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Prepared by:
Tengku Hanidza Tengku Ismail, PhD.
COVID-19
RISK MANAGEMENT
AND RISK
COMMUNICATION-
What we know and
what we don’t know
Part III
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 1
COVID-19
UPDATES
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 2
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 3
Conclusion
Droplet transmission was prompted by air-
conditioned ventilation. Strong airflow from the
air conditioner could have propagated droplets
from table C to table A, then to table B, and
then back to table C
Patient B3 was afebrile and 1% of the patients
in this outbreak were asymptomatic, providing
a potential source of outbreaks among the
public.
To prevent spread of COVID-19 in restaurants,
the study recommend strengthening
temperature-monitoring surveillance,
increasing the distance between tables, and
improving ventilation30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 4
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 5
Here's what Trump said Thursday while looking in the direction of coronavirus response coordinator Dr. Deborah Birx
and Department of Homeland Security science official Bill Bryan: "And then I see the disinfectant, where it knocks it
out in a minute. One minute. And is there a way we can do something like that, by injection inside or almost a
cleaning. Because you see it gets in the lungs and it does a tremendous number on the lungs. So it would be
interesting to check that. So, that, you're going to have to use medical doctors with. But it sounds -- it sounds
interesting to me."
WH Press
conference Apr 24
Conflicting messages will create public confusion
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 6
CDC and disinfectant companies later
put out these warnings
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 7
COVID-19 World Situations
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 8
How much ‘COVID testing’ is enough?
10% benchmark is based
on recommendations
from WHO
Sweden Is Open for Business During Its
Coronavirus Outbreak: The Scandinavian country
believes its distinctive high-trust culture will protect it
from needing to shut down for the pandemic. Is it a
correct strategy?
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 9
USA “OPENS”
for business as
of Apr 21, 2020,
against the
advice of
health experts
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 10
Some people would accept a certain risk of
death for the chance to return to work.
Scientific community agreed that four things
MUST happen when we want to re-open:
1. Infection rates even when testing
2. Massive testing and contact tracing
3. Stronger and rapid response health care
system
4. Continued Movement Restriction
Many people don’t really understand why we’re sheltering
in place. If you ask them, they’ll say something about
flattening the curve, but when you press on what that
means, he said, “they get hazy. ” (Peter Sandman)
How much coronavirus risk are we willing to accept in order to go back to
normal lives?
Will there be BAU (business
as usual) post COVID-19?
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 11
Georgia (USA) is re-opening against the advise of health experts : Hair
salons, tattoo parlor, and massage therapy businesses, how can they
practice social distancing?
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 12
“I predict a new epidemic surge (incubation time
~5-7 days before onset symptoms, if any, and
transmission to associates around that time, even
among asymptomatics)… so increase in 2-4
weeks from now.” (Harvard TS Chan School of
Public Health)
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 13
Japan still has no stringent lockdown measures in place. Defy social distancing.
Prime Minister Shinzo Abe has urged residents to reduce contact
with other people by 70 to 80 percent, and the number of people
on Tokyo’s normally packed transport system has dropped
significantly. But the measures do not prevent people from going
out, and many shops and even restaurants remain open.
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 14
Top 5 countries
COVID-19 infections
and recovery (as of
Apr 23, 2020)
data from
(https://www.worldometers.info/coronavirus/)
1
2 3
4
5
Spain. Italy, France, and Germany show evidence of convergence of new cases and recoveries. USA has yet to achieve it.
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 15
NZ ‘eliminate’ COVID (April
29,2020).
What is NZ doing?
“Success doesn’t mean zero
COVID-19 cases. It means zero
tolerance, which means that as
soon as we know we have a case,
we go in straight away, we’re
testing around that person, we’re
isolating them … we do our
interviews and contact trace to find
all the people who have been in
contact with them while they may
have passed it on, and we ask
them to isolate. That’s how we
keep stamping out COVID cases.”
(Prime Minister Jacinda Ardern)
At 11.59pm on Monday (Apr 27), New Zealand will lift
its level-4 lockdown which has been in place for more
than four weeks. During that time, almost all
businesses have been closed, along with schools while
the population has been asked to remain in their
homes for all but supermarket visits and short walks.
Level 3 will see retailers, restaurants and schools
allowed to reopen on a smaller scale. Schools will
reopen on Wednesday for children up to Year 10 who
cannot study from home, or whose parents need to
return to work.
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 17
Mitigating measures for
containing spread of COVID-19
Period MCO1 - MCO 4
The effect of coronavirus disease 2019 (COVID-19)
response in China shows that quarantine, social
distancing, and isolation of infected persons can
contain the epidemic in other countries where COVID-
19 is beginning to spread.
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 18
Extended MCO (MCO1 –
MCO 4 Apr 28 - May 12)
1Continued movement
restriction.
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 19
International travel
restrictions to
Malaysia:
Precautionary
actions to minimize
imported COVID-19
cases
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 20
2Continuous social distance practices
Suspend Bazar
Ramadhan
Modify COVID-19 Taraweeh Prayer.
Withholding mass prayer.
Suspend iftar (breaking fast)
program
Suspend
Friday
prayer 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 21
3Quarantine and
Isolation to reduce
imported cases
In Putrajaya, Malaysians returning from abroad have
to be quarantined at special centres as up to 15%
did not comply with home quarantine orders.
The ministry found positive cases in Malaysia
spread locally by those who came back from
overseas.
“We find that when we ask people to do home
quarantine, the compliance rate is about 75% to
80% because there are some who still go out ”
(Health director-general Datuk Dr Noor Hisham).
Previously, only those with Covid-19 symptoms were
quarantined for 14 days at MOH centres while
others were asked to self-isolate at home,
depending on their city of origin or health status.
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 22
4Contact tracing
used for tracking
infectious diseases
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 23
Digital Contact tracing
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 24
Source: DOSM
5COVID-19 Reporting: Informing the public and proactive
messaging on healthy behaviors
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 25
Data on Mar 13
Data as of Apr 24
Sri Petaling cluster follow-up
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 26
1. Ensuring tough
border control via
screening and
placing
Malaysians
returning from
abroad under
quarantine.
6. The health
ministry must be
able to work
together with
the community
to enforce
preventative
measures in the
community
concerned
5. Incorporate
the new normal
in their daily
lives - social
distancing,
regular
washing of
hands and
avoiding public
gatherings.
4. Enforce laws to
protect those who
are at high risk, such
as the disabled,
chemotherapy
patients and those
with serious
diseases."
3. Reduce the
time taken for
polymerase
chain reaction
(PCR)
screenings
2. Examine
how effective
the MCOs had
been
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 27
End of MCO 3 Apr 28
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 28
30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 30

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Covid-19 Risk Management and Communication3

  • 1. Prepared by: Tengku Hanidza Tengku Ismail, PhD. COVID-19 RISK MANAGEMENT AND RISK COMMUNICATION- What we know and what we don’t know Part III 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 1
  • 3. 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 3
  • 4. Conclusion Droplet transmission was prompted by air- conditioned ventilation. Strong airflow from the air conditioner could have propagated droplets from table C to table A, then to table B, and then back to table C Patient B3 was afebrile and 1% of the patients in this outbreak were asymptomatic, providing a potential source of outbreaks among the public. To prevent spread of COVID-19 in restaurants, the study recommend strengthening temperature-monitoring surveillance, increasing the distance between tables, and improving ventilation30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 4
  • 5. 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 5
  • 6. Here's what Trump said Thursday while looking in the direction of coronavirus response coordinator Dr. Deborah Birx and Department of Homeland Security science official Bill Bryan: "And then I see the disinfectant, where it knocks it out in a minute. One minute. And is there a way we can do something like that, by injection inside or almost a cleaning. Because you see it gets in the lungs and it does a tremendous number on the lungs. So it would be interesting to check that. So, that, you're going to have to use medical doctors with. But it sounds -- it sounds interesting to me." WH Press conference Apr 24 Conflicting messages will create public confusion 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 6
  • 7. CDC and disinfectant companies later put out these warnings 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 7
  • 8. COVID-19 World Situations 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 8
  • 9. How much ‘COVID testing’ is enough? 10% benchmark is based on recommendations from WHO Sweden Is Open for Business During Its Coronavirus Outbreak: The Scandinavian country believes its distinctive high-trust culture will protect it from needing to shut down for the pandemic. Is it a correct strategy? 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 9
  • 10. USA “OPENS” for business as of Apr 21, 2020, against the advice of health experts 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 10
  • 11. Some people would accept a certain risk of death for the chance to return to work. Scientific community agreed that four things MUST happen when we want to re-open: 1. Infection rates even when testing 2. Massive testing and contact tracing 3. Stronger and rapid response health care system 4. Continued Movement Restriction Many people don’t really understand why we’re sheltering in place. If you ask them, they’ll say something about flattening the curve, but when you press on what that means, he said, “they get hazy. ” (Peter Sandman) How much coronavirus risk are we willing to accept in order to go back to normal lives? Will there be BAU (business as usual) post COVID-19? 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 11
  • 12. Georgia (USA) is re-opening against the advise of health experts : Hair salons, tattoo parlor, and massage therapy businesses, how can they practice social distancing? 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 12
  • 13. “I predict a new epidemic surge (incubation time ~5-7 days before onset symptoms, if any, and transmission to associates around that time, even among asymptomatics)… so increase in 2-4 weeks from now.” (Harvard TS Chan School of Public Health) 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 13
  • 14. Japan still has no stringent lockdown measures in place. Defy social distancing. Prime Minister Shinzo Abe has urged residents to reduce contact with other people by 70 to 80 percent, and the number of people on Tokyo’s normally packed transport system has dropped significantly. But the measures do not prevent people from going out, and many shops and even restaurants remain open. 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 14
  • 15. Top 5 countries COVID-19 infections and recovery (as of Apr 23, 2020) data from (https://www.worldometers.info/coronavirus/) 1 2 3 4 5 Spain. Italy, France, and Germany show evidence of convergence of new cases and recoveries. USA has yet to achieve it. 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 15
  • 16. NZ ‘eliminate’ COVID (April 29,2020). What is NZ doing? “Success doesn’t mean zero COVID-19 cases. It means zero tolerance, which means that as soon as we know we have a case, we go in straight away, we’re testing around that person, we’re isolating them … we do our interviews and contact trace to find all the people who have been in contact with them while they may have passed it on, and we ask them to isolate. That’s how we keep stamping out COVID cases.” (Prime Minister Jacinda Ardern) At 11.59pm on Monday (Apr 27), New Zealand will lift its level-4 lockdown which has been in place for more than four weeks. During that time, almost all businesses have been closed, along with schools while the population has been asked to remain in their homes for all but supermarket visits and short walks. Level 3 will see retailers, restaurants and schools allowed to reopen on a smaller scale. Schools will reopen on Wednesday for children up to Year 10 who cannot study from home, or whose parents need to return to work.
  • 17. 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 17
  • 18. Mitigating measures for containing spread of COVID-19 Period MCO1 - MCO 4 The effect of coronavirus disease 2019 (COVID-19) response in China shows that quarantine, social distancing, and isolation of infected persons can contain the epidemic in other countries where COVID- 19 is beginning to spread. 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 18
  • 19. Extended MCO (MCO1 – MCO 4 Apr 28 - May 12) 1Continued movement restriction. 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 19
  • 20. International travel restrictions to Malaysia: Precautionary actions to minimize imported COVID-19 cases 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 20
  • 21. 2Continuous social distance practices Suspend Bazar Ramadhan Modify COVID-19 Taraweeh Prayer. Withholding mass prayer. Suspend iftar (breaking fast) program Suspend Friday prayer 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 21
  • 22. 3Quarantine and Isolation to reduce imported cases In Putrajaya, Malaysians returning from abroad have to be quarantined at special centres as up to 15% did not comply with home quarantine orders. The ministry found positive cases in Malaysia spread locally by those who came back from overseas. “We find that when we ask people to do home quarantine, the compliance rate is about 75% to 80% because there are some who still go out ” (Health director-general Datuk Dr Noor Hisham). Previously, only those with Covid-19 symptoms were quarantined for 14 days at MOH centres while others were asked to self-isolate at home, depending on their city of origin or health status. 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 22
  • 23. 4Contact tracing used for tracking infectious diseases 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 23
  • 24. Digital Contact tracing 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 24
  • 25. Source: DOSM 5COVID-19 Reporting: Informing the public and proactive messaging on healthy behaviors 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 25
  • 26. Data on Mar 13 Data as of Apr 24 Sri Petaling cluster follow-up 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 26
  • 27. 1. Ensuring tough border control via screening and placing Malaysians returning from abroad under quarantine. 6. The health ministry must be able to work together with the community to enforce preventative measures in the community concerned 5. Incorporate the new normal in their daily lives - social distancing, regular washing of hands and avoiding public gatherings. 4. Enforce laws to protect those who are at high risk, such as the disabled, chemotherapy patients and those with serious diseases." 3. Reduce the time taken for polymerase chain reaction (PCR) screenings 2. Examine how effective the MCOs had been 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 27
  • 28. End of MCO 3 Apr 28 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 28
  • 29.
  • 30. 30/4/2020 COVID-19 RISK COMM3/TENGKU HANIDZA 30