Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly Report for the Week Ending 6 June 2021
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Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 6 June 2021 Malaysia Situation summary As of 6 June, there have been a total of 616 815 confirmed cases of COVID-19 in Malaysia. For the first time since early April, there are indications that the number of new daily cases may be starting to plateau. In the past seven days: o A total of 51 282 new cases have been reported – a 0.4% decrease compared to the previous week. o Another 649 new deaths have been reported, bringing the total number of COVID-19 deaths in Malaysia to 3378. This indicates a 34.9% increase in the number of new COVID-19 deaths reported compared to the previous week. o The numbers of critically ill cases requiring intensive care unit (ICU) support and ventilator support have increased by 5.2% and 6.0%, respectively. Seven of the 16 states and territories have reported an increase in new COVID-19 cases in the past week. o Selangor, Federal Territory (FT) Kuala Lumpur and Sarawak reported the highest numbers of cases. o Selangor and FT Kuala Lumpur reported 17 314 and 4634 new local cases, respectively. o Selangor reported 185 new deaths in the past week, the highest number among states. o In FT Kuala Lumpur, an estimated 33% of cases detected in the past week were unlinked at the time of reporting. On 2 June, Malaysia reported 126 new COVID-19 deaths, the highest single-day count of reported deaths since the start of the pandemic. The number of COVID-19 deaths recorded in Malaysia continues to increase, with 649 deaths in the past week, compared to 481 the previous week. A nationwide movement control order (MCO) is being implemented from 1 to 14 June 2021 as a stricter extension to the earlier MCO initiated on 12 May. Potential risks and vulnerabilities for a continued increase in transmission: o As of 6 June, the estimated national real-time reproductive number (Rt) was 0.99 (95% confidence interval [CI]: 0.98–1.00). An Rt value of below 1 suggests the potential for decreased transmission of SARS-CoV-2 and cases. o SARS-CoV-2 variants of concerns (Alpha, Beta and Delta) continue to be detected among local cases. o Relatively high test-positivity rates are being reported across the country, despite high overall testing rates. o National burden on the health-care system, especially in certain regions around the country that are more affected, such as in Selangor, Sarawak, Penang, Kelantan and FT Kuala Lumpur. As of 6 June, 4.8% of Malaysia’s total target population (an estimated 23.7 million individuals aged 18 years and above) have received their second dose of the COVID-19 vaccine. Upcoming events and priorities The Home Ministry is working to improve the admissions processes at prisons and immigration depots to reduce the spread of COVID-19 among inmates. Presently, all inmates are screened for COVID-19 before being placed in temporary detention centres. Federal and state-level authorities are working to increase COVID-19 vaccination efforts across Malaysia. The participation of private health-care providers, the construction of mega vaccine centres and mobile vaccination units work to increase the national vaccination efforts. 1 of 3 1 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 6 June 2021 National transmission assessment National transmission stage assessment: Stage 3 (high confidence) – Large-scale community transmission1 Week 22 (31 May–6 June 2021) The number of cases reported in the past seven days (51 282) decreased by 0.4% compared to the previous week. This translates to an average of almost 7300 cases per day. The number of tests conducted in the past week averaged 99 095 tests per day, a decrease of 10% compared to the previous week. The test positivity rate for Epi Week 22 was 7.4%. Of the newly reported cases, 95 (0.2%) were imported, and 51 187 (99.8%) were locally transmitted. Seven out of 16 states and territories reported an increase in the number of new COVID-19 cases. The remaining regions have shown a slight decline or plateau in cases. The states of Selangor, FT Kuala Lumpur and Sarawak reported the highest numbers of new cases. Of newly reported cases, 11 593 (22.6%) were unlinked at the time of reporting. More than half (59.4%) of new clusters2 were workplace-linked clusters, while 30.9% of new clusters were linked to the community or social gatherings. There has been an increase (5.2%) in the number of critically ill cases requiring ICU support. Nationwide, 890 cases required ICU support on 6 June, compared to 846 the previous week, and of these, 444 required ventilator support (compared to 419 the previous week). Subsequently, the health-care system is reported to be overburdened, especially in highly affected areas. The number of deaths has increased by 34.9%, with 649 deaths recorded this week. Selangor reported the highest number of new deaths in the past seven days. EPI Update Tests Cases Deaths ICU COVID-19 51 282 Data reported for 693 662 649 79.9% New cases in the EPI week ending Tests in the Deaths in the ICU utilization rate past 7 days 6 June 2021 past 7 days past 7 days (+5.2%) (-10.0%) (-0.4%) (% difference (+34.9%) compared to the previous 7 days) 12 670 559 616 815 3378 1114 Cumulative tests Cumulative cases Cumulative ICU beds for COVID-19 deaths patients (including 4.87% private hospitals) Positivity rate 0.55% Case fatality rate Imported 95 11 593 713 n/a Active clusters Active clusters with cases and (0.2%) (22.6%) more than three clusters Imported cases in the Cases in the past 7 generations past 7 days days with no link 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 MOH, usually based on the profile of the index case. Cases within each cluster, especially beyond the 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 6 June 2021 Epidemiology Fig 1. Daily reported COVID-19 cases, Malaysia, as of 6 June 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). Presently, authorities are implementing a nationwide lockdown from 1 to 14 June. Table 1: Active cases and real-time reproductive number (Rt) estimates by state, as of 6 June 2021 State Active casesa Active cases/100 000 7-day incidence/100 000b Rt estimate 95% CI Selangor 33 409 513.3 266.0 1.06 1.05–1.07 FT Kuala Lumpur 9190 709.0 357.5 1.05 1.03–1.07 Sarawak 8681 278.1 144.0 1.02 1.00–1.04 Johor 7430 191.4 92.5 1.03 1.00–1.05 Kelantan 7223 383.3 161.8 0.97 0.95–0.99 Negeri Sembilan 6795 595.6 343.6 1.18 1.15–1.20 Penang 4985 282.1 138.9 1.02 1.00–1.05 Kedah 4850 219.9 91.0 0.96 0.93–0.98 Malacca 3637 389.1 192.3 1.10 1.06–1.13 Perak 3472 135.1 79.6 1.02 0.99–1.05 Sabah 3415 85.4 45.8 1.16 1.12–1.20 Pahang 2731 160.4 80.3 1.02 0.98–1.06 Terengganu 2562 237.6 121.0 1.00 0.97–1.04 FT Labuan 2029 2043.3 1203.4 1.36 1.30–1.42 FT Putrajaya 330 317.9 136.8 1.03 0.92–1.14 Perlis 77 29.7 0.6 0.95 0.78–1.14 a This state-level reporting is on a rolling 14-day basis, from 24 May to 6 June 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 6 June 2021 Clusters Of the 2338 clusters identified in Malaysia since the start of the pandemic, 713 are currently active. In the past week: o 175 new clusters were identified o 104 (59.4%) new clusters were linked to the workplace. Sarawak health authorities have noted an increase in COVID-19 cases linked to social gatherings such as funerals and weddings. As of 31 May, a total of 12 clusters, 3725 cases and 31 deaths have been linked to funeral gatherings in the state. The MOH reported that, as of 31 May, a total of 82 341 cases have been recorded among infants and children.