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10:28am 16/12/2021
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Our endemic COVID-19 strategy must include a variant strategy

The Malaysian Health Coalition accepts that variants are inevitable in a multi-year pandemic.

We urge responsible and calm reporting from the media and the public, and recommend the government to immediately establish and implement an endemic COVID-19 strategy that includes strategies for the Omicron variant and other possible future variants.

We recommend the following:

1. Increase genomic surveillance

Malaysia has performed successful surveillance for viral diseases since the 1960s.

With Omicron detected here, we need to adapt, pool and utilize these existing resources to increase genome sequencing.

According to GISAID (a global non-profit for genomic data), Malaysia sequenced only 0.26% of all COVID-19 cases in the past 90 days, below the recommended 0.7-2.0% depending on case numbers.

Malaysia is under-sequencing compared to other developing countries like Thailand, India and South Africa. Therefore, we must actively build our own genome sequencing capacity through innovative partnerships between the Institute for Medical Research, university research and private laboratories.

We must sequence more in targeted clusters and at points of entry to understand the spread of Omicron and detect emerging variants.

The detection of variants must be coupled with robust real world data collection and analysis of case numbers, admissions and disease severity to monitor its impact.

We must also invest in R&D to expand the personnel, expertise and infrastructure of our surveillance system.

This allows new technologies and tools to be deployed to detect and respond to future variants.

2. Deploy boosters across Malaysia as quickly as possible with good safety monitoring

Evidence from clinical trials and real-world data sets proves that boosters are effective against variants.

Globally, government policies have increasingly supported boosters.

We commend the government’s decision to expand boosters to more and more groups.

However, we urge the government to publicize booster data, including all safety data regarding Adverse Events Following Immunization (AEFI), to build public confidence about the need for and safety of boosters.

Data transparency on safety and AEFIs will increase booster uptake.

We also urge the government to build a sustainable booster strategy, which requires answering the question “Will we need Boosters Round 2, 3 or 4?”

Immunological studies may be needed to build clinical evidence to prove the effects of boosters on variants like Omicron.

3. Implement the National Testing Strategy robustly

We welcome the launch of the National Testing Strategy (NTS) on Nov 26, especially its explicit focus on rapid tests and not over-relying on PCR tests.

However, there is no implementation date or implementation plan.

Therefore, we urge its immediate and robust implementation, with strong government action to ensure everyone has equal access to affordable, quality and timely testing.

Children under 12 are currently ineligible for the first two doses of vaccine and children aged 12 to 18 currently ineligible for booster doses should be offered more regular testing, over and above the NTS.

The NTS must be evaluated and refined constantly alongside the evolving endemic COVID-19, and integrated into the MOH database for centralized data collection and monitoring.

As COVID-19 becomes endemic, new variants are very likely to appear.

Malaysia needs a variety of solutions to keep the rakyat safe, and boosters, genomic surveillance and a well-implemented National Testing Strategy will support public health.

Malaysian Health Coalition

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