Corona Virus Disease (COVID-19) Updates

[ngl2010]

slmkhoo\" post_id=\"2037126\" time=\"1631153212\" user_id=\"28674:

mummyof3angels\" post_id=\"2037125\" time=\"1631151050\" user_id=\"194437:

https://milelion.com/2021/09/08/germany-vtl-my-experience-with-covid-19-rules-regulations-and-life-in-munich/

The experience of someone who took the first VTL SIA flight to munich this week.

If we are supposed treat covid as endemic, we should be truly living in a post-covid era like what germany is doing, instead of all these talk of lock downs again by LW.

https://milelion-com0.exactdn.com/wp-content/uploads/2021/09/Pasted-17.jpg?strip=all&lossy=1&ssl=1\">

Surprisingly, only about 60% of the german population is fully vaccinated, and yet life has resumed for them with manageable ICU numbers.

I agree with you. They should focus on the seriously ill, and never mind the mild and asymptomatic cases. I think there is a disagreement behind the scenes - some want to go with the science, but some are still hanging on to the hope that total cases can be kept low. That horse has bolted.

And MOH should get someone else to work on their infographic! The latest version of the the infections by vaccination status and how many seriously ill is really poorly done - they all look mostly green. If they want to make the point that vaccination makes a difference, they need to present the figures better. (see Figure 3). It's not so bad on the website, but it really doesn't work when reproduced in the newspaper.
https://www.moh.gov.sg/news-highlights/details/update-on-local-covid-19-situation-%288-sep-2021%29

The 3 green bars are :slapshead:

[zeit.033699]

Agree with slmkhoo about the infographics. Wonder why CDC's stats are so convincing but ours invariably triggers more puzzlement (and facepalms) than answers!


Take the now purged damning Fig 10 for instance which I shared some pages before. As of 7 Sep, the last day they would reveal the FV/PV and UV being infected, you can see that the infection rate gap between the 2 are closing! Wait, FV/PV's surpassed the UV group now! :faint:

https://i.imgur.com/Zhq2aOt.png\">

I've combined PV+FV because I assume the protection rate conferred on youth is pretty high after 1 mere dose, so that gives us 38+3= 41

41 / 313,000 * 100 = 0.013%

3 / 31,000 * 100 = 0.009%

No wonder they must hide this Fig 10 last night!

I'm not looking at the seniors subgroups because I imagine the nAbs for youth should be still high since they've just jabbed recently, in contrast to seniors who took theirs in late Feb-Apr so their nAbs would have waned greatly by now.

So, by right the FV/PV youth infection rate should not be higher than the UV youth, because 1) they just took the shots in Jun-Aug; 2) majority took D1D2 within 6 weeks not 3 weeks interval.

[zeit.033699]

To be more world-class, MOH should provide us with a breakdown of vaccine types taken by all confirmed cases in the last 28 days.


CDC has a breakdown of their overall population taking various vaccines, but not of the infected population. So does HK.

https://i.imgur.com/sLiAWTD.png\">
https://i.imgur.com/CdQ1vML.png\">

How many of the 666 19-39yo infected persons took P/M/S, and so on? Don't they need to investigate before administering the boosters?

Second, if possible, they should also find out what type of masks were worn by all infected persons prior to their onset of symptoms.

Some food delivery riders and F&B staff are still wearing the 1st-gen Black t-shirt cotton masks. Many including ministers are still wearing the Red Merlion masks in the NDP2020 Funpack. I also see some elderly and students wearing the DET masks.

Helloooo, it's been many many months since these free masks were given out. Do they know they can only use it 20-30 times? Will people become complacent and not wash the mask properly after each use? They don't look like the type who'd dole out $ to buy disposables or reusables from Lazada.

Are the lower-income recycling those Temasek masks that cannot be used daily for over a year?!

I keep thinking why China, Macao, HK, TW can tame Delta so well. Is it because they have MANY surgical masks factories plus excess imports from mainland, as such they hardly need to wear reusable cloth masks? Have you seen any Chinese wearing reusable masks? Their foreign minister also wears KN95 or KF94 (though KF94's not good enuff for EU). If you wear certified disposables, you don't have to worry about not cleaning/sterilising them thoroughly every night. You just bin the disposables along with the germs.

Do you know if you go to EU, e.g. Germany, you must wear EU-approved disposable masks, not your Temasek free masks or cheapo Shopee digital print masks?! The waiter might not recognise your Merlion or Livinguard mask.

https://edition.cnn.com/2021/01/22/europe/europe-covid-medical-masks-intl/index.html

https://udn.com/news/story/7003/5488554 by a Taiwanese who went to Austria wearing her TW masks. She was stopped from entering a restaurant.

奧地利有口罩限制，一行人早上至餐廳用餐卻被擋下，原因是沒有配戴限定的口罩，「我們的口罩在歐洲認為是防護力不夠，一定要是白色款這種！」還好有工作人員提供，全員才能進入用餐，「沒想到我們戴的醫療口罩在奧地利這裡是不ok的，但沒有出國誰也不知道，不過這樣也能讓其他要出國比賽的選手參考嘍！」



It's time to investigate the masks worn by all infected persons!

[sharonkhoo]

But the financial and environmental cost of disposable masks needs to be considered. For people who are not at high risk of serious illness and do not spend time in high-risk areas (I would define this as medical facilities and very crowded areas), I think reusing the masks is fine, even beyond the 30 times. It’s not that these masks cannot be used or are completely ineffective - it’s just that the anti-microbial or whatever feature will wear off. The advice currently is that a 2-layer mask is sufficient to cut down the spread to others, while those at higher risk should wear the more effective masks to protect themselves.


Anyway, if we are going the endemic route, why worry about general transmission and investigate all infected persons? The idea is that we don’t need to be concerned about overall nos., just the ones seriously ill.

[starlight1968sg]

slmkhoo\" post_id=\"2037268\" time=\"1631235071\" user_id=\"28674:

Anyway, if we are going the endemic route, why worry about general transmission and investigate all infected persons? The idea is that we don't need to be concerned about overall nos., just the ones seriously ill.

It is challenging to change our mindset to focus on the number of seriously ill cases and not to be overly alarmed by the rocket high number of infected cases.
If we have a high number of infected cases, the number of seriously ill cases is likely to climb too.

[zac's mum]

starlight1968sg\" post_id=\"2037284\" time=\"1631241121\" user_id=\"14025:

slmkhoo\" post_id=\"2037268\" time=\"1631235071\" user_id=\"28674:

Anyway, if we are going the endemic route, why worry about general transmission and investigate all infected persons? The idea is that we don't need to be concerned about overall nos., just the ones seriously ill.

It is challenging to change our mindset to focus on the number of seriously ill cases and not to be overly alarmed by the rocket high number of infected cases.
If we have a high number of infected cases, the number of seriously ill cases is likely to climb too.

Not necessarily. If the high number of infected cases are mostly young & healthy pax, then no.

I think the more important factors (whether u will be seriously ill or not) are your age (>50 >60+) and your general health. Whether u have Pre-existing conditions like diabetes, high blood pressure etc.

We can try to stay healthy where we can. Other things are beyond our control.

[zac's mum]

I would like to see in the daily update:

- how many in ICU
- how many seriously ill (needing oxygen supplementation)

Of these, provide breakdown of:
- exact age, gender
- underlying medical conditions
- vaccination status

[lee_yl]

On the shift to just focus at those seriously ill and ICU beds, why did LW say that if we don’t keep community cases low, our healthcare facilities could be overwhelmed soon?


Only 6 out of 1000 icu beds taken up and LW is worried about healthcare workers being overworked and facilities overwhelmed? Has the 80% fully vaccinated rate cut the link between number of daily cases and severe / ICU cases?

As of yesterday, 664 are warded in hospitals (exclude those QO at facilities), 24 seriously ill (require oxygen) and 6 in ICU.

I notice that while there are only 6 in ICU, we already have 664 warded in hospital, Think before we reach even near 1000 ICU cases, there will be more than 100k covid patients warded inside hospitals due to covid. Do we have enough doctors and nurses not to mention beds to go round?

I remember last year, those whom I know are working in hospitals told me they were so tired and overworked.

[WE2012]

lee_yl\" post_id=\"2037294\" time=\"1631243793\" user_id=\"17023:

On the shift to just focus at those seriously ill and ICU beds, why did LW say that if we don’t keep community cases low, our healthcare facilities could be overwhelmed soon?

Only 6 out of 1000 icu beds taken up and LW is worried about healthcare workers being overworked and facilities overwhelmed? Has the 80% fully vaccinated rate cut the link between number of daily cases and severe / ICU cases?

As of yesterday, 664 are warded in hospitals (exclude those QO at facilities), 24 seriously ill (require oxygen) and 6 in ICU.

I notice that while there are only 6 in ICU, we already have 664 warded in hospital, Think before we reach even near 1000 ICU cases, there will be more than 100k covid patients warded inside hospitals due to covid. Do we have enough doctors and nurses not to mention beds to go round?

I remember last year, those whom I know are working in hospitals told me they were so tired and overworked.

First I do that think the 1,000 beds refer to ICU beds for covid-19 uses only. If it refer to covid-19 use ICU beds only, an overwhelming % (i.e. >10% as of hospital beds are icu beds, since icu are always occupied daily to certain extent) of our 11,561 beds in acute care facilities are icu beds. how can it be. If it is not icu beds for covid-19 only, then the question is how many of those are \"free beds\", ready to be deployed for covid-19 severe cases without degrading healthcare (icu, hd, or otherwise) for all other conditions. More important than the bed is the specialist personnel who must be deployed to man and manage the severe illness patient. These personnel need time to train and employ, scaling up by just making the same person man more beds are just going to degrade care.

Second, if the 1,000 beds are actually not purely icu beds but beds (normal and icu) that we can spare up to manage covid-19, then 664 beds have already been used. So, we have just around 30% more capacity before it is overwhelmed, and we are currently at less than 500 daily infections. Of course we can discharge all cases (except those needing icu or oxygen supplement) back to home for quarantine and observation, but do note that there is always risk associated with this. There is no machine around to monitor oxygen concentration 24/7 and it can drop fast, even while you're sleeping. Once oxygen concentration falls below 90%, organ damage will have started and it may be too late to reverse after the person is return to hospital.

[MrsKiasu]

Read fm MOH website update of local covid…


Group 40-60yo, seems to be the highest hospitalised.