Descriptive epidemiology of the first wave of COVID-19 in Petaling District, Malaysia: Focus on asymptomatic transmission.

Autor:	Supramanian RK; Petaling District Health Office, Selangor, Malaysia., Sivaratnam L; Petaling District Health Office, Selangor, Malaysia., Rahim AA; Petaling District Health Office, Selangor, Malaysia., Abidin NDIZ; Petaling District Health Office, Selangor, Malaysia., Richai O; Petaling District Health Office, Selangor, Malaysia., Zakiman Z; Petaling District Health Office, Selangor, Malaysia., Taib SM; Petaling District Health Office, Selangor, Malaysia., Soo L; Petaling District Health Office, Selangor, Malaysia., Jamalullai SHSI; Petaling District Health Office, Selangor, Malaysia., Khirusalleh MNA; Petaling District Health Office, Selangor, Malaysia., Yusof MP; Petaling District Health Office, Selangor, Malaysia.
Jazyk:	angličtina
Zdroj:	Western Pacific surveillance and response journal : WPSAR [Western Pac Surveill Response J] 2021 Apr 21; Vol. 12 (2), pp. 82-88. Date of Electronic Publication: 2021 Apr 21 (Print Publication: 2021).
DOI:	10.5365/wpsar.2020.11.4.001
Abstrakt:	Background: COVID-19 was first detected in Malaysia on 25 January 2020. Multiple clusters were detected in Petaling District, with the first locally transmitted case reported on 8 February. Descriptive analyses of the epidemiology of the COVID-19 outbreak in Petaling are presented, from the first case to the end of the first wave. Methods: All laboratory-confirmed COVID-19 cases reported to the Petaling District Health Office between 1 February and 26 June 2020 were analysed. Socio-demographic characteristics, symptoms, date of onset, date of exposure, travel history and history of comorbidities were obtained by phone interviews using one of two investigation forms. The descriptive analysis was conducted according to time, place and person. Results: There were 437 COVID-19 cases, for an incidence rate of 24/100 000 population. Ten (2.3%) deaths and 427 recovered cases were recorded. Of the 437 cases, 35.5% remained asymptomatic and 64.5% were symptomatic. Common symptoms included fever (43.8%), cough (31.6%) and sore throat (16.2%); 67.3% had no comorbidities, 62.5% reported close contact with a confirmed case, and 76.7% were local infections. Transmission occurred in four main groups: religious gatherings (20.4%), corporations (15.1%), health facilities (10.3%) and a wholesale wet market (6.4%). In 31.9% of confirmed cases, an epidemiological link to an asymptomatic case was found. Conclusion: Transmission of the disease by asymptomatic cases should be emphasized to ensure continuous wearing of face masks, hand hygiene and social distancing. Further research should be conducted to better understand the transmission of SARS-CoV-2 from asymptomatic cases. ((c) 2021 The authors; licensee World Health Organization.)
Databáze:	MEDLINE
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