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Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly Report for the Week Ending 11 July 2021

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Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly Report for the Week Ending 11 July 2021 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 11 July 2021 Malaysia Situation summary As of 11 July, there have been a total of 836 296 confirmed cases of COVID-19 in Malaysia. In the past seven days: o A total of 57 644 new cases have been reported – a 29.2% increase compared to the previous week. o Another 661 new deaths have been reported, bringing the total number of COVID-19 deaths in Malaysia to 6158. The overall case fatality rate is 0.74%. The highest single-day increase in COVID-19 deaths was reported on 8 July with 135 deaths. o The number of critically ill cases requiring intensive care unit (ICU) support or ventilator support is currently at a plateau, with a less than 5% increase from the previous week. o The number of COVID-19 tests conducted has increased by 13.5% compared to the previous week. Twelve states and territories have reported an increase in new COVID-19 cases in the past week. o The highest numbers of cases were reported in Selangor (26 485), Federal Territory (FT) Kuala Lumpur (8357) and Negeri Sembilan (4983). o Selangor reported the highest number of deaths at 295 new deaths. Despite Malaysia being under a movement control order (MCO) since 12 May 2021 and implementing Phase 1 of the National Recovery Plan since 16 June, the trends in reported cases, severe cases, deaths and test positivity rates have not gone down. Due to consistently high COVID-19 case burdens, districts and subdistricts in Selangor, Pahang, Perak and Negeri Sembilan have been placed under an enhanced movement control order (EMCO). Potential risks and vulnerabilities: o High proportions of reported cases categorized as “sporadic” and “unlinked at the time of reporting” indicate widespread community transmission. o SARS-CoV-2 variants of concern (Alpha, Beta and Delta) continue to be detected among local cases. The Beta variant has been detected in 15 out of 16 states/territories. To date, no cases bearing the Gamma variant have been reported. o Relatively high test positivity rates (above 5%) and an increase in the daily number of tests conducted are being reported across the country. o There is a burden on the health-care system, especially in regions around the country that are more affected, such as Selangor and FT Kuala Lumpur. As of 11 July, 10.8% of Malaysia’s total population have received their second dose of the COVID-19 vaccine. Upcoming events and priorities The Ministry of Health (MOH) aims to soon present guidelines for fully vaccinated individuals to the National Security Council (NSC). Preliminary details in the guidelines will refer to other countries’ best practices in COVID-19 management. As of 14 July, a total of eight states (Kelantan, Pahang, Perak, Terengganu, Perlis, Penang, Sarawak and Sabah) have transitioned into Phase 2 of the National Recovery Plan. Furthermore, several localities in Selangor, FT Kuala Lumpur, Negeri Sembilan, Perak and Pahang have been placed under EMCO. 1 of 3 1 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 11 July 2021 National transmission assessment National transmission stage assessment: Stage 3 (high confidence) – Large-scale community transmission1 Week 25 (5–11 July 2021) The number of cases reported in the past seven days (57 644) has increased by 29.2% compared to the previous week. This translates to an average of 8234 cases per day. The number of tests conducted in the past week averaged 89 947 tests per day, an increase of 13.5% compared to the previous week. The seven-day test positivity rate was 9.2%, an increase from the previous week. Of the newly reported cases, 109 (0.2%) were imported, and 57 535 (99.8%) were locally transmitted. Twelve states and territories reported an increase in the number of new COVID-19 cases, with six of these states reporting increases of more than 20%. The states of Selangor, FT Kuala Lumpur and Negeri Sembilan reported the highest numbers of new cases. Of newly reported cases, 15 887 (27.6%) were unlinked at the time of reporting. Among newly reported clusters,2 62.9% were linked to workplaces, while 26.4% were linked to the community or social gatherings. The number of critically ill cases requiring ICU support has increased, with a difference of 4.8% in the past week. Nationwide, 961 cases required ICU support on 11 July, compared to 917 the previous week, and of these, 455 required ventilator support (compared to 443 the previous week). The number of deaths increased by 19.5%, with 661 deaths recorded this past week. Selangor reported the highest number of new deaths in the past seven days. EPI Update Tests Cases Deaths ICU COVID-19 57 644 Data reported for 629 626 661 72.7% New cases in the EPI week ending Tests in the Deaths in the ICU utilization rate past 7 days 11 July 2021 past 7 days past 7 days (+4.8%)* (+13.5%) (+29.2%) (% difference (+19.5%) compared to the previous 7 days) 15 529 169 836 296 6158 1322 Cumulative tests Cumulative cases Cumulative ICU beds for COVID-19 deaths patients (including 5.39% private hospitals) Positivity rate 0.74% Case fatality rate Imported 109 15 887 865 n/a Active clusters Active clusters with cases and (0.2%) (27.6%) more than three clusters Imported cases in the Cases in the past 7 generations past 7 days days with no link * The ICU utilization rate is calculated as the number of COVID-19 cases in the ICU at the end of the epi week against the total available COVID-19-designated ICU beds. This value excludes ICU bed utilization for suspected and probable COVID-19 cases. 1 The transmission stage assessment is based on three sets of indicators relating to i) trends in cases (including confirmed cases and positivity rates); ii) severe illness (including ICU admissions, mortality and severe acute respiratory illnesses case reporting); and iii) sources of infection (including the proportion of local/imported cases, unlinked cases and clusters). Having more than 25% of locally acquired infections unlinked to known clusters is one of the main signals (but not the only indicator) for large-scale community transmission (Stage 3). 2 Cluster types are categorized based on the narrative provided by the Ministry of Health, usually based on the profile of the index case. Cases within each cluster, especially beyond first-generation transmission, may not necessarily be limited to the same setting as the index case. 2 of 3 2 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 11 July 2021 Epidemiology Fig 1. Daily reported COVID-19 cases, Malaysia, as of 11 July 2021 Fig. 1 indicates the number of daily confirmed new cases recorded in Malaysia. The background colour bands indicate the implementation timeline of COVID-19 MCO measures throughout the epidemic. The orange band refers to the implementation of an MCO. The yellow band refers to a conditional MCO (CMCO), while the green band refers to a recovery MCO (RMCO). A nationwide MCO has been in place since mid-May 2021 and the National Recovery Plan since 1 June. Eight states (Kelantan, Pahang, Perak, Terengganu, Penang, Sabah, Sarawak and Perlis) are in Phase 2. Selected localities in Selangor, Pahang, Perak and Negeri Sembilan and FT Kuala Lumpur have been placed under EMCO. Table 1: Active cases and real-time reproductive number (Rt) estimates by state, as of 11 July 2021 State Active casesa Active cases/100 000 7-day incidence/100 000b Rt estimate 95% CI MALAYSIA 87 841 269.8 177.1 1.15 1.14–1.16 Selangor 43 932 674.9 406.9 1.18 1.17–1.19 FT Kuala Lumpur 13 598 1049.0 644.7 1.17 1.15–1.19 Negeri Sembilan 9044 792.7 436.8 1.02 1.00–1.04 Johor 4740 122.1 59.2 1.02 0.99–1.04 Sarawak 4680 149.9 73.6 0.85 0.83–0.88 Kedah 3696 167.6 105.7 1.17 1.13–1.20 Malacca 3474 371.7 247.4 1.08 1.05–1.12 Sabah 3264 81.6 46.4 1.08 1.05–1.12 Pahang 2930 172.1 97.7 1.14 1.10–1.18 Perak 2804 109.1 64.8 1.07 1.03–1.11 Penang 2419 136.9 72.2 1.05 1.01–1.09 Kelantan 1580 83.9 46.5 0.95 0.91–1.00 FT Labuan 1276 1285 532.7 0.90 0.85–0.95 Terengganu 486 45.1 33.3 1.08 1.00–1.17 FT Putrajaya 347 334.3 226.4 1.31 1.17–1.45 Perlis 11 4.2 0.2 – – a This state-level reporting is on a rolling 14-day basis, from 28 June to 11 July 2021, and excludes imported cases. b Excludes imported cases. Source: MOH Malaysia. 3 of 3 3 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 11 July 2021 Table 2: Total cases and case fatality rates by states, as of 11 July 2021 State Total cases Total deaths Case fatality rate (%) MALAYSIA 836 296 6158 0.7 Selangor 286 352 2013 0.7 FT Kuala Lumpur 88 958 688 0.8 Negeri Sembilan 52 392 477 0.9 Sarawak 68 869 432 0.6 Johor 74 828 643 0.9 Kedah 28 584 382 0.8 Malacca 21 875 204 0.9 Sabah 72 313 559 0.8 Pahang 16 148 147 0.9 Perak 29 110 141 0.5 Penang 36 619 130 0.4 Kelantan 36 141 242 0.7 FT Labuan 9141 136 1.5 Terengganu 11 759 82 0.7 FT Putrajaya 2599 15 0.6 Perlis 608 8 1.3 Clusters Of the 3077 clusters identified in Malaysia since the start of the pandemic, 865 are currently active.
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