Don't Not Panic, Social Distancing and Do Not Over Buying.

Social distancing, DO NOT PANIC, don't over buying, and Pray! (附华语翻译)

Some important info:

1. COVID-19 doesn't not behave like SARS. It behave more like a flu.

2. Fatality rate for COVID-19 still low (range from 0.8 for less than 65 year old  to 15% only for elderly 80year old and above)

3. Transmission model not similar to SARS as they might transmit during asymptomatic period. But not to worry, if we got it, it will be like having a flu and recover later. No big deals

4. The COVID-19 plays 'hide and seek' behave like HIV (my own observation), that why some patient negative swab and later positive again.

5. The range of day from getting disease til symptoms present  (average 11.4 days, outlier up 21 days)

6. Effective treatment include antivirus.

7. Elderly, chronic illness are high risk of morbidity & mortality (CARS and PIC syndrome group)

8. Second wave of remerge of disease will attack younger person less than 35 years old (SIRS and Cytokinase Storm)

Mitigation Phase should be activated now to delay the epidermic peak, so that the healthcare system can cope with the outbreak

What shall we all do now to protect you and your love one?

Listen carefully guys and gals. It is very very crucial now.

1. Do our own responsibility taking care of our own hygiene.

2. Wash you hand every 10- 15min if you are outside (a bit OCD is ok during this mitigation phase)

3. If you sick, only wear mask. Keep those mask for the sick.

4. Do not wear your self created mask, it danger other and yourself, especially when you are sick and you wear it, it won't filter and germ and may spread the germ more!

5. Stay away from public, mean stay home. SOCIAL DISTANCING.

6. Don't shake hand and kiss. Just saya a hi or salam gesture from far.

7. Keep all the eldeely at home and provide them enough food and drink during this period.

8. Avoid all Mass gathering event and travelling! No no celebration event. Postpone it if possible. Sorry for those wedding event.

9. If you are having symptom and no contact history, stay home and self monitor. 10 sec breath holding test is good as a tool for self monitoring. Mean, if you can hold a deep breath more than 10 sec, you should be ok.

10. If you have contact with any COVID-19 patient, and you are symptomatic , please come forward to hospital. If you do not have symptom, please call our KKM hotline (office hours) and doctoroncall (after office hour) for further instruction.

11. Stay Calm and Do not panic. We have enough resouces to control disease if we follow these guide 100%.

12. School Holiday mean STAY AT HOME.

13. Last but not least. DO NOT OVER BUYING! Just buy your family own needs. Left some for others. Our country have wide range financial backgroud citizen (especially B40). Our aim is to keep the market basic need (eg. groceries & toilettries) constantsly available in the market so that everyone can buy it. With the constants goods supply, the price of goods won't go up and constant supply is ensured. So nobody will panic.

*Not everyone has similar purchase power. We need to consider others who had financial constrain in this outbreak season.

Pray for all safety.

Assoc Prof Dr Tan Toh Leong
President of Malaysia Sepsis Alliance

Consultant Emergency Medicine UKM

社交疏远,不要惊慌,不要过度购买,然后祈祷!

一些重要的信息:

1. COVID-19的行为不像SARS。它的行为更像流感。

2. COVID-19的死亡率仍然很低(范围从65岁以下的0.8到80岁以上的老年人的15%)

3.传播模型与SARS不同,因为它们可能在无症状时期传播。但是不用担心,如果我们得到了,它将像感冒一样,以后会康复。没什么大不了的

4. COVID-19扮演“躲猫猫”的行为,就像HIV(我自己的观察)一样,这就是为什么有些病人拭子阴性,后来又阳性。

5.从出现疾病直到出现症状的天数范围(平均11.4天,异常值最多21天)

6.有效的治疗包括抗病毒药。

7.老年人,慢性病是高发病率和死亡率的风险(CARS和PIC综合征组)

8.疾病的第二波复发将袭击35岁以下的年轻人(SIRS和细胞激酶风暴)

现在应激活缓解阶段以延迟表皮高峰,以便医疗保健系统可以应对疫情

为了保护您和您的爱人,我们现在应该做什么?

仔细听家伙和女孩。现在非常非常重要。

1.履行自己的责任,注意自己的卫生。

2.如果您在外面,则每10-15分钟洗一次手(在缓解阶段,可以使用一点OCD)

3.如果生病,请只戴口罩。留那些面具给病人或高风险的人士,例如老年小孩,高血压,心脏病,癌症,艾滋病,糖尿病 。

4.请勿戴上您自己制造的口罩,否则会危害他人和您自己,尤其是当您生病并戴上口罩时,它不会过滤和滋生细菌,并且可能会使细菌传播更多!

5.远离公众,意味着待在家里。社会疏远。

6.不要握手和亲吻。只是在远方说一句你好或打个招呼手势。

7.在此期间,将所有大人们都留在家中,并为他们提供足够的食物和饮料。

8.避免所有群众集会活动,宗教活动和旅行,取消庆祝活动。尽可能推迟一切庆祝活动。

9.如果您有症状且没有联系历史,请留在家中并进行自我监控。 10秒钟的屏气测试可以作为自我监控的工具。意思是,如果您可以屏住呼吸超过10秒钟,那应该没问题。

10.如果您与任何COVID-19患者接触,并且有症状,请赶快去医院。如果您没有症状,请拨打我们的KKM热线 0388810200,600,700(办公时间)和Doctoroncall(办公时间之后)以获取进一步的指导。

11.保持冷静,不要惊慌。如果我们遵循这些指南100%,我们就有足够的资源来控制疾病。

12.学校放假意味=留在家中。

13.最后但并非最不重要的一点。不要过度购买!只需购买家人自己的需求即可。留一些给别人。我国有广泛的金融背景公民(尤其是B40)。我们的目标是使市场上的基本需求(例如杂货和个人卫生护理产品)保持恒定,以便每个人都可以购买。有了恒定的商品供应,商品价格就不会上涨,从而确保了恒定的供应,没人会惊慌。

*并非每个人都有类似的购买力。我们需要考虑在这个暴发季节经济拮据的其他人。

为所有人们的安全祈祷。

陈沱良副教授
马来西亚败血症联盟主席和创办人
马来西亚国大急症顾问专科

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