Sunday, March 13, 2022
Guidance on living among COVID19 Zone
https://pelanpemulihannegara.gov.my/sabah/index.html
https://healthblog.uofmhealth.org/health-management/confused-about-what-to-do-after-a-covid-exposure-start-here
Confused About What to Do After a COVID Exposure? Start Here
A guide to testing, quarantining, isolating and returning to work or school, depending on whether you’ve gotten vaccinated fully, partly or not at all, and your own history with COVID.
Updated July 31, 2021.
Editor’s note: Information on the COVID-19 crisis is constantly changing. For the latest numbers and updates, keep checking the CDC’s website. For the most up-to-date information from Michigan Medicine, visit the hospital's Coronavirus (COVID-19) webpage.
Remember those “Choose Your Own Adventure” books from grade school?
The ones where you turned to a different page, depending on what you wanted a book character to do?
If you find out you or your child has been around someone who has COVID-19, you might feel like you’re living in one of those books.
What should you do next?
And unlike the books, there’s a lot more at stake if you make the wrong choice. Plus, you can’t turn back to the page you started on.
So, here’s a simple Choose Your Own Adventure-style guide to get you through the current surge in cases, and the next few months, safely.
You can download, print and share a simple graphic version of this guide.
For full details, follow the Choose Your Own Adventure text below.
Wait! This guide doesn’t agree with what I was told before.
That’s right! Experts have learned a lot in the past year about this coronavirus, how it spreads and who’s most likely to get sick or spread it to others. And more people are getting vaccinated, which protects them from serious illness and death if they get infected. The guidance has also changed to reflect the more infectious nature of the Delta variant, which is more likely to lead to infection in vaccinated people that, while they don't cause the vaccinated person to get seriously ill, could still be transmitted to others.
So the rules about who needs to do what, after they get exposed to a person with COVID-19, have changed.
And the rules apply to children and teens as well as adults. Younger people may not be as likely to get sick, but they can still spread the virus. So where we say “you” below, you can also substitute “your child or teen.”
Start here:
You find out that you were exposed to someone who developed COVID-19 symptoms, or who tested positive for coronavirus even if they don’t have symptoms.
What counts as an exposure or close contact? A general rule of thumb is you were within six feet of someone with COVID-19 for 15 minutes or more (masked or unmasked, indoors or outdoors) during their contagious period. Even if it was a shorter encounter, but the person sneezed near you or you ate or drank from shared dishes or utensils; that counts too. Sharing enclosed spaces with such a person, especially ones that don’t have good ventilation or for prolonged times, also can be counted.
What counts as the contagious period? It starts two days before a person’s symptoms began. Or, if they have no symptoms, it started two days before the day they got tested, if their lab test (called PCR) was positive. It lasts through the end of the 10th day after their symptoms started, unless they still have a fever on the 10th day. In that case, they’re still contagious until the fever has been gone at least 24 hours, without fever-reducing drugs. Or if they have no symptoms, it lasts 10 days after the day of the lab test (PCR) that came back positive.
Your adventure begins:
First, you need to get tested. It can take a couple of days after your exposure for you to become infected. Because of this, you should be tested not with a rapid test, which is less accurate in the early stages of infection, but with a lab test (called a viral or PCR test) using a swab up your nose. You can get such a test for free from most pharmacies and public health departments, and many clinics. It may take a day to get scheduled, and results could take a few days to come back. If you are fully vaccinated, don't get tested until three to five days after your exposure, even if you don’t have symptoms.
Stay home until you can get tested, and keep staying home until you get your test results back. This is called quarantine. Then follow the directions below for negative or positive results.
Tell the person at your school or work who tracks COVID-19 exposures that you had an exposure.
Tell the people you live with, and anyone you were around in the past few days, that you had an exposure. They don’t have to get tested or quarantine if you test negative. But if you test positive or develop symptoms, then they need to follow this guide, too.
If you’ve been fully vaccinated: If it’s been at least two weeks since your final or single vaccine dose, you should get tested three to five days after your exposure, even if you don't have symptoms. Wear a mask in any indoor public setting starting as soon as you find out you were exposed and continue doing so until you get your test results. Then, follow the directions below.
If you live with someone who is at high risk of serious COVID-19: Stay distant from them, and wear a mask at home. Meanwhile, the person you were exposed to should stay home in isolation until their contagious period is over. (What’s isolation? See Adventure 2 below.) The person you were exposed to should also tell their school or work, and tell people they live with and people they were near recently, so that all their other close contacts can also get tested and stay home.
You just got your test results. Time to choose an adventure:
Adventure 1: Your lab test comes back negative and you have no symptoms.
Congratulations!
Report your test result to your school or work, and to people you live with or were near recently.
But you’re not out of the woods yet.
Now, choose which one of these situations applies to you to find out what happens next:
If you’ve been fully vaccinated: “Fully vaccinated” means it’s been at least two weeks after you got the second dose of a two-dose vaccine, or two weeks after you got a single-dose vaccine. If that describes you, then good news: You do not need to stay home, unless you start getting symptoms! Your chances of developing COVID-19 are very low, but it’s still possible because the vaccines are not a total guarantee. If you do develop symptoms, skip to Adventure 2.
If you’ve recovered from a confirmed case of COVID-19 within the past 3 months: You don’t need to stay home after a new negative test, unless you start getting symptoms, which is still possible because your protection from a past infection is weaker than a vaccine’s protection. If you do develop symptoms, skip to Adventure 2.
If you haven’t gotten vaccinated at all yet or you’re only partly vaccinated: You could still be infected, but the test might not have detected it yet. So, you need to stay home as many as 14 days from the time of your last exposure to the contagious person. This is true even if you tested positive for COVID-19 in the past, but it was more than a few months ago, because your immunity has likely decreased. If you stay symptom-free for 10 days, your local public health department may allow you to leave quarantine and go back to school or work, and out in public. If it does, you should still monitor yourself for symptoms on days 10 through 14, and skip to Adventure 2 if you have any. As long you are symptom-free, it’s now time to schedule your vaccination if you’re eligible. If you’re partly vaccinated, you can continue with your next vaccine dose as scheduled.
If you weren’t planning to get vaccinated or you aren’t eligible yet: You need to follow the same directions as an unvaccinated person and you’ll have to quarantine every time you get exposed, until you’re fully vaccinated. Consider the inconvenience of that when you’re making your vaccination decision. Talk to a health professional if you have concerns.
You can now skip to “The final chapter” below!
Adventure 2: Your lab test comes back positive or you develop symptoms.
There’s no way to sugar-coat this: you need to go into isolation.
Isolation means staying home at all times and avoiding others, even the people you live with.
It means staying in a closed room (though you can have a window open.) It means wearing a mask to use the bathroom. It means having people leave you food, drink and medicine at your door. It means treating any symptoms you might have, such as fever and pain. And of course, it means seeking medical care if any of your symptoms become serious.
Tell your school or work what’s going on. Tell people you recently had close contact with, so they can get tested with a lab test (PCR) and stay home while they wait for their results.
Don’t leave isolation until your contagious period is over.
This means your adventure in isolation must continue 10 days after your positive test or the start of your symptoms. At that point, you may be ready to go back to school or work. But if you’ve had a fever, you must also wait until you are 24 hours after the fever has gone away, without fever-reducing drugs.
Then, and only then, can you go back to school or work. You might have some lingering symptoms like a reduced sense of taste or smell, but you are not likely to be contagious unless you have a compromised immune system.
You should still monitor yourself for symptoms until 14 days, and go back into isolation if they come back.
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Now, choose which one of these situations applies to you, to find out what happens next:
If you’re fully vaccinated: Thank science that you probably just had a much milder case than you would have if you hadn’t been vaccinated. Encourage others to get vaccinated.
If you’re partially vaccinated: Wait a week or two until you go get that second dose of a two-dose vaccine. If you already had an appointment, you may need to delay it. Just make sure you get it.
If you haven’t started the vaccination process, now’s the time. Schedule your appointment for a week or two after your contagious period ended.
If you weren’t planning to get vaccinated, please consider doing it after all. Wait a week or two and then start the process. Talk to your doctor or a trusted medical professional if you have questions. Be wary of negative claims on social media.
If the person who tested positive or had symptoms is under age 12: Vaccination isn’t authorized for this age group yet, but once it is, it’s important to get vaccinated, even after having COVID.
Keep reading for the final chapter.
The final chapter: Life after a COVID exposure
No matter what your test result, vaccination status or COVID history, you should follow the latest mask-wearing guidance for the places you want to go.
If you are traveling, taking part in sports, preparing for a medical procedure, or working or attending school in person, you may be asked or required to take antigen tests once or multiple times.
These screening tests give results in minutes and are useful for spotting undiscovered cases, but they are also much more prone to giving “false negatives.” So, getting a negative result on one of them does not give you a “free pass” to stop paying attention to COVID precautions.
If you test negative on an antigen test, but you then develop symptoms or find out that you had an exposure to a contagious person, you should get a lab test (PCR) and quarantine until you get your results.
If you test positive on an antigen test, immediately follow up by having a lab test (PCR), and quarantine until you get the results. In either case, use your lab test results to guide you on Adventure 1 or Adventure 2 above.
The less the virus spreads, the less chance it will have to sicken and kill people, to mutate, and to prompt new limits on schools, activities and businesses.
Public health experts will tell us when we can ease up on these practices, based on vaccination rates and case counts.
Because that’s the only way we’re going to close the book on COVID-19.
Burial of COVID19 Deaths
These photos paint the picture of deaths due to Covid19 and how they were buried, lonely and far from loved ones, only the burial workers to complete the last rituals. A picture of utter despair and aloneness!
https://www.freemalaysiatoday.com/category/photos/2021/08/03/suasana-pilu-di-tanah-perkuburan-bukit-kiara/
Suasana pilu di Tanah Perkuburan Bukit Kiara
45
127
23
Satu lagi rekod dicatatkan pada 2 Ogos apabila 219 kematian dilaporkan Kementerian Kesihatan. Ia mengatasi rekod terdahulu, 207 kematian yang dicatatkan pada 26 dan 27 kematian.
Petugas kesihatan dan pasukan pengurusan jenazah Covid-19 menghadapi tugas mencabar akibat peningkatan angka korban saban hari yang melebihi 150 kematian.
So heart-breaking to see this.
Lessons from the Malacca Election in 2021
A meaningful analogy of our current political situation which all Malaysians ( especially Sabahans )
must know… please pass on to all Malaysians.
(original writer unknown)
Malacca lesson.
Malacca Chapter :
Analysis of Melaka polls; LACK of understanding of a shared group interest .
A great read 🙏🏻🙏🏻
A meaningful analogy of our current political situation which all Malaysians must know.
A point to ponder
Sandwich has been served everyday in a hostel of 100 students. Out of 100 students 80 students complained and wanted to be given different food / every day.
But, 20 students were happy to eat Sandwich everyday. 80 students wanted to have something other than Sandwich.
With great noises and confusions to get a conclusion, the warden arranged for voting. Which ever food gets the majority, that food will be made available.
*20 students who wanted Sandwich voted promptly.
Out of remaining 80 students voted as per their taste.*
18: Nasi Lemak
16: Roti Canai
14: Bread & Butter
12: Mee goreng
10: Cornflakes
10: Pasteries
So, as per the voting pattern & Majority, Sandwich was continued to ber served daily.
Lesson: As long as 80% of the population looks around, petty, selfish, divided & scattered, 20% will rule us.
It's a good lesson.
People Mindset
We all need to develop a People Mindset to success!
Credit: WhatsApp Group
Prayers for College Students
https://www.crosswalk.com/faith/prayer/10-protective-prayers-for-your-college-students-whole-year.html
10 Protective Prayers for Your College Student's Whole Year
It’s both exciting and scary to drop your child off at college at the end of summer. On one hand, it’s thrilling to see our kids pursuing their passions and studies, meeting dormmates and roommates for the new year, and enjoying the rites of college football or sorority rush.
On the other hand, we’re releasing them to a world we can’t control. They’ll decide not only what classes to take but whether to go to class at all. They’ll decide what friends to hang with and what activities they’ll do with those friends. College is often a catalyst for kids to reevaluate what they’ve been taught at home and the values they’ve been raised with. They’ll be exposed to partying, people and philosophies and their response to all three will shape not just their next four years but who they are when they graduate.
But we parents have a weapon in this war. Prayer is not a last resort when we get a late-night phone call but our first opportunity to fight for them.
As our kids go back to college or move onto campus for the first time, we can intentionally pray for them. These are prayers you will want to bookmark to pray for your college child throughout the year or share with fellow parents of kids headed to college. Let’s look at 10 prayers for your college student.
1. Prayer for the New College Student
Dear Lord, I pray for my child who is stepping into a new season on a new college campus this year. I pray You will help him with all of the logistics of getting classes, meeting professors, setting up financial aid and getting moved into housing. Surround him with friends who will challenge him to walk more closely with You and guide him to a church where he can serve you while at college. Help him to work hard, to study well and to use this time to develop skills and gifts for Your purposes. As he encounters new challenges, help him love You with his whole heart. As he hears different philosophies, help him love you with his whole mind. As the enemy prowls around tempting him with all manner of worldliness, help him love You with all his strength. Give him courage to follow hard after You and to glorify You where You’ve placed him. In Jesus’ name, amen.
2. Prayer for God’s Direction
Lord, I pray my child will have eyes to see You and ears to hear You as she navigates big decisions about her major, internships, relationships and her future. Please bring clarity and to her decisions and peace as she makes them. Help her to seek Your will above her own. Help her to know the purpose You have for her. Help her to be patient as You reveal Your perfect will for her and help her to lean not on her own understanding but to trust You to make all of her paths straight. Help her discern when others are speaking wisdom from You. Open doors widely and close them loudly as You lead her. In Jesus’ name, amen.
3. Prayer for Provision
Dear God, I know You promise to provide every need according to Your riches in Christ Jesus. So I ask you to meet the financial needs of my child while he’s in college. Provide for his housing, for transportation needs, for his tuition and books. Help my child to honor you with his money, to give cheerfully, and to see Your hand as You meet his needs. Your eye is on the sparrow and You gloriously clothe the lilies of the field and I know You will also care for my child. Help us not to worry but to trust You and Your timing and Your ways. Thank You God, that You already have all provision and will meet every need for the schooling You’ve called my child to. In Jesus’ name, amen.
4. Prayers for a Strong Christian Walk
Lord, I pray my child will feel Your strong presence as she ventures out to college. Draw her to You and give her a hunger for Your Word that isn’t satisfied anywhere else. Help her find a local church where she can grow, be discipled and serve and help her dig deep in Bible study. Help her to guard her own personal time for Bible study and prayer when so much else tries to crowd in and keep her from You. As she meets challenges and struggles, help her turn to You. I pray she will stay rooted in You, will flourish as a light for You on campus and will know how wide and long and high and deep Your love is so that her soul is filled to the full measure of You. In Jesus’ name, amen.
5. Prayer for Doing Hard Things
God, this next year will bring challenges for my child. Perhaps challenges in her faith, her actions, or her studies. Help her to do hard things that glorify You. Help her to stand alone against peer pressure. Help her to stand up for righteousness. Help her to trust Your promises when circumstances are saying different or her emotions are whispering lies. Help her to manage tasks that are outside her skillset or comfort zone. And help her to be an influence for Your kingdom where You plant her this semester. In Jesus’ name, amen.
6. Prayer for Finding Friends
Lord, You tell us that bad company corrupts good character and so I pray that You will bring true friends for my son at college. Help my son choose wise friends who will help him grow more like You, who reflect Your heart and will and who glorify You. I pray that my child’s roommates would also be godly, that deep friendship would take root and that the time spent in their dorm or apartment would be edifying. I pray that these friends would be a source of great joy and laughter, and that they would spur each other on to do good things and live for You. In Jesus’ name, amen.
7. Prayer for Sexual Purity
Dear God, my heart is broken over the world that waits to entice my child into all kinds of sexual impurity. At the outset, I ask You to powerfully draw my child to You so that Your voice is louder than any other he hears at college. I ask You to surround him with likeminded friends and peers who would encourage purity and help him keep wise and healthy boundaries. I pray that he would stay in Your word where he can daily renew his mind from the lies of this world. I ask You to strengthen him, to keep him from yielding to any temptation and to clearly open his eyes to the way out when temptation comes. May he seek Your will and Your power in any temptation. In Jesus’ name, amen.
8. Prayer for Managing Time
Lord, You have given my child enough time to accomplish every one of Your purposes this semester. I pray he will seek You first as each day starts and learn to let You order his steps. Help him be a good steward of his time and bless the time he puts into study and work to make it effective. Help him sleep well and not to be stressed or overwhelmed with his schedule. Help him discern unforeseen interruptions that are from You while keeping him from harmful distractions. Give him insight into how to use his time well. In Jesus’ name, amen.
9. Prayer for their Future Spouse
Lord, I pray that You will bring a godly spouse for my child in Your perfect timing. I pray she will trust You and wait for Your specific will. I pray she’ll pursue You and keep from any relationships that would distract her or keep her from following hard after You. I pray even now that her spouse is also drawing close to You and also following hard after You. Bring godly men and women into both of their lives to disciple them, give them a vision for marriage and prepare them for marriage and parenthood when that comes. May my child’s relationships glorify You. In Jesus’ name, amen.
10. Prayer for Protection
As I release my child, Father, I pray for her physical protection. Thank You Lord, for hemming her in behind and before and for keeping Your hand on her. Keep her safe at night, as she walks on campus, and as she goes to places that are new and unknown to her. Guard her health and keep her physically strong this semester. I also pray for spiritual protection. I pray she will stay grounded in Your word, that her faith will guard her mind, that Your righteousness will guard her heart and that she will take every thought captive to Your truth. Thank You for being her strong defender and her refuge. In Jesus’ name, amen.
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