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    <title>Vaccine | Tengku Hanis</title>
    <link>https://tengkuhanis.netlify.app/tag/vaccine/</link>
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    <description>Vaccine</description>
    <generator>Wowchemy (https://wowchemy.com)</generator><language>en-us</language><copyright>©Tengku Hanis 2020-2025 Made with [blogdown](https://github.com/rstudio/blogdown)</copyright><lastBuildDate>Wed, 10 Nov 2021 00:00:00 +0000</lastBuildDate>
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      <title>Vaccine</title>
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    <item>
      <title>Some COVID-19 plots for Southeast Asian countries</title>
      <link>https://tengkuhanis.netlify.app/post/some-covid-19-plots-for-southeast-asian-countries/</link>
      <pubDate>Wed, 10 Nov 2021 00:00:00 +0000</pubDate>
      <guid>https://tengkuhanis.netlify.app/post/some-covid-19-plots-for-southeast-asian-countries/</guid>
      <description>
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&lt;p&gt;Recently, I found a GitHub &lt;a href=&#34;https://github.com/owid/covid-19-data/tree/master/public/data&#34;&gt;repo&lt;/a&gt; containing a global COVID-19 dataset. I thought, why not try to do some plotting for Southeast Asian countries. So, I downloaded the data and limited the data to Southeast Asian countries only (Brunei, Indonesia, Malaysia, Philippines, Singapore, Thailand and Vietnam). I have uploaded this restricted data to my GitHub &lt;a href=&#34;https://github.com/tengku-hanis/data-owid-covid&#34;&gt;repo&lt;/a&gt;.&lt;/p&gt;
&lt;p&gt;We are not going to do anything fancy, just some visualisations.&lt;/p&gt;
&lt;p&gt;Let’s begin by reading the data.&lt;/p&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;library(tidyverse)
covid_sea &amp;lt;- read_csv(&amp;quot;https://raw.githubusercontent.com/tengku-hanis/data-owid-covid/main/covid_sea.csv&amp;quot;)&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;We are going to compare between each Southeast Asian countries in terms of:&lt;/p&gt;
&lt;ol style=&#34;list-style-type: decimal&#34;&gt;
&lt;li&gt;Daily cases&lt;/li&gt;
&lt;li&gt;Daily deaths&lt;/li&gt;
&lt;li&gt;Daily tests&lt;/li&gt;
&lt;li&gt;Daily vaccinations&lt;/li&gt;
&lt;/ol&gt;
&lt;p&gt;Before that, we need to make a function, as all the above items have a generic things to plot with the exception on y axis.&lt;/p&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;easy_plot &amp;lt;- function(var1, lab_title, yaxis_lab, span = 0.14){
  covid_sea %&amp;gt;% 
    select(date, location, {{var1}}) %&amp;gt;% 
    drop_na() %&amp;gt;% 
    ggplot(aes(date, {{var1}}, color = location)) +
    geom_smooth(se = F, span = 0.14) +
    geom_point(aes(color = location), alpha = 0.2) +
    geom_line(aes(color = location), alpha = 0.2, linetype = &amp;quot;dashed&amp;quot;) +
    labs(title = {{lab_title}}) +
    ylab({{yaxis_lab}}) +
    xlab(&amp;quot;Date&amp;quot;) +
    theme_minimal() 
}&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;var1 is going to be the item/variable that we want to compare, lab_title is the plot title, yaxis_lab is the label on the y axis, and span is just how smooth our smoothen line should be.&lt;/p&gt;
&lt;div id=&#34;daily-cases&#34; class=&#34;section level2&#34;&gt;
&lt;h2&gt;Daily cases&lt;/h2&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;easy_plot(new_cases, &amp;quot;Daily cases for southeast Asian countries&amp;quot;, &amp;quot;Daily cases&amp;quot;, span = 0.8)&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;&lt;img src=&#34;https://tengkuhanis.netlify.app/post/some-covid-19-plots-for-southeast-asian-countries/index.en_files/figure-html/unnamed-chunk-3-1.png&#34; width=&#34;672&#34; /&gt;&lt;/p&gt;
&lt;p&gt;We cannot compare in terms of the frequency as big countries like Indonesia is expected to had a higher number of daily cases. A smoothen line though very basic, may indicate a simple trend. Thailand, Malaysia, Philippines and Indonesia seems to had a decreasing trend of cases. On the other hand, the daily cases in Vietnam seems to start to increase. Singapore had a more stabilised trend of cases, though a higher number of cases was observed in the latest period. Lastly, Brunei had too little cases, for us to see any sort of trend at the scale of the between countries comparison.&lt;/p&gt;
&lt;/div&gt;
&lt;div id=&#34;daily-deaths&#34; class=&#34;section level2&#34;&gt;
&lt;h2&gt;Daily deaths&lt;/h2&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;easy_plot(new_deaths, &amp;quot;Daily deaths for southeast Asian countries&amp;quot;, &amp;quot;Daily deaths&amp;quot;, span = 0.8)&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;&lt;img src=&#34;https://tengkuhanis.netlify.app/post/some-covid-19-plots-for-southeast-asian-countries/index.en_files/figure-html/unnamed-chunk-4-1.png&#34; width=&#34;672&#34; /&gt;&lt;/p&gt;
&lt;p&gt;Philippines and Indonesia seems started to had a bit of increasing trend. Other countries look okay.&lt;/p&gt;
&lt;/div&gt;
&lt;div id=&#34;daily-tests&#34; class=&#34;section level2&#34;&gt;
&lt;h2&gt;Daily tests&lt;/h2&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;easy_plot(new_tests, &amp;quot;Daily tests for southeast Asian countries&amp;quot;, &amp;quot;Daily tests&amp;quot;, span = 0.2)&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;&lt;img src=&#34;https://tengkuhanis.netlify.app/post/some-covid-19-plots-for-southeast-asian-countries/index.en_files/figure-html/unnamed-chunk-5-1.png&#34; width=&#34;672&#34; /&gt;&lt;/p&gt;
&lt;p&gt;The daily tests plot looks a bit weird for Vietnam. Actually, the daily tests below zero are not avaliable (not sure if there is no test done in the period or the values is just missing). Hence, the weird looking plot for Vietnam. Data for Brunei and Thailand are not available. Malaysia seems to be quite aggressive in COVID-19 testing, even on par with Indonesia. Also, Vietnam seems to be very aggressive in the latest period, probably to cover the lack of COVID-19 testing previously.&lt;/p&gt;
&lt;/div&gt;
&lt;div id=&#34;daily-vaccinations&#34; class=&#34;section level2&#34;&gt;
&lt;h2&gt;Daily vaccinations&lt;/h2&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;easy_plot(new_vaccinations, &amp;quot;Daily vaccinations for southeast Asian countries&amp;quot;, &amp;quot;Daily vaccinations&amp;quot;, span = 0.9)&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;&lt;img src=&#34;https://tengkuhanis.netlify.app/post/some-covid-19-plots-for-southeast-asian-countries/index.en_files/figure-html/unnamed-chunk-6-1.png&#34; width=&#34;672&#34; /&gt;&lt;/p&gt;
&lt;p&gt;Malaysia and Singapore had quite a similar distribution. Vietnam, Philippines, Thailand and Indonesia quite similar in which they had a series of wave in the rate of vaccinations, though the trend of wave for Thailand is less obvious. Again, the number in Brunei was too little for us to see any trend or distribution at this scale.&lt;/p&gt;
&lt;/div&gt;
&lt;div id=&#34;malaysia-situation&#34; class=&#34;section level2&#34;&gt;
&lt;h2&gt;Malaysia situation&lt;/h2&gt;
&lt;p&gt;Let’s do a plot, specific to Malaysia. We going to scale the numbers, so that we able to see a comparison in term of trend or distribution.&lt;/p&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;covid_sea %&amp;gt;% 
  filter(location == &amp;quot;Malaysia&amp;quot;) %&amp;gt;% 
  mutate(new_cases = scale(new_cases), 
         new_deaths = scale(new_deaths), 
         new_tests = scale(new_tests), 
         new_vaccinations = scale(new_vaccinations)) %&amp;gt;% 
  ggplot(aes(date)) +
  geom_line(aes(y = new_cases, color = &amp;quot;new_cases&amp;quot;), alpha = 0.3) +
  geom_line(aes(y = new_deaths, color = &amp;quot;new_deaths&amp;quot;), alpha = 0.3) +
  geom_line(aes(y = new_tests, color = &amp;quot;new_tests&amp;quot;), alpha = 0.3) +
  geom_line(aes(y = new_vaccinations, color = &amp;quot;new_vaccinations&amp;quot;), alpha = 0.3) +
  geom_point(aes(y = new_cases, color = &amp;quot;new_cases&amp;quot;), alpha = 0.3) +
  geom_point(aes(y = new_deaths, color = &amp;quot;new_deaths&amp;quot;), alpha = 0.3) +
  geom_point(aes(y = new_tests, color = &amp;quot;new_tests&amp;quot;), alpha = 0.3) +
  geom_point(aes(y = new_vaccinations, color = &amp;quot;new_vaccinations&amp;quot;), alpha = 0.3) +
  geom_smooth(aes(y = new_cases, color = &amp;quot;new_cases&amp;quot;), se = F, span = 0.3) +
  geom_smooth(aes(y = new_deaths, color = &amp;quot;new_deaths&amp;quot;), se = F, span = 0.3) +
  geom_smooth(aes(y = new_tests, color = &amp;quot;new_tests&amp;quot;), se = F, span = 0.3) +
  geom_smooth(aes(y = new_vaccinations, color = &amp;quot;new_vaccinations&amp;quot;), se = F, span = 0.6) +
  labs(title = &amp;quot;Situation in Malaysia&amp;quot;) +
  ylab(&amp;quot;Scaled Frequency&amp;quot;) +
  xlab(&amp;quot;Date&amp;quot;) +
  guides(color = guide_legend(&amp;quot;Items&amp;quot;)) +
  scale_color_discrete(labels = c(&amp;quot;Daily cases&amp;quot;, &amp;quot;Daily deaths&amp;quot;, &amp;quot;Daily tests&amp;quot;, &amp;quot;Daily vaccinations&amp;quot;)) +
  theme_minimal()&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;&lt;img src=&#34;https://tengkuhanis.netlify.app/post/some-covid-19-plots-for-southeast-asian-countries/index.en_files/figure-html/unnamed-chunk-7-1.png&#34; width=&#34;672&#34; /&gt;&lt;/p&gt;
&lt;p&gt;Interestingly, as the number of vaccination increased up to a certain threshold, the number of daily cases and daily deaths started to decreased. Obviously, the daily testing also decreased as in Malaysia, COVID-19 testing is done based on suspected cases and their persons of contact instead of mass testing.&lt;/p&gt;
&lt;p&gt;&lt;em&gt;Disclaimer: Please take anything written here with a massive grain of salt.&lt;/em&gt;&lt;/p&gt;
&lt;p&gt;Data source:
&lt;a href=&#34;https://github.com/owid/covid-19-data/tree/master/public/data&#34; class=&#34;uri&#34;&gt;https://github.com/owid/covid-19-data/tree/master/public/data&lt;/a&gt;&lt;/p&gt;
&lt;/div&gt;
</description>
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      <title>COVID-19 vaccine interest in Malaysia</title>
      <link>https://tengkuhanis.netlify.app/post/covid-19-vaccine-interest-in-malaysia/</link>
      <pubDate>Sun, 17 Oct 2021 00:00:00 +0000</pubDate>
      <guid>https://tengkuhanis.netlify.app/post/covid-19-vaccine-interest-in-malaysia/</guid>
      <description>
&lt;script src=&#34;https://tengkuhanis.netlify.app/post/covid-19-vaccine-interest-in-malaysia/index.en_files/header-attrs/header-attrs.js&#34;&gt;&lt;/script&gt;


&lt;p&gt;We are going to do a basic google trends search using &lt;code&gt;gtrendsR&lt;/code&gt; package and do some plotting with &lt;code&gt;ggplot2&lt;/code&gt;.&lt;/p&gt;
&lt;p&gt;These are the required packages.&lt;/p&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;library(gtrendsR)
library(tidyverse)&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;Run &lt;code&gt;gtrends()&lt;/code&gt; function to search our keywords of interest (i.e; type of vaccine). So far, we only used &lt;a href=&#34;https://covidnow.moh.gov.my/vaccinations/&#34;&gt;4 type of vaccines&lt;/a&gt; in Malaysia.&lt;/p&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;vaccine &amp;lt;- gtrends(c(&amp;quot;pfizer&amp;quot;, &amp;quot;astrazeneca&amp;quot;, &amp;quot;sinovac&amp;quot;, &amp;quot;cansino&amp;quot;), geo = &amp;quot;MY&amp;quot;)&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;Then, plot our keywords.&lt;/p&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;plot(vaccine)&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;&lt;img src=&#34;https://tengkuhanis.netlify.app/post/covid-19-vaccine-interest-in-malaysia/index.en_files/figure-html/unnamed-chunk-3-1.png&#34; width=&#34;672&#34; /&gt;
Probably, it’s better if we filter our date to when the COVID-19 pandemic started, which is around March 2020.&lt;/p&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;vaccine$interest_over_time %&amp;gt;% 
  group_by(keyword) %&amp;gt;% 
  filter(hits != &amp;quot;&amp;lt;1&amp;quot; &amp;amp; date &amp;gt; as.Date(&amp;quot;2020-03-01&amp;quot;)) %&amp;gt;% 
  mutate(hits = as.numeric(hits), 
         date = as.Date(date)) %&amp;gt;% 
  ggplot() + 
  geom_line(aes(x = date, y = hits, color = keyword), size = 0.8) +
  theme_minimal() +
  labs(title = &amp;quot;COVID-19 vaccine interest in Malaysia&amp;quot;, y = &amp;quot;Search hits&amp;quot;, x = &amp;quot;Date&amp;quot;) +
  scale_x_date(date_breaks = &amp;quot;4 month&amp;quot;)&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;&lt;img src=&#34;https://tengkuhanis.netlify.app/post/covid-19-vaccine-interest-in-malaysia/index.en_files/figure-html/unnamed-chunk-4-1.png&#34; width=&#34;672&#34; /&gt;&lt;/p&gt;
&lt;p&gt;So, AstraZeneca vaccine is of high interest, probably due to infamous blood clotting issue. Next, we can also get the search keywords based on the states.&lt;/p&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;vaccine$interest_by_region %&amp;gt;% 
  group_by(location) %&amp;gt;% 
  ggplot(aes(location, hits, fill = keyword)) +
  geom_col(alpha = 0.8) +
  coord_flip() +
  theme_minimal() +
  scale_fill_viridis_d() +
  labs(title = &amp;quot;COVID-19 vaccine interest in Malaysia by states&amp;quot;, y = &amp;quot;Search hits&amp;quot;, x = &amp;quot;&amp;quot;)&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;&lt;img src=&#34;https://tengkuhanis.netlify.app/post/covid-19-vaccine-interest-in-malaysia/index.en_files/figure-html/unnamed-chunk-5-1.png&#34; width=&#34;672&#34; /&gt;&lt;/p&gt;
&lt;p&gt;Lastly, we can plot the search keywords based on the city.&lt;/p&gt;
&lt;pre class=&#34;r&#34;&gt;&lt;code&gt;vaccine$interest_by_city %&amp;gt;% 
  group_by(location) %&amp;gt;% 
  drop_na() %&amp;gt;% 
  ggplot(aes(location, hits, fill = keyword)) +
  geom_col(alpha = 0.8) +
  coord_flip() +
  theme_minimal() +
  scale_fill_viridis_d() +
  labs(title = &amp;quot;COVID-19 vaccine interest in Malaysia by cities&amp;quot;, y = &amp;quot;Search hits&amp;quot;, x = &amp;quot;&amp;quot;)&lt;/code&gt;&lt;/pre&gt;
&lt;p&gt;&lt;img src=&#34;https://tengkuhanis.netlify.app/post/covid-19-vaccine-interest-in-malaysia/index.en_files/figure-html/unnamed-chunk-6-1.png&#34; width=&#34;672&#34; /&gt;&lt;/p&gt;
&lt;p&gt;&lt;code&gt;gtrendsR&lt;/code&gt; with just a bit of plots certainly very useful if we want to gauge certain issues in the community.&lt;/p&gt;
</description>
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      <title>How many Malaysian should be vaccinated to get herd immunity from COVID-19?</title>
      <link>https://tengkuhanis.netlify.app/post/how-many-malaysian-should-be-vaccinated-to-get-herd-immunity-from-covid-19/</link>
      <pubDate>Mon, 07 Dec 2020 00:00:00 +0000</pubDate>
      <guid>https://tengkuhanis.netlify.app/post/how-many-malaysian-should-be-vaccinated-to-get-herd-immunity-from-covid-19/</guid>
      <description>
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&lt;p&gt;Recently I have read an &lt;a href=&#34;https://codeblue.galencentre.org/2020/11/27/malaysia-buying-pfizers-ultra-cold-covid-19-vaccine-posing-major-distribution-issues/#:~:text=According%20to%20BioSpace%2C%20the%20Covid,price%20sold%20to%20the%20US&#34;&gt;article&lt;/a&gt; that the Malaysian government have made a deal with Pfizer for 6.4 million Malaysian to be vaccinated. So, I am wondering what is the minimal number of people should be vaccinated.&lt;/p&gt;
&lt;p&gt;I have also come across this interesting &lt;a href=&#34;https://www.cebm.net/covid-19/when-will-it-be-over-an-introduction-to-viral-reproduction-numbers-r0-and-re/&#34;&gt;article&lt;/a&gt;, which explains how we can calculate a minimal number of people to be vaccinated to achieves herd immunity based on R naught (R&lt;sub&gt;0&lt;/sub&gt;).&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;R naught (R&lt;sub&gt;0&lt;/sub&gt;)&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;The basic idea of R&lt;sub&gt;0&lt;/sub&gt; or basic reproduction number is quite simple. It describes how many secondary infections will derive from the first case. I think Figure 1 below describes this idea very well.&lt;/p&gt;
&lt;div class=&#34;figure&#34; style=&#34;text-align: center&#34;&gt;&lt;span style=&#34;display:block;&#34; id=&#34;fig:unnamed-chunk-1&#34;&gt;&lt;/span&gt;
&lt;img src=&#34;r0.png&#34; alt=&#34;Basic idea of R~0~(image from https://www.atrainceu.com/content/3-basic-reproduction-number-r-naught)&#34; width=&#34;60%&#34; /&gt;
&lt;p class=&#34;caption&#34;&gt;
Figure 1: Basic idea of R&lt;sub&gt;0&lt;/sub&gt;(image from &lt;a href=&#34;https://www.atrainceu.com/content/3-basic-reproduction-number-r-naught&#34; class=&#34;uri&#34;&gt;https://www.atrainceu.com/content/3-basic-reproduction-number-r-naught&lt;/a&gt;)
&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;So, R&lt;sub&gt;0&lt;/sub&gt; can be affected by a few factors, such as:&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;proportion of susceptible people at the initial outbreak&lt;/li&gt;
&lt;li&gt;infectiousness of the virus or the disease&lt;/li&gt;
&lt;li&gt;rate of recovery or death&lt;/li&gt;
&lt;li&gt;and a few other factors&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;As R&lt;sub&gt;0&lt;/sub&gt; increases more than 1, the spread of the disease will increases, while R&lt;sub&gt;0&lt;/sub&gt; below 1 indicates the spread of the disease will decrease and eventually dies out.&lt;/p&gt;
&lt;p&gt;However, I noticed that quite a few including KKM (Ministry of Health, Malaysia) have used the term R&lt;sub&gt;0&lt;/sub&gt; in their reports instead of R&lt;sub&gt;e&lt;/sub&gt; or R&lt;sub&gt;t&lt;/sub&gt; which is the effective reproduction number or time-varying reproduction number. R&lt;sub&gt;0&lt;/sub&gt; refers to the initial reproduction number at the beginning of the outbreak. The “naught” or “zero” in R naught (R&lt;sub&gt;0&lt;/sub&gt;) is referring to population condition that has zero immunity to the disease.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Herd immunity&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;Herd immunity is said to occur when a significant proportion of the population is immunized. Subsequently, those whose susceptible (not immunized) will be protected.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;How many should be vaccinated&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;So, back to the initial topic. We can use the formula below to answer this question.&lt;/p&gt;
&lt;p&gt;&lt;span class=&#34;math display&#34;&gt;\[P_i &amp;gt; 1 - \frac{1}{R_0}\]&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;P&lt;sub&gt;i&lt;/sub&gt; refers to the number of proportion that should be immunized or in this case, vaccinated.&lt;/p&gt;
&lt;p&gt;So, after googling, I found one calculation by my lecturer in Biostat Unit, USM, &lt;a href=&#34;https://wnarifin.github.io/&#34;&gt;Dr Wan Arifin&lt;/a&gt; and his colleague. The R&lt;sub&gt;0&lt;/sub&gt; based on his &lt;a href=&#34;https://wnarifin.github.io/covid-19-malaysia-sir/&#34;&gt;calculation&lt;/a&gt; is 2.673. Also, I found another &lt;a href=&#34;https://codeblue.galencentre.org/2020/04/10/mco-slashed-malaysia-covid-19-infection-rate-by-over-three-times/&#34;&gt;article&lt;/a&gt; reported that the R&lt;sub&gt;0&lt;/sub&gt; is 3.55 in March, according to KKM.&lt;/p&gt;
&lt;p&gt;Malaysian’s population is estimated at &lt;a href=&#34;https://www.dosm.gov.my/v1/index.php?r=column/cthemeByCat&amp;amp;cat=155&amp;amp;bul_id=OVByWjg5YkQ3MWFZRTN5bDJiaEVhZz09&amp;amp;menu_id=L0pheU43NWJwRWVSZklWdzQ4TlhUUT09&#34;&gt;32.7 million&lt;/a&gt; by the Department of Statistics, Malaysia (DOSM). So, using the formula above, about 63% to 72% of Malaysian population should vaccinated, and this translates to about 20.6 to 23.5 million people.&lt;/p&gt;
&lt;p&gt;The deal that the Malaysian government made with Pfizer is far from enough, but of course, this is a very good and quick decision. We also have other vaccines like Moderna’s vaccine coming up.&lt;/p&gt;
&lt;p&gt;&lt;em&gt;Disclaimer: This is just my opinion. Please take it with a massive grain of salt.&lt;/em&gt;&lt;/p&gt;
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