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Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly Report for the Week Ending 18 April 2021

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Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly Report for the Week Ending 18 April 2021 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 18 April 2021 Malaysia Situation summary As of 18 April, there have been a total of 375 054 confirmed cases of COVID-19 in Malaysia. In the past seven days, 14 198 new cases have been reported – a 43.5% increase compared to the previous week. In the past seven days, 49 new deaths have been reported, bringing the total number of COVID-19 deaths in Malaysia to 1378. Most states and territories (11 out of 16) have reported an increase in new COVID-19 cases in the past week, including the states reporting the highest numbers of cases (i.e. Sarawak, Selangor and Kelantan). Sarawak and Selangor contributed the highest number of new local cases in the past week, with 3936 cases and 3521 cases, respectively. Sarawak also had the highest density of active cases in Malaysia, with 193.36 active cases1 per 100 000 population. On 16 April, Sarawak recorded its highest number of daily new cases at 960. Once more, the number of new local cases in Kelantan have doubled from the previous week. There was also a marked increase (19.7%) in the number of critically ill cases requiring intensive care. The number of deaths reported increased by 19.5% as compared to the previous week. Several signals suggest a potential COVID-19 resurgence: o As of 18 April, the estimated national real-time reproductive number (Rt) was 1.16 (95% confidence interval [CI]: 1.15–1.18). An Rt value of 1 and above indicates the potential for continued transmission of SARS-CoV-2 and a resurgence of cases. o Overall, data from the Google Mobility Report suggests that nationwide population movement is on the rise in workplace settings. o Media reports related to religious and social traditions, including the Ramadan bazaars, have indicated a possible decrease in community adherence to public health and social measures. Authorities nationwide are increasing efforts to promote public awareness and compliance with standard operating procedures. Vigilance and adherence to public health and social measures continue to be important in response to the observed increasing trend in cases reported. The detection of SARS-CoV-2 variants of concerns among locally transmitted cases in Malaysia warrants further study and increased vigilance. Presently, cases bearing the B.1.351 variant lineage have been reported among locally transmitted cases in Selangor. Phase 2 of the National Immunization Programme began on 19 April 2021, prioritizing those aged 60 years and above, persons with disabilities and those with co-morbidities. As of 18 April, 1.9% of Malaysia’s total target population (estimated 23.7 million individuals) have received their second dose of the COVID-19 vaccine through Phase 1 of the immunization programme. 1 Calculated with state-level reporting on a 14-day rolling basis of active cases, excluding imported cases. Source: MOH Malaysia and Department of Statistics Malaysia. 1 of 3 1 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 18 April 2021 Upcoming events and priorities Authorities have announced the extension of movement control orders (MCOs) across Malaysia. The conditional MCOs (CMCOs) placed on Selangor, Johor, Kelantan, Federal Territory (FT) Kuala Lumpur and Penang have been extended to 28 April 2021. Sarawak has been placed under CMCO until 26 April 2021. Perak, Pahang, Terengganu, Malacca, Perlis, FT Putrajaya, FT Labuan, Sabah, Kedah and Negeri Sembilan have been placed under recovery MCO (RMCO) until 28 April 2021. Furthermore, following the rise in cases, all districts in Kelantan have been placed under MCOs to curb COVID-19 transmission. Following the rise in cases detected in Sarawak, state authorities have strengthened COVID-19 standard operating procedures. Inter-district travel across the state is now prohibited except for urgent matters. In Kelantan, all schools and learning institutions located in MCO districts have been ordered to close for one week from 18 to 24 April 2021. Students residing in respective school hostels have been instructed to remain in their dormitories. Health and police authorities nationwide are increasing vigilance on standard operating procedure compliance related to Ramadhan bazaars. Moreover, measures related to the upcoming Eid festivities are being developed and await official announcements. National transmission assessment National transmission stage assessment: Stage 3 (low confidence) – Large-scale community transmission2 Week 15 (12–18 April 2021) The total number of cases reported in the past seven days (14 198) increased by 43.5% compared to the previous week, suggesting an increasing trend in the number of daily new cases recorded. On average, 56 675 tests were conducted per day, with a positivity rate of 3.58% – an increase compared to 2.87% the previous week. Daily reported cases increased to above 2000, averaging 2028 cases daily. Of the newly reported cases, 97 (0.7%) were imported, and 14 101 (99.3%) were locally transmitted. Most states are reporting or observing an increase in the number of new COVID-19 cases. The states of Sarawak and Selangor reported the greatest numbers of new cases. On 16 April, Sarawak recorded its highest single-day increase in COVID-19 cases at 960 cases. Moreover, Kelantan once again recorded a doubling of the number of new local cases in the past week (1329) compared to the previous week (694). Nationwide, while most cases are linked to existing clusters, 3133 (22.1%) cases were reported as unlinked at the time of reporting, a slight decrease from the previous week. There has been an increase in the number of new clusters reported (61) compared to the previous week (54). Clusters remain mostly linked to workplaces. While the number of reported cases is increasing, there has likewise been an increase (19.7%) in the number of critically ill cases requiring ICU support. Nationwide, 219 cases required intensive care on 18 April, compared to 183 the previous week, and of these, 90 required ventilator support (compared to 81 the previous week). The ICU utilization rate has increased to 40.3% nationwide. The number of deaths has increased by 19.5%, with 49 deaths this week. 2 The transmission stage assessment is made 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 of 3 2 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 18 April 2021 EPI Update Tests Cases Deaths ICU COVID-19 14 198 Data reported for 396 730 49 40.3% New cases in the EPI week ending Tests in the Deaths in the ICU utilization rate past 7 days 18 April 2021 past 7 days past 7 days (+19.7%) (+15.0%) (+43.5%) (% difference (+19.5%) compared to the previous 7 days) 8 601 726 375 054 1378 543 Cumulative tests Cumulative cases Cumulative ICU beds for COVID-19 deaths patients (including 4.36% private hospitals) Positivity rate 0.37% Case fatality rate Imported 97 3133 338 n/a Active clusters Active clusters with cases and (0.7%) (22.1%) more than three clusters Imported cases in the Cases in the past 7 generations past 7 days days with no link 3 of 3 3 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 18 April 2021 Epidemiology Fig 1. Daily reported COVID-19 cases, Malaysia, as of 18 April 2021 Table 1: Active cases and real-time reproductive number (Rt) estimates by state, as of 18 April 2021 State Active casesa Active cases/100,000 Rt estimate 95% CI Sarawak 6036 193.36 1.17 1.14–1.20 Selangor 5839 89.70 1.08 1.05–1.11 Kelantan 1897 100.67 1.43 1.37–1.49 Penang 1793 101.46 0.89 0.85–0.94 FT Kuala Lumpur 1790 138.09 1.24 1.18–1.29 Sabah 1661 41.53 1.18 1.12–1.23 Johor 1533 39.48 1.19 1.13–1.25 Perak 431 16.77 0.69 0.64–0.75 Kedah 426 19.31 1.06 0.98–1.15 Negeri Sembilan 384 33.66 1.17 1.08–1.27 Pahang 266 15.62 0.98 0.88–1.10 Terengganu 243 22.54 1.20 1.06–1.34 Malacca 122 13.05 1.02 0.90–1.14 FT Putrajaya 90 86.71 0.96 0.79–1.16 FT Labuan 45 45.32 0.69 0.52–0.89 Perlis 8 3.09 1.31 0.77–1.98 a This state-level reporting is on a rolling 14-day basis, from 5 to 18 April 2021, and excludes imported cases. Source: MOH Malaysia. 4 of 3 4 Malaysia Coronavirus Disease 2019 (COVID-19) Situation Report Weekly report for the week ending 18 April 2021 Of the 1520 clusters identified in Malaysia, 338 are currently active. A total of 61 new clusters were identified in the past week. A total of 66 clusters have been declared closed in the past week. Furthermore, in the past week, 13 new clusters were linked to educational facilities. On 17 April, Ministry of Health authorities noted that a total of 40 health-care workers in Malaysia had contracted COVID-19 infections following completion of COVID-19 vaccination.
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