Corona Virus Disease (COVID-19) Updates
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zeit.\" post_id=\"2040174\" time=\"1633090090\" user_id=\"194295:
I thought about this Domino Effect too, whereby family member gets stuck in the QO/HRS cycle one after another... [/quote]I like the term \"domino effect\"! Yes, I thought of this too! Hope that if we are going to suffer this, we all catch it roughly the same time, not one person every 10 days.
Just wondering, for patients who have recovered after completing their 7 or 10 days isolation - do u know if they are exempted from QO touchwood should their close contacts come down with it subsequently?lego\" post_id=\"2040161\" time=\"1633087984\" user_id=\"11821:
[quote=doodbug post_id=2040021 time=1633055636 user_id=13281]While isolation for Covid positive individuals has always been practised, the protocols on close contacts have been changing a lot, a lot. Resulting in confusion and chaos on the ground.
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If you are ART positive but asymptomatic,family members no longer need to QO, I think.
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starlight1968sg\" post_id=\"2040139\" time=\"1633082803\" user_id=\"14025:
As in all things medical, these are just and average. For some, the efficacy of the vaccine may run down faster, while for others, the efficacy may still be fairly strong after 6 mths. It seems that it runs down faster for the elderly and less fast for younger people. And it's not like it reaches a particular day and just falls to zero; it's gradual.
Is the 6 mth gap btn 2nd dose and booster dose a must?
How I see it is that you should judge your risk (e.g.your age and other underlying conditions), and if you are not at high risk, then wait the full 6 mths or even longer. It would be rather a waste to take it early and have that overlap. -
slmkhoo\" post_id=\"2040015\" time=\"1633054515\" user_id=\"28674:
How much time is enough? The government has thrown the word \"endemic\" around, with explanations, for several months now. It's true their messaging has been poor, and there are the illiterate and those who have difficulty understanding around. However, they are trying to explain, however poorly, and the social services are hard at work too reaching out to those who may have difficulties grasping what is meant. It's not something that has suddenly been thrown at us. The MTF should have been franker earlier about the numbers of cases expected, but I think that might have taken them by surprise too.
Isolation for people who contract the virus has always been practised. That isn't new. Only doing it at home is new.
Earlier you asked whether endemic is the best way - I think that endemic is the ONLY way. It's just the speed at which we get there. We can't be hiding away from Covid for another year, or two, or more. If we shut down again, as we are now, it will slow the spread, but it will just pick up again when we open up. All we will have gained is a few months in lockdown when the case count is lower. Then the cases will rise when things relax.
See the problem is from June/July we have been told that there is Singapore is taking a different strategy - we will learn to live with Covid . It was, in a way reassuring, because we know that we cant hide forever.
The problem while being told Singapore Covid 19 endemic but we weren't told of the trade offs -of the worst case scenarios. We are used to a govt that paints a real and at times a grimmer picture - preparing us for the worst. But this time while we were repeated told about Covid19 becoming an endemic, we were not told about how it could impact some of us . We, on the otherhand, started associating it with lesser restrictions, of meeting friends, dining out, attending events, a glimmer of hope for travel even by the end of the year.
Was the MTF taken by surprise? If so why? Some of the best people on the team - experts with knowledge and experience - why werent they ready with a Plan A/B/C/D? And that worries me the most - that they didnt forsee such numbers. For me, this isnt even the worst case scenario, things could be a lot lot worse, and if this took them by surprise, then that's scary. That said, MTF has an unenviable job , a thousand things could go wrong. -
slmkhoo\" post_id=\"2039992\" time=\"1633046382\" user_id=\"28674:
Your comparison is flawed. Diabetes can be well managed with many cheap medication. It’s chronic but people can live till ripe old age with diabetes.
Let's not lose sight of the fact that Covid, while serious, is not the only thing that seniors die of. A quick look at publicly available nos. shows that about 370 deaths in Singapore are attributed to diabetes annually (and this is increasing), and most are elderly. Do we send people to police the hawker centres and coffee shops to stop the elderly from consuming overly-sugared foods? Making all elderly stay at home when they are lonely, with limited ways to entertain themselves, perhaps unable to cook and unwilling to wash up, may protect them from Covid, but expose them to other problems. If they know the risks of catching Covid, and are willing to take the risk, then I think we need to give them that choice. I (nearly one of the elderly myself) would strongly resist being banned from going out or choosing my own activities.lee_yl\" post_id=\"2039980\" time=\"1633018359\" user_id=\"17023:
https://www.straitstimes.com/singapore/health/seniors-urged-to-stay-at-home-for-next-4-weeks-to-protect-themselves-against-covid
Seniors are urged to just stay at home these 4 weeks. The agency also encouraged seniors to opt for take away food instead of eating at hawker centres. Good that the govt is paying attention to the seniors!
Seniors can be quite stubborn and I don’t know how effective the measures will be by just asking them not to unmask and eat out or drink kopi / beer at coffeeshops.
Earlier why never study why these old folks are being infected in such high numbers? Drink beer at coffeeshops? Singapore Pools betting outlets discussing betting strategies? Hawker Centres?
No more contact tracing means no data to identify the common infection nodes?
Hope MTF can beef up the number of beds at CCF. Singapore Expo only going to prep 700 beds? Won’t be enough to cater for 2 days’ numbers. Over-prepared is better than underprepared. Set up 3000-5000 beds lah.
Since we have already reached this stage, quickly solve the bottlenecks in the healthcare system, identify and address the infection vectors afflicting the seniors so that we can continue with our endemic living.
Seniors are more at risk because of the age and underlying conditions. Just as they are at greater risk of many other illnesses and accidents. Restricting their movements \"for their own good\" may be well-intentioned, but is not necessarily a kindness.
I think MTF should just ignore the asymptomatic, and focus on the seriously sick and those who are likely to get seriously sick (currently in hospital or community treatment facilities). If they do that, their nos. in hospital or under some kind of management/surveillance (with the manpower resources required to do that) will immediately reduce, public panic will also reduce, and the elderly will either get vaccinated and stay home, or accept the consquences if they prefer not to.
Diabetes is not contagious while COVID on the other hand, is transmissible. Coffeeshop drink beer, uncles can easily contract COVID and bring the virus home to pass to their family members.
Yesterday alone, there were 535 seniors tested positive for COVID. It’s this group that will require to be hospitalized to be observed and likely to end up occupying isolation ward beds and overburdening the healthcare system. Preventing them from contracting COVID is to safeguard our healthcare system.
Out of 2000+ daily cases, 500+ are seniors. If this rate continues, there will be an inevitable bed crunch. One way i can think off is to curb their movements and dining in privileges for this period. Restrictive no doubt but it will save them and also save our healthcare system! -
Another thing is I think it may be good to hear more of other solutions instead of vaccination and also lesser of telling us to prepare higher cases and death la hor.
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Sun_2010\" post_id=\"2040207\" time=\"1633097350\" user_id=\"18393:
Yes, have lah. OYK mentioned before, if we want endemic living, the daily COVID numbers could double every week, like 200 to 400, then 800. I even laughed at him as back then, we only had like 20 - 30 new cases a day. He saw that coming. OYK also mentioned to be prepared for death rates to increase during a MTF press conference. Still, most people wish our economy to be reopened as we can’t be hiding forever. What he said didn’t really sink into to peoples’ minds, people were just asking why since they had been vaccinated, they couldn’t they dine in (at the point in time)
The problem while being told Singapore Covid 19 endemic but we weren't told of the trade offs -of the worst case scenarios. We are used to a govt that paints a real and at times a grimmer picture - preparing us for the worst. But this time while we were repeated told about Covid19 becoming an endemic, we were not told about how it could impact some of us . We, on the otherhand, started associating it with lesser restrictions, of meeting friends, dining out, attending events, a glimmer of hope for travel even by the end of the year.
Was the MTF taken by surprise? If so why? Some of the best people on the team - experts with knowledge and experience - why werent they ready with a Plan A/B/C/D? And that worries me the most - that they didnt forsee such numbers. For me, this isnt even the worst case scenario, things could be a lot lot worse, and if this took them by surprise, then that's scary. That said, MTF has an unenviable job , a thousand things could go wrong.
DH was also sold to the idea that 98% down with COVID will have no or mild symptoms. We just need to focus on ICU cases, which makes sense.
But the problem is, when our ICU cases hit 23 or so and our healthcare system already got overburdened?!?! If the whole process did not cock up, call hotline for help, no one answer, confusing and even incoherent instructions, people won’t be so fearful. Lots of confusion, lack of clarity and poor public comms/engagement, Singaporeans’ confidence level dropped. If not for these cock ups, guess we are still marching toward endemic living.
Now, our endemic living is like living in fear everyday.
People sick (from non COVID related stuff) will avoid clinic or A&E for fear of contracting COVID from there. Why every night we are like waiting anxiously to see the 4D number and see how many cases/deaths? Is endemic living supposed to be like this? Live in fear everyday? -
Estéema\" post_id=\"2040156\" time=\"1633085973\" user_id=\"66413:
The difference between Pfizer and Moderna effectiveness may be due to a combination of two factors. Namely dosage and dose interval. For dosage, pfizer recommends a dosage of 30mg per dose for two doses while Moderna recommends 100mg per dose for two doses. Hence there are significantly more dose-response expected for people vaccinated with two doses of Moderna (i.e. 100+100mg Moderna versus 30+30mg Pfizer). For dose interval, Pfizer is 3 weeks apart while Moderna is 4 weeks There is a UK study that shows the sweet spot for Pfizer dose interval is 8 weeks apart in order to get more antibodies. Hence the slightly longer interval may have serve Moderna well, vis-a-vis Pfizer.
Just before taking our booster shot, was chit-chatting with MIL & dawn on me one possibility esp for those who took Pfizer wld hv efficacy worn out by now, hence probably easier to catch the Delta variant. Maybe explains why the numbers shot up besides the more transmissible Delta. That’s one of the reason for my choice to switch for Moderna booster.
https://www.bbc.com/news/health-57929953
On the question of should you switch. My view is no. The reason is firstly, there is no scientific study that shows that mixing vaccine produces good results. Beside that, Moderna recommended dosage for boaster is only 50mg, half the volume of it's initial two doses and that recommendation is based on Moderna's 2-doses recipient. Whether a half-dosage is adequate for a 2-doses Pfizer vaccine recipient is a question mark. -
WE2012\" post_id=\"2040251\" time=\"1633133474\" user_id=\"138082:
I am tempted to switch to Moderna for my booster shot but you have valid reasons not to do the switch too.
The difference between Pfizer and Moderna effectiveness may be due to a combination of two factors. Namely dosage and dose interval. For dosage, pfizer recommends a dosage of 30mg per dose for two doses while Moderna recommends 100mg per dose for two doses. Hence there are significantly more dose-response expected for people vaccinated with two doses of Moderna (i.e. 100+100mg Moderna versus 30+30mg Pfizer). For dose interval, Pfizer is 3 weeks apart while Moderna is 4 weeks There is a UK study that shows the sweet spot for Pfizer dose interval is 8 weeks apart in order to get more antibodies. Hence the slightly longer interval may have serve Moderna well, vis-a-vis Pfizer.
https://www.bbc.com/news/health-57929953
On the question of should you switch. My view is no. The reason is firstly, there is no scientific study that shows that mixing vaccine produces good results. Beside that, Moderna recommended dosage for boaster is only 50mg, half the volume of it's initial two doses and that recommendation is based on Moderna's 2-doses recipient. Whether a half-dosage is adequate for a 2-doses Pfizer vaccine recipient is a question mark.
I dont understand why Moderna booster shot was given only at 50mcg.
So far, i have yet to find out which vaccine our Mins took for their booster shot. -
Heart inflammation rates higher after Moderna COVID-19 vaccine - Canada data
Finger cross
https://www.reuters.com/business/healthcare-pharmaceuticals/heart-inflammation-rates-higher-after-moderna-covid-19-shot-than-pfizer-vaccine-2021-10-01/
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