PDF TESL B

COVID
MALA

GKEB 1072 -

PPISMP

-19 IN
AYSIA

- FLIPBOOK

P TESL B

AIDA SABRINA BINTI AMIR Symptoms
HUSAINI @ MAHADI
PPISMP TESLB * fever, dry cough and tiredness
* Runny nose or a sore throat (mild cases)
* Breathing difficulty and organ failure might
develop (severe cases)

Progression In Malaysia

FIRST WAVE OF OUTBREAK (25 JAN – 15 FEB) 22 CASES C

* 25 JAN 2020 - First 3 cases was imported cases (infection acquired from outside * A re
Malaysia) came from the 8 close contacts (worked , traveled or lived together with a * Was de
province
COVID-19 patient) of a confirm case in Singapore had travel to Johor.
* Larg
* 15 FEB 2020 – Case increased to 22 (12 persons under investigation (PUI) , 8 ( typic
close contacts of confirmed cases and 2 cases were Malaysian evacuees of sneez
humanitarian aid mission from Wuhan,China)
* After the 22nd cases,no news was reported for 11 days which formed the first

wave of outbreak in Malaysia. All cases from the first wave were recovered from
the infection.

SECOND WAVE OF OUTBREAK (27 FEB – ONWARD ) 22 CASES

* People who had international travel history started to manifest symptoms.

* Clusters began to form.
- Sri Petaling Tabligh Cluster (largest cluster) : attended by 14500

Malaysian,1500 oversea attendee
: April 29, a total of 33,577 people had been examined, the cluster reported

2,167 cases.

THIRD WAVE OF OUTBREAK (8 OCT – PRESENT ) 22 CASES I

* Highest number of cases : Sabah (8082),Selangor (3357),KL (2853), Kedah (1940) *E
*October 8 , the total number of confirmed cases was 14,368. *
* December 3, the number of cases increased to 69,095. *8

Threat to the Healthcare

COVID-19 TEST

* In the beginning, most tests were carried out in government
laboratories.

* Increasing numbers per day make the private hospitals and
laboratories open their services to help lessen the burden.

ICU BEDS AND VENTILATORS

* ICU beds and ventilators are two critical commodities in times
of crises.

* The government also allocated a special RM500 million budget
to purchase equipment like ventilators and PPE.

Covid-19 STAFF’S HEALTHCARE

espiratory illness * healthcare staff serve to protect the health and wellness of the
etected in Wuhan City, Hubei general population.
e on 31 December 2019
gely spread by droplets in the air * They are the frontliners risking their own safety and health
cally expelled by coughing and and responsible in activities related to COVID-19.
zing)
* MOH has also called on private and retired medical staff to
contribute in COVID-19 management nationwide to avoid
burnout and exhaustion among healthcare workers which
could be detrimental to their physical and mental
health.

Infection of vulnerable population

Elderly and those with chronic diseases were more vulnerable.
Majority COVID-19 cases was highest among age 55 to 64 years old.
81% had chronic diseases such as diabetes, hypertension, and heart diseases

Movement Control Order

* 18 – 31 March ( phase 1 MCO ) * 19 April – 12 May ( ph
* 1 – 14 April ( phase 2 MCO ) * 1 May - 9 June ( CMC
* 15 - 28 April ( phase 3 MCO ) * 10 June – 31 August ( R
* border control, control of public movement and prohib
public gathering and promotion of social distancing.
* Movement control : all non- essential work places, com
COVID-19 establishments, and services were ordered to close dow
MITIGATION
STRATEGY

Mass Antibody Testing

* can be a strategy for countries - detect their populati
response to COVID-19 ( looking for antibodies develope
Virus )
* Malaysia has also considered to conduct random anti
testing in the red zones areas to know the prevalence o
infection in the community, especially among infected p
who have not been detected.

hase 4 MCO ) SOPs
CO)
RMCO) * Social distancing.
bition of * Personal hygiene.
* Appropriate use of face mask.
mmercial * Immediate reporting of COVID-19 case
wn. to the MOH.
* Priority in protecting vulnerable
population (infants, children,
elderly, and handicapped person).
* Sick persons with symptoms to undergo
health screening.
* Social distancing in public transport.
* online transactions.

ion immune Vaccination
ed against the
* Is the best way to achieve herd community
ibody against the virus.
of * Malaysia will cooperate with another vaccine
persons producing countries to develop COVID-19 vaccine.
* Malaysia will be participating in the clinical trials
once the vaccine was done.

Aida Sabrina Binti Amir Husaini @ Mahadi





Challenges Those instructed to
home did not comp
COVID-19
EPIDEMIC Selecting a suitable
medication to be u
IN
MALAYSIA Adequacy of medic

Adequacy of manp

Speed of vaccine p

Economy impact

Responses Implementation of M
Control Order (MCO

Ministry Of Health de
National Guideline o

Government develo
phone apps ( COVID
management )
Cooperation betwee
private healthcare

Implementation of e
recovery strategy

Implementation of st
operation procedure

AINNUR ATIRAH BI

self-quarantine at Designated hospital beds ( ICU beds and ventilators )
ply with the order PPE supply
e evidence-based Quarantine centers
used
cal necessities Malaysia lost RM2.4 billion a day during MCO period
power
procurement Accumulated loss of RM63 billion up to the end of April

Movement Social quarantine / lockdown
O) Conditional MCO (CMCO),Recovery MCO (RMCO),
eveloped the enhanced MCO(EMCO)
on COVID-19 Border control
oped mobile
D-19 MySejahtera
MyTrace
en public and
Social distancing ( not < 1m )
economic Personal hygiene
Appropriate use of face mask
trict standard Immediate report of COVD-19 case to the MOH
e (SOPs) Priority given to vulnerable group
Sick person (symptom) undergo health screening
INTI AZHAR Promotion of online transaction

More vulnerable Infection of
chronic diseases
81% had chronic diseases
such as hypertension, COVI
diabetes, heart disease
Healthcare workers
63% elders were reported due to the exposure
to be in the cases 70% were reported to be infected
outside of the healthcare setting
MOH encouraged the use
of healthcare facilities

Research discovered the 26th case to
be more aggressive

Suggested to triggered by spike mutation
from bats

Strain A : resembles bat coronavirus

Strain B : mutated from strain A
(synonymous and non-synonymous

mutations) & in Malaysia

Strain C : non-synonymous mutation
from strain B (also present in Malaysia)

AISYA JAHEER

Local mass gatherings
Imported cases from PUI travelled from other countries
Attended meetings and events altogether

Developed respiratory
infection

Traveled outside of
Malaysia

Being in close contacts

ID-19 Sabah states election on Sept 26 Being in close contacts

d Sudden outbreak of Evacuees of humanitarian
gs Sabah’s cases aid missions

RA BT ZULKIFLI Sri Petaling Tabligh Cluster

Among the PUI (Person
Under Investigation)

Via droplets in the air

Tiredness
Fever
Sneeze
Dry cough
Runny nose and sore throat

Practice Social Distancing Challenges Suitable range of evid
1. Avoid contact with someone
2. Avoid non-essential transport Did not comply with
3. Work from home
4. Avoid gatherings Deficiency of hospit
5. Use telephone to contact beds and ven

essential services. Inadequate of me

Concern about the
procurement from
Manpower and su

COVID-19 Methods of
case

identifications

Responses Practiced with social
Collaboration with pu
AISYA JAHEERA BT ZULKIFLI Implemented the MC
Implementation of bo
Prohibition of public

dence-based medicine Led to be in designated
self-quarantine’s order quarantine centers

tal beds, ICU called on private and
ntilators retired medical staff

edical staff

speed of vaccine
m other countries

ufficiency PPE

Targeted active cluster identification EMCO imposed strict
no in-out movement

Enhanced screening &
collaborations with interagency

A few of mass sampling areas nationwide

Urged the use of technology via mobile MySejahtera and
phone MyTrace apps

distancing Self-quarantine

ublic and private healthcare Identifying high-risk districts
CO (Movement Control Order) (green, yellow, orange and red)

order control Cross-district and cross-state
c gathering level were prohibited

Strict SOP (standard operating procedures)

Closely resembles that of Strain A
the bat coronavirus
Strain B Variants
Mutated from strain A by synonymous
and non-synonymous mutations Strain C

Mutated from strain B with a Caused the virus to be more
non-synonymous mutation aggressive and contagious

All three major variants are Mutation
present in Malaysia

Challenges COVID-19
Malaysi

Nationwide reached a maximum of Increasing number of Threats to the
16,635 rRT-PCR tests per day testing per day healthcare system

Each healthcare staff involved Adequacy of manpower &
must be provided with the sufficiency of PPE supply
appropriate level of PPE
Amount of healthcare staff
Some ministry healthcare staff
have been tested positive for The adequacy of hospital's
COVID-19 ICU beds and ventilators

CHEN YI

Droplets are expelled when an infected
​person coughs or sneeze

Transmission Spread via droplets in the air

Shed through splitting, touching
o​ ne's mouths/noses, talking

Fever

Common Dry cough

Tiredness

Infection Symptom Light Runny nose
Outbreaks Sore throats

Severe Breathing difficulty
Ultimately organ failure

Elderly

Vulnerable Diabetes
population

People with chronic Hypertension
diseases
9 in Epidemic
ia Progression Heart disease
January 25 to February 15, 2020

First Wave 12 PUI
Second Wave
22 Cases 8 Close contacts

2 Malaysian evacuees of
humanitarian aid mission
from Wuhan

February 27, 2020 onwards

5,945 cases Sri Petaling
by April 29 Tabligh Cluster

Other clusters &
case concentration

Mainly concentrating Worsened after Sabah
the east of Sabah state election on Sept 26

Third Wave October 8 to present
14,368 cases on Oct 8

YANG 69,095 cases on December 3

R

Disease Containment Movement Control Conditional Movement
Order (MCO) Control Order (CMCO)

Enhanced screening Key measures Announced by the Prime Min
Implementation of border control May 1, 2020.
Interagency collaborations at entry points. Control of public movement Continued until June 9 befor
Prohibition of public gathering RMCO.
Bolster sampling at health clinics & hospitals. Promotion of social distancing Partial opening of the econo
Cross-district & cross-state
Designation of hospitals & laboratories nationwide Implemented when the number of prohibited unless for work a
as "treating" and "sampling" centers. COVID-19 cases started to escalate. permission from the police.
Total lockdown period was intended Reinstated in the state of Sa
Empowering the public health surveillance system. for 8 weeks. Oct 13.
Phase 1 Reinstated in Klang Valley fr
Robust contact tracing onwards.
March 18 to 31, 2020 Reinstated in other states in
Adequate stockpiling of personal protective Phase 2 Malaysia except for Perlis on
equipment (PPE) & medications needed.
April 1 to 14, 2020 CHEN YI
A nationwide call for attendees to come forward Phase 3
for testing.
April 15 to 28, 2020
Justified localized Enhanced Movement Control Order Phase 4
to particular areas.
April 29 to May 12, 2020
Developed MySejahtera & MyTrace apps to assist
COVID-19 outbreak management.

Three T's of "trace-test-treat"

Isolation and quarantine of close contacts and travelers
returning from abroad.

Returnees and close contacts were quarantined for 14 days.

Make sure Malaysians will adequately receive successfully
developed COVID-19 vaccines.

Responses for
COVID-19 in
Malaysia

Recovery Movement Enhanced Movement More Migration
Control Order (RMCO) Control Order (EMCO) Strategies

nister on June 10 to August 31, 2020 EMCO may be enforced in Social distancing
potentially explosive localities
re entering Sectors were reopened with Be apart of each other more
strict Standard Operating All residents are required to than ​1 meter.
omic sector Procedures remain indoors at all times.
travel were Reopening the country
Reopened Sectors A medical base is set up.
and with prior Reopening of the country's economic
Economic Door-to-door screening at all & public sectors on May 4
abah on residents for COVID-19 is
Education conducted. Due to the damaging impact of
rom Oct 14 lockdown on the economy.
Religious All business activities are ceased
Peninsular except for essential services. Mass Antibody Strategy
n Nov 9. Hospitality
All entry and exit points are To detect immune response to
Tourism guarded. COVID-19.

Essential food supplies are Helps to contain the number of
provided for free. sporadic cases in the country.

Food deliveries deliver only to a Achieving Herd Immunity
designated area.
Might overwhelm a country's
YANG healthcare system

Lack of evidence that recovered
patients may develop immunity.

Malaysia does not want to
take the risk.

Vaccination

Malaysia is considered suitable for
human vaccine trails as it's a multi-
racial country.

EPIDEMIC PROGRESSION

COVID-19

CHALLENGES Selecting su
The speed o
The adequa
The adequa

People didn

PISMPTESLB0622 Far

First wave Most cases were imported cases or of Chinese nationality

Close contacts from Chinese nationality in Singapore

Malaysian evacuees of humanitarian aid mission from
Wuhan

The Guidelines for COVID-19 Management in Malaysia was
developed

Second wave The Sri Attended by 14,500 Malaysians and 1500
Petaling oversea attendees
Tabligh
Cluster Largest cluster of COVID-19

Generated a number of subcultures
especially at madrasah

Other Clusters Formed from local mass gatherings
and Case & imported cases

Concentrations Visitors who believed to have
been exposed will do screening

Third wave Infection of Elderly (55-64 years old) and those
Vulnerable with chronic diseases in Malaysia
Population
Encouraged the use of
PharMarchy Value Added Service

Detected Virus became more aggressive and
Mutation of contagious
SARS-CoV-2
Discovered through 26th case who
had travel history to Shanghai

uitable range of evidence-based medications to be used in Malaysia
of vaccine procurement
acy of designated hospital beds/ ICU beds/ ventilators
acy of manpower and sufficiency of PPE supply

n't comply the self quarantine order

rah Husna Binti Abdul Rahman

First initiated for 2 weeks from PISMPTESLB0622- Far
March 18 to 31, 2020 Abdul Rahm

Enforced through the Prevention
and Control Infectious Diseases

Act 1988

Implemetation of border
control, control of public
movement, prohibition of

public gathering and
promotion of social distancing

Increase number of RESPO
hospital beds/ICU beds &

setting up temporary
medical facility

Ordering medical
ventilators & PPE

To acquire herd community Conducte
zone
Calling cooperation with other
vaccine-producing countries

Willing to participate in
clinical trials

rah Husna binti Enforced in localities within each red
man ditrict

Remain indoor at all time/ medical
base is set up/ door to door
screening

Food deliveries allowed to deliver to
designated area only

ONSE Essential food supplies are provided
for free
ed in the red
es areas Be apart from each other <1m
Avoid contact with someone

with symptoms/ Avoid
gatherings

Avoid non essential use of
public transport

Work from home/ use
telephone or online services
To detect population
immune response

COVID-19 EPIDEMIC PROGRESSION IN MALAYSIA
Second Wave of Outbreak

First Wave of Outbreak (February 27 Onwards,

5945 Cases by April 29)

January 25,2020 February 15 After the New cases March 10
First 3 imported Number of 22nd appeared 129 cases
cases (8 close cases case, no (PUIs, close
contacts of a increase to new contacts,
confirmed case 22 case for evacuees of
of Chinese 11 days humanitarian aid
nationality in missions
Singapore had
traveled into
Malaysia)

Infection of Vulnerable Population Third Wave of Out

The elderly Age group Case fatalities Most significant numbe
and those 55 - 64 years - 63% above 60 of cases was recorded
with chronic (highest years old Sabah
disease are cases) - 81% had chronic ( September 26 Sa
more diseases state election )
vulnerable

Detected Mutation of SARS-CoV-2 in Mal

The Institute for Medical Research later The COVID-19 disease, which is
discovered a possible mutation in the virus strain caused by the SARS-CoV-2 has been
isolated from the 26th case, which might have suggested to be triggered by spike
caused the virus more aggressive and contagious mutation of the SARS-CoV from bats,
which enabled it to infect humans

The Sri Petaling Tabligh Cluster

March 15 Generated • March 19 June 11
Number of daily a number of Traced 10650 attendees • Represented
new cases surged subclusters and detected 513 positive
from 41 to 190 cases 38.9% of the
across all states (a • April 29 total positive
COVID-19 case in 33577 people had been cases
Brunei attended examined, 32590 samples • The number of
the tabligh taken from the tabligh deaths
convention which cluster [2167cases (6.5% of constituted
was attended by total samples taken and 28.1% of all
14500 Malaysians) 36% of total 5945 cases)] deaths

tbreak (October 8 - Present) Other Clusters and Case
Concentrations

er October 8 (14368 cases) A cluster from a 601 cases (non-
in December3 (69095 cases) PUI Malaysians: most
(travel history to were nationalities
abah Bali) from Indonesia and
• 43 cases the Philippines)
• 3 deaths

laysia LAU CHEN SIN

The main virus strain for the infection in
Malaysia is of strain B
( found exclusively in East Asia)

44 cases of pneumonia of unknown etiology were reported in China Origin

Chinese authorities identified a new type of coronavirus

The outbreak was associated with exposures in a seafood market in
Wuhan City

WHO declared the outbreak of COVID-19 a public health emergency
of international concern

The virus is mutating into transmissible forms

Cases spread all over Malaysia after the conclusion of the assembly COVID
with attendees returning to their hometowns EPIDEM

Infected international participants later spread the virus to their native Disease containment IN
countries MALAY

Repurposed drugs found to have no significant beneficial effect on
the treatment and prophylaxis of COVID-19

The regimens had little or no effect on 28- day mortality or the in-
hospital course of COVID- 19 among hospitalized patients

The whole healthcare system may be stretched thin with improper Threats and challenges
management and administration

The adequacy of designated hospital beds along with its ICU beds
and ventilators will come into question

The scarcity of PPE in certain parts of the world has led to infections Threats to the healthcare system
and deaths of healthcare staff from COVID-19 infection

Burnout and exhaustion among healthcare workers

Some 325 ministry healthcare staff has been tested positive for
COVID-19

LA

Transmission Largely spread via droplets in the air and is a respiratory illness

Infected persons keep shedding the virus after they recover for
around two weeks

Infected persons with mild or no symptom can have a very high viral
load in their upper respiratory tracts

Movement control order A phase 1 MCO was first iinitiated from March 18 to 31 (2 weeks)
due to escalating of cases (second wave )

The total MCO period was intended for 8 weeks due to extension

Enhanced movement control order Employed a targeted approach in tackling the COVID-19 epidemic by first
identifying high-risk districts and localities and may enforce EMCO in them

7 EMCO's were designated with the assistance of the police and armed
forces (April 23)

D-19 Social distancing Recommended to be apart from each other at a distance of not < 1m
MIC To reduce social interaction between people
YSIA
Epidemic progression Research predicted an epidemic peak of 5070 active cases by April 12, 2020
Mitigation strategy Efforts were made to increase the number of available hospital beds

AU CHEN SIN Flattening the epidemic curve 2596 cases on April 5 (highest) is 51.2% of the predicted cases
The implementation of the MCO flattened about half of the epidemic curve

Exit strategy Strategizing for an exit strategy to reopen the country to revitalize economic sector and activities

WHO announced 6 conditions a country must acquire before lifting a lockdown and
that criteria has been met by Malaysia

The social and education sectors may have to wait a longer period and the travel
ban may continue after MCO is lifted

Reopening the country Planning an exit strategy that will both help contain the spread of COVID-19 at a
manageable level and allow economic sector to restart (loses about RM 2.4 billion a
day during MCO )

Announced a reopening of the country's economic and public sectors on May 4

Categories of industries and businesses are not permitted to operate (involving
public gatherings and body contact )

Local public movement must be within a state

International borders remained closed to entering foreigners and exiting Malaysians

Set SOPs for the reopening of the economic sector and businesses starting May 4

Mass antibody testing Considered conducting random antibody testing in the red zones areas to
know the prevalence of infection in the community(especially among infected
persons who have not been detected )

Antibody testing helps to contain the number of sporadic cases in the country

The required level of herd immunity is unlikely to be achieved with
the current level of natural population exposure to this pandemic

Achieving herd immunity Mass exposure to the virus in the hope of achieving herd immunity
could result in increased mortality

Does not want to take the risk of allowing for herd immunity

Has no case of COVID-19 reinfection by recovered patients

The best approach to acquire herd immunity against the virus

Vaccination Vaccine only be available within 1 to 1.5 years

Willing to participate in the clinical trials once the vaccine is made available









AMIR



AMI

IR

= First wave of outbreak in
Malaysia
A new type of corona
virus has been (25/1/2020 until 15/2/2020)
[22 cases]
identified in China
(2019-nCoV)

First three cases 15 out of 22
in Malaysia were cases in the
first wave were
imported
imported

Second wave of Third wave of outbreak
outbreak in Malaysia in Malaysia

(27/2/2020 onwards) (8/10/2020 until present)

Sri Petaling Tabligh Malaysians that Sabah recorded Many people who
cluster where 14 attended the several large came back from
500 Malaysian
attended a tabligh tabligh returned to clusters of cases Sabah state
that had a their states, this election were
confirmed positive tested positive
case caused generation
of many

subclusters

MUHAMMAD HARRIFFUDIN BIN SAUDI

Isolation and DISEASE
quarantine CONTAINMENT

Enchanced THREATS AND
screening CHALLENGES

National Covid-19
Immunization plan

Mass
sampling

Adequacy of beds
and ventilators

Adequacy of THREATS TO COVID -19
manpower and HEALTHCARE
personal protective SYSTEM Reopening t

equiment

EXIT
STRATEGY

MUHAMMAD HAR

Movement Control Has been implemented in
Order (MCO) multiple phases

Controls borders, public movement
and prohibits public gathering

Enchanced Movement Implemented in high risk
Control Order (EMCO) areas

MITIGATION Areas affected has no in and
STRATEGY out movement

Avoid contact with
people

Social Work from home if
distancing possible

Soft landing strategy where ban
periods are longer

the country Reopening economic sectors
with conditions

Mass antibody Testing to allow lifting of
testing restrictions

Malaysia has conducted
random testing

Herd immunity through mass virus
exposure unlikely due to increase in
mortality rate

Achieving Herd Malaysia does not use this way to
Immunity achieve herd immunity

Vaccination Best approach to
achieve herd immunity

Malaysia has cooperated to help
develop vaccines

RRIFFUDIN BIN SAUDI

MUH

MUTATION OF VIRUS STRAIN
Strain A Strain B Strain C

LARGE CLUSTERS SHARP CASE INCREMENTS
PENINSULAR SABAH STATE ELECTION

ADEQUACY OF HOSPITAL B

RESPONSE

INTRODUCE STEP DOWN CENTERS

MOVEMENT CONTROL ORDER USE OF PHARMARCHY VALUE ADDED SERVICES

PUBLIC MOVEMENT CONTROL

PHASE 1,2,3 MEDS THROUGH DRIVE THROUGH , POST AND ETC.

CMCO RMCO
EMCO
SPECIFIC LOCATION ENHANCED SCREENING

GUIDELINES FOR COVID-19 MANAGEMENT

MOBILIZE HEALTHWORKERS TO RED ZONE DISTRICTS

HAMMAD NABIL BIN ZULFIKRI PPISMP TESL B
COVID-19 EPIDEMIC IN MALAYSIA

CHALLENGES

ADEQUACY OF MANPOWER AND PPE SUPPLY

RM 2.4 BILLION LOSS PER DAY DURING MCO

BEDS

PANIC BUYING

EXIT STRATEGY

MASS ANTIBODY TESTING

IMMUNE RESPONSE DETECTION

RISK ASSESEMENT

REOPENING THE COUNTRY

CONTROLLED DISEASE TRANSMISSION MINIMISED OUTBREAK RISKS VACCINATION

ESTABLISH PREVENTIVE MEASURES

HERD IMMUNITY

COOPERATION WITH VACCINE-PRODUCING COUNTRIES

SOCIAL DISTANCING

PERSONAL HYGIENE

PROGRESSION OF JANUARY 30: WHO SECOND WAVE , FEB
COVID-19 announced COVID- 27 , SRI PETALING
19 as public health TABLIGH CLUSTER ,
EPIDEMIC IN INFECTION RATE
MALAYSIA emergency of 6.5%
international concern

FIRST WAVE, 22

CASES ( JANUARY

25 - FEBRUARY 15 ) ,

NO DEATH

LARGE THIRD WAVE ( OCT

CLUSTERS 8 - PRESENT ) ,
DUE TO SABAH
MAINLY AT < <
EAST OF
STATE ELECTION
SABAH

CASES SHOT <
BY 381% TO

69095 BY
DECEMBER

3RD

LOCALISED MAJOR DEVELOPMENT OF
EMCO IN SAMPLING MYSEJAHTERA AND
REGARDLESS
PENINSULAR OF THEIR MYTRACE APPS
MALAYSIA NATIONALIT
Y
WITH SHARP
INCREMENTS

OF CASES

MUHAMMAD NABIL BIN ZULFIKRI
PPISMP TESL B

MARCH 11 , SRI PETALING OUT OF 10650
WHO TABLIGH ATTENDEES OF THE
CLUSTER TABLIGH CLUSTER , 513
ANNOUNCED
COVID-19 AS GENERATED A WERE POSITIVE
NUMBER OF
PADEMIC
SUBCLUSTERS

OTHER CLUSTERS < 3347 CASES
APPEAR FROM WERE REPORTED

GATHERING ( CHURCH IN FROM THE
SARAWAK )AND IMPORTED CLUSTER ( MAY

CASES ( RETURNING 21 ) AND THE
MALAYSIANS FROM CLUSTER ENDS
OTHER COUNTRIES ) ON JULY 8 ( ZERO
ACTIVE CASE)

THE GOVERNMENT
ALLOCATED A

BUDGET OF RM3
BILLION FOR
VACCINATION















COVID-19 THREATS TO THE HE
epidemic SYSTEM
in
Malaysia ICU beds and ventilators are tw
times of crises
adequacy of manpower and suf
MOH called on private and retir
contribute in COVID-19 manage
healthcare staff risk being expo
infection themselves

DETECTED MUTATION TRANSMISSION

Possible mutation in the virus strain via droplets of water in a
discovered from the 26th case persisted for days on su
Mutation causes virus to be more contagious through spit
and aggressive touching their mouths o
COVID-19 is triggered by spike mutation of expelled through infect
the SARS-CoV from bats sneezes/coughs
Found the virus in three major variants through talking

Variant A
Variant B
Variant C
main variant in Malaysia is Variant B

ORIGIN SYMPTOMS

Wuhan, Hubei Province of China fever
Detected on 31st December 2019 in China dry cough/ sore th
Origin of the outbreak in Malaysia: a runny nose, breath
passenger from China tested positive difficulties
Detected in Malaysia on Jan 25, 2020 organ failures/ fat

NUR IRDINA BINTI NOR AZHAR ( TESL B )

EALTHCARE DISEASE CONTAINMENT
MOH comes out with a comprehensive preparedness
wo critical commodities in plan
enhanced screening
fficiency of PPE supply active case detection
red medical staff to robust contact tracing
ement adequate stockpiling of personal protective
osed to contracting the equipment (PPE) and medications
MOH distributed the national Guideline on COVID-19
Management
active cluster identification
EMCOs imposed strict no in–out movement
imposed isolation and quarantine

air WAVES OF OUTBREAK
urfaces
or noses o FIRST WAVE
ted person Jan 25- Feb 15 2020 ( 22 cases)
First three cases in Malaysia are imported cases
hroat Guidelines for COVID-19 Management in Malaysia was
hing developed by MOH
talities
o SECOND WAVE
Feb 27 onwards ( 5945 cases by April 29)
People who travelled overseas started to manifest
symptoms
Clusters started to form when they held social events
Sri Petaling Tabligh Cluster

largest cluster in Malaysia
MOH urged all tabligh attendees to contact district health
offices

Malaysia announced Movement Control Order (MCO)
o THIRD WAVE

Oct 8- present
Several clusters reported in Sabah
Largest cluster reported is Benteng Lahad Datu cluster
led to several subclusters such as Tawau Prison cluster
number of cases worsened after Sabah state election on
Sept 26

MOH - ministry of health