REACH 246 - Views on recalibrated reopening & how to stay safe (SK)
21 Jun 2021 (11am - 7pm)
REACH
[10:01 am, 21/06/2021] +REACH: Dear contributors,
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[10:04 am, 21/06/2021] +REACH: 📢 Topic 📢
Singapore will continue to reopen in a calibrated manner with measures further relaxed from today, while more restrictions will be lifted in mid-July, barring a superspreader event or another big cluster emerging.
💬 What are your views on the calibrated approach to reopening? How can we continue to keep the community safe with the ease in restrictions?
The cautious approach to reopening is to allow the authorities to "buy time" so more people can be vaccinated, said the multi-ministry task force tackling Covid-19 on Friday (Jun 18).
"We are taking a more calibrated, more careful approach - not swinging to either extreme of shutting down, restricting very tightly all the different activities, nor opening up too recklessly, but taking a more careful approach of allowing some resumption of activities, still with appropriate safeguards and precautions in place, and buy us time for our vaccination rates to go up," Minister Lawrence Wong added.
Asked about the vaccination targets, Mr Wong said that there are two key milestones: 50 per cent of the population to be fully vaccinated, which he believes can be done by August or so, and 75 per cent of the population to be fully vaccinated at a later date. The task force will progressively ease restrictions both within Singapore and at its borders based on these two milestones, he added.
RECAP:
• Dining in allowed but only in groups of two
• Wedding receptions remain banned, at least until mid-July
• Gyms and fitness studios can resume
• Working from home remains default
• Support measures extended for affected sectors
👉 https://str.sg/34di
👉 https://str.sg/34A3
👉 https://str.sg/34st
-----
[10:25 am, 21/06/2021] +REACH: REACH x Mothership will be hosting a 🔈 CLUBHOUSE session 🔈 on Wednesday, 23 June at 9PM, with Parliamentary Secretary Rahayu Mahzam and Associate Professor Lim Poh Lian from National Centre for Infectious Diseases (NCID), who is also a member of the Expert Committee for COVID-19 vaccination, as our panellists 🤩
Join us as we discuss:
▪️How will Singapore and Singaporeans adapt if COVID-19 was to stay 🦠?
▪️How does our vaccination strategy impact the community? 💉
▪️How can we strengthen our mental well-being 🧠?
▪️How do we better support vulnerable groups and their caregivers?
✨ Whether you’re at home🏠 or at the park, tune in to Clubhouse, join the discussion and share your views!
📌 https://www.clubhouse.com/event/PbyLdn45
Follow @REACHsg on CLUBHOUSE and click on the bell icon to be notified when the session starts 🔔 We can’t wait to listen to your views and interact with you! 😊
[10:31 am, 21/06/2021] +Ben: I think people are getting restless and don't understand the tight restrictions for vaccinated people.
[10:32 am, 21/06/2021] +Ben: Why are we spending money to promote people getting vaccinated? Hasn't there been enough publicity about the fact we are in a global pandemic? Are people really not aware they need to get vaccinated?
[10:34 am, 21/06/2021] +Ben: If we have enough vaccination supply, then please open up to more people. If we don't have enough vaccination supply then why are we promoting more people to get vaccinated?
[10:37 am, 21/06/2021] +Ben: Again, I ask the question. What is the health of the people who are testing positive for Covid-19 these days? Are they infecting vaccinated people and are those people generally ok? Are they infecting non-vaccinated people and are they generally ok. I wonder how many cases now are considered serious, how many require hospitalisation and what is the general health and age of the person infected. If the elderly and at risk are now vaccinated and young people don't get ill, are we facing the same problem as last year?
[10:38 am, 21/06/2021] +Shane: I concur with this
[10:41 am, 21/06/2021] +Ben: A major barrier is travel. Not allowing a vaccinated person (with a vaccine we trust) who tests negative multiple times into the country without 14 or 21 days isolation is a significant problem to opening up our economy.
[10:44 am, 21/06/2021] +Kevinn Wang: To answer to the topic: I still DO NOT UNDERSTAND why people still are going around maskless
[10:45 am, 21/06/2021] +Kevinn Wang: yesterday at Jewel 3 4 cases where i have to walk up and inform people
[10:45 am, 21/06/2021] +Kevinn Wang: 1) couple taking picture w/o mask no need say what race or what
[10:45 am, 21/06/2021] +Smiley face: Singapore Clusters and Numbers:
"Vaccinated can still spread to many....."
CLUSTERS UPDATED TO INCLUDE SUN 30 MAY 2021 SINGAPORE:
>3 biggest clusters were linked to FULLY VACCINATED Individuals.
>15 clusters out of 36 active clusters (44%) were linked to VACCINATED Cases (13 Full dose +2 half dose)
>12 out of 15 clusters in the Vaccinated Groups were Symptomatic.
**Symptoms reported were not significantly less in the vaccinated.
CHANGI AIRPORT CLUSTER (97 ADULTS):
Linked to a FULLY VACCINATED SYMPTOMATIC 88 yr old male cleaner on 11 May. (Case 62873).
> 44 VACCINATED ADULTS:
Symptomatic: 30 symptomatic fully vaccinated +2 with 1 dose
Asymptomatic: 12 (fully vaccinated).
> 53 UNVACCINATED:
Symptomatic: 42
Asymptomatic: 11
JEM/WESTGATE - 63 cases
Linked to a FULLY VACCINATED SYMPTOMATIC 53yr old cleaner at SHN facility. 7 May.
TTSH CLUSTER (9 Staff) Total 48 cases.
Linked to a FULLY VACCINATED SYMPTOMATIC Filipino nurse on 28 April. (Case 62541)
> VACCINATED: 6 Staff
Symptomatic: : 3 (ages 46/30/26)
Asymptomatic: 3 (ages 41/36/26)
NON VACCINATED: 3 staff (ages 27/22/25/
Symptomatic: 3
*Patients not counted as no comparison data between vaxx and non-vaxxed patients.
> CHANGI PRISON COMPLEX :14 Cases:
Linked to A FULLY VACCINATED Symptomatic 39 year-old male China national chef at Changi Prison. Case 63160. 14 May.
> PASIR PANJANG TERMINAL - 8 Cases
Linked to a FULLY VACCINATED Asymptomatic 23 yr old Indian National Lashing Specialist. Apr 10 #61822
> MT ALLI BUNKER SEA CREW: 7 cases
Linked a partially vaccinated asymptomatic 39 year-old Indonesian sea crew member on board a bunker tanker (#62113). 18 Apr.
> #63319 - 6 cases
Linked to a FULLY VACCINATED Symptomatic 77 yr old homemaker. 16 May
>#63725 Chevy’s bar
Linked to a FULLY VACCINATED Symptomatic 58 yr old female. 26 May.
> #63806 - 4 Cases
Linked to a PARTIALLY VACCINATED Symptomatic 49 yr old male at Success Consultancy. 28 May.
> TUAS SOUTH: 4 Cases
Linked to a FULLY VACCINATED Asymptomatic 39 yr old Vietnamese cleaner. 29 April. #62553
> #63290: 3 Cases
Linked to a FULLY VACCINATED Symptomatic female PR unemployed. 16 May.
> #63414: 3 Cases
Linked to a FULLY VACCINATED Symptomatic 40 yr old male at Warburg/food delivery rider. 18 May.
> #63714: 3 Cases
Linked to a FULLY VACCINATED Symptomatic 74 yr old male retiree. 25 May.
> #63466: 3 Cases
Linked to a FULLY VACCINATED Symptomatic 59 yr old female at Mary Fashion. 20 May.
> TEKTRONIX: 3 Cases
Linked to a FULLY VACCINATED Symptomatic 50yr old male.
> 3 clusters Not included in my clusters:
*#63708 4 Cases: Linked to symptomatic a 15 yr-old male student at Westwood Secondary Sch. 25 May.
*#63487 is a 19 yr-old female student at Singapore Polytechnic.
*#63622 HARVEST WOODLANDS DORM: 5 Cases
Linked to (vaxx unclear) Asymptomatic Construction worker. 23 May.
CLOSED:
>Westlite Woodlands Dorm: Linked to A FULLY VACCINATED asymptomatic 35-year-old Bangladeshi national construction supervisor.
———————————
https://www.moh.gov.sg/news-highlights
————-
[10:45 am, 21/06/2021] +Kevinn Wang: 2) guy eneter pokemon shop and go one corner take out make to shop, staff blind to that
[10:46 am, 21/06/2021] +Kevinn Wang: 3) jewel have signs to tell people no eating wiithin but can see people still taking off mask and eat
[10:46 am, 21/06/2021] +Kevinn Wang: same for no4 incident
[10:47 am, 21/06/2021] +Kevinn Wang: is either our society is mentally retard or so super confident the version 4 will not hit them because (maybe) they had been jab 2x
[10:48 am, 21/06/2021] +Kevinn Wang: bottom line: society have not realised how big a part they play in this game of defense and once again i (personnel comment) think our society have a small population of toxic mindset people who will overturn once again the efforts if we dun crush them with an iron fist
[10:49 am, 21/06/2021] +Kevinn Wang: what the committee is taking is a balance approach but i doubt many understand
[10:50 am, 21/06/2021] +REACH: Some hospital visitors in S'pore allowed to stay longer with patients if they clear Covid-19 test
Certain visitors to hospitals will be allowed to stay for longer than 20 minutes from Monday (June 21), but only if they first complete an antigen rapid test (ART).
The Ministry of Health said the time limit is being lifted for certain groups of visitors from Monday, but that the negative ART result will be necessary regardless of their vaccination status.
https://www.straitstimes.com/singapore/some-visitors-to-hospitals-allowed-to-stay-longer-with-patients-if-they-clear-covid-19
[11:08 am, 21/06/2021] +65 9127 4138: 👍
[11:25 am, 21/06/2021] +REACH: $278 million in MediSave top-ups for Pioneer, Merdeka Generation seniors in July
Pioneer and Merdeka Generation seniors will get $278 million in MediSave top-ups.
They will receive letters with details regarding the top-ups by the end of June, and the sums will be credited in July, the Ministry of Finance and Ministry of Health said in a joint statement on Monday (June 21).
https://www.straitstimes.com/singapore/278-million-in-medisave-top-ups-for-pioneer-merdeka-generation-seniors-in-july
[11:43 am, 21/06/2021] +REACH: Redhill residents to undergo mandatory Covid-19 testing after viral fragments detected in wastewater
Residents living in Housing Board blocks in Redhill Lane and Redhill Close will have to undergo mandatory Covid-19 testing after viral fragments were detected in wastewater samples collected from some blocks.
https://www.straitstimes.com/singapore/health/redhill-residents-to-undergo-mandatory-covid-19-testing-after-viral-fragments
[0:12 pm, 21/06/2021] ☸️ Danny 心:
1. In UK, 26 fully vaccinated 2 doses die out of 75,953 - infected with Delta variants.
2. But the report did not say which vaccines are they.
3. UK uses:-
- AstraZeneca
- Jansen
- Pfizer-BioNTech
- Moderna
4. But UK also mix their doses.
[0:12 pm, 21/06/2021] ☸️ Danny 心:
5. That means, 0.034% fully vaccinated die from Delta variants.
6. Medical experts in UK and Singapore say that population must achieve at least 80% fully vaccinated with 2 doses - then will see Delta variants drop drastically.
7. This Vaccination results is seen in smallpox, measles, polio, chicken pox.
[0:13 pm, 21/06/2021] ☸️ Danny 心:
https://sg.yahoo.com/news/m/a103e3be-c882-3583-91cb-29e55c7ef92f/delta-variant-begins-to.html Delta variants spreading into Europe.
[0:14 pm, 21/06/2021] +Ben: They also have a 12 week gap between doses and we don't know how well that works, perhaps immunity is generally not very strong with such a big gap.
[0:14 pm, 21/06/2021] ☸️ Danny 心:
UK despite 59% 2 doses Vaccination.
81% 1st dose Vaccination - still see a spike in Delta variants.
[0:17 pm, 21/06/2021] ☸️ Danny 心:
Thus this person who commented that Singapore should open up like US, EU - has no data to support his desire to open up grandly.
UK medical experts project that unless their population full Vaccination 2 doses exceed 80% and above - then it is possible to curb the more transmissible Delta variants.
[0:20 pm, 21/06/2021] ☸️ Danny 心:
Singapore has more than 3 million people unvaccinated - is that person who commented grand opening trying to risk the lives of those unvaccinated people with hospitalisation, ICU or even death?
[0:21 pm, 21/06/2021] +Rama: Very worrying!
[0:21 pm, 21/06/2021] ☸️ Danny 心:
I support gradual opening up with safeguard in place, not reckless opening with no regard of human lives.
[0:21 pm, 21/06/2021] +Rama: Likewise
[0:27 pm, 21/06/2021] ☸️ Danny 心:
Lives and livelihood must be safeguarded hand-in-hand.
1. We should not mindlessly safeguard economy but neglect human lives (like what we see in India and Malaysia).
2. Likewise, we should not mindlessly safeguard human lives without regard to the economy, business, jobs - which are our livelihoods.
3. A proper balance must be maintained - as we ramp up our vaccination.
4. A few conditions must apply before we can declare ourselves in endemic stage.
[0:28 pm, 21/06/2021] ☸️ Danny 心: https://www.channelnewsasia.com/news/singapore/singapore-covid-19-vaccination-rate-not-high-enough-phase-3-15041028
Singapore vaccination rate not high enough - to be declare endemic --- say Minister Lawrence Wong.
[0:31 pm, 21/06/2021] ☸️ Danny 心:
What I say in REACH and what Minister Lawrence Wong say is almost identical.
Endemic stage is no where near - if our Vaccination rate is not high enough, infection number did not drop, hospitalisation didn't drop and in UK 26 fully vaccinated people dies from Delta variants - Singapore cannot declare ourselves to be ready for endemic stage.
Gradual opening of economy with safeguard in place is needed.
[0:32 pm, 21/06/2021] ☸️ Danny 心:
Biden say US will not lockdown - even if Delta variants hit US.
Biden warn that more death is expected - for those who refuse to be vaccinated.
Biden stand is taking the endemic approach.
[0:34 pm, 21/06/2021] ☸️ Danny 心:
Delta variants is the dominant strain in all our community cases.
[0:34 pm, 21/06/2021] ☸️ Danny 心:
All the big clusters are transmitted by Delta variants:-
1. Changi airport 108 cases.
2. TTSH 40 cases.
3. Built Merah market 65 cases.
[0:34 pm, 21/06/2021] ☸️ Danny 心:
Fully Vaccinated people can still transmit covid-19.
Thus having vaccinated surrounding an unvaccinated person is not good enough.
All must be vaccinated to get the protection.
Depending on others to get vaccinated is not good enough.
[0:38 pm, 21/06/2021] +Ben: Yes, I'm not supporting this post, but highlighting that people are restless and more justification/data would help people understand why Singapore is not easing more quickly like other countries.
[0:38 pm, 21/06/2021] +Ben: We don't have data to support that either, lol
[0:39 pm, 21/06/2021] +Ben: Yes I think that most people would agree! What is considered reckless is where people might disagree.
[0:40 pm, 21/06/2021] ☸️ Danny 心:
I know, one day this endemic stage will come.
Singapore will have to prepare for this.
Certain conditions must be fulfilled before we can declare ourselves endemic.
I will talk about this later.
[0:40 pm, 21/06/2021] +Ben: He is also taking an approach that people who refuse vaccination cannot hold the country back.
[0:41 pm, 21/06/2021] ☸️ Danny 心:
Now few hundred people got infected by Delta variants in hawker centre, HDB block, food court is a good indication.
[0:41 pm, 21/06/2021] +Ben: What was the outcome of the cases - any hospitalizations? Serious illnesses?
[0:42 pm, 21/06/2021] +Ben: Maybe those who choose not to be vaccinated should stay home?
[0:42 pm, 21/06/2021] ☸️ Danny 心:
More than 150 people hospitalised, 11 need oxygen support, 3 death.
[0:43 pm, 21/06/2021] +Ben: Just from those 215 cases you highlighted? Hospitalised for checks or due to serious illness?
[0:44 pm, 21/06/2021] ☸️ Danny 心:
In UK , 26 fully vaccinated people die, total 73 death.
[0:44 pm, 21/06/2021] ☸️ Danny 心:
Pse ask MOH for detail.
[0:44 pm, 21/06/2021] +Ben: I was asking about the 215 cases in Singapore you highlighted and then claim from those 215 3 had died. Was that not true?
[0:45 pm, 21/06/2021] ☸️ Danny 心:
75,593 face long term potential risk of brain, lung, heart damages.
[0:46 pm, 21/06/2021] ☸️ Danny 心:
This is the MOH report.
[0:46 pm, 21/06/2021] +Ben: Where is the MoH report?
[0:46 pm, 21/06/2021] +Ben: You made a claim to say 3 people had died from 215 recent cases in Singapore. Where did you get that number?
[0:47 pm, 21/06/2021] +Ben: If it was a mistake, please just say so. If it wasn't a mistake please share the link.
[0:48 pm, 21/06/2021] ☸️ Danny 心:
I didn't say out of 215 cases there's so many casualties.
I just highlights 3 big clusters.
There are more Delta variants cases not in these 3 big clusters ,- that contribute to those figures.
[0:49 pm, 21/06/2021] +Ben: You did actually, in direct response to me asking about the outcome of the cases you listed. You said 150 hospitalised and 3 died.
[0:49 pm, 21/06/2021] +Ben: Here it is again. It's ok to say it was a mistake.
[0:50 pm, 21/06/2021] +Ben: I'm calling you out because I am asking about the consequences of the cases rather than just focusing on the number of cases.
[0:50 pm, 21/06/2021] ☸️ Danny 心:
I list 3 big clusters, there are 40 over clusters - in total, on average 150 hospitalised, 11 need oxygen support, so far 3 have died.
[0:50 pm, 21/06/2021] +Ben: We will have cases in SG for years. Even when we are all vaccinated! We need to get to a position where the severity of the cases is also consided.
[0:51 pm, 21/06/2021] +Ben: Ok, and this is going back how far?
[0:51 pm, 21/06/2021] ☸️ Danny 心:
Since the current wave started.
[0:51 pm, 21/06/2021] +Ben: How many people affected in total? How old were they? Any underelying health conditions? What proportion of vaccinated?
[0:51 pm, 21/06/2021] ☸️ Danny 心:
Pse read the MOH chart.
[0:52 pm, 21/06/2021] +Ben: Which is when? You see - things have changed a lot and we need to adjust our thinking
[0:52 pm, 21/06/2021] ☸️ Danny 心:
I am not here to answer all your comments. Pse see MOH report.
[0:53 pm, 21/06/2021] +Ben: lol - we are all asking questions :) You are making a case and I'm asking what it's based on. You are correct that you don't need to answer.
[0:53 pm, 21/06/2021] +Ben: I think the problem is connecting two different things and presenting as a single point of view.
[0:53 pm, 21/06/2021] +Ben: It confused me lol
[0:53 pm, 21/06/2021] ☸️ Danny 心:
Simple Minister Lawrence Wong agree with my assessment.
We're not ready to be in endemic stage.
[0:54 pm, 21/06/2021] ☸️ Danny 心:
Reckless opening is wrong.
[0:54 pm, 21/06/2021] +Ben: Yes, we are not at that stage. However it's not a binary situation.
[0:54 pm, 21/06/2021] +Ben: No one wants Reckless. The question is more about what is reasonable.
[0:55 pm, 21/06/2021] +Ben: Is it reasonable to ask someone to stay 21 days in isolation when they are fully vaccinated and have multiple negative tests?
[0:55 pm, 21/06/2021] ☸️ Danny 心:
The current gradual opening is correct.
That person comments is wrong.
[0:56 pm, 21/06/2021] +Ben: Yes, I don't know that person but they are entitled to a point of view and it gives an indication of what people are thinking, just as we do here.
[0:56 pm, 21/06/2021] +Ben: Where the line is drawn is the debate.
[0:57 pm, 21/06/2021] +Ben: I'm personally OK with where we are, for now.
[0:59 pm, 21/06/2021] ☸️ Danny 心:
Ask you a question, even when you are fully vaccinated, but you know that you will be infected with Delta variants, will you be worried if you are infected?
And even face the risk of spreading to your family members who are either vaccinated or unvaccinated?
[1:31 pm, 21/06/2021] +Smiley face: Hypothesis: Infection Numbers
(for discussions only)
BIG PICTURE:
Population: 5.8 millions
Last year 50,000+ cases in Dormitories
Delta strain and other existing strains are of higher rate of infections compared to 2020 strains.
INFECTION MODEL:
(Cautiously Optimistic Scenario)
Assuming 10,757 HDB blocks x 8 cases per blk = 80,,000 cases NOW evolving and spreading...
Private Condos and Landed properties at 20,000 cases...
POSSIBILITY of up to 100, 000 cases NOW circulating, transiting and infecting at various stage of severities?
Half can be asymptomatics, cured and mobile?
How to Quarantine big numbers should we need to do so?
Will this scenario causes the COLLAPSE of the medical resources?
Economics and livelihoods?
Efficacy of Pfizer vs Efficacy of Mordena vs a Pinch of Sinovac?
[1:43 pm, 21/06/2021] +Smiley face: " Pandemic, Endemic or in a State of Panic... trickles down to a word: FEAR (pls BALANCED it EXCELLENTLY) ...! "
-- Ian T
[1:44 pm, 21/06/2021] +Smiley face: "the 50% of things is a tipping point towards glory or gloomy and a point of NO RETURN ...!"
-- Ian T
[1:44 pm, 21/06/2021] +Ben: If worried about vaccination success why are we supporting Sinovac which is shown to be considerably less effective than our approved vaccines?
[1:48 pm, 21/06/2021] +Rama: Exactly!?
[1:48 pm, 21/06/2021] ☸️ Danny 心:
My close friend comments:-
We should discern between being reckless and taking a risk-based approach.
As our vaccination rates rise, we should look at the new metrics for reopening rather than mere numbers of new infections.
Higher infection transmission, more serious and fatal cases are worrying trends. But high percentage of age 45 and above being vaccinated; better contact tracing capabilities; high testing capacities; and availability of affordable good surgical masks can help mitigate those risks?
We are learning to accept that zero-covid is unachievable, at least not in the near term. Then can our goal be near-zero deaths and serious illness? Then how much more can we stealthily reopen without the virus rearing it's ugly head?
[1:57 pm, 21/06/2021] +Ben: I'm glad your close friend agrees with me!
[1:59 pm, 21/06/2021] ☸️ Danny 心:
I agree with my close friend as well.
Except that I agree with gradual cautious opening not reckless opening.
[2:03 pm, 21/06/2021] +Ben: Does your close friend want a reckless opening?
[2:04 pm, 21/06/2021] ☸️ Danny 心:
Exactly no.
That's why certain conditions must be in place before we can do more opening.
[2:43 pm, 21/06/2021] +Timothy Low: I got friends who don’t trust the mRNA and would rather take the Sinovac vaccine
[2:49 pm, 21/06/2021] +Ben: Understood, but there is no evidence behind this. It's just a
[2:49 pm, 21/06/2021] +Ben: feeling....
[2:49 pm, 21/06/2021] +Ben: Evidence shows Sinovac is far less effective. Should we support that choice if so much is at stake?
[2:51 pm, 21/06/2021] ☸️ Danny 心:
Conditions for opening of our Economy (and declare endemic stage) - as more contagious Delta variants and possible other variants hit us.
1. Live and Livelihood - both must be ensure and balanced.
- This is the uncompromise position we must take in opening up our Economy as more contagious strain hit us.
- Reckless opening will take more human lives.
- To restrictive measures to protect lives - will hurt our livelihood.
2. Thus Calibrated reopening of our Economy - in tandem with infection rate, hospitalisation number, Oxygen support number, ICU number and death number - should be model upon.
- Eg. weight can be given to :-
a. infection rate
b. hospitalisation number
c. Oxygen support number
d. ICU number
e. death number.
3. Vaccination number must also be part of the equation.
- Noting that UK has a 59% 2 dose vaccination and 81% 1 dose vaccination - and yet cannot stop the Delta variants spike, hospitalisation and death.
- By using transmission rate, UK study projected that only beyond 80% 2 dose vaccination - will only stop the Delta variants --- and get themselves ready for "Endemic stage" - where covid is treated as "mild flu". (Source :- UK study of transmission rate based on Delta variants)
- Singapore 2 dose is only at 35% to 36%. Hence we cannot declare "Endemic stage" like some suggest as we are still far from the projected "inflection point" of 80% based on UK study.
(In fact, Singapore projected 2 phases - by end Aug 50% and the next milestone 75%) - Hence calibrated gradual opening will need to be put in place - taking into account point 2 and point 3 - vaccination rate.
4. Treatment medication must be ready --- if infection number is to be diminshed in significance while emphasizing zero or minimal death, low ICU, low Oxygen support and lowe hopitalisation number.
a. Current ongoing trial of oral polmerase inhibitor pills on trial by a couple of US based pharmaceutical companies such as Pfizer etc (Source :- news article - as attached).--- have proven good potential as it drastically reduce covid virus load within 2 weeks - and turn severe cases into mild cases.
b. Cocktail anti-bodies drugs currently used in India - has also good potential to treat severe cases and turn it into mild cases. (Source :- news article - as attached).
Only when promising treatment drugs are available and have potential to treat severe covid cases - and prevent death, reduce ICU, oxygen support, hospitalisation cases --- can we safely enter into "Endemic stage" - and treat covid-19 as mild flu - regardless of the variant strains.
(Only when point 1 to point 4 is met --- we can safely declare entering into "Endemic Stage".
While progressing along the way to endemic ---- we should use graduated calibrated approach to reopening our Economy - guided by the above parameters. A calculated cautious opening and not reckless opening).
5. Understand that the Government has difficulty in mandating "Compulsory Vaccination" --- as some reports surface that parents feel pressure to sign up their children for vaccination - and MOE have to issue statement to say that vaccination is voluntary but encouraged.
- I feel that Government has adopted the right approach - to do :=
a. Provide information, encouragement through media by Ministers, medical experts, celebrities, peer pressure etc.
b. Adopt "soft nudge approach" first - to achieve the milestones of 50%. then 75% full vaccination - and then it will be harder and harder ---- as we face last group of "strong headed population" who are either anti-vaxx or misguided individuals, or fearful individuals or some who have medical problem.
c. Then Government will have to readjust its strategy - to adopt psychological approach - can be soft, hard, inconveniencing non-conformers and if all else fail consider "Mandatory Vaccination" as the last resort.
This is using the "layer by layer approach" - to achieve vaccination outcome - like peeling an onion until we reach its final core.
(Currently, Government can make swab test "Mandatory" - when a cluster is identified.
Wonder, will Government able to convince the last harder group - to vaccinate through "Mandatory Vaccination" ---- if swab test can be make "Mandatory" without backlash?
I feel that if use it at the right place, right time, right conditions and right settings ---- Government may be able to pull through with "Mandatory Vaccination" ---- when approaching the last group.
Because even if 10% out of the 90% unvaccinated ---- we are facing a whopping 565,000 unvaccinated people --- a "Big Trojan" that can cripple our hospitals and ICUs.
[2:51 pm, 21/06/2021] +REACH: S'pore resumes dining in: Patrons glad that Covid-19 curbs eased but many still opt for takeaways
https://www.straitstimes.com/singapore/no-big-crowds-as-dining-in-resumes-for-groups-of-2-in-spore-but-patrons-glad-covid-19
[2:54 pm, 21/06/2021] ☸️ Danny 心:
https://www.straitstimes.com/asia/south-asia/antibody-cocktail-treatment-held-up-as-potential-game-changer-in-indias-fight
Anti-bodies cocktail treatment - a potential game changer in treating covid-19.
Many serious cases treated and recover well.
[2:56 pm, 21/06/2021] ☸️ Danny 心:
1. Very promising oral treatment drugs by various pharmaceutical companies on the way.
- Merck
- Pfizer
- Roche
- Atea
2. All undergoing human trials showing very promising results.
3. They are oral polymerase inhibitor - that prevent covid virus from replication.
4. Given when patients got infected.
5. Trials show that virus in the body are gone within 5 days.
6. If successful, covid-19 become bad cold that can be treated by oral drugs.
[3:07 pm, 21/06/2021] ☸️ Danny 心:
Note :- US and EU except UK are doing grand reopening with little safeguard - because they have yet to hit hard by Delta variants.
But US through Biden and just published news that EU is feeling the pressure of Delta variants fast transmission - are now sounding caution.
[4:42 pm, 21/06/2021] +REACH: [Sent by Gov.sg – 21 Jun]
As of 12pm, MOH has preliminarily confirmed 13 new cases of locally transmitted COVID-19 infection.
Based on investigations so far, the cases are in the community, and there are no new cases in the dormitories.
There are 3 imported cases today, who have already been placed on Stay-Home Notice upon arrival in Singapore. In total, there are 16 new cases of COVID-19 infection in Singapore today.
MOH will share further updates in its press release that will be issued later tonight.
go.gov.sg/moh210621update
🔹 Get an earlier vaccination appt by choosing vaccination centres that offer Moderna. Register at vaccine.gov.sg.
[4:46 pm, 21/06/2021] +REACH: Dear Contributors,
Thank you for your views so far, We want to HEAR MORE from you!
We have had good feedback from this group, and we hope that we can keep the discussion robust and active!
Megan😊
[4:53 pm, 21/06/2021] +REACH: 16 new Covid-19 cases in Singapore, including 13 in community
https://www.straitstimes.com/singapore/16-new-covid-19-cases-in-singapore-including-13-in-community
[4:53 pm, 21/06/2021] +REACH: Up to 13,000 drivers and riders to get $200-$650 cash payout from NTUC amid Covid-19
Limousine, combi-bus drivers as well as delivery drivers and riders who are members of National Trades Union Congress (NTUC)-affiliated associations will be getting a one-off payout of up to $650 as part of a relief package that is being offered amid the slow recovery of the economy.
The support, which will be offered to members of the National Private Hire Vehicles Association (NPHVA) and the National Delivery Champions Association (NDCA), is part of a $4.28 million package by the NTUC and can benefit as many as 13,000 drivers and riders.
https://www.straitstimes.com/singapore/up-to-13000-drivers-and-riders-to-get-200-650-cash-payout-from-ntuc-amid-covid-19
[5:41 pm, 21/06/2021] ☸️ Danny 心: https://www.straitstimes.com/singapore/health/more-contact-tracers-needed-in-singapore-as-covid-19-cases-rise 500 contact tracers are from SAF and Police calling tenders awarded to 3 organisations.
[5:56 pm, 21/06/2021] +REACH: Man sentenced to 3 weeks' jail for lying on travel declaration; he wanted to serve SHN at his residence
A surveyor for a construction company went to Indonesia but lied on his travel form when he returned to Singapore, declaring that he had arrived from other countries so that he could serve his stay-home notice (SHN) at his residence instead of a dedicated facility.
More: https://str.sg/346y
[6:01 pm, 21/06/2021] +Ben: Upon entering Singapore, an Immigration and Checkpoints Authority officer told him that he would have to serve the SHN at a facility but he countered and showed the officer the e-mail confirmation.
The officer just took his word for it and wasn't able to check travel documents? That's definitely a gap in the system. "The officer then gave him a declaration form for opt-out travellers to declare that he had travelled to no other countries apart from the seven and would serve SHN at his residence either alone or with only household members who had the same travel history and were also serving their SHN.
Vijeyakumar signed and dated the declaration form."
[6:14 pm, 21/06/2021] ☸️ Danny 心:
https://www.straitstimes.com/world/dont-count-on-needing-a-covid-19-booster-shot-who-scientist-says WHO not considering a third booster shot at this point in time - as majority has not received the 2 doses vaccination.
But UK may likely try the booster shot make specifically against the variants - as Delta variants surge.
[6:15 pm, 21/06/2021] ☸️ Danny 心:
1. In UK the chances of getting Delta variants drop sharply after 1 dose of Vaccination.
2. After 2 doses Vaccination, the chances of infection drop further.
[6:45 pm, 21/06/2021] +REACH: Dear Contributors,
⏰ We will be closing the chat in 15 minutes ⏰
Thank you very much for being part of our WhatsApp chat and participating actively.
Megan
[6:59 pm, 21/06/2021] +Smiley face: Hi... ,
A few suggestions to help all of us in fighting this evolving situation...
Regards
IDEA:
"The key is HOME, it precedes all and home is the resting and nesting place for communicable diseases!"
PREVIOUS:
Further pointers to my previous suggestion the idea of Rings of Fire, Epicenter and Zones in identifying individuals and importantly potential clusters.
ADD ON:
From a SINGLE block data to the vicinity, putting aside amenities and facilities, we will be one step closing in on the infectious cases, in transiting cases and potential clusters faster than previous methods of contacts tracing!
Perhaps, using the latest vaccination data, we will be able to ZOOM into detailed numbers of vaccinated people with say a block of flat. We then expand this block into other blocks within 1km, 2km, 3 km and so on in deriving a percentage of vaccinations at each range of diameter! Targeted CB, Swab Ops and the necessary supports will be well and hopefully ahead of time (3-5 days advantage). Importantly, a
minimum level of 50% confidence in grabbing tightly the situation, this case to contain covid!
These detailed numbers and data are STRICTLY confidential and NON BIAS!
The idea is HOME, we homed in and IDENTIFY infectious individuals through Enblock swab ops. Amenities and facilities are FRINGE areas that the virus has the benefit in penetrating harms to human in big ways. The key is HOME, it precedes all and home is the resting and nesting place for communicable diseases!
Afterwords:
A 'microscopic" view of a BLOCK versus a cluster of housing BLOCKS versus a housing ESTATE within 3km diameter.
Efficacy of Pfizer Vs Efficacy of Moderna Vs abit of Sinovac
Natural Immunity Vs Vaccine Immunity
RINGS OF FIRE (Geospatial) :
In dealing with big clusters and containments, one can view the EPICENTER as the major occurrence of infected cases. From this epicenter (Red Zone), next is to expand a 5km diameter, this is the Amber zone, there will be scattered minor clusters of no more than 8 per cluster in developments. The next ring of fire is at 10km to 15km which is out of the critical infectious zone. However, the intersecting diameters of other ring of fire from other epicenters will intersect too.
The idea of set, subset and intersect. If we expand this topography infectious map, we will have many rings of fire intersecting each other at various level of alert namely RED (inside 5km), AMBER (5km to 10km) and GREEN (10km to 15km). These rings are valid 30 days or less as it is an evolving virus that transit and transmit! The TT data on physical human movements couple with MND, Statisticians, MOH are relevant resources and parties in plotting such a critical ariel view map in a continuous process to qualify and quantity areas of attention to a minimum level of 50% confidence!
"the 50% of things is a tipping point towards glory or gloomy and a point of NO RETURN ...!"
-- Ian T
[6:59 pm, 21/06/2021] +REACH: Dear Contributors,
We will be closing the chat for today.
Thank you very much for being part of our WhatsApp chat and participating actively.
Goodnight!
Megan
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