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Dr Musa Nordin Profile picture
@drmusanordin
Sep 22, 2021 • 7 tweets • 3 min read • Read on X
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Keberkesanan Vaksin Pfizer & Moderna Melawan Delta
Dikalangan 5.6 Juta  Warga Emas 🇺🇸 >65 tahun
✅2.7 Juta Pfizer
✅2.9 Juta Modera
➡️148K Infeksi Breakthrough (2.6%)
➡️30K Masuk Hospital (20%)
➡️9.4K Masuk ICU (34%)

humetrix.com/powerpoint-vac… Image
✅Kadar Infeksi Breakthrough (IB) ➡️2.6%
✅Kadar masuk hospital IB ➡️20% (32% Mar-Dis 2020)
✅Kadar masuk ICU ➡️34% (32% Mar-Dis 2020)
✅Kadar mati➡️2.2% (12% Mar-Dis 2020) Image
✅Perlindungan dari masuk hospital ⬇️ dgn masa
✅Keberkesanan vaksin ⬇️ dimasa 5-6 bln > 3-4 bln lepas vaksinasi
✅Risiko Infeksi Breakthrough masuk hospital ⬆️ 2.5X ganda 6 bln lepas vaksinasi Image
⬇️ Perlindungan berlaku untuk kedua vaksin Pfizer dan Moderna Image
Lagi tua lagi ⬆️ risiko berlaku Infeksi Breakthrough dan masuk hospital Image
Infeksi covid terdahulu + vaksin memberi perlindungan yg baik ➡️ Imuniti Hybrid ImageImage
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More from @drmusanordin

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

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

m.facebook.com/story.php?stor…
Read 5 tweets
Dr Musa Nordin Profile picture
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


Image
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Image
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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
Dr Musa Nordin Profile picture
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
Dr Musa Nordin Profile picture
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
Dr Musa Nordin Profile picture
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
Dr Musa Nordin Profile picture
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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