Mind Maps Muhammad Fariz Fatullah bin Madfaizal
Vaccination
Vaccination would be the best Reopening Disease transmission is
approach to acquire herd the country controlled
immunity
Outbreak risks are minimized
Work together in developing Community are fully
vaccine
educated to live in new norm
EXIT
STRATEGY
Mass Antibody Achieving
Testing Herd
Immunity
Conducting random antibody most of them develop (IgG)
testing antibodies
To detect their population The required level of herd
immune response immunity is unlikely to be achieved
Several countries have A country needs to have mass
started collection mass serological dataset of its community
antibody data
NURUL NABILAH BINTI AHMAD BAZLI MIND MAP
HONG KONG FLU ASIAN FLU SPANISH FLU in Wuhan City, Hubei the outbreak was
(H3N2 VIRUS) (H2N2 VIRUS) (H1N1 VIRUS) Province of China on associated with exposures
December 31, 2019 in a seafood market in
NIPAH VIRUS (1999) Wuhan City.
- Infected 265 Origin of
Malaysians COVID-19 WHO declared the
- 105 killed outbreak of COVID19 a
Pandemics of the public health
20–21st century emergency of
international concern
INTRODUCTION (30 January 2020)
History of Transmission of spread via droplets
Epidemics in COVID-19 in the air and is a
respiratory illness
Malaysia
SARS outbreak COVID-19
(2003)
-claimed only two lives in shed the virus through droplets are typically expelled
Malaysia. spitting, touching their when an infected person coughs
mouths, or noses or or sneezes
possibly through talking
NURUL NABILAH BINTI AHMAD COVID-19 EPIDEMIC PROGRESSION IN MALAYSIA GRAPHIC ORGANIZER:
BAZLI TIMELINE CHART
Second Wave of Outbreak Other Clusters and Case Infection of Vulnerable Population
Concentrations
● people who had international ● The elderly and those with
travel history Other clusters of positive cases in chronic diseases were more
Malaysia were formed from local vulnerable to the infection
● to countries started to manifest mass gatherings and imported
symptoms cases of PUIs traveling from ● Case: the highest among age
oversea countries. group 55 to 64 years
● Clusters of cases:from the close
contacts of confirmed cases who
attended meetings and events
together
January 25 to February 15 3 March to 8 July October 8–Present
February 27 Onwards
First Wave of Outbreak The Sri Petaling Tabligh Third Wave of Outbreak Detected Mutation of SARS-CoV-2 in
Cluster Malaysia
● 8 close contacts of a The number of cases in
confirmed case of a The Sri Petaling Tabligh Sabah worsened after the ● strain A ( closely resembles
Chinese nationality in cluster generated a Sabah state election on that of the bat coronavirus)
Singapore had number of subclusters September 26, where
traveled into Johor especially at Islamic persons who returned from ● strain B (mutated from strain A
educational institutions high-risk areas in Sabah to by a synonymous and a non-
● 2 Malaysian evacuees (madrasah) in several peninsular Malaysia were synonymous mutations)
of humanitarian aid states. also tested positive.
mission from Wuhan ● strain C with a non-
synonymous mutation from
strain B
NURUL NABILAH BINTI AHMAD BAZLI i-THINK MAP: TREE MAP
THREATS AND CHALLENGES
Disease Containment Threats to the Healthcare System
● Enhanced screening at airports, seaports etc ● Burnout and exhaustion among healthcare
● Provide a sufficient supply of PPE and medications workers
● Targeted active cluster identifications
● The use of mobile phone apps namely, MySejahtera ● Sufficiency of PPE, ventilators, ICU, hospital
● Selecting a suitable range of evidence-based
beds
medications ● increasing number of testing per day and
● the speed of vaccine procurement
workload
● adequacy of manpower
NURUL NABILAH BINTI AHMAD BAZLI i-THINK MAP: TREE MAP
MITIGATION STRATEGY
Movement Control Order Enhanced Movement Control Social Distancing Flattening the Epidemic
Order Curve
Phase 1: March 18 to 31 2020 From March 27, specific locations ● the recommended social The implementation of
Phase 2: April 1 to 14 were subjected to a stricter order distancing for the public the MCO, especially
Phase 3: April 15 to 28 called the EMCO. is to be apart from each phases 1, 2, and 3, has
Phase 4: April 29 to May 12 other at a distance of not clearly managed to
All residents are required to: more than 1 m. flatten the epidemic
May 4 onwards: ● remain indoor at all times, curve.
- MCO converted to CMCO ● a medical base is set up, ● but, in some countries like
● door-to-door screening of all the USA and the UK, a
June 10 to August 31: resident social distancing of 2 m is
- RMCO ● all business activities are recommended instead.
ceased except for essential
services.
NURUL NABILAH BINTI AHMAD BAZLI MIND MAP
Reopening the Country Mass Antibody Testing
● conducting random antibody testing
● The MOH has planned a "soft landing" in the red zones areas
as part of its exit strategy.
● Disease transmission is controlled
EXIT STRATEGY
Vaccination Achieving Herd Immunity
● calling for cooperation with other ● Malaysia does not want to risk
vaccine-producing countries. allowing for herd immunity since the
situation is uncertain and there is no
● willing to share her facilities, data, and guarantee that recovered patients
resources. would develop immunity.
TENGKU HUSNA AFINI BINTI T AHMAD SHABIRIN I-THINK
TENGKU HUSNA AFINI BINTI T AHMAD SHABIRIN CONCEPT MAP
TENGKU HUSNA AFINI BINTI T AHMAD SHABIRIN CONCEPT MAP
NURZAYANI MAISARAH BINTI ZOLKEPLI i-THINK : TREE MAP
COVID-19 EPIDEMIC IN
MALAYSIA
INTRODUCTION PROGRESSION
PANDEMIC HISTORY OF ORIGIN OF TRANSMISSION FIRST SECOND WAVE THIRD WAVE INFECTION DETECTED
OCCURRED IN EPIDEMICS COVID-19: OF COVID-19: WAVE: (STARTED ON 27 (STARTED ON OF MUTATION
20th AND 21st OF SARS-
IN -FIRST DETECTED IN SPREAD VIA -FIRST 3 FEBRUARY) EARLY VULNERABLE
CENTURY : MALAYSIA: WUHAN ON 31 DROPLETS IN CASES WERE OCTOBER) POPULATION COV-2
-SPANISH FLU, -SPANISH DECEMBER 2019. CONFIRMED
FLU, NIPAH THE AIR THE SRI OTHER PEOPLE MOST OF MUTATION IN
ASIAN FLU, VIRUS, SARS -WHO DECLARED ON 25 PETALING CLUSTERS RETURNED THE CASE THE VIRUS
HONG KONG AND COVID- THE OUTBREAK OF SYMPTOMS ; JANUARY TABLIGH AND CASE FACILITIES STRAIN
FLU AND H1N1 COVID-19 A PUBLIC FEVER, CLUSTER : CONCENT AFTER CAUSED THE
19 HEALTH 2020. CASES SURGED RATIONS: SABAH WERE VIRUS TO BE
EMERGENCY OF TIREDNESS, IN HIGH SPEED MOSTLY STATE AMONG MORE
INTERNATIONAL DRY COUGH, -BY MOSTLY LINK FORMED ELECTION ELDERLIES
CONCERN ON 30 RUNNY NOSE, FEBRUARY TO THIS TESTED CONTAGIOUS
JANUARY 2020 SORE THROAT THE CASES CLUSTERS FROM POSITIVE AND
INCREASED MASS PEOPLE
OR GATHERIN WITH
BREATHING TO 22 GS AND CHRONIC
DIFFICULTY IMPORTED DISEASES
-NO NEW CASES
CASE FOR 11
DAYS
COVID-19 EPIDEMIC INNURZAYANI MAISARAH BINTI ZOLKEPLI i-THINK : BRACE MAP
MALAYSIA
DISEASE CONTACT TRACING INVOLVES TARGETED
CONTAINMENT ACTIVE CLUSTER IDENTIFIED
THREATS TO THE ISOLATION AND QUARANTINE WERE
HEALTHCARE IMPOSED
SYSTEM
CHLOROQUINE AND HYDROXYCHLOROQUINE
SUGGESTED AT DIFFERENT CLINICAL STAGES
NATIONAL COVID-19 IMMUNIZATION PLAN
WERE ANNOUNCED
CONTACT TRACING AND TESTING WERE NEEDED AS
CLUSTERS EXPENDED BEYOND THE FIRST
GENERATION OF CONTACTS WERE MORE VIGILANT
THE ADEQUACY DESIGNATED HOSPITAL BEDS
ALONG WITH ITS ICU BEDS AND VENTILATORS
THE ADEQUACY OF MANPOWER AND
SUFFICIENCY OF PPE SUPPLY
HEALTHCARE STAFF RISK OF BEING EXPOSED TO
CONTRACTING THE INFECTION THEMSELVES.
NURZAYANI MAISARAH BINTI ZOLKEPLI MIND MAP
EPIDEMIC MITIGATION
PROGRESSION STRATEGY
NURZAYANI MAISARAH BINTI ZOLKEPLIEXIT STRATEGY i-THINK : BRACE MAP
REOPENING THE COUNTRY
MASS ANTIBODY TESTING THE MOH HAS SET SOP FOR
ACHIEVING HERD IMMUNITY THE REOPENING OF THE
ECONOMIC SECTOR AND
VACCINATION BUSINESSES
THE ANTIBODY TESTING HELPS
THE GOVERNMENT TO CONTAIN
THE NUMBER OF SPORADIC
CASES IN THE COUNTRY
MALAYSIA HAS NO CASE OF COVID-19
REINFECTION BY RECOVERED
PATIENTS
THE BEST APPROACH TO ACQUIRE
HERD IMMUNITY AGAINST THE
VIRUS.
MALAYSIA COOPERATED WITH
OTHER VACCINE-PRODUCING
COUNTRIES TO WORK
TOGETHER
AL MA’AWA BINTI KAMARUDIN MIND MAP
in Wuhan City, Hubei
Province of China
(December 31, 2019)
“Asian Flu” Pandemics of Origin associated with exposures
(H2N2) virus the 20–21st in a seafood market
in Wuhan City
century
“Hong Kong Flu” INTRODUCTION
(H3N2) virus
spread via droplets
in the air
Nipah virus (1999) History of Transmission expelled when an infected
-Infected 256 Epidemics person coughs or sneezes
-Killed 105 in Malaysia
SARS outbreak
(2003)
COVID-19 shed the virus through: spitting,
touching mouths, or noses
or possibly through talking
AL MA’AWA BINTI KAMARUDIN GRAPHIC ORGANIZER
January 25 to February PROGRESSION
15(22 Cases) COVID-19
-12 persons under investigation Mutation virus to be more aggressive
-8 close contacts of a confirmed of SARS- and contagious
CoV-2
case of a Chinese nationality in First
Singapore had traveled into Wave
Johor
-2 Malaysian evacuees of
humanitarian aid mission
from Wuhan
February 27 Onwards, 5,945 Cases -The elderly and those with
chronic diseases were more
by April 29 Second vulnerable to the infection
-Case: the highest among
-people who had international travel history Wave Infection age group 55 to 64 years
to countries started to manifest symptoms
-Clusters of cases:from the close contacts of
confirmed cases who attended meetings and
events together
-On March 11, a sporadic COVID-19 positive Third October 8–Present
case was detected Wave
-A tabligh convention held at masjid Jamek -the total number of confirmed
-generated a number of subclusters The Sri cases
-ended on July 8 Petaling was 14,368
Tabligh -Sept 26:becomes worse after the
Cluster Sabah state election
-persons who returned from high-
risk areas in Sabah to peninsular
Malaysia
AL MA’AWA BINTI KAMARUDIN MIND MAP
Disease increasing
Containment number of
testing per day
Sufficiency: and workload
-PPE
selecting a THREATS -ventilators
suitable range of AND -ICU
evidence-based -hospital beds
CHALLENGES
medications
including the speed of
vaccine
repurposed
drugs procurement
Healthcare
System
adequacy of
manpower
AL MA’AWA BINTI KAMARUDIN GRAPHIC ORGANIZER
Movement Control Order Flattening the
Phase 1: March 18 to 31, Epidemic Curve
2020
Phase 2: April 1 to 14 MITIGATION Social Distancing
Phase 3: April 15 to 28 -distance of not <1m
Phase 4: April 29 to May 12 STRATEGY -reduce the transmission
May 4: MCO to conditional Enhanced Movement
MCO (CMCO) Control Order
June 9: CMCO to recovery March 27:
MCO(RMCO) -remain indoor
-essential food supplies are
provided
-entry and exit points: are
guarded
AL MA’AWA BINTI KAMARUDIN GRAPHIC ORGANIZER
EXIT STRATEGY
Reopening the country Mass Antibody Testing
-Disease transmission Conducting random
is controlled antibody testing
-Preventive measures:
schools, workplaces,other
critical locations.
Achieving Herd Immunity Vaccination
Do not take a risk :mass -Work together in
exposure to the virus developing the vaccine
increases mortality. -share facilities, data,
resources
NAME: ‘AQILAH SYAFIQAH SARS viruses persist for days on First Wave Second Wave
BINTI MOHAMMAD YAHYA Outbreak surfaces
THINKING TOOLS: MIND MAP cases in the clusters of cases
(BUBBLE MAP) History of epidemics through spitting, touching first wave were began to form
in Malaysia mouths and noses or talking imported cases from the close
Spanish Nipah contacts
Flu Virus spread via droplets in the air
and is a respiratory illness
Third Wave
Origins of COVID- INTRODUCTION Transmission clusters are total
19 mainly number of
confirmed
Pneumonia of Jan 27,2020: COVID-19 EPIDEMIC concentrating cases was
unknown Chinese EPIDEMIC IN PROGRESSION in the east of
authorities MALAYSIA 14,368
etiology was Sabah
detected in identified a new
type of Sri Petaling Tabligh
Wuhan Cluster
coronavirus
SARS-CoV-2 in
Malaysia the Tabligh convention
attended by 14,500
strain A main virus strain triggered by Malaysians
resembles that for the infection spike mutation
in Malaysia is of of the SARS- up to 5 generations chain of
of the bat CoV from bats transmission among contacts
coronavirus; strain B
strain B mutated
from strain A
NAME: ‘AQILAH SYAFIQAH
BINTI MOHAMMAD YAHYA
THINKING TOOLS: MIND MAP
(TREE MAP)
THREATS AND CHALLENGES
Disease Threats to the
Containment Healthcare System
several areas in Malaysians will priority COVID-tests via home sampling established
Peninsular Malaysia receive successfully (vaccinations) will be with help from the private laboratories
recorded sharp case developed COVID-19 given to frontliners,
increments justifying adequacy of designated hospital beds along
vaccines from inoculation of with its ICU beds and ventilators
localized EMCO multiple sources vulnerable and high-
risk groups (elderly adequacy of manpower and sufficiency of PPE
worldwide supply
and those with
government isolation and comorbidities), frontliners risking their own safety and health
developed quarantine of close before finally and responsible in activities related to COVID19
MySejahtera and reaching healthy
MyTrace apps to trace contacts and adults aged 18 and
people who may be travelers returning
exposed to COVID-19 above
from abroad
NAME: ‘AQILAH SYAFIQAH
BINTI MOHAMMAD YAHYA
THINKING TOOLS: GRAPHIC
ORGANIZER
MITIGATION STRATEGY
Movement Control Order Enhance Movement Social Distancing Epidemic Progression
Control Order
- RMCO: economic, - social presence of within - increase the number of
education, religious, - all residents are required 1 m from a confirmed case available hospital beds
hospitality, and tourism to remain indoor at all times for a duration of not <15
sectors were reopened, but min - increase the medical
with strict SOPs - all entry and exit points in facilities and equipments
the area are guarded, and Flattening the Epidemic
- the MCO incorporated all food deliveries are Curve
implementation of border allowed to deliver only to a
control, control of public designated area - implementation of MCO
movement, and prohibition manage to flatten the curve
of public gathering
NAME: ‘AQILAH SYAFIQAH
BINTI MOHAMMAD YAHYA
THINKING TOOLS: GRAPHIC
ORGANIZER
REOPENING THE contain the spread of COVID-19 at a manageable level
COUNTRY allow economic sector to restart
EXIT STRATEGY MASS ANTIBODY to detect their population immune response to COVID-19
TESTING helps contain the number of sporadic cases
ACHIEVING HERD to gauge the status of population immunity
IMMUNITY Malaysia has no case of COVID-19 reinfection by
VACCINATION recovered patients
to acquire herd immunity against the virus
Malaysia is considered highly suitable for the human
vaccine trials as Malaysia is a multi-racial country