THE 14-day full lockdown to start from June 1, should be used to mass test the community and speed up Covid-19 vaccinations of the population. After three movement control orders (MCO) and now the second full lockdown, it is clear, certain policies have failed to bring the Covid-19 situation under control. The government should use this 14-day period to rethink its approach and restrategise in its fight against Covid-19.
Covid-19 deaths have skyrocketed. Yesterday, deaths rose to an alarming 98. Daily cases will soon reach quintuple-digits as testing increases. Therefore, mass Antigen Rapid (RTK-Ag) screening programmes need to be urgently executed in line with the World Health Organisation’s (WHO) Find, Test, Trace, Isolate and Support (FTTIS) system. These efforts should be conducted in all states with support from the federal government.
It would be best to test now as most people will be at home during the 14 days under lockdown. The government should have all the necessary data from the Hotspots Identification for Dynamic Engagement (HIDE) and MySejahtera to identify areas that urgently need to be screened for Covid-19. Community transmissions are high, therefore it is urgent that infections are detected as quickly as possible so that the infected can be immediately isolated to prevent further spread while close contacts are traced.
The Health Ministry (MoH) should also accept RTK-Ag positive results instead of conducting an additional Reverse Transcription Polymerase Chain Reaction (RT-PCR) test for those found positive from RTK-Ag screening. RTK-Ag screening is faster in determining positive cases and more cost-effective. If a person has tested positive using the RTK-Ag it is more unlikely they will test negative using RT-PCR. At present, those testing positive using RTK-Ag have to take an RT-PCR test to confirm their positive result. The results for RT-PCR can take around two days to obtain.
The National Covid-19 Immunisation Programne also needs to move into fifth gear. Vaccination centres should be increased to prevent crowds at existing mass vaccination centres. With patient visits to clinics expected to significantly dip during the lockdown, vaccinations by private GPs should go into full swing.
We welcome the National Covid-19 Immunisation Programme’s coordinating minister’s announcement today that 500 GP clinics will be administering vaccines by June 15 and that the number of clinics designated as vaccination centres will increase to 1,000 by June 30. It is hoped the target of 5,000 participating GPs can be achieved over the next two months.
Although there are a total 8,000 GPs in the country, with just 5,000 private GPs on board, an additional 150,000 vaccinations per day can be carried out. Currently, only 184 of the 2,500 GPs have begun administering the vaccines.
We are at a critical stage in the pandemic. Resources need to be optimised and unnecessary red tape should be removed.
Lastly, there has been a lack of meaningful engagement between government and other sectors, however, it is not too late to initiate discussions between MoH, the Defence Ministry, the Education Ministry and professional groups, private hospitals and GPs towards the development of a national strategy to manage the Covid-19 pandemic.
A proper exit strategy will also be needed and MoH must be willing to accept feedback from all stakeholders. After all, Covid-19 affects everyone.
There also needs to be engagement before implementation. Many policies have been made without consulting those on the ground especially in private healthcare.
Resources also need to be urgently beefed up in all public healthcare facilities. All public hospitals are facing shortages in manpower. Most are overwhelmed with severe cases of Covid-19. Apart from frontliners in the hospitals, the District Health Offices (PKD) and Covid-19 Assessment Centres (CAC) are also in dire need of manpower. The PKDs and CACs are the country’s first line in managing Covid-19. These departments are in charge of Covid-19 triaging, screening, assessment, contact tracing, home monitoring of category 1 & 2 Covid-19 patients, monitoring of persons under surveillance (PUS), persons under investigation (PUI) as well as management of non-Covid-19 cases.
Datuk Dr. Subramaniam Muniandy is President of the Malaysian Medical Association
