Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 3 January 2021

Malaysia Situation summary  During the week 28 December 2020 to 3 January 2021, there have been a total of 119 077 confirmed cases of COVID-19 in Malaysia.  In the past week: o A total of 13 981 new cases have been reported, an 18.6% increase compared to the previous week. Of these cases, only 44 (0.3%) were imported. o Forty-two new deaths have been reported. This brings the total number of COVID-19 deaths in Malaysia to 494.  On 31 December, authorities reported the highest single-day increase of 2525 cases.  On 3 January 2021, the Ministry of Health (MOH) announced that Malaysia had recorded a reproductive number (Rt) of 1.11 (95% confidence interval: 1.09–1.12).  On 28 December 2020, the MOH reported that 89% of COVID-19 patients in Malaysia were asymptomatic or displayed mild symptoms.  The number of reported cases continues to increase with further geographical spread. Cases mostly linked to existing clusters, with an increasing number of newly reported clusters. The increase in clusters are especially seen in surrounding states such as Selangor, the Federal Territory (FT) of , Johor, and Penang.

Upcoming events and priorities  The Prime Minister of Malaysia has announced the five priorities for 2021, as part of an integrated national recovery strategy. The first strategy is to increase public health measures through the procurement of COVID-19 vaccines and launching of a nationwide vaccination programme.  The government has extended the recovery movement control order (RMCO) throughout Malaysia until 31 March 2021.  The Ministry Health is working on the National Vaccination Deployment Plan (NVDP). Authorities aim to launch the implementation plan upon acquiring COVID-19 vaccine supplies. Vaccination of priority groups (including front-line workers and health-care workers) is expected to commence in February 2021. High-risk groups targeted in the second phase of the vaccination plan will include elderly people and those diagnosed with comorbidities, including diabetes, kidney, heart and lung diseases. The second vaccination phase is expected to commence in April or May 2021. Vaccines will be free for all Malaysians.  Several ministries, including MOSTI and the Housing and Local Government Ministry, are working on drafting a Low Touch Economy Plan to reduce the risk of COVID-19 transmission among the public. The plan will include the development and use of robotics to eliminate the need to touch surfaces. National transmission assessment

At the national level, Malaysia remains in Stage 2, localized community transmission, with increasing trends in reported numbers of cases, numbers of active clusters and the geographical spread. The total number of cases reported in the past week increased by about 18.6% compared to the previous week. On 31 December, Malaysia reported 2525 new cases, the highest single-day recording to date. Sabah, Selangor and FT Kuala Lumpur continue to be the states/FT with the highest number of new cases reported. However, the number of cases in Johor continues to rise, with the highest state-level daily increase of 607 cases reported on 30 December. In the week ending 3 January, of the total 149 districts and FTs in Malaysia, 112 (75.2%) areas are reporting active COVID-19 cases. Between 28 December and 3 January, Sabah reported 1795 new cases (12.8% of total), Selangor reported 5208

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1 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 3 January 2021

cases (37.3% of total), FT Kuala Lumpur reported 1720 new cases (12.3% of total), and Johor reported 1973 cases (14.1% of total). While most cases were linked to existing clusters, 3070 (22.0%) cases were reported as unlinked at the time of reporting. A majority of new clusters have been linked to workplaces in the manufacturing, construction and service industries. Such clusters have been detected mainly in Selangor, Johor, FT Kuala Lumpur and FT Putrajaya. Clusters detected in Sabah have been linked to social gatherings that are non-compliant with COVID-19 measures. The number of cases reported in other states is also on the rise, with an increase in the geographical spread possibly due to interstate travel for holiday celebrations. The number of cases across Malaysia is expected to remain high following the expansion of workplace screening among foreign employees. Pahang, Terengganu, Perlis, Kedah, , Perak, Sarawak, FT Putrajaya and FT Labuan have been placed under RMCO until 31 March 2021. The conditional movement control orders (CMCOs) in Selangor, FT Kuala Lumpur, Sabah, districts in Johor, subdistricts in Kelantan, districts in Negeri Sembilan and subdistricts in Penang have been extended to 14 January.

EPI Update Tests Cases Deaths ICU COVID-19 13 981 Data reported for 156 877 42 26.6% New cases in the EPI week ending Tests in the Deaths in the ICU utilization rate past 7 days 3 January 2021 past 7 days past 7 days (+11.7%) (+0.8%) (+18.6%) (% difference (+180.0%) compared to the previous 7 days) 3 414 380 119 077 494 466 Cumulative tests Cumulative cases Cumulative ICU beds for COVID-19 3.49% deaths patients Positivity rate 0.4% Case fatality rate

Imported 44 3070 232 NA Active clusters Active clusters with cases and (0.3%) (22.0%) more than three clusters Imported cases in the Cases in the past 7 generations past 7 days days with no link

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2 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 3 January 2021

Epidemiology Fig 1. Daily reported COVID-19 cases, Malaysia, as of 3 January 2021

Geographical distribution of active cases

Table 1: Active cases by state, as of 3 January 2021  Sabah 3388  N Sembilan 852  Johor 3294  Terengganu 32  Selangor 9993  Perak 357  Malacca 626  Kelantan 329  Penang 1144  FT Labuan 160  Sarawak 18  Pahang 506  Kedah 173  FT Kuala Lumpur 3978  FT Putrajaya 80  Perlis 0 This state-level reporting is on a rolling 14-day basis, from 21 December 2020 to 3 January 2021, and excludes imported cases.

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3 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 3 January 2021

Clusters  Of the 532 clusters identified in Malaysia, 232 are currently active. In the past week, 48 new clusters were identified, and 29 clusters were declared closed. A total of two new clusters have been detected among detention centres. Table 2: New clusters reported in the week ending 3 January 2021: Cluster name State Total Date first Notes cases reported Tapak Bina FT Kuala 20 28  , Cheras Jalan Gadang Lumpur December  Targeted screening (construction site) from 13 December Menara Sri FT Kuala 41 28  Cheras, , Lembah Pantai, , Lumpur December Perak (Kerian)  Index case (#99 803): symptomatic screening on 24 December  Workplace cluster Bukit Pasir Johor 311 28  Muar December  Index case (#100 103): symptomatic screening on 24 December  Workplace cluster Pintu Geng Kelantan 42 28  Kota Bharu December  Index case (#101 557): symptomatic screening on 25 December Putra 15 FT 10 28  Index case (#103 898): symptomatic Putrajaya December screening on 26 December  Workplace cluster Seri Lanang Selangor 173 29  Klang, Gombak, Kuala Selangor, Petaling December  Targeted screening (factory) from 25 December Jalan Chu FT Kuala 45 29  Lembah Pantai Lumpur December  Targeted screening (company workplace) from 29 December Tapak Bina FT Kuala 29 29  Lembah Pantai Awan Puteh Lumpur December  Targeted screening (construction site) from 29 December Integra Ikon FT Kuala 13 29  Titiwangsa Lumpur December  Index case (#104 673): self-screening on 27 December Jalan Satang FT Kuala 38 29  Titiwangsa, Kepong, Selangor (Hulu Langat, Lumpur December Petaling, Gombak), Pahang (Bentong)  Index case (#92 888): severe acute respiratory infection (SARI) screening on 20 December Tembok Pahang 295 29  Bentong Mempaga December  Index case (#97 373): detainee screening on 22 December Timbang Sabah 15 29  Kota Belud Dayang December  Index case (#100 487): symptomatic screening on 25 December Teguli Sabah 12 29  Putatan December  Index case (#86 690): symptomatic screening on 16 December Rambai Malacca 17 29  Melaka Tengah, Alor Gajah, Selangor December (Petaling), Negeri Sembilan (Rembau) 4 of 3

4 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 3 January 2021

 Index case (#104 441): symptomatic screening on 27 December Tembok Choh Johor 438 30  Johor Bahru, Pontian, Kota Tinggi, Kulai, December Mersing  Detention centre screening from 24 December Tapak Bina Selangor 106 30  Hulu Langat Broga December  Targeted screening (construction site) from 27 December Tapak Bina FT Kuala 56 30  Lembah Pantai Jalan Stesen Lumpur December  Index case (#94 863): symptomatic screening on 21 December  Workplace cluster Slot Berjaya FT Kuala 9 30  Lembah Pantai Lumpur December  Targeted screening (workplace) on 30 December Jalan Nikolas FT Kuala 6 30  Titiwangsa Lumpur December  Index case (#107 921): targeted screening (workplace) on 29 December Gerbang Perak 9 30  Kerian, Kinta Pongsu December  Index case (#100 176): symptomatic screening on 24 December Damai Ketari Pahang 54 30  Bentong December  Index case (#108 567): symptomatic screening on 29 December Alor Kedah 22 30  Kota Setar, FT Kuala Lumpur (Titiwangsa, December Cheras)  Index case (#101 128): symptomatic screening on 25 December Jalan Galah Selangor 23 31  Klang December  Targeted screening (factory) from 13 December Jalan Datuk FT Kuala 23 31  Titiwangsa, Kepong, Lembah Pantai, Selangor Lumpur December (Klang, Hulu Langat), FT Putrajaya  Index case (#103 899): symptomatic screening on 26 December Kampung Johor 36 31  Johor Bahru, Pontian Baharu December  Targeted screening (factory) from 23 December Pekeliling Johor 32 31  Johor Bahru December  Targeted screening (factory) from 21 December Jalan Rasah Negeri 28 31  Negeri Sembilan, FT Putrajaya Sembilan December  Index case (#98 370): SARI screening on 23 December Rawa Akasia Penang 130 1 January  Timur Laut, Barat Daya, Seberang Perai Tengah, Seberang Perai Selatan  Index case (#100 149): symptomatic screening on 24 December  Workplace cluster Jalan Johor 25 1 January  Kulai Perindustrian  Index case (#106 412): targeted screening (workplace) on 28 December

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5 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 3 January 2021

Rantau Pahang 20 1 January  Maran, Selangor (Gombak)  Index case (#106 636): symptomatic screening on 28 December Harum Johor 206 2 January  Johor Bahru  Targeted screening (workplace) from 2 January Tapak Bina Selangor 53 2 January  Sepang, Petaling Casuarina  Targeted screening (workplace) from 27 December Batu Lapan Sabah 60 2 January  Tambunan, Ranau, Kota Belud  Index case (#101 678): close contact screening on 26 December Jalan BBN Negeri 27 2 January  Seremban Sembilan  Targeted screening (workplace) from 18 December Dewani Johor 26 2 January  Johor Bahru  Targeted screening (workplace) from 2 January Renggam Selangor 20 2 January  Petaling, Sepang, Klang  Targeted screening (workplace) from 29 December Belukar Kelantan 18 2 January  Machang  Index case (#103 887): high-risk area screening on 26 December Kolam Permai Terengganu 10 2 January  Kuala Terengganu, Kemaman, Selangor (Petaling)  Index case (#109 314): symptomatic screening on 30 December Mador Sarawak 8 2 January  Meradong, Sibu  Index case (#110 418): high-risk area screening on 30 December Lintas Seraya Sabah 16 3 January  Kota Kinabalu, Penampang  Index case (#108 849): symptomatic screening on 30 December Tapak Bina Selangor 202 3 January  Petaling Perdana  Targeted screening (construction site) from Avenue 30 December Osmo Jaya Selangor 46 3 January  Hulu Langat  Targeted screening (workplace) from 15 December Belati Johor 44 3 January  Johor Bahru, Kota Tinggi, Kulai, Pontian  Index case (#108 193): targeted screening (workplace) on 29 December Wawasan Johor 13 3 January  Batu Pahat Gading  Index case (#84 752): symptomatic screening on 14 December  Workplace cluster Rengit Johor 10 3 January  Kota Tinggi, Kluang, Johor Bahru Sentral  Index case (#106 476): pre-departure screening on 28 December  Workplace cluster Manik Kelantan 22 3 January  Kuala Krai, Terengganu (Dungun)  Index case (#106 678): influenza-like illness (ILI) screening on 28 December 6 of 3

6 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 3 January 2021

Paloh Tumpat Kelantan 15 3 January  Tumpat  Index case (#112 986): symptomatic screening on 31 December Stutong Sarawak 5 3 January  Kuching  Index case (#115 005): symptomatic screening 1 January

 As of 3 January, a total of 216 645 non-Malaysians have been tested, of which 49 416 (22.8%) tested positive. Among these, 48 882 cases (98.9%) were locally transmitted, while 534 (1.1%) were imported. To date, 83 (0.2%) deaths have been reported among non-Malaysians. Strategic approach

Non-pharmaceutical interventions (NPI)  Mass gatherings for New Year’s celebrations were not permitted.

Table 3: Movement control orders as of 3 January 2021 State Location Type of MCO Effective dates Selangor State-wide CMCO Extended to 14 January FT Kuala Lumpur Territory-wide CMCO Extended to 14 January Sabah State-wide CMCO Extended to 14 January Kampung Paginatan, Ranau EMCO 29 December to 11 January Kampung Maringkan, Ranau Penang Mukim 12 CMCO Extended to 14 January Mukim 13 Negeri Sembilan Seremban CMCO Extended to 14 January Johor Kluang prison and staff quarters EMCO Extended to 14 January Johor Bahru CMCO Extended to 14 January Batu Pahat Kejora Juara worker’s hostel, Bukit EMCO 2–15 January Pasir Westlite 1 hostel, Senai Westlite 2 hostel, Senai Perak Karamunting Correctional Centre and EMCO 30 December to 12 January its personnel quarters, Taiping Kelantan Madrasah Daril Naim, Padang Halban EMCO 29 December to 11 January in Kota Bharu Peringat subdistrict (Kota Baru) CMCO 4–17 January Kota subdistrict (Kota Baru)

Surveillance and testing  From 7 to 29 December, a total of 4308 travellers from COVID-19 red zones who visited Terengganu have undergone risk assessments at clinics and hospitals. A total of 21 cases have been detected, and six of 433 close contacts have tested positive for COVID-19.  Travellers from red zones into Perlis have been advised to notify state health offices to undergo risk assessment upon entry. Those experiencing symptoms must immediately report to a nearby health clinic for COVID-19 testing, treatment and quarantine.

Health-care capacity  Penang authorities have set up a low-risk COVID-19 isolation and treatment centre in the state in preparation for mandatory foreign worker screening starting on 1 January 2021.

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7 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 3 January 2021

o The centre will have a maximum capacity of 432 beds and is currently the largest low-risk centre in Penang.  On 28 December, the MOH reported current bed capacities across COVID-19 hospitals and centres in the Klang Valley. In total, the Klang Valley has 11 493 available COVID-19 beds with an overall bed occupancy rate of 58%. Across Malaysia, the MOH has 120 COVID-19 hospitals for screening and 50 for treatment. o Hospital Sungai Buloh has a total of 630 beds with a current COVID-19 bed occupancy rate of 81%. o Hospital Kuala Lumpur has a total of 648 beds with a current COVID-19 bed occupancy rate of 52%. o Hospital Rehabilitasi Cheras has a total of 230 beds with a 0% occupancy rate. This facility will be used to house Malaysian citizens only. o The Malaysia Agro Exposition Park Serdang (MAEPS) 2.0 low-risk isolation centre has a total of 6640 beds with a current COVID-19 bed occupancy rate of 50%. Authorities note that the centre can further raise the number of beds to 10 000 if required. o The MOH Training Institute Sungai Buloh low-risk isolation centre has a total of 2700 beds with a current COVID-19 bed occupancy rate of 71%. o The National Leprosy Control Centre low-risk isolation centre has a total of 645 beds with a current COVID-19 bed occupancy rate of 84%.  Kelantan state government has converted the Kota Baru Municipal Council’s Silver Jubilee Hall into a COVID-19 low-risk isolation and treatment centre. Risk communication and community engagement  The government has warned that stricter regulations may be enforced if the public fails to follow COVID-19 standard operating procedures (SOPs). Additionally, the public has been reminded that large New Year’s celebration gatherings are not permitted.  The Police Department has announced an increase in checks and close monitoring of compliance to SOPs in public areas following the rise in COVID-19 cases.

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