Published on August 9, 2020
1. CURRENT SITUATION OF COVID-19 IN MALAYSIA NAZIHAH BINTI JAMALUDIN GS57611 ESC5113 – ENVIRONMENTAL RISK ASSESSMENT
2. Current situation by WHO Region (updated 25th July 2020) Source: https://covid19.who.int/ INTRODUCTION
3. Current situation South-East Asia (updated 25th July 2020) Source: https://covid19.who.int/
4. CURRENT STATUS IN MALAYSIA Source: http://covid-19.moh.gov.my/
5. CURRENT STATUS IN MALAYSIA
6. BATTLE AGAINST COVID-19 – HOW DO WE DO IT? • On 16 March 2020, Prime Minister Muhyiddin Yassin made an official speech and officially promulgated the Movement Control Order (MCO) under the Prevention and Control of Infectious Diseases Act 1988 and the Police Act 1967. • On 18 March 2020, Malaysia began the implementation the movement control order. On 25 March 2020, the prime minister through a live national broadcast announced the first extension of the MCO to last until 14 April 2020. • Goals: Containment of the pandemic • Methods: 1. Prohibition of movement and mass assembly nationwide, including all religious, sports, social and cultural activities 2. All religious activities in mosques are suspended, including Friday prayers 3. Malaysians barred from leaving the country and restrictions placed on the entry of non- Malaysians into the country 4. All industries closed except for infrastructure services and supermarkets, wet markets, grocery stores and multi-functional stores selling daily necessities 5. All nurseries, government and private schools, including boarding schools, international schools, tahfiz centers, primary, secondary and pre-university education institutions, public and private universities and vocational training centers are closed
7. BATTLE AGAINST COVID-19 – HOW DO WE DO IT? • On 10 April 2020, the prime minister announced a second extension of the MCO by another fortnight until 28 April 2020, noting that his decision was to give space to the healthcare personnel battling the COVID-19 outbreak, apart from preventing the virus from spreading again and to avoid another increase of cases if the MCO is lifted too early. • On the night of 23 April 2020, prime minister announced a third extension of the MCO by two weeks till 12 May 2020, with the possibility of further extensions. Enhanced Movement Control Order (EMCO): Joint inspection by the police and army during the enhanced movement control order on 15 April 2020 From 27 March, specific locations were subjected to a stricter order, dubbed the "Enhanced Movement Control Order" (EMCO or Enhanced MCO), for 14 days if a large cluster was detected within the area in order for the government to conduct a thorough COVID-19 test towards all residents, and to curb the spread of the virus out of the areas.
8. BATTLE AGAINST COVID-19 – HOW DO WE DO IT? The orders included: 1. All residents and visitors within the area are forbidden from exiting their homes during the order; 2. Non-residents and visitors outside the area cannot enter into the area subjected to the order; 3. All businesses are shut down; 4. Adequate food supplies will be given by the authorities during the 14 day-order to all residents; 5. A medical base will be established within the area; 6. All roads into the area are blocked. Semi Enhanced Movement Control Order (SEMCO) From 14 May 2020, Pudu area in Kuala Lumpur comes under semi enhanced movement control order (SEMCO). Soldiers and polices put up barbed wire fences at road exits. It is understood that besides Jalan Pudu, the affected roads are Jalan Kancil, Jalan Pasar, Jalan Landak, Lorong Brunei 2 and Lorong Brunei 3. Several busy commercial districts in the Klang Valley have been put under various lockdowns, including the enhanced movement control order (EMCO).
9. BATTLE AGAINST COVID-19 – HOW DO WE DO IT? Relaxation of restrictions • As the number of daily cases and active cases of COVID-19 reduced in Malaysia by mid- April, the government had relaxed several measures of the MCO. Minister of Transport, Dr. Wee Ka Siong confirmed that all public transportation services would resume on 4 May 2020 but would abide by social distancing measures. • On 30 April 2020, the Government announced that two family members will be allowed to buy food and other daily essentials as part of the relaxation of MCO restrictions. • On 21 June 2020, Senior Minister, Ismail Sabri Yaakob announced that couples whose marriage registration had been delayed as a result of the Movement Control Order could not complete the process at all permitted NGOs in the country including clan organizations, temples, churches, and religious bodies.
10. BATTLE AGAINST COVID-19 – HOW DO WE DO IT? Conditional Movement Control Order (CMCO) • Prime Minister in his Labour Day speech on 1 May announced a plan named the Conditional Movement Control Order (CMCO or Conditional MCO), a relaxation of regulations regarding the MCO, with its main goal was to reopen the national economy in a controlled manner. • The CMCO was scheduled to start from 4 May. • The regulations of the CMCO as stated in his speech included: 1. Most economic sectors and activities are allowed to operate while observing the business standard operation procedures such as social distancing and recording the names and telephone numbers of customers and the dates of their visit; 2. Sports activities involving large gatherings, body contact and other risks of infection are not allowed, including all indoor and stadium sports events. Outdoor sports activities which do not involve body contact, in small groups without an audience and involving not more than 10 persons are allowed on the condition that social distancing is practiced; 3. Social, community and cultural events which involve large gatherings as well as all types of official events and assemblies are not permitted. Religious activities and all congregational or assembly activities in houses of worship are not allowed; 4. Interstate travel, including the balik kampung tradition for the oncoming Hari Raya Aidilfitri are not allowed except for work purposes and to return home after being stranded in the hometowns or elsewhere.
11. BATTLE AGAINST COVID-19 – HOW DO WE DO IT? Recovery Movement Control Order (RMCO) • On 7 June 2020, Prime Minister announced that the Conditional Movement Control Order would end on 9 June 2020, with the country entering into the Recovery Movement Control Order (RMCO) phase between 10 June until 31 August 2020. • The Prime Minister also announced that interstate travel would be allowed from 10 June under the RMCO except in areas remaining under the Enhanced Movement Control Order (EMCO). • The summary of the MCO: Phase 4 : 29 April - 12 Mei 2020 Phase 5 (CMCO) : 13 Mei - 9 Jun 2020 Phase (RMCO) : 10 Jun - 31 Ogos 2020 Phase 1 : 18 Mac - 31 Mac 2020 Phase 2 : 1 April - 14 April 2020 Phase 3 : 15 April - 28 April 2020
12. BATTLE AGAINST COVID- 19 – HOW DO WE DO IT? Recovery Movement Control Order (RMCO) • Raya-RMCO-Style • The Recovery Movement Control Order (RMCO) is slated to run until 31 August 2020. The implementation of RMCO will be based on protection of risk groups, community responsibility empowerment, embracing the "New Normal", re-opening of all sectors of the economy, border control, and enhanced public health.
13. BATTLE AGAINST COVID- 19 – HOW DO WE DO IT? WHAT YOU NEED TO KNOW ABOUT RMCO? Interstate Travel • Interstate traveling will be permitted except to and from red zones • Domestic tourism can start again • For international travelling, the country's borders are still shut Businesses and Leisure • During RMCO, almost all social, religious, business, and educational activities are allowed to resume in stages— including hair and beauty salons and open markets (starting 15 June) • In fact, operation hours for businesses are to resume as normal with adherence to strict standard operating procedures (SOP). The SOP for visiting markets and bazaars are also available now • Filming and indoor busking will be permitted as well as visiting museums and creative outlets • Government has given the green light to Hari Raya Aidiladha celebrations and Qurban activities. However, organizers are required to enforce and follow SOPs • An announcement will be made regarding allowing more worshippers to join congregational prayers at mosques and surau • Some things that are barred during RMCO are large gatherings, reflexology centers, karaoke centers, theme parks, and nightclubs • During RMCO, shops (including restaurants, convenience stores, and mamaks) will be allowed to open until 12am
14. BATTLE AGAINST COVID- 19 – HOW DO WE DO IT? WHAT YOU NEED TO KNOW ABOUT RMCO? Sports • Recreational activities and sports are allowed during RMCO. But sports events, competitions and contact sports are still prohibited - includes hockey, football, boxing, wrestling, and rugby • Allowed to cycle and go for activities such as bowling, archery, and badminton • Gyms, sports complexes, and badminton halls will be able to operate starting 15 June 2020 • When exercising, Malaysians need to practice social distancing of three to five meters Schools • The Education Ministry will make an announcement soon but schools will re-open in stages. Students have been on an extended school holiday since 14 March 2020 • Education Minister Mohd Radzi Md Jidin said that only Form 5 & Form 6 students will be involved in the re-opening of schools for now Home Quarantine • Malaysians returning from abroad no longer have to be quarantined at designated quarantine centers • They will be given a swab test upon landing and those who test positive will be sent to the hospital. As for Malaysians that test negative for COVID-19, they are required to quarantine at home for 14 days. The two-week period is mandatory • "they are required to download the MySejahtera application and wear the quarantine wristbands for identification purposes. Their movements will be monitored through the MySejahtera application"
15. THE STRATEGY
16. THE STRATEGY WE MUST STOP THE CHAIN
17. THE STRATEGY
18. THE STRATEGY Current R0 (R-nought): 1.36MCO R0 (R-nought): 0.3
19. RISK MANAGEMENT Guidelines COVID-19 Management In Malaysia No. 5/2020 (Latest Update on 18 July 2020) Annex 1 : Case Definition - 22 MAC 2020 Annex 2 : Management of PUI and Confirmed Case (Revised) - 11 JUN 2020 •Annex 2a : Management of PUI Not Admitted - 22 MAC 2020 •Annex 2b : Management of PUI Admitted - 22 MAC 2020 •Annex 2c : Screening And Triaging - 22 MAC 2020 •Annex 2d : Work Process Of Pre Hospital Care And Emergency And Trauma Department - 22 MAC 2020 •Annex 2e : Clinical Management Of Confirmed Case •Annex 2f : Flow Chart For Home Sampling Of COVID-19 - 22 MAC 2020 •Annex 2g : Survelan COVID-19 Annex 3 : Senarai Hospital COVID dan Pusat Saringan - 24 MAC 2020 Annex 4a : Agihan Makmal Ujian (kemaskini sehingga 18 Julai 2020) Annex 4b : Senarai Pegawai Untuk Dihubungi Untuk Penghantaran Sampel Di Luar Waktu Pejabat, Hujung Minggu Dan Cuti Umum - 22 MAC 2020 Annex 5a : Guidelines on Laboratory Testing For Novel Coronavirus For Patients Under Inevestigation - 22 MAC 2020 Annex 5b : Laboratory Testing For Inpatient - 22 MAC 2020 Annex 5c: Triple Layer Packaging - 22 MAC 2020 Annex 6a: Health Alert Card - 21 MAC 2020 Annex 6b: Mental Health Alert Card - 21 MAC 2020 Annex 7: Notification Form - 21 MAC 2020 Annex 8 : The Infection Prevention And Control (IPC) Measures - 21 MAC 2020 Annex 9 : Management Of COVID-19 At Point Of Entry - 23 JUN 2020 •Appendix 1 : Health Declaration Form COVID-19 •Appendix 2 : Passenger Locator Form (as per WHO/ICAO) - 23 MAC 2020 •Appendix 3 : Report Of Measures Taken On Board The Flight - 23 MAC 2020 •Appendix 4 : Flow chart for screening of travellers and crews at Interntaional point of entry - 19 Jun 2020 •Appendix 5 : Flow chart for PUS at Day 13 updated on 07 JULY 2020 Guidelines COVID-19 Management In Malaysia No. 5/2020
20. Annex 10a : Home Assessment Tool dalam Bahasa Malaysia - 11 JUN 2020 Annex 10b : Home Assessment Tool dalam Bahasa Inggeris - 11 JUN 2020 Annex 11: Protocol For Ambulance Transfer For Patient Under Investigation (PUI) COVID-19 - 22 MAC 2020 Annex 12 : Management Of Close Contacts of Confirmed Case - 23 MAC 2020 Annex 13 : Field Response Activity - 22 MAC 2020 Annex 14a : Order For Supervision And Observation At Home - 11 JUN 2020 Annex 14b : Perintah Pengawasan & Pemerhatian Di Rumah Kediaman - 22 MAC 2020 Annex 15 : Borang Pemantauan Harian Bagi Kontak Rapat Kepada Kes Yang Berpotensi Dijangkiti COVID-19 - 22 MAC 2020 Annex 16 : Borang Senarai Kontak rapat Kepada Kes Confirmed COVID-19 - 22 MAC 2020 Annex 17 : Pelepasan Dari Menjalani Perintah Pengawasan Dan Pemerhatian Di Rumah Kediaman - 24 MAC 2020 Annex 18 : Borang Pemantauan Person Under Surveillance - 22 MAC 2020 Annex 19 : Borang Senarai Person Under Surveillance - 22 MAC 2020 Annex 20 : Interim Guideline For Handling Dead Bodies Of Suspected / Probable /Confirmed COVID-19 Death - 22 MAC 2020 Annex 21 : Management of Healthcare Workers During COVID-19 Outbreak - 05 APRIL 2020 Annex 21a : SOP For COVID-19 Sampling Procedure For HCW - 06 APRIL 2020 Annex 22 : Guidelines On Management Of Coronavirus Disease 2019 (COVID-19) In Surgery - 22 MAC 2020 Annex 23 : Guideline On Management Of Coronavirus Disease 2019 (COVID-19) In Pregnancy - 22 MAC 2020 Annex 24 : Workflow And Work Process For Radiological Examination During COVID-19 Outbreak - 22 MAC 2020 Annex 25 : COVID guide for workplaces - 22 MAC 2020 Annex 26 : COVID guide for Social Distancing - 24 MAC 2020 Annex 27 : COVID guide for special settings - 25 MAC 2020 Annex 27a : Tindakan Pencegahan, Kawalan Infeksi dan Penggunaan Personal Protective Equipment (PPE) di Fasiliti Penjara, Lokap, Depot Imigresen, PUSPEN dan Rumah Perlindungan (Kemaskini 1 Julai 2020) Annex 28 : Dialysis and Nephrology Units - 22 MAC 2020 Annex 29 : Intensive Care Preparedness and Management For COVID-19 Annex 30 : COVID 19 ORL Services - 22 MAC 2020 Annex 31 : Management COVID 19 in Neonates Annex 32 : Quarantine centre - 22 MAC 2020 Annex 33 : Mental health and Psychosocial support - 23 MAC 2020 Annex 34 : Guidelines On The PICU Management of Children With COVID-19 - 07 APRIL 2020 Annex 35 : Guidelines Of Infection Control And Clinical Management Of Sari & Pneumonia Tro Covid-19 Annex 36 : Garis Panduan Pembersihan Dan Disinfeksi Di Tempat Awam - 03 APRIL 2020
21. RISK MANAGEMENT • Malaysia take early prevention – lockdown / movement control order • Proper risk management: no need for panic buying since essential businesses is allowed to operate within limited hours • What Malaysia adapt: personal hygiene, screening, isolation of cases, contact tracing & aggressive interventions • Stay at home – practice social distancing – wear face mask – regular hand wash – use hand sanitizer – close mouth or distance yourself when cough or sneeze
22. RISK MANAGEMENT • Social distancing helps to break the chain of transmission – R0 was 0.3 during MCO – FLATTEN the curve! • Orders violation – Regulation 2020 stated fine up to RM1000, jail up to 6 months or both • DONATIONS: Government received impressive collection on TABUNG COVID-19 • CSR from multinational companies & individuals – donate face mask, PPE, food etc
23. RISK MANAGEMENT • Continue with MCO, social distancing, quarantine & isolation to reduce imported cases, contact tracking used for tracking infectious disease & updated news & reporting on COVID- 19 • Quarantine – those with symptoms are quarantined for 14days at MOH centers while others are self-isolated at home • Contact Tracking – Apps: MySejahtera, Gerak Malaysia, COVCT etc • Reporting – CONTINUOUS reporting to inform the public proactive messaging on healthy behaviours • Communication Provider – eg. Celcom, Maxis, DIGI provide pop-up message on ‘Stay Home Stay Safe’ • MKN updates via messages
24. RISK COMMUNICATION
25. RISK COMMUNICATION Interactive COMMUNICATION – Direct, Precise & Simple 2-way COMMUNICATION Eye-catching messages (SMS, PAMPHLETS, POSTERS ETC) Daily announcement on status by MOH
26. RISK COMMUNICATION • STAY CALM – when facing asymptomatic cases and sudden new clusters • FAIR – did not discriminate migrants in the country – fair treatment to all • BUSINESS – not like usual but and sync to ONLINE SHOPPING – so help boost economy event not in large scale • MAAYSIAN loves to SHOP!
27. RISK PERCEPTION • GOVERNMENT stand for not going around bushes – being direct & truthful in delivering the message of COVID-19 • STAND TOGETHER – no need for fear • People TRUST the government in handling the pandemic • RESPONSIVE – always alert on the current issue • ATTITUDE – Malaysian being patience & supportive • RESPECT – the front liners who are working around the clock to save lives • BONDING – more time spend with the family & work from home • HEALTH – cook at home – develop potential • STAY AT HOME works! • Adapt the new NORMS
28. RISK PERCEPTION
29. RISK MITIGATION
30. RISK MITIGATION 1. ANNEX 25 COVID-19: MANAGEMENT GUIDELINES FOR WORKPLACES 2. ANNEX 26 COVID-19: SOCIAL DISTANCING GUIDELINES FOR WORKPLACE, HOMES AND INDIVIDUALS. 3. ANNEX 27 COVID-19: MANAGEMENT GUIDELINES FOR SPECIAL SETTINGS Guidelines COVID-19 Management In Malaysia No. 5/2020 Malaysia is being: Serious, Dedicated & Committed Malaysia is OBEDIENT Malaysia is going to beat COVID-19!
31. RISK MITIGATION
32. RISK MITIGATION
33. RISK MITIGATION
34. RISK MITIGATION
35. RISK MITIGATION
36. RISK MITIGATION
37. RISK MITIGATION Boarding school – social distancing At school – sit & eat at your desk
38. RISK MITIGATION • MALAYSIA USED: HYDROXYCHLOROQUINE (Malaria Drug) to represssed the COVID-19 • So far we are still against COVID-19. Please practice 3W and adapt to new norm
39. BATTLE ON – DOS’ & DON’TS
40. BATTLE ON – DOS’ & DON’TS
41. BATTLE ON – DOS’ & DON’TS
42. BATTLE ON – DOS’ & DON’TS
43. THANK YOU FRONTLINERS THANK YOU VOLUNTEERS THANK YOU MALAYSIANS STILL ON MISSION – CPRC KLIA (23/7/2020) STAY SAFE STAY FREE COVID-19