Corona Virus Disease (COVID-19) Updates
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slmkhoo\" post_id=\"2037268\" time=\"1631235071\" user_id=\"28674:
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.
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.
If we have a high number of infected cases, the number of seriously ill cases is likely to climb too. -
starlight1968sg\" post_id=\"2037284\" time=\"1631241121\" user_id=\"14025:
Not necessarily. If the high number of infected cases are mostly young & healthy pax, then no.
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.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.
If we have a high number of infected cases, the number of seriously ill cases is likely to climb too.
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. -
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 -
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. -
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. -
Read fm MOH website update of local covid…
Group 40-60yo, seems to be the highest hospitalised. -
WE2012\" post_id=\"2037305\" time=\"1631249731\" user_id=\"138082:
LW is not the first person who talked about \"1,000 ICU beds\" for \"Covid purpose\". It was OYK.
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.
\"6. Against this risk, we look at our hospital capacity for COVID-19 patients. Since the beginning of the pandemic last year, Singapore has prepared various bed types in the hospitals and community to manage COVID-19 patients. For ICU beds, which are required for the critically ill COVID-19 patients, we can open up to around 1,000 such beds if needed. Today, even though we have only a handful of ICU beds are occupied by COVID-19 patients, we have already opened up close to 70 beds, which is double from two weeks ago and we are preparing to open up more ICU beds these few weeks.
7. For isolation type beds in our hospitals, we have already ramped up about 1,000 beds, just for COVID-19 patients and about 80% of these beds are currently occupied for COVID-19 patients, including those under investigations for suspected COVID-19 infection. If number of COVID-19 hospitalisation goes up further, we will need to discharge more patients to community care facilities, repurpose more beds for COVID-19 operations, and even defer care and scale back beds for patients with non-COVID conditions. Thus, the odds of a large surge in cases are stacked against us: we knew that when a cluster grows uncontrollably, infection numbers would double every seven to ten days, which meant that hospital beds could fill up in a week. Beyond that, we could be overwhelmed. \"
https://www.moh.gov.sg/news-highlights/details/speech-by-mr-ong-ye-kung-minister-for-health-at-the-virtual-2021-healthcare-scholarships-award-ceremony-28-july-2021
There are 7 CCFs in total, including Connect@Changi 660 beds. The other six community care facilities are D'Resort NTUC, Tuas South, the former Ang Mo Kio Institute of Technical Education, Village Hotel Sentosa, Civil Service Club @ Loyang and Bright Vision Hospital. Total 5,500 beds for mild cases.
https://www.straitstimes.com/singapore/transport/connectchangi-converted-into-covid-19-community-care-facility
Not sure if KKH beds are part of the 1,000 normal beds declared. -
Have we started the vaccinated+covided=rest stay home, if the home is suitable?
Read something like a pilot prog start end Aug. -
There's of course the pilot for HOME ISOLATION that started on 30 Aug, but your entire family must be Fully Vaccinated, and no one should be immunocompromised/pregnant in the house.
If you have DC who're still not FV, you cannot recover at home I guess? You need to head to the CCF.
https://www.straitstimes.com/singapore/health/home-isolation-pilot-programme-for-mildly-ill-covid-19-patients-from-aug-30 -
1000 ICU beds can be made available for critically ill Covid patients, words from OYK’s mouth.
https://www.singhealth.com.sg/rhs/news/covid19/spores-icu-capacity-not-likely-to-be-overwhelmed-by-serious-covid-19-cases-says-expert
If we really want to just focus on severely ill and ICU cases, I think the numbers are quite small.
But from what I see, already 664 are still warded in hospitals (isolation beds/wards?) when we have only 6 ICU cases. Even if we can support up to 1000 icu covid cases, do we even have enough doctors, nurses and isolation wards/beds for the expected 100k+ covid patients (excluding those resting at facilities)?
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