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He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

author:Singapore Eye

The Ministry of Health of Singapore reported that on October 16, there were 3,348 new confirmed cases, including 2,688 community cases, 656 cases of guest dormitories, and 4 imported cases from abroad, with a total of 145,120 cases.

Nine deaths, aged between 60 and 98 years, four men and five women, all Singapore citizens, were reported today, one of whom had no history of underlying medical conditions.

The focus of this outbreak report is:

First, the chance of infection from home-based recovered people to their families is only 10%

Second, He Jing: Tightening the rules and regulations on dine-in is to reduce the burden of medical treatment

3. Yesterday, 8 deaths were reported, and one of them had no history of underlying medical conditions

Fourth, the number of cases of children under 12 years of age increased by 200, and the number of hospitalizations dropped to 61

Elementary school students do not go to school for the next nine consecutive days

More than 520,000 people in Singapore have been vaccinated with boosters

Seventh, Kexing and Sinopharm vaccinations are a new single-day high in two months

Viii. The total number of seriously ill patients increased by 14

The number of ordinary hospitalized patients increased to 1223

10. The number of hospitalizations in community treatment centres for the elderly doubled to 804

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

People who recover from home have only a 10% chance of transmitting it to their families

On 9 October, Singapore's Leading Group for COVID-19 announced that it would expand the family rehabilitation programme for COVID-19 to a wider group. With the announcement of this policy, more and more eligible COVID-19 patients in Singapore are undergoing home rehabilitation.

As of 14 October, a total of 16,723 people in Singapore were recovering at home. Many of them expressed their concerns and doubts on social media:

"Will people with COVID-19 pass it on to their families when they recover at home?"

"What if there is only one toilet in the house?"

Faced with patients' questions, Dinesh Vasu Dash, Director of the Crisis Management Team of the Ministry of Health, gave answers in a show.

Yesterday, on The English-language talk show "Talking Point" on Singapore's AsiaNews (CNA), Dinesh Vasu Dash said that based on current data, the chances of people recovering from home transmitting the virus to their families are actually not high, accounting for less than 10% of community cases. Other cases have spread from other locations, such as food and beverage establishments.

Dr. Rachel Teoh, another guest on the show, also answered another question that many patients were worried about: "What if there is only one toilet in the house?" ”

According to her, as long as the toilet is cleaned and ventilated for half an hour after the person with coronary disease uses it, the next person can continue to use the toilet. But she also reminded that patients with coronary disease should cover the toilet before flushing the toilet to avoid the spread of the virus.

Doctors add that most of the spread of the virus occurs when people take off their masks, not when they talk and go to the toilet. As long as the patient with coronary disease can stay in the room while eating, there is a high probability that it will not infect other family members.

He Jing: The authorities have tightened the rules and regulations on dine-in.

It is to reduce the burden of medical treatment

Today (October 16), Prime Minister Lee Hsien Loong's wife Ho Ching posted on Facebook explaining why the authorities have tightened dine-in rules.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

(Source: He Jing Facebook)

In the post, Ho said that medical staff in Singapore have faced great burdens and pressures since the beginning of last year, and many hospitals have postponed non-emergency surgeries to leave medical resources to patients who need them more.

The strain on medical resources and the pressure on healthcare workers is one of the important reasons why the authorities decided to tighten dine-in regulations again.

Eight deaths were reported yesterday

One of them had no history of underlying medical conditions

Singapore's Ministry of Health yesterday reported eight deaths, seven men and one woman, aged between 61 and 89, all singaporeans.

Of the 8 people, 5 were unvaccinated, 3 were fully vaccinated, 7 had a history of underlying diseases and 1 had no known history of underlying diseases.

Of the eight deaths, one occurred on 12 and 13 October, and 3 on 14 and 15 October.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden
He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

According to singapore eye statistics, since the Ministry of Health informed the vaccination of death cases, there have been a total of 182 cases in Singapore, distributed as follows:

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

From the perspective of physical health, 95% have a history of underlying diseases; from the perspective of vaccination, 48 people, accounting for 26.4%, have completed the full vaccination process.

The 48 people are elderly people with a history of various underlying diseases, most of them are elderly people in their eighties and nineties.

Reader asks: What are the underlying diseases?

As of noon on 15 October, there had been 215 deaths from COVID-19 in Singapore.

Until September 29 this year, the Ministry of Health will inform each death of the sex, age, date of symptoms, date of diagnosis, date of death, what underlying diseases are available, and even the date of severe illness.

For example:

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden
He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden
He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden
He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

Underlying diseases, also known as chronic diseases and long-term diseases.

In recent days, some readers have asked, what are the underlying diseases?

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

From the above information, most of the so-called underlying diseases are: hypertension, hyperlipidemia, heart disease, cancer, pneumonia, diabetes, kidney disease and so on.

The number of cases in children under 12 years of age increased by 200

The number of hospitalized cases was 4 fewer than the previous day

Since the day before yesterday, all primary school students have returned to school.

Singapore yesterday saw an increase of 30 cases of children aged 0 to 11 years old from the previous day to 200.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

The number of inpatients aged 0 to 11 in the general isolation ward was 61, 4 fewer than the previous day.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

We continue to observe.

Today is October 16th, the weekend. Next Monday to Thursday, PSLE Elementary School will be open to the exam paper, and all primary school students do not have to attend classes. Next Friday, we will simply take a special holiday.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

As a result, from October 16 to 24, primary school students did not have to go to school for nine consecutive days, and did not continue to return to school normally until the tenth day, October 25.

More than 520,000 people in Singapore have been vaccinated with booster injections

The Ministry of Health informed that as of 14 October, 85 per cent of Singapore's population had been vaccinated with at least one dose and 84 per cent had been fully vaccinated. This refers to the proportion of the total population, including children under the age of 12.

Under the national vaccination program, a total of 4,613,735 people were vaccinated with the Pfizer/Fubitech and Modena vaccines, an increase of 1,969 people with the first dose over the previous day.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

The cumulative doses of Pfizer/Fupiter and Modena vaccines were 9,563,625 doses, an increase of 22,031 doses over the previous day, including 18,660 doses of booster injections; the cumulative number of people who have received booster injections is 525,212.

Anyone who has completed the full vaccination of the vaccine in his thirties or more than half a year ago can be given a booster injection.

At present, the authorities have invited about 780,000 people to receive a third dose of the vaccine; more than 500,000 people have been vaccinated, and about 110,000 people have been scheduled to be vaccinated.

The dose of Kexing and Sinopharm vaccination was the highest in the past two months

As for the other vaccines approved by WHO for emergency use (Kexing, Sinopharm), a total of 116,639 people were vaccinated, an increase of 1,095 over the previous day; the cumulative dose of vaccination was 223,551 doses, an increase of 3,017 doses over the previous day, including the first dose, the second dose, the booster injection and the first dose of mRNA vaccine, and the second dose was switched to inactivated vaccine.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

According to Singapore Eye, 3,017 doses on October 14 were a new single-day high since August 21.

Review of the epidemic situation on October 15

There were 3,445 new confirmed cases

The cumulative number of confirmed cases exceeded 140,000

Now to review the outbreak data reported by the Singapore Ministry of Health last night.

As of 1200 noon on October 15, there were 3,445 new confirmed cases, with a total of 141,772 cases and 140,000 cases.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

Since the new program was launched on October 11, no PCR testing is required for asymptomatic but positive self-help test results, so we have marked October 11 in the chart.

Among yesterday's new cases, 2 were imported from abroad and 3443 were local cases, including 620 cases in guest dormitories.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

New cases in the last 28 days

Relationship between severity of illness and vaccination

In the past 28 days, there have been 65,808 new indigenous cases in Singapore, of which 64,867 (98.6%) are asymptomatic or mild, 726 (1.1%) have been/are severely ill with oxygen transfusion, and 87 (0.1%) have been/are severely ill in the ICU, with a cumulative 128 (0.2%) deaths. Percentage data is rounded.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

A total of 813 people were severely ill with oxygen transfusion and ICU, about 50.1% were not vaccinated or had not completed the full vaccination, and about 49.9% had completed the full vaccination; 128 people died, of which 94 (75.2%) were not vaccinated or did not complete the full vaccination, and 34 completed the full vaccination.

According to the Ministry of Health, most oxygen donor cases are milder after two to five days of oxygen infusion and no longer require oxygen support.

Overall case fatality rose to 0.152%

From the first case on 23 January 2020 to 15 October, there were a total of 141 772 confirmed cases in Singapore, including 215 deaths, and the case fatality rate rose from 0.150% the previous day to 0.152%.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

Broken down to the community case level, the case fatality rate fell from 0.305% the previous day to 0.304% (see figure above), and the vast majority of community cases have people over 60 years of age with underlying disease.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

The overall case fatality rate of the ben wave outbreak was 0.226%, the same as the previous day, compared with the previous wave case fatality rate of 0.058%.

There have been 178 deaths so far from community cases of the Ben wave outbreak, and the case fatality rate has remained at 0.273%, which is the same as the previous day, which is 29% of the community case fatality rate before the Ben Wave.

The case fatality rate in the community of Benpo is lower than before Benwa, partly because of the protective effect of the vaccine and because the course of the disease is not fully developed.

In addition, the mainstream virus in this wave is Delta, and last year it was the original virus. Some experts believe that Delta is highly contagious, but less intense than the original virus. A few days ago, Gao Fu, director of the Chinese Center for Disease Control and Prevention, said in an interview that "the virulence is weakening."

It is hoped that the case fatality rate of this wave will remain below the case fatality rate of the previous wave. Exactly how to develop, it is still too early to say.

The total number of severe cases increased by 14

As of 1200 a.m. on October 15, there were 48 people in the ICU intensive care unit, an increase of 2 people from the previous day, and 322 people with aerobic severe disease, an increase of 12 people from the previous day.

The age distribution of severely ill patients and severely ill oxygen transfusion patients in the ICU is as follows:

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

The total number of severe oxygen transfusion and ICU exacerbations increased by 14 to 370 from the previous day.

Singapore currently has nearly 200 ICU severe infectious disease beds, of which 48 are in use.

There are about 1,100 spare intensive care beds in the ICU. However, if forced to open these 1100 ICU beds, it will seriously affect the normal operation of the medical system.

Patients with severe oxygen transfusion use a general isolation ward, do not use an ICU, use a masked ventilator, non-invasive, do not need to establish an artificial airway, do not intubate.

Singapore Eye takes stock of confirmed cases, severe cases and deaths since 18 August as follows:

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

We are closely monitoring the movement of severe cases and deaths over the next few weeks.

Age distribution of new indigenous cases yesterday

The age distribution of yesterday's new indigenous cases is as follows:

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

The number of generally hospitalized patients rose to 1,223

The number of non-oxygen delivery cases in the general isolation ward increased by 68 from the previous day, for a total of 1223. The distribution by age is as follows:

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

There were 16,513 people recovering at home

Hospitalizations in community treatment centres for the elderly doubled

There are currently 16,513 people recovering at home.

Elderly people with stable conditions but a history of underlying medical conditions who lived in community treatment centers, under close observation, numbered 804, almost double the previous day (438).

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

Patients with moderate illness or above were discharged from hospitals yesterday, bringing a total of 8,041 people; 8 new deaths, a total of 215 cases.

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

As for mild and asymptomatic patients, there were 25,182 cases of treatment/isolation in community care centres yesterday, and 3,125 people recovered from isolation in community care centres, bringing a total of 106,741 people.

The age distribution of new local community cases in the last 14 days is as follows:

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

The age distribution of new guest dormitory cases in the past 14 days is as follows:

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

In the past 14 days, the number of patients admitted to the hospital's general isolation ward is as follows:

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

The number of patients hospitalized in community care facilities in the last 14 days is as follows:

He Jing: Tightening the rules and regulations on dine-in is to reduce the medical burden

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