Dom, Nazri Che
Hisyam, Amni Nurhusna Shahrul
Saeman, Muhammad Nabil
Latib, Nurul Athirah Abd
Ramli, Muhammad Imanudin
Fisal, Zul Aizat Mohamad
Yusoff, Nornasyuha Mohd
Osman, Mohd Azuraidi
Dapari, Rahmat
Salleh, Siti Aekbal
Article History
Received: 23 November 2025
Accepted: 8 January 2026
First Online: 31 January 2026
Declarations
:
: The authors declare no competing interests.
: This study utilized secondary surveillance data obtained with formal approval from the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia (NMRR ID: 25–02921-CR1). Ethical clearance was granted on 1 October 2025, valid until 1 October 2026. All procedures were conducted in accordance with national data protection regulations and institutional ethical standards. No human subjects were directly involved, and all data were anonymized prior to analysis. Data were used solely for research purposes under strict confidentiality.