Percayalah Covid19 ini benar, ada kes lambat dilapor
Hotel2 1-5 bintang bakal ditutup
APA KATA PAKAR SELANGOR & DR SABAH
Pada asalnya saya ingin menulis mengenai nasib Hotel dan
pekerja2 hotel yg merayu kerajaan membantu mereka. Niat hati ingin memberi
pandangan bagaimana utk menyelamatkan industri ini. Tetapi saya mulakan dulu
dgn ulasan pakar kesihatan sendiri mengenai Pandemik ini agar ia menyakinkan
dan kaitannya.
Sebelum itu sekali lagi saya ingin mengingatkan bahawa Covid19
itu benar ( real ), angka itu benar, Covid19 itu bahaya kpd mereka yg mempunyai
latar belakang penyakit kritkal itu benar dan ia boleh membawa kematian itu
benar.
Kita tak pernah nafikan, yg kita persoalkan cara kerajaan
menguruskannya. Benarkan rentas negeri kemudian tutup ekonomi. Lebih parah
tiba2 darurat. Rakyat mula melihat seolah olah Pandemik ini dimanipulasi. Itu
saja rungutan rakyat dan bukan tidak percaya Covid19. Marilah kita berdoa
dijauhi dari terkena penyakit Covid19 ini.
Artikel ini agak akademik kerana ia diulas oleh pakar. Saya
memilih 2 pakar, seorang agak serius perwatakannya dan seorang lagi jika anda
mengikuti FBnya.... beliau seorang Dr yg kelakar.
Dlm masa yg sama, sewajarnya Tan Sri Noor Hisham berperanan
menenangkan rakyat dgn jumlah angka ini. Sepertimana seorang Kapten Kapal atau
Kapal Terbang....mereka tidak menimbulkan suasana panik dan mahu penumpang
tenang walaupun dlm situasi yg genting.
Wajah serius TS itu sekadar membuat rakyat paranoid. Apa
salahnya beritahu rakyat tidak panik kerana angka yg tinggi adalah kerana
saringan yg besar dilakukan oleh KKM dan pihak swasta.
Jelaskan kenapa KKM lakukan saringan tinggi ini.. KKM bimbang
katil tidak mencukupi dan bimbang ia berjangkit dgn mereka yg mempunyai
penyakit kritikal. Jelaskan mengenai peratusan tinggi pesakit ringan berbanding
5-8% yg kritikal.
Kemudian jelaskan juga kebanyakkan kematian pula adalah mereka
yg mempunyai latar belakang sakit kritikal... tidaklah rakyat panik Tan Sri.
Tidaklah mereka yg makan gaji dgn kerajaan bertengkar dgn peniaga2 kecil... yg
makan gaji mahu PKP dan yg berniaga mahukan ekonomi dibuka.
Hari ini TS Noor Hisyam juga mengakui angka yg tinggi kerana ada
byk kestidak dilapor sebelum ini. Dlm maksud lain ada kes tertunggak yg
menyumbang kpd jumlah yg agak tinggi. Malah beliau mengaku ada data tersebut
adalah dari tahun 2020. Keabsahan angka yg menjadi tanda tanya sehingga
berlakunya PKP dan darurat?
Jadi jgn la kita terlalu panik atau paranoid dgn angka tersebut.
Saya sebenarnya suka juga PKP ini tetapi yg makan gaji dgn kerajaan juga
mestilah sepanjang PKP bercuti tanpa gaji. Baru adil.. bak kata pepatah berat
sama dipikul ringan sama dijinjing. Masa itu baru kita akn dgr satu suara,
"Buka ekonomi kami guru2 tiada duit mahu bayar rumah, kerata dan beli barang
dapur !!!l"
Saya bersetuju dgn pandangan Dr Musa Mohd Nordin yg terkenal yg
terkenal dgn kejujuran bila memberi pandangan. Ujarnya, "It’s all Doom and
Gloom unless..."
___________________________________________________
Sebelum kita membaca beberapa ulasan Dr Musa Mohd saya ingin
anda membaca ulasan Dr Rizin Kusop yg berasal dari Sabah. Kita santai2 dulu dgn
ulasan Dr yg lucu ini. ( Komen beliau apabila kerajaan Sabah mahu 153,250 org
pekerja ladang mahu disaringkan ).
"Ok saja bah kalau mau barabis saring ...
Kadar positif saringan kita sekarang adalah 5 peratus. Siapa
yang pandai kira, cuba jawab berapa tu 5 peratus dari 153 250 orang.
Jawabannya, itu lah jumlah kes yang akan bertambah nanti. Ok
saja bah kalau mau buat saringan ...
Yang tidak ok tu, pura pura takajut tengok jumlah kes naik,
pastu kecoh sini sana, pastu minta kesian sini sana, pastu tutup periuk nasi
orang sini sana, pastu tuduh menuduh, pastu stigma menstigma ...
Benda sudah dicari dan dijangka ... terima saja lah.
Sebelum mula saringan, pikir dulu mana mau letak 7 ribu kes baru
yah ...
Sebelum itu dia juga menulis Dr Rizin menulis dgn sindiran
lucunya...
"Ini pernah saya suarakan duuuuuuulu ..
(Oct 2020) Bahawa tidak perlulah saring semua kontak rapat, suruh
kuarantin rumah sahaja dan hanya mereka yang bergejala sahaja perlu di saring.
Syukur lah KKM sudah mula mengurangkan bebanan frontliners.Buat
apa yang perlu dan lojik sahaja bah. Virus sudah ada bersama dengan kita. Tidak
perlu 'doing the impossible', nanti frontliners juga yg kesian."
* Adakah Dr Rizin seorang Dr yg tidak bertanggungjawab. Tentu
bukan itu maksudnya tetapi dia mahu kita realistik. Kesihatan dan ekonomi mesti
dikawal serentak. Sb kita sudah mengenali tahap bahaya kpd siapa Covid19 ini.
Sindir Dr Rizin... " Boleh bah kalau berdebat PKP. Tapi
saya tgk penyokong dia semua bergaji tetap dan besar...terus saya padam respon
saya"
Moralnya seperti saya ulaskan beberapa bulan lalu... siapa yg
makan gaji mahukan PKP sb takut mati tetapi perniaga pula bila PKP rasa mahu
mati.
Seperti saya katakan dlm beberapa artikel yg lalu... lebih
banyak kita buat saringan kita akn perolehi angka yg tinggi seperti di Amerika,
UK, Qatar, France, Jerman dan byk negara lagi
__________________________________________________
Di bawah ini pula adalah beberapa pandangan Dr Musa. Beliau juga
memberitahu perkara sama bahawa angka ini tidak perlu menbuatkan rakyat panik.
Apatah lagi di Selangor ada sejuta pekerja asing yg bekerja di kilang di negeri
perindustrian ini.
Dr Musa juga tidak setuju dgn pendekatan kerajaan angka tinggi
sahaja PKP dan tutup ekonomi. Itu tidak menyelesaikan masalah rakyat. Ia mesti
berjalan serentak antara kesihatan dan ekonomi. Sewajarnya KKM mengambil
pandangan Selangor Task Force Covid19 ( STFC ).
Malah beliau melahirkan kekesalan kerana pihak kerajaan Selangor
dan STFC sendiri tidak mendapat maklumat data daripada KKM. Mengapa ia berlaku
itulah yg menghairankan rakyat dan mula mencurigai ketelusan kerajaan
menangangi Pandemik ini. Bukannya kita rakyat tak percayakan Covid19 tapi
rakyat mahu ketelusan.
Ulasan beliau
"There is much misunderstanding about the COVID-19
situation in the country. In particular, the high rates in Klang Valley and the
role of the only state task force, the Selangor Task Force on COVID-19 (STFC)
Allow me to share a few points and insights for you to carefully
consider".
1. Do not look at absolute numbers which the daily press
releases only harp on. This is unthinking sharing of numbers which is a lousy
description of disease epidemiology!
2. Numbers are misleading unless expressed as per population.
Klang Valley is densely populated, of course the absolute numbers will be high.
More importantly, look at where the positive cases are. SOCSO is aiming to
complete testing of about 850,000 workers in KL & Selangor in January and
February, so don’t be alarmed with the anticipated hikes in the numbers.
3. Look at incidence and infectivity rates expressed as per
100,000 or per 1,000 respectively (attached are graphs of incidence rates and
infectivity rates for both cumulative and active cases)
4. One must understand the influence of demography and the
socio-economic circumstances on the data
5. S’gor contributed 24% towards the national GDP
6. It is rich in industrial plants and factories. It therefore
houses about 1 million registered migrant workers (MW) and probably similar
numbers of unregistered MW. These communities are epicenters of COVID-19 due to
their poor working and living conditions
7. And there are 100k refugees in the Klang Valley alone,
another high risk community
8. To its credit, the STFC convinced Selangor government to
purchase vaccines for both high risk communities
9. The state government has put aside X million for Y million
migrant workers and refugees who would otherwise be the last in the hierarchy
for COVID-19 vaccines, if ever at all
10. BTW Health is a federal matter. There is very little that
any state can do without Federal blessings or intervention (except Sabah &
Sarawak). Even when PH controlled state planned to roll out the Pneumococcal
Conjugate Vaccine (PCV) well before the 2019 Budget, the BN YBMK blocked it. In
many ways, if the STFC had not stepped in, did mass testing, rolled our POIS
(Prevention of Outbreaks at Ignition Sites), allocated Z millions for FTTIS,
the situation in Selangor would be far worse, critical even.
https://drive.google.com/.../1xV57W4JZcSj3SgNdM1y3kk.../view
11. Federal stopped sharing cases line-listing to STFC since 2
Oct 2020, at the onset of the 3rd wave. This severely hampered the state’s
response and coordination of COVID-19 cases. Dr Dzul exclaimed “You ask us to
box in the ring but you blindfolded us.” Cases began climbing from 10 Oct 2020
onwards. Now you go figure out why?
12. It is dishonest and misleading to point that Selangor‘s use
of its own Contact Tracing system – SELangkah , is the reason why cases are
spiraling out of control. Allow me to emphasize 2 points.
a. First, no contact tracing can be initiated if No Patient Data
is shared (see 11). You can have the best Contact Tracing ecosystem in the
world, but with no “case data”, CT cannot be initiated.
b. Second, quite to the contrary, when Selangor was actively
using SELangkah , daily incidence were well controlled. Yes, there were still
cases appearing, but we managed to trace it fast and clamp it down faster. On
18th of August, an announcement was made in the daily press conference,
obligating all stores to use MySejahtera. Words on the streets went wild –
stores were fined / harassed for displaying SELangkah QR code. Effectively,
SELangkah Contact Tracing ecosystem died off when many shops no longer
displayed it. During this period, and until today, MySejahtera was the
exclusive Contact Tracing ecosystem operating in Malaysia. Post 18th August
too, is the exact time when we saw case numbers climbing up. It doesn’t take
much to figure that MySejahtera has failed not only Selangor, but the entire
Malaysia when we consider the number of cases today.
13. If KKM is doing such an excellent job at crushing COVID-19,
and flattening the curve, and STFC was terribly hopeless, the sequelae would be
obvious, everywhere would be green and Selangor would be the only red state. Is
that what is happening? Nope I am afraid.
14. And BTW other states, industries, agencies etc are buying in
STFC’s POIS program and implementing it. This tripartite initiative between
government-industry-NGOs pivots on 3 preventative strategies namely, enhanced
public health measures, early detection testing regime and health education.
15. So STFC don’t just talk, but rolls out programs, mass
testing, POIS, procuring vaccines etc to end the pandemic
16. In no uncertain terms, the KKM has failed in their back to
basics of pandemic management. Their FTTIS is a colossal failure, and you can
have cycles upon cycles of MCOs but if you do not get the basics of FTTIS
right, you will fail to check the spread of COVID-19. Imagine the 1-2 days Turn
Around Time (TAT) of STFCs strategy versus the 5-7 day TAT of KKM.
17. STFC since Oct 2020 has been trying to share information and
new ideas with KKM but it is falling on deaf ears
18. IMARET went into Sabah with our RTK-Ag kits. This was when
KKM was still adamant with PCR testing (they still are). We covered most of the
islands off Tawau. We did not require to boat ride our tests to Tawau and then
fly them to KL and wait for at least a few more days for the results. We
diagnosed within 1 hour of testing, isolated the positive case, and completed
contact tracing and quarantine within 1-2 days. This is how you bust a cluster
and prevent sporadic spread, definitely not with the modus operandi of the KKM.
19. This is how we handled a disaster. We were well trained by
our Public Health maestros and our generals in the military (Angkatan Tentera
Malaysia). I remembered in Cox Bazar, the ATM’s top commanders, including their
1 and 2 star generals star were with us virtually all the time, dirty their
hands, sweating out the only referral tertiary hospital serving 1 million
Rohingya refugees.
20. With due respect, I would be still be wary of the Sabah and
Sarawak numbers, and for that matter most states. I suspect they are under
testing, like a Trump self fulfilling prophecy. Our postive rate is still above
the WHO threshold at 5.8% as at 26 Jan 2021.
21. Whenever STFC through SELangkah Finds (the F in FTTIS)
hotspots, IMARET, SelCare and JKNS and our team of volunteers will undertake
mass testing of a few thousands at any one time
22. So in Selangor, STFC captures the
asymptomatic/pre-symptomatic and not just the symptomatic which KKM only does,
thus missing the forest for the trees
23. At the end of the day, we are in it together. If we refuse
to learn from each other, and operationalize best Public Health practices we
are in for a rough ride.
24. I hope the national task force as petitioned by the 46 top
physicians, is rapidly recognized, accepted, and formalized to empower it to
immediately re-strategize and transform the mindset, and policy at the top end
of the KKM, so that the operations at ground zero will be a truly rapid
response FTTIS which has zero tolerance for cases, clusters or outbreaks
25. MCOs are the blunts tools of those who have failed to operationalize
the back to basics of pandemic management and in my opinion they should either
seek a second opinion from the Task Force and/or gracefully exit to minimize
further harm to the nation and allow the Task Force to steer the nation out of
this COVID-19 conundrum and to protect the lives and livelihood of its rakyat.
26. Otherwise we are doomed! Allah bless Malaysia.
Esok saya akn mengulas bagaimana Pandemik Covid19 ini dlm masa
yg sama kerajaan boleh membantu industri perhotelan dgn membantu puluhan ribu
pekerja2 yg rata2nya warga tempatan.