Corona Virus Disease (COVID-19) Updates

[MrsKiasu]

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.

[lee_yl]

Sun_2010\" post_id=\"2040207\" time=\"1633097350\" user_id=\"18393:

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.

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)

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?

[WE2012]

Estéema\" post_id=\"2040156\" time=\"1633085973\" user_id=\"66413:

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.

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.

[starlight1968sg]

WE2012\" post_id=\"2040251\" time=\"1633133474\" user_id=\"138082:

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 am tempted to switch to Moderna for my booster shot but you have valid reasons not to do the switch too.
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.

[raysusan]

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/

[SG_KP1]

zeit.\" post_id=\"2040174\" time=\"1633090090\" user_id=\"194295:

.....

Not saying it is right or wrong but the first of the student mandates in USA is out. Not surprising where it started and practically speaking more (but not all) will likely follow once FDA grants approval for the relevant age groups.

https://www.channelnewsasia.com/world/california-covid19-vaccine-mandatory-students-2216686

[zeit.033699]

Although Singapore says we can pick another mRNA to mix-&-match as our booster, it should be noted that:


1) Though the USA CDC authorized Pfizer’s booster for seniors and the medically vulnerable, only recipients of Pfizer’s first two doses are eligible for the third shot.

2) US FDA has not approved Moderna as booster at half dose yet for its own people, though Singapore has gone ahead.

https://www.straitstimes.com/world/united-states/us-fda-leans-towards-authorising-moderna-covid-19-vaccine-booster-at-a-half-dose

3) The US NIH is still not done with trials that mix initial vaccine doses from one manufacturer with booster shots from another manufacturer. Data on Pfizer’s trial might be completed by mid-October, while Moderna’s mix-and-match study data is already available.

So those with took Pfizer might wish to wait for NIH's conclusion before mixing with Moderna as booster I suppose...

https://www.cnbc.com/2021/09/28/fauci-says-data-from-nihs-mix-and-match-covid-vaccine-booster-trials-will-soon-be-ready.html

[zeit.033699]

.zeit\" post_id=\"2029565\" time=\"1625645655\" user_id=\"171271:

Those who took in late Dec-Jan should go for the cPass test.

If you're keen to find out your neutralising Abs, you can book for your IgM test at designated clinics:

https://www.thomsonmedical.com/covid19-serology-test/

[zeit.033699]

SG_KP1\" post_id=\"2040264\" time=\"1633140012\" user_id=\"188234:

Not saying it is right or wrong but the first of the student mandates in USA is out. Not surprising where it started and practically speaking more (but not all) will likely follow once FDA grants approval for the relevant age groups.

https://www.channelnewsasia.com/world/california-covid19-vaccine-mandatory-students-2216686

Yeah, I think LA schools started first last month, before the entire CA state.

CA's probably the easiest to mandate this as CA has one of the highest vaccination rate in the US, as is NY state. Pp there are more diverse/cosmo/global and higher educated/higher income, which apparently correlates to vaccine non-hesitancy.

I guess it won't be so soon here in Singapore schools as they are probably studying Moderna and even Sinovac which is already open to kids in M'sia. MOE/MOH can always do a catch-up like they did for MMR in 1997. E.g. Jan 2022, all graduating cohorts could be immunised with ABC vaccine brand.

.zeit\" post_id=\"2030143\" time=\"1625995608\" user_id=\"171271:

There was even a ’catch-up’ vaccination campaign implemented from July to November 1997, targeting children aged 12-18 years regardless of their measles vaccination status or past history of measles infection.

https://www.ncid.sg/Health-Professionals/Diseases-and-Conditions/Pages/Measles.aspx

[phtthp]

Singapore's covid cases can reach 10,000 a day, in next 2 weeks.


Singapore can become like another Malaysia.


Recommendation
===============


After PSLE is over next week by 8 October 2021, and

after all our Sec (1s to 3s) year-end exam over by 15 October 2021,

Singapore ( children and teenagers) OUGHT TO BE on HBL stay at home, until next new academic year 2022, to protect them.


https://www.scmp.com/week-asia/article/3150929/singapores-coronavirus-cases-could-reach-10000-day-next-two-weeks