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

Authors

  • Rama Krishna Supramanian Petaling District Health Office, Selangor, Malaysia
  • Lavanyah Sivaratnam Petaling District Health Office, Selangor, Malaysia
  • Arifah Abd Rahim Petaling District Health Office, Selangor, Malaysia
  • Noor Dalila Inche Zainal Abidin Petaling District Health Office, Selangor, Malaysia
  • Ong Richai Petaling District Health Office, Selangor, Malaysia
  • Zazarida Zakiman Petaling District Health Office, Selangor, Malaysia
  • Salina Md Taib Petaling District Health Office, Selangor, Malaysia
  • Lee Soo Petaling District Health Office, Selangor, Malaysia
  • Syed Hafeez Syed Ibrahim Jamalullai Petaling District Health Office, Selangor, Malaysia
  • Muhammad Nur Asraf Khirusalleh Petaling District Health Office, Selangor, Malaysia
  • Mohamed Paid Yusof Petaling District Health Office, Selangor, Malaysia

DOI:

https://doi.org/10.5365/wpsar.2020.11.4.001

Abstract

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.

Author Biography

Rama Krishna Supramanian, Petaling District Health Office, Selangor, Malaysia

Public Health Physician (Gazetting)

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Published

21-04-2021

Issue

Section

COVID-19: Original Research