Corona Virus Disease (COVID-19) Updates

[Zappy]

zeit.\" post_id=\"2042362\" time=\"1634268971\" user_id=\"194295:

What is our death rate for flu? I know from HC's FB that death from pneumonia is 4,000+ per year.

I see different figures ranging from 600 to 800 yearly.

According to this ST article is 2/ day = 60/ mth
https://www.straitstimes.com/singapore/health/daily-covid-19-numbers-should-not-blur-the-bigger-picture-and-cause-unintended-pain

[zeit.033699]

sevenseals\" post_id=\"2042200\" time=\"1634196958\" user_id=\"124401:

Top chart shows UK fatality rate flattening.
Bottom chart shows Singapore's fatality rate rising rapidly.

Yes, we need to go back to your previous post on natural immunity to understand why UK's fatality rate is flattening.
UK had over 8mil natural infection cases out of its 68mil population and over 138k deaths before/during its mass inoculation exercise. France, Germany, Italy, Spain, Netherlands, and other VTL countries had gone thru this 'rite of passage'; or natural selection or whatever u like to call it...

https://i.imgur.com/RC6EPHB.png\">

Singapore is going in the opp direction, i.e. mass inoculation first followed by infection. Not sure how severe this wave will turn out. LW said we're in a much better position than EU was early this year since 84% of Covid-naive are fully vaccinated.

The dose interval plays a big part too. U.K. allowed as long as 12 weeks between doses of AZ vaccine. Is that why they are seeing only 100+ deaths per day now? Like the UK, Denmark and Germany also approved longer delays between vaccinations, allowing up to 12 weeks between AZ doses in Germany and 6 weeks on the Pfizer shot in Denmark. These are among the 11 VTL countries. Does it surprise us that they are happily endemic today?

Japan's fatality rate is ''faring well'' too during the August wave, as they've a high vaccination rate among their elderly population aged above 65.

I'm sure Taiwan will do well too as they've had majority of their elderly inoculated. TW is mainly relying on ad hoc vaccine donations from various countries. Irregular and unpredictable shipments have forced TW's dose interval to be stretched from 8-12 weeks, which could be a blessing in disguise. Ironically, TW might end up becoming better protected than say, Singapore, HK or Israel, when Delta goes a-knocking there.

https://fortune.com/2021/10/13/different-covid-outbreaks-vaccine-comparison-us-uk-germany-pfizer-astrazeneca/

[WE2012]

zeit.\" post_id=\"2042350\" time=\"1634266430\" user_id=\"194295:

Let's get real and reasonable. Why would they divulge details on one's death certificate to the public? If they've declared we're going endemic, they will soon operate like the UK's NHS which never mentions ''multiple underlying conditions\" of the dead. In fact, the NHS is going to publish only weekly death reports from 14 Oct onwards. The dead is but a statistic to public healthcare professional in a global pandemic.

https://www.england.nhs.uk/statistics/statistical-work-areas/covid-19-daily-deaths/

Btw, for some, it could be due to their chain smoking habits or taking of non-mRNA vaccines/not taking any at all.

As from 14th May 2021 the daily file will be published every weekday, rather than every day. The daily files for Saturdays, Sundays and bank holidays will be published retrospectively on the following Monday or the day following the bank holiday.

NHS will still be publishing covid-19 statistic for every weekday. The only difference is they will not publish it on weekend. Instead the data will be retrospectively published on Monday.

I believe in this period, more transparency is better than less transparency. There are people who think the statistic will \"scared the public\" can make the endemic route more difficult to achieve. My view is if we start to become less transparent, we will instead give grounds for more conspiracy theories to thrive. Trust get eroded when government are seen as hiding statistics.

Will there come a time when we can stop publishing daily covid-19 data. I believe so but the time is definitely not when the system is in a flux.

[zeit.033699]

doodbug\" post_id=\"2042311\" time=\"1634258872\" user_id=\"13281:

I'm very saddened to read of the dorm riots.
I've heard from quite a few people who have work dealings with dormitories - many of them feel that the migrant workers have been having it extremely difficult and unpleasant as they have practicalaly been locked up in their dorms and worksites since the Covid restrictions started.
For FDW, it's not so bad, they still have their day offs and restrictions to Lucky Plaza etc were lifted quite shortly.

Yah, reported by quite a few Chinese, Msia and HK media. Look at our UPR submission to the UN on human rights this year. :roll:

https://www.straitstimes.com/singapore/singapores-handling-of-covid-19-pandemic-key-feature-in-human-rights-report-to-united
https://www.ohchr.org/EN/HRBodies/UPR/Pages/SGindex.aspx
https://undocs.org/en/A/HRC/WG.6/38/SGP/1

98. Migrant workers. MWs, particularly those living in dormitories, have formed the
bulk of Singapore’s COVID-19 cases to-date. Our priority has been to take care of MWs
and ensure that they remain safe. MWs are extended the same medical care as any
Singaporean who contracts COVID-19. For example, Mr Raju, also known as “Case 42”,
was treated to full recovery after spending nearly five months in hospital, including two
months in the intensive care unit (ICU). The full treatment cost was borne by the
Government. MWs in dormitories were also provided with free COVID-19 tests and all
MWs would be eligible for free COVID-19 vaccinations.

99. An inter-agency task force was quickly mobilised to limit the spread of COVID-19
in dormitories and to support dormitory operators and employers to look after MWs living
in dormitories. More than 10,000 workers were moved out into temporary housing facilities
to reduce the living density of the dormitories. On-site and regional medical facilities were
set-up to ensure that those unwell or displaying symptoms of acute respiratory infections
could receive timely medical treatment. Workers staying in the dormitories were provided
catered food, reusable masks, care parks, WiFi access and SIM cards so that they could
keep in touch with family and friends. A 24/7 “Care Line”, operated by volunteer FWs was
also set up to support workers’ mental health during the pandemic. A public-private
taskforce called Project Dawn was set up to develop a comprehensive support ecosystem to
manage the mental health of MWs moving forward.

100. Financially, the Government provided levy waivers and rebates to help employers
continue to meet their financial obligations to the FWs, despite them not being allowed to
work while under isolation or quarantine orders. Employers were required to pay the
salaries of FWs staying in dormitories electronically and encouraged to help their FWs
remit money back home. Employers in the construction sector were required to submit
monthly declarations on the status of salary payment to their foreign employees. The
majority paid salaries promptly and TADM helped about 9,000 FWs recover salaryarrears
between May and August 2020.

101. To allow the FWs to resume work safely, we systematically tested all 300,000 FWs
staying in the dormitories. By August 2020, all dormitories were declared cleared of
COVID-19. To sustain the efforts to reduce transmission in the dormitories, the Ministry of
Manpower (MOM) implemented Safe Living Measures to limit intermixing and improve
hygiene. FWs staying in dormitories, and workers in the construction, marine and process
sectors and personnel who enter the work sites, are required to undergo regular Rostered
Routine Testing to allow early detection of new infections. MOM has also developed the
FWMOMCare App, which enables FWs to record their health daily and allows them to get
prompt medical help via telemedicine if they are unwell.

102. New dormitories will be built to higher standards to strengthen the public health
resilience and improve living conditions for FWs. Existing dormitories will be required to
transition to higher standards progressively.

103. Singapore’s measures to address the impact of COVID-19 on MWs, such as MWs’
access to COVID-19 vaccines, the same level of medical care extended to MWs as
Singaporeans and the inter-agency task force set up to ensure the well-being of migrants
housed in dormitories, were acknowledged and appreciated by the Special Rapporteur on
the human rights of migrants, Felipe González Morales, in his letter of 11 January 2021 to
the Government.

Thankfully they've been transferred out to the CCFs. Sembcorp Marine's catered food was an eye-opener.

[zeit.033699]

WE2012\" post_id=\"2042376\" time=\"1634273375\" user_id=\"138082:

zeit.\" post_id=\"2042350\" time=\"1634266430\" user_id=\"194295:

Let's get real and reasonable. Why would they divulge details on one's death certificate to the public? If they've declared we're going endemic, they will soon operate like the UK's NHS which never mentions ''multiple underlying conditions\" of the dead. In fact, the NHS is going to publish only weekly death reports from 14 Oct onwards. The dead is but a statistic to public healthcare professional in a global pandemic.

https://www.england.nhs.uk/statistics/statistical-work-areas/covid-19-daily-deaths/

Btw, for some, it could be due to their chain smoking habits or taking of non-mRNA vaccines/not taking any at all.

As from 14th May 2021 the daily file will be published every weekday, rather than every day. The daily files for Saturdays, Sundays and bank holidays will be published retrospectively on the following Monday or the day following the bank holiday.

NHS will still be publishing covid-19 statistic for every weekday. The only difference is they will not publish it on weekend. Instead the data will be retrospectively published on Monday.

I believe in this period, more transparency is better than less transparency. There are people who think the statistic will \"scared the public\" can make the endemic route more difficult to achieve. My view is if we start to become less transparent, we will instead give grounds for more conspiracy theories to thrive. Trust get eroded when government are seen as hiding statistics.

Will there come a time when we can stop publishing daily covid-19 data. I believe so but the time is definitely not when the system is in a flux.

Gosh my bad! Must be my bad eyesight. :slapshead:

But they don't mention underlying medical conditions. They are just cold hard stats staring back at you.

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

[lee_yl]

zeit.\" post_id=\"2042350\" time=\"1634266430\" user_id=\"194295:

lee_yl\" post_id=\"2042320\" time=\"1634260519\" user_id=\"17023:

Yes, the fittest will survive. That’s why I want to know more about the 23yo and 34yo who passed on. MOH just generalised with the usual phrase of “having multiple underlying conditions”, but like what? Cancer patients? Hole in the heart? Obesity? Asthma? What kind of medical conditions actually. As the age of the fatalities get younger, people will get increasingly worried.

Let's get real and reasonable. Why would they divulge details on one's death certificate to the public? If they've declared we're going endemic, they will soon operate like the UK's NHS which never mentions ''multiple underlying conditions\" of the dead.

Because the two who passed on yesterday were very young! And the public is getting very concerned as this is a deviation from the norm of seniors passing on

The government is not sensitive to the ground. Some people out there are speculating whether the two young person passed on at home due to Home Recovery.

And don’t blame the people about speculating because in the first place, the information is wholly lacking. The government needs to over-communicate to rebuild the trust with the population after its series of faux pas.

I don’t see why we should look upon UK-NHS as an example given how UK fumbled so badly in its covid response not to mention the shambles from Brexit.

[WE2012]

lee_yl\" post_id=\"2042392\" time=\"1634279555\" user_id=\"17023:

Because the two who passed on yesterday were very young! And the public is getting very concerned as this is a deviation from the norm of seniors passing on

The government is not sensitive to the ground. Some people out there are speculating whether the two young person passed on at home due to Home Recovery.

And don’t blame the people about speculating because in the first place, the information is wholly lacking. The government needs to over-communicate to rebuild the trust with the population after its series of faux pas.

I don’t see why we should look upon UK-NHS as an example given how UK fumbled so badly in its covid response not to mention the shambles from Brexit.

There is a lot of speculation out there because MOH's graph yesterday showed there is nobody in the 19-39yo age group admitted into ICU for period between 12 Oct and 14 Oct. But the two young person's deaths is recorded on 13 Oct and 14 Oct respectively and that got some people puzzled. The valid question being asked is how did the health of the two \"young people\" go downhill so fast without going first into the ICU if they are closely monitored in the hospital. Are they under the \"Home Recovery Scheme\" and they get to the hospital too late because they failed to interpret the severity of their developing symptoms correctly.

If they are on home recovery scheme, are their deaths preventable then. Are there shortfalls that government must close for home recovery protocol. All these are valid questions that must be asked.

That is why I always emphasize that during a crisis, there must be information transparency. Any shortfall will always give room for distrust to grow and conspiracy theories to thrive.

https://www.moh.gov.sg/news-highlights/details/update-on-local-covid-19-situation-%2814-oct-2021%29

On related note, take a look at a report regarding the good doctor who passed away from covid-19 on 09 Oct 2021. Based on the story, when the good doctor tested positive, he get medicine from a GP and quarantined himself at home. However even the doctor himself did not realise the severity of his own symptoms as it develops or he may be too confused to do so as a result of the low oxygen saturation affecting his brain functions. His former domestic helper and her daughter is the one raising the alarm and called the ambulance and the doctor is admitted into ICU on the same day due to low oxygen saturation.

The reasonable question is thus how can \"ordinary people\" be expected to exercise good judgement on whether a symptoms is mild or severe. When is the tipping point for those on home recovery to consider raising an alarm at developing symptoms. Can telemedicine really help when it is only via a screen and doctors have no way of doing a physical examination and the patient must first initiate the call-in to telemedicine. Using the above example, the patient may himself/herself be too \"confused\" to do so due to the effects of low oxygen saturation caused by covid-19 infection. Not everyone with low oxygen saturation will feel breathless until when it is too late.

https://www.todayonline.com/singapore/hes-father-us-late-doctor-paid-education-maid-her-daughter-they-now-work-his-clinic

[zeit.033699]

zeit.\" post_id=\"2039782\" time=\"1632896175\" user_id=\"194295:

Can let your Chinese-educated seniors watch this TW doctor's video on SpO2.
[youtube=http://www.youtube.com/watch?v=E1hqyjXzpWE]

Don't like to speculate, but did you know happy / silent hypoxia killed many young people in India this year？

https://timesofindia.indiatimes.com/city/nagpur/covids-happy-hypoxia-taking-toll-on-youngsters/articleshow/82528537.cms

There were many similar cases a year ago in the US, and more recently in TW. 根据国际研究显示，“快乐缺氧”是导致年轻、年长者在家中猝死的原因。所谓“快乐缺氧”是指缺氧过程中几乎没有症状，前一刻可能还正常，没有气喘，也没有不舒服，但很快进展至呼吸衰竭，甚至危及性命。

[youtube=http://www.youtube.com/watch?v=1yEFkCmGkR8]

[youtube=http://www.youtube.com/watch?v=pAEX4tb4rPQ]


Stay safe, exercise & eat healthy, peeps! Watch out for your overweight family members!

[zeit.033699]

校正回归（英语：backlog 或retrospective adjustment 或data revision）


TW CECC was rapped by the public, media and opposition when they added backlog stats to previous days' sub-totals. The opposition argued they couldn't project/calculate the R(t) value if the daily stats were unreliable and curves were fluctuating.

We are starting to do the same here. Some hawk-eyed youtuber said he spotted MOH's ''regression calibration'' as early as 5 Oct. Not sure how true, as I have not been eyeballing the charts since August. Psst, I've even stopped watching live MTF pressers and LHL's live broadcast last week!

Here's an observation by someone who still eyeballs the daily charts.

https://i.imgur.com/22df8SS.png\">

According to TW CECC's explanation, they had to 校正回归 because the figures from all PCR labs & hospitals (for deaths) in various counties and 6 municipalities arrived at the federal command centre after its daily cut-off time. Second, at that time, most cities had not ramped up their lab's daily testing capacity and RSCs.

Taking a leaf from TW's experience, I suspect there's also a cut-off time for all SG hospitals and labs to submit no. of infected cases & deaths daily. Then the MOH dept that collates all data will proceed to create those colourful charts and label them nicely to upload to MOH dashboard + FB, and for dissemination to all media.

While the Corp Comms team is working on the press release+charts, more patients could have passed away until 12 midnight, and some 24/7 labs could still be clearing PCR backlog. Hence, the late nos were not timely captured on that day's dashboard.

In TW, a number of people were only confirmed positive by the lab, after they had died outside of hospital. A few died at home, at work (died in office toilet) or at CCF 防疫旅馆 or CTF （加强版）集中检疫所. These cases were later retrospectively added to their actual date of demise.

We cannot assume every confirmed case will progress from O2 supplementation to ICU and onward to death, and be presented in that order on those colourful charts.

[Estéema]

The frontliners are very tired out & changes to cope with the new load had increased a lot of stress. I noticed MOH itself had to coordinate feverishly with the private practice & GPs to ensure they’re getting the process right as some patients may be lightly passed off to rest at home for 5-days as an standard ‘protocol’ w/o looking at individual patient’s unique conditions.


Worse when the weak & elderly feels sick but once struggle & gets into delirium, can’t seek help fast enuf or know who to call. We read abt elderly man who dutifully obey rule to stay home but ran out of can last food.

I’m most angry with those who are ‘educated’ and in the medical line but not comply with rostered routine testing & I’m sure there are other mavericks fr doctors, nurses, aides, security and cleaners. Worst when contractors company deny them of required rests in btwn duties!

Doctor whose Covid-19 home recovery post went viral didn't comply with rostered routine testing
https://www.straitstimes.com/singapore/doctor-whose-covid-19-home-recovery-post-went-viral-didnt-comply-with-rostered-routine