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Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly Report for the Week Ending 7 February 2021

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Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly Report for the Week Ending 7 February 2021 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 7 February 2021 Malaysia Situation summary As of 7 February 2021, there have been a total of 242 452 confirmed cases of COVID-19 in Malaysia. In the past seven days, 27 493 new cases have been reported, an 11.8% decrease of cases compared to the previous week. Of the newly reported cases, only 39 (0.1%) were imported. In the past seven days, 112 new deaths have been reported. This brings the total number of COVID- 19 deaths in Malaysia to 872. The highest single-day increase in COVID-19 deaths was reported on 2 February with 21 deaths. As of 7 February, the national real-time reproductive number (Rt) was estimated at 0.92 (95% confidence interval (CI): 0.91 –0.93), a reduction compared to 1.16 reported for the week ending 31 January 2021. Between 1 December 2020 and 7 February 2021, a total of 312 623 foreign workers have undergone COVID-19 screening. A total of 6093 (1.9%) have tested positive for infection. A total of 1268 clinics nationwide are involved in foreign worker screenings. Between January 2020 and 5 February 2021, a total of 4756 medical personnel have contracted COVID-19. Of these, 3101 (65.2%) cases were among women. A total of 43% were infected through community transmission. Additionally, 936 non-health front-line workers have tested positive for COVID-19. On 5 February, the Ministry of Health (MOH) reported a second case of the B.1.1.7 SARS-CoV-2 variant detected in Malaysia. The case was detected in a Malaysian traveller returning from the United Arab Emirates. Upcoming events and priorities The government has released standard operating procedures (SOPs) for the upcoming Chinese New Year celebrations. Federal authorities are in the process of amending the Workers’ Minimum Standards of Housing and Amenities Act 1990 to improve workers’ accommodation nationally. Employers will be required to provide accommodations that fulfil a set standard and bear the cost of accommodation, transfer and testing of workers. Additionally, employers may be required to monitor foreign workers during working hours at the premises and after work at their accommodation, and ensure the accommodation centre agencies provide accommodations that meet standards and requirements. The Prime Minister has announced that Malaysia’s National COVID-19 Immunisation Programme will begin at the end of February. The programme will be rolled out in three phases. The programme aims to vaccinate over 80% of the population. The first phase will be carried out starting in February 2021 and aims to vaccinate 500 000 health-care workers and front-line workers. The second phase will commence in May 2021 and will immunize about 9.4 million individuals in high-risk groups. High-risk groups include senior citizens aged 60 years and older and vulnerable groups who suffer chronic underlying diseases. The third phase will cover the general public except children possibly starting in August 2021. Doses of the Pfizer-BioNTech vaccine are expected to arrive in the country this month. Malaysia has identified several countries with which to establish travel bubble arrangements. Such agreements are subject to bilateral discussions and considerations on health, immigration, data tracking and ongoing monitoring by relevant agencies. 1 of 3 1 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 7 February 2021 National transmission assessment National transmission stage assessment: Stage 3 (low confidence) – Large-scale community transmission Week 5 (1–7 February 2021) The number of cases reported in the week ending 7 February (27 493 cases) dropped by 11.8% from the previous week, after several weeks of continued increase, but remains high with an average of 3928 cases reported per day. There was a slight drop (-3.4%) in the number of tests conducted, with an average of 55 062 tests per day and a test positivity rate of 7.13%. On average, there were 309 people in intensive care per day. Only 0.1% of the total cases were imported. Selangor reported the highest number of cases. The Federal Territory of Kuala Lumpur and Johor, which previously reported rapid increases in cases, are showing initial signs of decline in reported cases while Sarawak, Penang and Malacca are showing initial signs of potential increase. Malacca, however, is reporting cases in workplace clusters with relatively low proportions of unlinked cases. The current high reported number of cases is potentially due to targeted testing among high-risk groups, as seen in the large numbers of workplace-related clusters reported. Among non-citizens who were tested, the percentage positive is higher compared to Malaysian citizens. Nationwide, up to 30% of newly reported cases were categorized as unlinked at the time of reporting. There are signs of community transmission in eight states. Selangor previously cited some case reporting backlog, but it is uncertain if this is still the case. The current Movement Control Order (MCO), which is not as stringent as the first MCO implemented in March 2020 (currently selected economic sectors remain open), has been in place for about three weeks. Initial data show a drop in population mobility and a drop in the number of cases reported. These trends are being monitored to assess whether it is a sustained change. EPI Update Tests Cases Deaths ICU COVID-19 27 493 Data reported for 385 434 112 55.0% New cases in the EPI week ending Tests in the Deaths in the ICU utilization rate past 7 days 7 February 2021 past 7 days past 7 days (-6.7%) (-3.4%) (-11.8%) (% difference (+36.6%) compared to the previous 7 days) 5 215 862 242 452 872 533 Cumulative tests Cumulative cases Cumulative ICU beds for COVID-19 deaths patients (including priva 4.65% te hospitals) Positivity rate 0.36% Case fatality rate Imported 39 8239 441 n/a Active clusters Active clusters with cases and (0.1%) (30.0%) more than three clusters Imported cases in the Cases in the past 7 generations past 7 days days with no link 2 of 3 2 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 7 February 2021 Epidemiology Fig 1. Daily reported COVID-19 cases, Malaysia, as of 7 February 2021 Table 1: Active cases and real-time reproductive number (Rt) estimates by state, as of 7 February 2021 State Active casesa Rt estimate 95% CI FT Kuala Lumpur 7822 1.03 1.01–1.05 FT Labuan 150 0.75 0.64–1.87 FT Putrajaya 173 0.70 0.60–0.81 Johor 8724 1.09 1.07–1.11 Kedah 798 0.87 0.82–0.92 Kelantan 634 0.80 0.74–0.85 Malacca 1660 1.17 1.11–1.22 Negeri Sembilan 1266 0.90 0.85–0.95 Pahang 635 0.95 0.88–1.02 Penang 1808 1.07 1.02–1.12 Perak 1077 0.92 0.87–0.97 Perlis 12 0.70 0.48–0.95 Sabah 3536 0.81 0.79–0.84 Sarawak 2240 1.01 0.97–1.06 Selangor 23 333 1.10 1.09–1.12 Terengganu 778 0.86 0.80–0.91 a This state-level reporting is on a rolling 14-day basis, from 25 January to 7 February 2021, and excludes imported cases. Source: MOH Malaysia. 3 of 3 3 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 7 February 2021 Clusters Of the 895 clusters identified in Malaysia to date, 441 are currently active. A total of 78 new clusters were identified in the past week, including one new health-care-related cluster and one detention centre cluster. In the past week, 29 clusters have been declared closed. Table 2: New clusters reported in the week ending 7 February 2021, by state and type of clustera States Workplace Prison/ Health care Community Social Total (%) detention gathering centre FT Kuala Lumpur 5 0 1 3 0 9 (11.5) FT Labuan 0 0 0 0 0 0 FT Putrajaya 1 0 0 0 0 1 (1.3) Johor 12 0 0 1 0 13 (16.6) Kedah 0 0 0 0 0 0 Kelantan 0 1 0 0 0 1 (1.3) Malacca 1 0 0 0 0 1 (1.3) Negeri Sembilan 3 0 0 0 0 3 (3.8) Pahang 3 0 0 3 1 7 (9.0) Penang 2 0 0 0 0 2 (2.6) Perak 3 0 0 1 1 5 (6.4) Perlis 0 0 0 0 0 0 Sabah 5 0 0 0 2 7 (9.0) Sarawak 3 0 0 0 1 4 (5.1) Selangor 21 0 0 1 0 22 (28.2) Terengganu 2 0 0 1 0 3 (3.8) Total (%) 61 (78.2) 1 (1.3) 1 (1.3) 10 (12.8) 5 (6.4) 78 a Classification of cluster type is made by the WHO Country Office, based on information released by the MOH. As of 7 February, a total of 528 905 non-Malaysians have been screened, of which 87 613 (16.6%) tested positive. Among these, 86 993 (99.3%) cases were locally transmitted, while 620 (0.7%) were imported. To date, 116 deaths have been reported among non-Malaysians, making up 13.3% of total deaths. The proportion of fatal cases (PFC) was 0.13% among non-citizens, compared to 0.49% PFC among Malaysians. Mortality In the past seven days, 112 new deaths were reported in Malaysia.
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