21 Apr 2020 (11am - 7pm)
REACH
[9:39 am, 21/04/2020] : Minister Lawrence Wong: Staying home may be easy for some. But certain segments of our population do find it very hard to cope. Some may have strained relations within the family. Others just find it hard to be cooped up in the same place for too long. It’s not just about the difficulties in changing daily habits and routines; there are also real mental and social difficulties that can impact on one’s overall health.
More: https://www.facebook.com/192130117495006/posts/3678773518830631
[10:43 am, 21/04/2020] : REACH Live! (Mandarin) Highlights #5
How have Singaporeans been stepping up to help the community? Let's hear Ms Tin Pei Ling 陈佩玲 and Joanna Dong 董姿彦 share more about it!
https://www.facebook.com/REACHSingapore/videos/2476609242439755/
#SGUnited
[10:46 am, 21/04/2020] : Dear contributors,
Welcome back! Our chat will be open from 11am to 7pm today.
REACH is constantly taking note of all the feedback and suggestions shared on our WhatsApp chats, and will send them to relevant authorities for consideration.
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The topic will be posted shortly.
Megan
[11:00 am, 21/04/2020] : ⏰ Chat will be open till 7pm today.⏰
📢 Topic 📢
Today marks 14 days since the circuit breaker measures came into effect.
As Singapore enters the second half of the month-long circuit breaker period, most of the new cases are linked to foreign worker dormitories, while local transmission in the community has continued to fall.
Minister Lawrence Wong said said some have difficulties staying at home and some are being cared for by volunteers. He encouraged everyone to stay on course as the Circuit Breaker measures are showing results.
How can better help those who have difficulties staying at home to do so, as we fight the spread of the virus over the next two weeks?
👉🏼https://www.straitstimes.com/singapore/1426-new-coronavirus-cases-in-spore-in-new…
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[12:05 pm, 21/04/2020] ☸️ Danny 心:
Straits Times
20 Apr 2020 9.56pm
Coronavirus: Next few days will determine whether circuit breaker can be eased by May 4, say experts
The next few days are a critical period that will determine whether the circuit breaker measures can be eased by May 4, infectious disease experts told The Straits Times on Monday (April 20).
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[2:31 pm, 19/04/2020] ☸️ Danny 心:
Personally, I feel that :-
1. If few days before 4 May - the number of infection is zero for a few days - then Circuit breaker can stop to resume work and school.
2. However if still have few cases by 4 may - then I suggest extending CB measures to another 2 weeks to ensure the number go down to zero.
Else all our efforts wasted if everyone go back to work and school - but trigger another round of community spreading.
Then we need another CB measures - that will cause big impact to our economy.
[6:50 pm, 21/04/2020] ☸️ Danny 心:
PM Lee just announce circuit breaker extended to another 4 weeks... to 1 Jun 2020 from 4 May 2020 (News conference 5 pm)
[7:01 pm, 21/04/2020] ☸️ Danny 心:
PM say want to bring down community spreading decisively - in line with our proposal to ensure community spreading is zero before opening up circuit breaker.
Alvin
[12:08 pm, 21/04/2020] : Agree with all of these
David Murugan
[12:08 pm, 21/04/2020] : This include Dorm of FW. Now their rate is, very high. Doubt can get zero infection.
Alvin
[12:08 pm, 21/04/2020] : Let’s not be too hasty on relaxing the circuit breaker measures
[12:08 pm, 21/04/2020] : Relax measures bit by bit
Rama
[12:10 pm, 21/04/2020] : Agree
Fish Fish
[12:11 pm, 21/04/2020] : Agreed
[12:11 pm, 21/04/2020] : If not what we done previously might be just useless
Eugene
[12:12 pm, 21/04/2020] : agree! maybe continue with only allowing essential workers to go to work, the rest WFH. cos our workforce makes up bulk of the population and the community transmission will be high
Daphne See
[12:12 pm, 21/04/2020] : Agree
XaniceAfcai
[12:13 pm, 21/04/2020] : Yes. Agreed n support to extend as not to waste the effort.
[1:28 pm, 21/04/2020] ☸️ Danny 心:
[3:21 pm, 20/04/2020] ☸️ Danny 心:
My close friend's comments :-
- In a pandemic, people first think about flattening the infection curve so that the healthcare will not be overwhelmed.
- But there is an evil twin out there waiting to destroy - the economic curve.
- As the economic curve is flattened or even stopped abruptly, not everyone is equal.
- Some took the opportunity to enjoy doing things they never had time for, others panick and worried about how the next meal is coming in.
- To borrow someone's words we are in the same storm but not necessarily in the same boat.
- So think hard how we can help.
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[12:33 pm, 21/04/2020] ☸️ Danny 心:
Strained relationship between family members make stay at home difficult.
Actually, it is all about developing :-
1. Mutual respect
2. Develop high EQ individually
3. Refrain from imposing individual own point of view on others - listen to another point of view and emphatise
4. Hold respectful discussion between family members and not resort to quarell
5. Develop patience and care for others.
6. Help one another in needs.
All the above are soft skills that each and everyone can and should develop so as to have a caring and loving relationship at home and outside home.
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Clement Lim
[1:53 pm, 21/04/2020] : https://www.straitstimes.com/singapore/covid-19-tests-stepped-up-to-around-2900-every-day?utm_source=STSmartphone&utm_medium=share&utm_term=2020-04-21+13%3A51%3A50
3 wks ago, SG can do about 2.9k tests a day. It should be more now.
But the concern here is about lab space. Cos the tests need to be done in the lab. My sense is that SG has enough tests. SG has companies manufacturing their own tests as well. But having all these tests and reagents is one thing. Having enough labs to test the results is another.
Ben
[1:54 pm, 21/04/2020] : Thank you. Good to know!
Clement Lim
[1:54 pm, 21/04/2020] : But i think shld be more now. Recall that govt is also roping in all the private labs
Peter T Ng
[1:56 pm, 21/04/2020] : Not all tests need to be done in lab
Ben
[1:56 pm, 21/04/2020] : Yes and people to administer and process the testing I'm sure is another problem.
[1:57 pm, 21/04/2020] : It's good to know how many each day because then we see a % of positives. Is that a trend increasing or decreasing...
[1:57 pm, 21/04/2020] : I respect SG approach of vigorous testing even if that means we get high numbers.
[1:58 pm, 21/04/2020] : If the CB ends and we are at 5% positive tests that would seem too high to end the measures.
David Murugan
[1:58 pm, 21/04/2020] : How many today?
Ben
[1:59 pm, 21/04/2020] : We probably want to be under 10 per day, which is 0.1% of every 1000 tests.
Clement Lim
[2:00 pm, 21/04/2020] : There are 2 types of tests. The swab test and the antibody test.
The swab test is the one Govt is relying on for initial testing because it tests directly for the presence of the virus. Which makes it more accurate. And in fact all govts in the world uses the swab test for initial testing. Swab testing needs the lab.
Antibody testing doesnt need lab. But this is less reliable because it tests for antibody which is produced in response to the virus. The problem is it takes a while for antibodies to show - some papers says its a week or so. Sometimes antibody might not show where virus is in small numbers. So govt usually use this antibody testing afterwards to determine who many people is infected - ex post facto.
So I wld say that for the purposes of our case mumbers each day - these are all from the lab
Clement Lim
[2:37 pm, 21/04/2020] +: As in theres a lot of unknowns with antibody tests. No one knows how long will anitbody show; when will they show etc. So theres the fear that too early on, theres no antibody. So u have an infected person in the early phase of infection who tests negative
[2:38 pm, 21/04/2020] : Theres a reason why govt usually dont use it for initial testing. But used as a supplement.
Peter T Ng
[2:39 pm, 21/04/2020] : Ok so you are saying non lab antibody test is not reliable because it may produce false negatives
Clement Lim
[2:40 pm, 21/04/2020] : https://abcnews.go.com/Health/wireStory/types-testing-covid-19-infections-70253488
Read this
Peter T Ng
[2:41 pm, 21/04/2020] : So you are saying PCR test presumably that is the reliable lab test you are referring - under the same test subject and condition - will not produce false negatives
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Eugene
[2:14 pm, 21/04/2020] : https://www.todayonline.com/singapore/covid-19-netlink-service-suspension-lifted-safety-measures-stepped-contractors?fbclid=IwAR2qomYiZ9uG2cKeUjNAWnxw_CgEKZKAF97EUuIrHHpJKQBpAVH-UWlZN-s
Just wondering, why are maintainence works allowed to be carried out during the CB?
[2:21 pm, 21/04/2020] ☸️ Danny 心:
1. Fiber installation or rectifying faults are considered to be essential services - as people now work at home, study at home and have entertainment at home.
2. With media broadcast converted to digital, without broadband - entertainment, TV, work-at-home and study-at-home --- cannot take place --- and it will cause people at home to be frustrated and may go out instead of staying at home.
3. However, wonder did Netlink sent their workers for covid test before deploying them to home even though they practised safe distancing in deployment? This is my real concern.
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Eugene
[2:42 pm, 21/04/2020] : good move to prevent further community transmission
[2:25 pm, 21/04/2020] ☸️ Danny 心: This mall is crowded.
David Murugan
[2:26 pm, 21/04/2020] : 😱 what's the occasion?
[2:27 pm, 21/04/2020] ☸️ Danny 心:
Shrug shoulders...
Don't know.
Every day I check mall and alert.
Jimmy Chew
[2:27 pm, 21/04/2020] : raining
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[8:17 pm, 21/04/2020] ☸️ Danny 心:
PM Lee speech (21 Ap2 2020, 5pm)
"Apart from the workers living in dorms, we are monitoring two other groups of migrant workers closely. First, workers who live in shophouses, private housing, or HDB flats. Second, workers in essential services. This group is still working during the circuit breaker, helping to keep Singapore going. Some are cleaning the HDB blocks or hawker centres. Others are maintaining key infrastructure like our broadband networks.
We are also testing them to make sure that they are healthy, and to pick up any infections early."
---
[6:27 pm, 20/04/2020] ☸️ Danny 心: ---
(1) One thing come to mind - wonder if now "aggressive testings" as proposed by my close friend is conducted in all the dorms for foreign workers --- is there any more spare capacity to conduct tests for "foreign workers not in dorms"?
(2) Baring that double digit of these "foreign workers not in dorms" - are found to be infected every day, should there be a more systematic ways of testing these group of workers to identify those infected before the circuit breaker deadline arrive.
(3) Suggest to do the followings if we have spare capacity to systematically test this group of foreign workers :-
a. Mandate that Contractors will need to get "medical cert-free of covid-19" for all their foreign workers under them - before these workers all allowed to work in the construction sites or/and when circuit breaker ends.
These will put the onus of tests on these contractors if they want to start work when the circuit breaker ends.
b. Setup mobile testing team (eg. in vehicles or in CC near where these construction workers stay - eg. in HDB, construction sites, private estates etc) - where all workers staying around the vicinty must be escorted by their respective Contractors or Companies to be tested --- each and everyone -- to ensure all their workers are fit for work or if infected - to be send to hospital for treatment.
c. These mobile testing teams - can initially be deployed in North, South, East and West - to ensure it covers all the foreign workers not staying in dorms.
XaniceAfcai
[8:22 pm, 21/04/2020] : I guess the other grp of Fw contractor n delivery of essential services are fr telecom, delivery services, lift maintenance, plumber n electrician at my org.
[8:27 pm, 21/04/2020] ☸️ Danny 心: Based on PM Lee's speech, these foreign workers not staying in dorms are also tested before they are released to the community to conduct their work.
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[8:17 pm, 21/04/2020] ☸️ Danny 心:
PM Lee speech (21 Ap2 2020, 5pm)
"So far, the clusters in the dorms have remained largely contained, and have not spread to the wider community. We will do our utmost to keep it this way."
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[4:11 pm, 18/04/2020] ☸️ Danny 心:
My close friend comment :- "If it is proactive testing to arrest issue, then it's a good thing".
My comments :- "Yes I think government adopting our strategy on aggressive testing on the dorm to cover all infected cases - so that all will be identified and weed out all possible cases ---- and will not infect our Community.
The big number we see now is expected - and we should not be alarm by it.
The moment when all the tests are done on dorm ---- the number will decline and eventually go down to zero.
Notice that the community spreading is now only 14 - the trend is going down -- showing that the Circuit Breaker measures are showing result.
Let us monitor for a few more days --- and see how it goes.
[2:40 pm, 19/04/2020] ☸️ Danny 心:
Yes the zero infection refers to community spreading.
If dorm still have infected numbers but is well contained within the dorm and given treatment - but will not infect the community, we can still consider to open up.
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[8:17 pm, 21/04/2020] ☸️ Danny 心:
PM Lee speech (21 Ap2 2020, 5pm)
"Community
In the wider community, the circuit breaker is starting to have an effect. The number of community cases has fallen in recent days.
This is the result of all of us coming together, making sacrifices and adhering to the circuit breaker rules. We cannot afford to be complacent. We must press on. To bring down daily infections more sharply, to a single digit, or even zero. And to reduce the number of unlinked cases: those cases where we do not know how they got infected, or from whom."
"Because unfortunately that number of unlinked cases has not come down. And this suggests there is a larger, hidden reservoir of COVID-19 cases in the community, that is the source of these unlinked cases, which we have not detected.
I discussed with the Multi-Ministry Task Force (MTF) on the next steps to take. We want to bring down the community numbers decisively. We also want to make sure that if any leakage occurs from the dorms to the wider community, we can detect and contain it early, and prevent new clusters from forming and bursting out of control."
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[4:11 pm, 18/04/2020] ☸️ Danny 心:
Notice that the community spreading is now only 14 - the trend is going down -- showing that the Circuit Breaker measures are showing result.
Let us monitor for a few more days --- and see how it goes.
[2:31 pm, 19/04/2020] ☸️ Danny 心:
Personally, I feel that :-
1. If few days before 4 May - the number of infection is zero for a few days - then Circuit breaker can stop to resume work and school.
2. However if still have few cases by 4 may - then I suggest extending CB measures to another 2 weeks to ensure the number go down to zero.
Else all our efforts wasted if everyone go back to work and school - but trigger another round of community spreading.
Then we need another CB measures - that will cause big impact to our economy.
----
[8:33 pm, 13/04/2020] ☸️ Danny 心:
a. Contact tracing and Testing
- by identifying the infected person - and trace those people he/she contacted with - may have misssed important infection sources :-
- eg. the toilet he/she visit (as he/she may discharged droplets and virus in wash basin and toilet bowls.
- eg. infected person use his contaminated fingers to press the lift buttons, hold the handrail in MRT or bus or sneeze or cough in the lift.
- eg. infected person eat in food court and contaminate the chairs, tables, utensils etc
- although other people did not come into contact with this infected person --- they may still get infected - that result in the many unlink cases.
====
[9:41 pm, 21/04/2020] ☸️ Danny 心:
PM Lee speech (21 Ap2 2020, 5pm)
"Nobody knows how long the pandemic will last. Most likely it will take more than a year, before effective treatments and vaccines become available. So we have to take things one step at a time.
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[1:36 pm, 19/03/2020] ☸️ Danny 心:
(1) When will the 2nd waves of infection reaches its peak and then begin to taper off?
(2) The following are the likely scenarios:-
a. When all countries in the world with many of their population get infected and develop some antibodies. The virus no longer can infect human.
This is the worst scenario.
b. Effective vaccine is found and the world population get vaccinated.
c. Effective treatment is developed and the virus is no longer fear by human.
d. Virus run out its full course and environment no longer support its growth.
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[9:41 pm, 21/04/2020] ☸️ Danny 心:
PM Lee speech (21 Apr 2020, 5pm)
"First, we must open up incrementally, in small steps, making sure that we are safe each step of the way. This is what New Zealand and Germany are beginning to do, very cautiously. They believe that they have broken the chain of transmission, but they want to be extra careful. They do not want to open up prematurely after lock downs, only to find COVID-19 coming back, and then be forced to lock down a second time. It has happened in Hokkaido. We should try our best to avoid this."
"We will therefore extend the circuit breaker for four more weeks, beyond 4 May. In other words, until 1 June."
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[2:31 pm, 19/04/2020] ☸️ Danny 心:
Personally, I feel that :-
1. If few days before 4 May - the number of infection is zero for a few days - then Circuit breaker can stop to resume work and school.
2. However if still have few cases by 4 may - then I suggest extending CB measures to another 2 weeks to ensure the number go down to zero.
Else all our efforts wasted if everyone go back to work and school - but trigger another round of community spreading.
Then we need another CB measures - that will cause big impact to our economy.
====
[9:41 pm, 21/04/2020] ☸️ Danny 心: ====
PM Lee speech (21 Ap2 2020, 5pm)
"Second, we need to scale up testing for COVID-19 substantially, so that we can quickly detect any new cases that pop up. This we are progressively doing, not only by procuring test kits and equipment from other countries, but also by developing and manufacturing our own test kits."
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[6:46 pm, 13/04/2020] ☸️ Danny 心:
Joint Contribution with my close friend :-
(2) we hope that the relevant authorities widen the test criteria for covid19 e.g. It was reported that a confirmed case was having fever and cough but was not tested and after the symptoms persisted for several days and was finally tested and confirmed. During the period where the symptoms appear to confirmed it might have spread to several others and chain of transmission proliferates exponentially. When community spread has become pervasive, can the authorities consider widening the test criteria e.g. Persons who showed symptoms and worked in public facing environment should be tested.
===
[9:41 pm, 21/04/2020] ☸️ Danny 心:
PM Lee speech (21 Ap2 2020, 5pm)
Third, we will need to make full use of IT, so that when we discover COVID-19 cases, we can trace more efficiently where they have been, and whom they have been in contact with.
We have the TraceTogether app, and we are currently developing other apps for this purpose. For these apps to work, we will need everyone’s cooperation to install and use them, like what the South Koreans have done. There will be some privacy concerns, but we will have to weigh these against the benefits of being able to exit from the circuit breaker and stay open safely.
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[3:06 pm, 31/03/2020] ☸️ Danny 心: ---
(1) Will to urge Government to seriously consider using mobile data to do:-
a. Contact Tracing and Tracking
b. Ensuring people Stay-At-Home and observe Quarantine Order.
(2) Noted that we maybe concern with breaching the Personal Privacy Act.
(3) But 非常时期，需要非常手段。
(4) Government must consider waiving the Personal Privacy Act to tackle this virus pandemic - until when the crisis is over - before reinstating the Privacy Act.
(Note:- If other new apps developed have good IT security, can consider installing to help in the fight for this covid-19).
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