STATUS TERKINI KES DISAHKAN COVID-19 YANG TELAH PULIH

Kementerian Kesihatan Malaysia (KKM) ingin memaklumkan bahawa pada hari ini, Malaysia mencatatkan bilangan kes pulih COVID-19 sebanyak 630 kes. Ini menjadikan jumlah kumulatif kes yang telah pulih sepenuhnya dari COVID-19 adalah 37,254 kes (73.9 peratus daripada jumlah keseluruhan kes).

Pecahan kes pulih mengikut negeri adalah seperti berikut:

• Sabah (237 kes);
• Selangor (170 kes);
• Negeri Sembilan (109 kes);
• Pulau Pinang (31 kes);
• Wilayah Persekutuan Labuan (25 kes);
• Perak (22 kes);
• Sarawak (13 kes);
• Kedah (8 kes);
• Terengganu (7 kes);
• Melaka (4 kes);
• Johor (3 kes); dan
• Kelantan (1 kes).

STATUS TERKINI KES COVID-19 DI MALAYSIA

Secara keseluruhannya, sehingga 18 November 2020 pukul 12:00 tengah hari, sebanyak 660 kes baharu telah dilaporkan menjadikan jumlah kes positif COVID-19 di Malaysia adalah sebanyak 50,390 kes. Manakala, jumlah kes aktif dengan kebolehjangkitan COVID-19 pula adalah 12,814 kes.

Negeri Sabah mencatatkan sebanyak 387 kes (58.6 peratus) daripada keseluruhan kes positif pada hari ini. Negeri-negeri di Lembah Klang pula mencatatkan sebanyak 173 kes positif pada hari ini iaitu penurunan sebanyak 345 kes (66.6 peratus) daripada sejumlah 518 kes positif yang dilaporkan semalam. Daripada 173 kes positif yang dilaporkan di ketiga-tiga negeri Lembah Klang ini, sebanyak 77 kes (44.5 peratus) adalah kes daripada kluster-kluster yang telah dikenal pasti.

Sebanyak 171 kes (25.9 peratus) yang dilaporkan pada hari ini adalah berkaitan kluster-kluster di Pusat Tahanan Sementara (PTS) dan penjara. Ini melibatkan Kluster PTS Tawau (135 kes), Kluster GK Tawau (12 kes), Kluster Tembok (9 kes), Kluster Penjara Seberang Perai (6 kes), Kluster Rumah Merah (4 kes), Kluster Matambai (4 kes) dan Kluster Penjara Sandakan (1 kes).

Ingin dimaklumkan daripada 660 kes baharu pada hari ini, terdapat empat (4) kes import yang mendapat jangkitan dari luar negara. Kes-kes tersebut melibatkan dua (2) warganegara dan dua (2) bukan warganegara yang tiba dari negara:

• Turki (2 kes);
• India (1 kes); dan
• Arab Saudi (1 kes).

Perincian kes penularan COVID-19 dalam negara adalah seperti berikut:

• Sabah: 387 kes
  • 262 kes daripada kluster-kluster, termasuk 85 kes daripada kluster-kluster baharu iaitu Kluster Sabaru, Kluster Tomher, dan Kluster Garden;
  • 51 kes daripada saringan kontak rapat kes positif COVID-19; dan
  • 74 kes daripada lain-lain saringan COVID-19.

• Selangor: 139 kes
  • 67 kes daripada kluster-kluster, termasuk dua (2) kes daripada kluster baharu iaitu Kluster Putra-18;
  • 28 kes daripada saringan kontak rapat kes positif COVID-19; dan
  • 44 kes daripada lain-lain saringan COVID-19. 

• Negeri Sembilan: 31 kes
  • 25 kes daripada kluster-kluster sedia ada;
  • Dua (2) kes daripada saringan kontak rapat kes positif COVID-19; dan
  • Empat (4) kes daripada lain-lain saringan COVID-19.

• Wilayah Persekutuan Kuala Lumpur: 29 kes
  • Sembilan (9) kes daripada kluster-kluster, termasuk empat (4) kes daripada kluster baharu iaitu Kluster Murni;
  • Empat (4) kes daripada saringan kontak rapat kes positif COVID-19; dan
  • 16 kes daripada lain-lain saringan COVID-19.

• Pulau Pinang: 16 kes
  • 14 kes daripada kluster-kluster, termasuk empat (4) kes daripada kluster baharu iaitu Kluster Seri Pasir;
  • Satu (1) kes daripada saringan kontak rapat kes positif COVID-19; dan
  • Satu (1) kes Severe Acute Respiratory Infections (SARI).

• Perak: 16 kes
  • 12 kes daripada kluster-kluster sedia ada;
  • Tiga (3) kes Severe Acute Respiratory Infections (SARI); dan
  • Satu (1) kes daripada saringan kontak rapat kes positif COVID-19.

• Wilayah Persekutuan Labuan: 13 kes
  • Lima (5) kes daripada kluster-kluster sedia ada;
  • Empat (4) kes daripada saringan kontak rapat kes positif COVID-19; dan
  • Empat (4) kes daripada lain-lain saringan COVID-19.

• Kedah: 11 kes daripada kluster-kluster sedia ada.

• Melaka: Empat (4) kes daripada kluster sedia ada.

• Sarawak: Tiga (3) kes daripada kluster baharu iaitu Kluster Besi Demak.

• Johor: Tiga (3) kes daripada kluster-kluster, termasuk satu (1) kes daripada kluster baharu iaitu Kluster Parit Kassan.

• Kelantan: Tiga (3) kes daripada kluster-kluster sedia ada.

• Wilayah Persekutuan Putrajaya: Satu (1) kes daripada kluster baharu iaitu Kluster Putra-18.

Sehingga kini, terdapat 103 kes positif COVID-19 yang sedang dirawat di Unit Rawatan Rapi (ICU), di mana 41 kes memerlukan bantuan pernafasan.

Daripada maklumat terkini yang dilaporkan ke Crisis Preparedness and Response Centre (CPRC) Kebangsaan, dukacita dimaklumkan bahawa terdapat pertambahan empat (4) kes kematian berkaitan COVID-19. Justeru, jumlah kumulatif kes kematian COVID-19 di Malaysia adalah sebanyak 322 kes (0.6 peratus daripada jumlah keseluruhan kes).

Ringkasan kes kematian hari ini adalah seperti berikut:

*WN merujuk kepada warganegara dan BWN merujuk kepada bukan warganegara.

KKM mengucapkan takziah kepada semua ahli keluarga mereka.

KLUSTER-KLUSTER YANG DIISYTIHAR TAMAT

KKM ingin memaklumkan bahawa tiga (3) kluster diisytiharkan tamat pada hari ini.

• KLUSTER KENCANA

Kluster ini melibatkan negeri Selangor, Johor, Wilayah Persekutuan Kuala Lumpur, dan Terengganu. Sehingga 18 November 2020, seramai 685 individu telah disaring di mana 26 kes dikesan positif COVID-19 manakala 659 individu lagi adalah negatif. Tiada kes kematian dilaporkan bagi kluster ini.

• KLUSTER BAH SINTOK

Kluster ini melibatkan negeri Kedah, Negeri Sembilan dan Selangor. Sehingga 18 November 2020, seramai 491 individu telah disaring di mana 50 kes dikesan positif COVID-19 manakala 441 individu lagi adalah negatif. Tiada kematian dilaporkan bagi kluster ini.

• KLUSTER SERI ANGGERIK

Kluster ini melibatkan negeri Selangor. Sehingga 18 November 2020, seramai 96 individu telah disaring di mana 24 kes dikesan positif COVID-19 manakala 72 individu lagi adalah negatif. Tiada kematian dilaporkan bagi kluster ini.

LAPAN (8) KLUSTER BAHARU DILAPORKAN HARI INI

KKM ingin memaklumkan bahawa terdapat lapan (8) kluster baharu telah dikenal pasti pada hari ini iaitu;

• KLUSTER SABARU

Kluster baharu ini melibatkan daerah Lahad Datu di negeri Sabah. Kes indeks bagi kluster ini (iaitu kes ke-33940) telah dikenal pasti positif COVID-19 hasil saringan individu bergejala pada 3 November 2020 dan telah dimasukkan ke Hospital Lahad Datu. Saringan komuniti di kawasan setempat telah mengesan sebanyak 87 lagi kes positif COVID-19 dalam kluster ini. Kes-kes tersebut telah dimasukkan ke Pusat Kuarantin dan Rawatan COVID-19 Berisiko Rendah, Sepagaya.

Sehingga 18 November 2020, 12 tengah hari, sejumlah 1,627 individu telah disaring, di mana:

• 88 kes dikesan positif COVID-19 (70 kes baharu);
• 22 individu dikesan negatif; dan
• 1,517 individu masih menunggu keputusan.

• KLUSTER TOMHER

Kluster baharu ini melibatkan daerah Ranau di negeri Sabah. Kes-kes bagi kluster ini merupakan pekerja buruh binaan yang telah dikenal pasti positif COVID-19 hasil saringan kumpulan berisiko tinggi sejak 9 November 2020. Kesemua kes tersebut telah dimasukkan ke Pusat Kuarantin dan Rawatan COVID-19 Berisiko Rendah, Dewan Kompleks Sukan Ranau.

Sehingga 18 November 2020, 12 tengah hari, sejumlah 276 individu telah disaring, di mana:

• 20 kes dikesan positif COVID-19 (12 kes baharu);
• Enam (6) individu dikesan negatif; dan
• 250 individu masih menunggu keputusan.

• KLUSTER GARDEN

Kluster baharu ini melibatkan daerah Tawau di negeri Sabah. Kes indeks bagi kluster ini (iaitu kes ke-38689) telah dikenal pasti positif COVID-19 hasil saringan individu bergejala pada 7 November 2020. Saringan kontak rapat telah mengesan sebanyak 10 lagi kes positif COVID-19. Kesemua telah dimasukkan ke Hospital Tawau.

Sehingga 18 November 2020, 12 tengah hari, sejumlah 35 individu telah disaring, di mana:

• 11 kes dikesan positif COVID-19 (3 kes baharu); dan
• 24 individu dikesan negatif.

• KLUSTER PUTRA-18

Kluster baharu ini melibatkan Wilayah Persekutuan Putrajaya serta daerah Petaling dan Sepang di negeri Selangor. Kes indeks bagi kluster ini (iaitu kes ke-48520) telah dikenal pasti positif COVID-19 hasil saringan individu bergejala pada 14 November 2020 dan telah dimasukkan ke Hospital Sungai Buloh. Saringan kontak rapat telah mengesan sebanyak enam (6) lagi kes positif COVID-19.

Sehingga 18 November 2020, 12 tengah hari, sejumlah 52 individu telah disaring, di mana:

• Tujuh (7) kes dikesan positif COVID-19 (3 kes baharu);  dan
• 45 individu masih menunggu keputusan.

• KLUSTER MURNI

Kluster baharu ini melibatkan daerah Cheras dan Kepong di Wilayah Persekutuan Kuala Lumpur serta daerah Petaling di negeri Selangor. Kes indeks bagi kluster ini (iaitu kes ke-46773) telah dikenal pasti positif COVID-19 hasil saringan individu bergejala pada 15 November 2020. Saringan kontak rapat telah mengesan sebanyak enam (6) lagi kes positif COVID-19. Kesemua telah dimasukkan ke Hospital Sungai Buloh.

Sehingga 18 November 2020, 12 tengah hari, sejumlah 17 individu telah disaring, di mana:

• Tujuh (7) kes dikesan positif COVID-19 (5 kes baharu);
• Lapan (8) individu dikesan negatif; dan
• Dua (2) individu masih menunggu keputusan.

• KLUSTER SERI PASIR

Kluster baharu ini melibatkan daerah Timur Laut di negeri Pulau Pinang. Kes indeks bagi kluster ini (iaitu kes ke-47348) telah dikenal pasti positif COVID-19 hasil saringan individu bergejala pada 11 November 2020. Saringan kontak rapat telah mengesan sebanyak 10 lagi kes positif COVID-19. Kesemua kes telah dimasukkan ke Hospital Pulau Pinang.

Sehingga 18 November 2020, 12 tengah hari, sejumlah 24 individu telah disaring, di mana:

• 11 kes dikesan positif COVID-19 (4 kes baharu);  dan
• 13 individu masih menunggu keputusan.

• KLUSTER BESI DEMAK

Kluster baharu ini melibatkan daerah Kuching di negeri Sarawak. Kes indeks bagi kluster ini (iaitu kes ke-47382) telah dikenal pasti positif COVID-19 hasil saringan individu bergejala pada 15 November 2020. Saringan kontak rapat telah mengesan sebanyak empat (4) lagi kes positif COVID-19. Kesemua kes telah dimasukkan ke Hospital Umum Sarawak.

Sehingga 18 November 2020, 12 tengah hari, sejumlah 237 individu telah disaring, di mana:

• Lima (5) kes dikesan positif COVID-19 (3 kes baharu);
• 220  individu dikesan negatif; dan
• 12 individu masih menunggu keputusan.

• KLUSTER PARIT KASSAN

Kluster baharu ini melibatkan daerah Tangkak, Johor dan daerah Melaka Tengah, Melaka. Kes indeks bagi kluster ini (iaitu kes ke-47391) telah dikenal pasti positif COVID-19 hasil saringan individu bergejala pada 13 November 2020 dan telah dimasukkan ke Hospital Enche’ Besar Hajjah Khalsom, Johor. Saringan kontak rapat telah mengesan sebanyak 10 lagi kes positif COVID-19.

Sehingga 18 November 2020, 12 tengah hari, sejumlah 105 individu telah disaring, di mana:

• 11 kes dikesan positif COVID-19 (1 kes baharu);
• 70  individu dikesan negatif; dan
• 24 individu masih menunggu keputusan.

KESIAPSIAGAAN COVID-19 BAGI NEGERI-NEGERI LEMBAH KLANG DAN PENUBUHAN PUSAT KAWALAN BERSEPADU COVID-19 WILAYAH TENGAH

Pada peringkat awal gelombang ketiga pandemik COVID-19, Kementerian Kesihatan Malaysia (KKM) hanya menggunakan Hospital Sungai Buloh (HSgB) dan Hospital Kuala Lumpur (HKL) sebagai hospital perawatan COVID-19. Manakala Pusat Kawalan Kusta Negara (PKKN) dijadikan Pusat Kuarantin dan Rawatan COVID-19 Berisiko Rendah bagi pesakit kategori 1 dan 2 di Selangor, Wilayah Persekutuan Kuala Lumpur (WPKL) dan Putrajaya. Namun begitu, peningkatan jumlah pesakit COVID-19 di kawasan ini telah mengakibatkan hospital-hospital tersebut mencatatkan kadar penggunaan katil yang tinggi.

Justeru itu, sebagai langkah kesiapsiagaan lanjut bagi menampung kemasukan pesakit susulan lonjakan kes positif COVID-19 di negeri-negeri Lembah Klang, KKM telah mengambil langkah-langkah berikut:

1. Menambah jumlah katil rawatan COVID-19 sedia ada di HSgB (ditingkatkan kepada 630 buah katil);
2. Menambah jumlah katil rawatan COVID-19 sedia ada di HKL (ditingkatkan kepada 831 buah katil);
3. Menukar status Hospital Rehabilitasi Cheras (HRC) kepada hospital hibrid COVID-19 dengan 230 buah katil COVID-19;
4. Membuka semula lapan (8) blok Institut Latihan KKM (ILKKM) Sg Buloh sebagai Pusat Kuarantin dan Rawatan COVID-19 Berisiko Rendah dengan kapasiti 2,400 buah katil; dan
5. Meneruskan penggunaan Pusat Kawalan Kusta Negara (PKKN) sebagai Pusat Kuarantin dan Rawatan COVID-19 Berisiko Rendah dengan kapasiti semasa 648 buah katil.

Oleh itu, sehingga 18 November 2020, jumlah katil bagi negeri Selangor, Wilayah Persekutuan Kuala Lumpur dan Wilayah Persekutan Putrajaya telah ditingkatkan hampir 14 kali ganda iaitu daripada 345 katil pada 1 Oktober 2020 kepada 4,739 buah katil.

Perancangan strategik bagi meningkatkan jumlah katil ini melibatkan enam (6) buah fasiliti iaitu HKL, HSgB, HRC, PKKN, ILKKM dan Hospital Angkatan Tentera Tuanku Mizan (HATTM) di dua (2) buah negeri serta kerjasama pelbagai agensi iaitu Agensi Pengurusan Bencana Negara (NADMA), Angkatan Tentera Malaysia (ATM), Polis Diraja Malaysia (PDRM), Jabatan Bomba dan Penyelamat Malaysia (JBPM), Angkatan Pertahanan Awam Malaysia (APM), Jabatan Sukarelawan Malaysia (RELA) dan Jabatan Kebajikan Masyarakat (JKM). Usahasama ini memerlukan koordinasi dan komunikasi yang jitu di antara semua agensi. KKM mengucapkan syabas dan terima kasih atas segala bantuan dan kerjasama rapat yang diberikan mereka.

Bagi melancarkan tadbir urus dan pengoperasian kesemua hospital dan PKRC di Selangor, WPKL & Putrajaya, KKM dengan bantuan MKN telah menubuhkan PUSAT KAWALAN BERSEPADU COVID-19 WILAYAH TENGAH atau CENTRAL REGION COVID-19 UNIFIED COMMAND CENTRE yang akan diketuai oleh Pengarah Kesihatan Negeri Selangor, YBhg. Dato’ Indera Dr. Sha’ari bin Ngadiman dan dibantu oleh Dr. Sarah binti Shaikh Abdul Karim, Pakar Perubatan Kecemasan dari HSgB sebagai timbalan beliau.

 Diharap kerjasama padu KKM dan agensi-agensi lain serta penubuhan CENTRAL REGION COVID-19 UNIFIED COMMAND CENTRE ini mampu melancarkan pengurusan wabak COVID-19 di Selangor, WPKL & Putrajaya. 

NASIHAT KESIHATAN BERKAITAN COVID-19

KKM ingin menasihati orang ramai agar terus patuhi saranan serta nasihat-nasihat kesihatan yang sering ditekankan. Jadikanlah nasihat-nasihat ini satu kebiasaan baharu dalam kehidupan harian:

• Elakkan 3S / 3C : iaitu elakkan kawasan yang sesak (Crowded place), elakkan kawasan yang sempit (Confined space) dan elak sembang atau bertutur dengan jarak yang dekat (Close conversation).
• Amalkan 3W : iaitu kerap mencuci tangan dengan air dan sabun (Wash), memakai alat pelitup muka (facemask) di tempat awam yang telah diwajibkan oleh pihak Majlis Keselamatan Negara (MKN) mulai 1 Ogos 2020 atau jika bergejala (Wear), dan (Warn) iaitu amaran dari KKM yang lebih berkonsep peringatan seperti:
  • Elakkan bersalaman / bersentuhan termasuk melagakan mana-mana bahagian tubuh badan sebagai menggantikan cara kebiasaan bersalam;
  • Amalkan etika batuk dan bersin;
  • Dapatkan rawatan segera jika bergejala;
  • Duduk di rumah dan elakkan kunjung-mengunjung;
  • Lakukan aktiviti disinfeksi dan pembersihan di kawasan yang kerap disentuh.

Patuhlah kepada S.O.P sebagai normal baharu iaitu:

• S : Syarat-syarat seperti yang ditetapkan di bawah Perintah Kawalan Pergerakan Pemulihan (PKPP);
• O : Orang yang berisiko tinggi seperti kanak-kanak, bayi, warga emas dan orang kurang upaya (OKU) perlu dilindungi, individu tidak sihat dan bergejala dikehendaki segera menjalani pemeriksaan kesihatan;
• P : Penjarakan fizikal (physical distancing) sekurang-kurangnya 1 meter diamalkan pada setiap masa.

KKM akan terus memantau perkembangan kejadian jangkitan di dalam negara, dan juga luar negara melalui maklumat yang diperolehi daripada pihak Pertubuhan Kesihatan Sedunia (WHO). Orang ramai akan sentiasa dimaklumkan sebarang perkembangan terkini mengenainya. Begitu juga, KKM akan memastikan langkah pencegahan dan kawalan yang sewajarnya adalah dilaksanakan secara berterusan.

Sekian, terima kasih.

TAN SRI DATO’ SERI DR. NOOR HISHAM ABDULLAH

KETUA PENGARAH KESIHATAN MALAYSIA

18 November 2020 @ 5.30 petang.

LAMPIRAN 1

BILANGAN KES COVID-19 MENGIKUT NEGERI DI MALAYSIA

(SEHINGGA 18 NOVEMBER 2020, JAM 12:00 TENGAH HARI)

*(   ) adalah merujuk kepada kes-kes import

LAMPIRAN 2

Status Terkini Kluster Aktif Yang Mencatat Kes Positif

(18 November 2020)

PRESS STATEMENT

MINISTRY OF HEALTH MALAYSIA

UPDATES ON THE CORONAVIRUS DISEASE 2019 (COVID-19)

SITUATION IN MALAYSIA

18 November 2020

Current Status of Confirmed COVID-19 Cases Who Have Recovered

The Ministry of Health (MOH) is pleased to inform that today Malaysia reported 630 COVID-19 recovered cases. Therefore, cumulatively, 37,254 confirmed COVID-19 cases have been discharged (73.9% of total cumulative cases).

The breakdown of recovered cases by state is as follows:

• Sabah (237 cases)
• Selangor (170 cases)
• Negeri Sembilan (109 cases)
• Pulau Pinang (31 cases)
• WP Labuan (25 cases)
• Perak (22 cases)
• Sarawak (13 cases)
• Kedah (8 cases)
• Terengganu (7 cases)
• Melaka (4 cases)
• Johor (3 cases)
• Kelantan (1 case)

Current Situation of COVID-19 in Malaysia

As of 18 November 2020, 12 pm, a total of 660 additional confirmed COVID-19 cases are reported today. Cumulatively, there are 50,390 confirmed COVID-19 cases in Malaysia. Therefore, there are currently 12,814 active and infective COVID-19 cases.

Sabah reported 387 cases (58.6%) of the total cases today. Meanwhile, states in the Klang Valley reported 173 cases, a reduction of 345 cases (66.6%) compared to the 518 cases reported yesterday. Of these 173 cases reported in the states in the Klang Valley, 77 cases (44.5%) are from existing active clusters.

A total of 171 cases (25.9%) reported today are from clusters related to the Temporary Detention Centre (PTS) and prisons. These are from the PTS Tawau Cluster (135 cases), GK Tawau Cluster (12 cases), Tembok Cluster (9 cases), Penjara Seberang Perai Cluster (6 cases), Rumah Merah Cluster (4 cases), Matambai Cluster (4 cases) and Penjara Sandakan Cluster (1 case).

Of the 660 additional cases reported today, there are four (4) imported cases who were infected overseas, involving two (2) Malaysians and two (2) non-Malaysians who were travellers from:

• Turkey (2 cases)
• India (1 case)
• Saudi Arabia (1 case)

The details of the local transmission COVID-19 cases are as follows:

• Sabah: 387 cases
  • 262 cases from existing active clusters, including 85 cases from new clusters i.e. Sabaru Cluster, Tomher Cluster and Garden Cluster.
  • 51 cases from screening of close contacts of confirmed COVID-19 cases.
  • 74 cases from other COVID-19 screenings.

• Selangor: 139 cases
  • 67 cases from existing active clusters, including 2 cases from a new cluster i.e. Putra-18 Cluster.
  • 28 cases from screening of close contacts of confirmed COVID-19 cases.
  • 44 cases from other COVID-19 screenings.

• Negeri Sembilan: 31 cases
  • 25 cases from existing active clusters.
  • 2 cases from screening of close contacts of confirmed COVID-19 cases.
  • 4 cases from other COVID-19 screenings.

• Kuala Lumpur: 29 cases
  • 9 cases from existing active clusters, including 4 cases from a new cluster i.e. Murni Cluster.
  • 4 cases from screening of close contacts of confirmed COVID-19 cases.
  • 16 cases from other COVID-19 screenings.

• Pulau Pinang: 16 cases
  • 14 cases from existing active clusters, including 4 cases from a new cluster i.e. Seri Pasir Cluster.
  • 1 case from screening of close contacts of confirmed COVID-19 cases.
  • 1 case from Severe Acute Respiratory Infection (SARI) screening.

• Perak: 16 cases
  • 12 cases from existing active clusters.
  • 3 cases from Severe Acute Respiratory Infection (SARI) screening.
  • 1 case from screening of close contacts of confirmed COVID-19 cases.

• WP Labuan: 13 cases
  • 5 cases from existing active clusters.
  • 4 cases from screening of close contacts of confirmed COVID-19 cases.
  • 4 cases from other COVID-19 screenings.

• Kedah: 11 cases from existing active clusters.

• Melaka: 4 cases from existing active clusters.

• Sarawak: 3 cases from a new cluster i.e. Besi Demak Cluster.

• Johor: 3 cases from existing active clusters, including 1 case from a new cluster i.e. Parit Kassan Cluster.

• Kelantan: 3 cases from existing active clusters.

• WP Putrajaya: 1 case from a new cluster i.e. Putra-18 Cluster.

Currently, 103 confirmed COVID-19 cases are receiving treatment in the intensive care units (ICUs), with 41 patients on ventilation support.

Regretfully, four (4) additional COVID-19 deaths were reported to the National Crisis Preparedness and Response Centre (CPRC) MOH today. Cumulatively, there are now 322 COVID-19 deaths in Malaysia (0.6% of total cumulative cases).

Summary of the deaths reported today is shown in the following table:

MOH extends its condolences to all family members.

Clusters Declared Ended

MOH would like to inform that three (3) clusters are declared ended today

1. The Kencana Cluster

This cluster involves Selangor, Johor, WP Kuala Lumpur and Terengganu. As of 18 November 2020, a total of 685 individuals were screened, with 26 cases detected positive for COVID-19 while another 659 individuals tested negative. No deaths were reported for this cluster.

2. The Bah Sintok Cluster

This cluster involves Kedah, Negeri Sembilan and Selangor. As of 18 November 2020, a total of 491 individuals have been screened, with 50 cases detected positive for COVID-19 while another 441 individuals tested negative. No deaths were reported for this cluster.

3. The Seri Anggerik Cluster

This cluster was in Selangor. As of 18 November 2020, a total of 96 individuals were screened, with 24 cases detected positive for COVID-19 while another 72 individuals tested negative. No deaths were reported for this cluster.

Eight (8) New Clusters Reported Today

MOH would like to inform that eight (8) new clusters were identified today.

• The Sabaru Cluster

This cluster involves the Lahad Datu district, Sabah. The index case for this cluster (Case 33,940) was detected positive for COVID-19 from symptomatic screening on 3 November 2020 and admitted into Lahad Datu Hospital. Screening of the local community has identified 87 additional confirmed COVID-19 cases in this cluster. All these cases were admitted into the COVID-19 Quarantine and Low-Risk Treatment Centre in Sepagaya.

As of 18 November 2020, 12 pm, a total of 1,627 individuals have been screened, of which:

• 88 confirmed COVID-19 cases (70 additional cases reported today)
• 22 individuals tested negative
• 1,517 individuals awaiting results

• The Tomher Cluster

This cluster involves the Ranau district, Sabah. The cases in this cluster are construction workers who were detected positive for COVID-19 from screening of high-risk groups since 9 November 2020. All these cases were admitted into the COVID-19 Quarantine and Low-Risk Treatment Centre in Ranau Sports Hall Complex.

As of 18 November 2020, 12 pm, a total of 276 individuals have been screened, of which:

• 20 confirmed COVID-19 cases (12 additional cases)
• 6 individuals tested negative
• 250 individuals awaiting results

• The Garden Cluster

This cluster involves the Tawau district, Sabah. The index case for this cluster (Case 38,689) was detected positive for COVID-19 from symptomatic screening on 7 November 2020. Screening of close contacts has identified 10 additional confirmed COVID-19 cases. All these cases were admitted into Tawau Hospital.

As of 18 November 2020, 12 pm, a total of 35 individuals have been screened, of which:

• 11 confirmed COVID-19 cases (3 additional cases)
• 24 individuals tested negative

• The Putra-18 Cluster

This cluster involves WP Putrajaya, and the Petaling and Sepang districts in Selangor. The index case for this cluster (Case 48,520) was detected positive for COVID-19 from symptomatic screening on 14 November 2020 and admitted into Sungai Buloh Hospital. Screening of close contacts has identified six (6) additional confirmed COVID-19 cases.

As of 18 November 2020, 12 pm, a total of 52 individuals have been screened, of which:

• 7 confirmed COVID-19 cases (3 additional cases)
• 45 individuals awaiting results

• The Murni Cluster

This cluster involves the Cheras and Kepong districts in WP Kuala Lumpur, and Petaling district in Selangor. The index case for this cluster (Case 46,773) was detected positive for COVID-19 from symptomatic screening on 15 November 2020. Screening of close contacts has identified six (6) additional confirmed COVID-19 cases. All these cases were admitted into Sungai Buloh Hospital.

As of 18 November 2020, 12 pm, a total of 17 individuals have been screened, of which:

• Seven (7) confirmed COVID-19 cases (5 additional cases)
• 8 individuals tested negative
• 2 individuals awaiting results

• The Seri Pasir Cluster

This cluster involves the Timur Laut district, Pulau Pinang. The index case for this cluster (Case 47,348) was detected positive for COVID-19 from symptomatic screening on 11 November 2020. Screening of close contacts has identified 10 additional confirmed COVID-19 cases. All these cases were admitted into Pulau Pinang Hospital.

As of 18 November 2020, 12 pm, a total of 24 individuals have been screened, of which:

• 11 confirmed COVID-19 cases (4 additional cases)
• 13 individuals awaiting results

• The Besi Demak Cluster

This cluster involves the Kuching district, Sarawak. The index case for this cluster (Case 47,382) was detected positive for COVID-19 from symptomatic screening on 15 November 2020. Screening of close contacts has identified four (4) additional confirmed COVID-19 cases. All these cases were admitted into Sarawak General Hospital.

As of 18 November 2020, 12 pm, a total of 237 individuals have been screened, of which:

• Five (5) confirmed COVID-19 cases (3 additional cases)
• 220 individuals tested negative
• 12 individuals awaiting results

• The Parit Kassan Cluster

This cluster involves the Tangkak district in Johor and Melaka Tengah district in Melaka. The index case for this cluster (Case 47,391) was detected positive for COVID-19 from symptomatic screening on 13 November 2020 and admitted into the Enche’ Besar Hajjah Khalsom Hospital, Johor. Screening of close contacts has identified 10 additional confirmed COVID-19 cases.

As of 18 November 2020, 12 pm, a total of 105 individuals have been screened, of which:

• 11 confirmed COVID-19 cases (1 additional case)
• 70 individuals tested negative
• 24 individuals awaiting results

COVID-19 Preparedness for States in the Klang Valley and Establishment of the Central Region COVID-19 Unified Command Centre

In the early stages of the third wave of the COVID-19 pandemic, MOH only utilised Sungai Buloh Hospital (HSgB) and Kuala Lumpur Hospital (HKL) as COVID-19 treatment hospitals. Meanwhile, the National Leprosy Control Centre (PKKN) is used as the COVID-19 Quarantine and Low-Risk Treatment Centre (PKRC) for patients in categories 1 and 2 in Selangor and WP Kuala Lumpur & Putrajaya. However, the increase in the number of COVID-19 patients in these states has resulted in these hospitals recording high bed occupancy rates.

Therefore, as a preparedness measure to accommodate the admission of patients following the surge in COVID-1 cases in the Klang Valley states, MOH has taken the following steps:

1. Increase the number of existing COVID-19 treatment beds in HSgB (increased to 630 beds)
2. Increase the number of existing COVID-19 treatment beds in HKL (increased to 831 beds)
3. Convert the status of Cheras Rehabilitation Hospital (HRC) to a COVID-19 hybrid hospital with 230 COVID-19 beds
4. Re-opened eight (8) blocks at the MOH Training Institute (ILKKM) in Sungai Buloh as a COVID-19 Quarantine and Low-Risk Treatment Centre (PKRC) with a capacity of 2,400 beds
5. Continue the use of the National Leprosy Control Centre (PKKN) as a COVID-19 Quarantine and Low-Risk Treatment Centre (PKRC) with a current capacity of 648 beds

Therefore, up to 18 November 2020, the number of beds for Selangor and WP Kuala Lumpur & Putrajaya has increased almost 14 times from 345 beds on 1 October 2020 to 4,739 beds.

Strategic planning to increase the number of beds involves six facilities i.e. HKL, HSgB, HRC, PKKN, ILKKM and Tuanku Mizan Armed Forces Hospital (HATTM) in the two states as well as the cooperation of various agencies i.e. the National Disaster Management Agency (NADMA), Malaysian Armed Forces (ATM), Royal Malaysian Police (PDRM), Malaysian Fire and Rescue Department (JBPM), Malaysian Civil Defense Force (APM), Malaysian Volunteer Department (RELA) and the Community Welfare Department (JKM). This collaborative effort requires close coordination and communication between all agencies. MOH congratulates and thanks for all the assistance and close cooperation given by all these agencies.

To streamline the governance and operation of all hospitals and PKRC in Selangor and WP Kuala Lumpur & Putrajaya, MOH with the support of the National Security Council (MKN) has established the Central Region COVID-19 Unified Command Centre (Pusat Kawalan Bersepadu COVID-19 Wilayah Tengah) which will be led by the Selangor State Health Director, Dato’ Indera Dr Sha’ari bin Ngadiman, and assisted by Dr Sarah binti Shaikh Abdul Karim, Emergency Physician from HSgB as the Deputy.

It is hoped that the strong cooperation of the MOH with other agencies as well as the establishment of the Central Region COVID-19 Unified Command Centre will be able to streamline the COVID-19 pandemic response in Selangor and WP Kuala Lumpur & Putrajaya.

Health Advisory on COVID-19

MOH advices the public to continue to comply to the recommendations and health advisories that are often emphasised. These advisories must be incorporated as the new normal in our daily life, including:

• Avoid the 3Cs: Avoid Crowded places; Confined spaces; and Close conversations.

• Practice the 3Ws: Wash hands frequently with water and soap; Wearing facemasks is now mandatory in public areas (starting from 1 August 2020 as directed by the National Security Council) or highly recommended if symptomatic; Warn self and others for the following, in line with MOH’s advisories:

• Avoid shaking hands or touching others, including bumping parts of the body in lieu of shaking hands
  • Practice good coughing and sneezing etiquette
  • Seek early treatment if symptomatic
  • Stay at home and avoid from visiting others
  • Regularly clean and disinfect commonly touched surfaces in common areas

In addition to the SOPs, continue to adhere to THiS as the new normal:

• T: Terms set under the Recovery Movement Control Order (RMCO)
• Hi: High-risk groups such as children, infants, older adults and the disabled must be protected, and if unwell with symptoms, to seek early treatment
• S: Safe physical distancing is practiced at all times, of at least 1 metre away from others

MOH will continue to monitor the development of the COVID-19 situation, both in the country as well as internationally, based on available information from the World Health Organization (WHO). The public will be continuously updated on the latest information. In addition, MOH will ensure that appropriate preventive and control measures are continuously implemented.

Thank you.

Tan Sri Dato’ Seri Dr Noor Hisham Abdullah

Director General of Health Malaysia

18 November 2020 @ 5.30 pm

Appendix 1

Number of Confirmed COVID-19 Cases in Malaysia, by States

(Cumulative, as of 18 November 2020, 12 pm)

*(   ) refers to imported confirmed COVID-19 cases

Appendix 2

Current Status of Active Clusters with Additional Confirmed COVID-19 Cases Reported Today

(18 November 2020)