcm ambil 2 dos Pfizer!
MOH & JKJAV jgn membazir vaksin Pfizer dgn memberi 2 dos kpd bekas pesakit COVID!
Alihkan 730K dos kpd yg tidak pernah kena covid.

nature.com/articles/s4159…
Read 4 tweets

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