The Health August/September 2020 | Page 21

| Covid-19 | august-september, 2020 | The Health 21 Embracing the new normal through digitization Prevention and control of Covid-19 are very much in the hands of Malaysians BY CAMILIA REZALI From the moment the Covid-19 outbreak was declared a global health emergency, a lot has changed in the way we live. The way we now do things and conduct our daily routine is the new normal. And this is likely to continue as the number of new Covid-19 cases vary between single and double digits daily. Although we are now in the Recovery Movement Control Order (RMCO), we must continue to be vigilant. Thus, a timely webinar was organised by Digital Heath Malaysia on ‘The New Normal in Public Health Following the Covid-19 Pandemic’. The webinar featured guest speaker Deputy Director-General of Health (Public Health), Datuk Dr Chong Chee Kheong while the moderator was Professor Dr Wong Chee Piau. Dr Chong said the options of prevention and control for Covid-19 were very much in the hands of all of us. “We do not have a drug or a vaccine. We are still not there yet and having said this, probably the only thing that we can do is actually to talk about how we can play a role in social distancing as well as personal protection.” While having limited weapons to fight the pandemic, requirements such as social distancing, maintaining proper hygiene and using face masks must continue, at least until the end of 2020. General principles of the new normal When the new normal came into effect, strategic guidelines for various situations was provided by the government – introducing Standard Operating Procedures (SOP) be they for a classroom setting, public transport, social gatherings or for healthcare workers. The four principles in embracing the new normal include border control, control of movement, physical distancing and self-protection. Said Dr Chong: “For healthcare workers, this is a specialised area because we usually will talk about two distinctive sections; one in primary care and the other in hospitals and wards. “The stringency of the SOP for hospitals is extremely high. We not only have to wear a face mask, but we also wear a face shield, goggles, gowns and a few other things to prevent healthcare workers from catching Covid-19.” Healthcare workers in primary care clinics, on the other hand, have a lower level of stringency. Nevertheless, it is much higher compared to sites outside of the working healthcare environment. Due to the strict procedures, the healthcare sector stockpiles on its personal protective equipment that lasts not less than three months. Going for a digital health system The potential to change from the standard Datuk Dr Chong Chee Kheong BORDER CONTROL • Health screening at Point Of Entry (POE) • Temperature and symptoms screening at POE PHYSICAL DISTANCING • To ensure at least 1m apart between individuals • Avoid the 3s/3c way of seeking consultation and treatment at clinics and hospitals was to be part of the move towards the industrial revolution. The healthcare industry has all the capabilities to manage patients through a digital system. Covid-19, he said, became a catalyst for the country to create an alteration for the industry. In moving towards minimising crowded places in healthcare, several options are given to patients; one through a phone call and coming according to an appointed time. Professor Dr Wong Chee Piau CONTROL OF MOVEMENT • Avoid high-risk areas • Use a hotspot tracker within the MySejahtera app to identify high-risk areas SELF-PROTECTION • Take care of personal hygiene • Wear masks • 3W (wash, wear, warn) The second option will be making appointments through a platform by the Ministry of Health (MoH), a platform in collaboration with commercial partners. The MoH also encouraged the implementation of a virtual clinic concept as well as the idea of home services, including visiting patients. “The virtual clinic concept is through video application where a planned contact is by the healthcare professionals responsible for care with a patient for clinical consultation advice and treatment planning,” said Dr Chong. But he stressed the most crucial element in converting to a digital health system is good internet access. Meantime, the public must recognise that virtual consultation in Malaysia is relatively new. The guidelines and the legalities of the entire process may require some time to develop. “The Malaysian Medical Council (MMC) is also looking at issues in the implementation of a virtual concept. There are still areas where we have to get to the fine print and put out the details so that our digital platform can move forward,” he explained. Embracing the new normal In efforts to better implement the new normal, the MoH has introduced a new campaign called the Distinct Risk Reduction Program (DRRP) which aims to maintain the green States which are free from Covid-19 and change the yellow States to green within 14 days. The campaign was launched by Prime Minister Tan Sri Muhyiddin Yassin on Aug 8, 2020. “The campaign promotes three main pillars, namely protecting family members, protecting the community and protecting Malaysian regions. “The success of the DRRP can only be possible with adherence by individuals, family and the community to the concepts of preventing, charity, educate, obey and monitor,” he added. — The Health MySejahtera application for better control MySejahtera is an application developed by the Government of Malaysia to assist in monitoring the spread of the Covid-19 pandemic in the country by enabling users to perform self-assessment. At the same time, it helps the MOH) to get preliminary information and take quick and effective action. SAFE: Information in MySJ is valid Updated info on highrisk areas through location detection SECURE: Inserted personal data are well-protected Data clean-up every six weeks SIMPLE: Check-in within a click Fully digitalised process