Tuesday, April 14, 2020

REACH - 50. How do TRF help individuals (SK)
14 Apr 2020 (12 pm - 10pm)

REACH
[11:49 am, 14/04/2020] : [Sent by Gov.sg – 14 Apr]
COVID-19: Circuit breaker measures
All, esp elderly, should stay home; go out only for essentials
- Wear a mask when out
- Observe safe distancing measures: at least 1m away from others
🙅‍♂ Penalties for breaching measures
First-time offenders: $300 fine
Repeat offenders: Higher fines or prosecution
😷 Personnel at food establishments must wear masks/face shields
- Non-compliance: Up to $5,000 fine, or suspension/cancellation of licenses, or both
📝 24 work pass holders found breaching circuit breaker measures
🚫 Their work passes will be revoked. All 24 workers will be permanently barred from working in SG.
Go.gov.sg/MOM-13apr

[12:00 pm, 14/04/2020] : Dear contributors,
Welcome back! ☺
⏰ Our chat will be open till 10pm 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.
📢Topic📢
Yesterday, Minister Shanmugam announced that the Government will check for fraudulent temporary relief claims if any. The scheme is meant to help those who need quick and immediate help during this crisis period.
How can we as individuals help one another during this tough period?
👉 https://www.channelnewsasia.com/news/singapore/covid-19-fake-temporary-relief-fund-claim-police-msf-jail-12636796
REACH WhatsApp Terms of Use:
-  https://go.gov.sg/reach-whatsapp-terms

---

[6:30 pm, 14/04/2020] ☸️  Danny 心:
https://youtu.be/-rEoEZNI9-4

Few key points raised by PM Lee in ASEAN virtual conference on the impact of covid-19 on ASEAN :-
1. pandemic cause trade fracture
2. should build trade and economic resiliency in future shock
3. there should be cooperation in keeping trade open despite the pandemic
4. no country will be spared even when 1 country is still infected
5. strategic assets like food, medical eqipment need to be self sufficient
6. ASEAN still should aim to sign RCEP end this year and ensure economy rebound when pandemic is over

Rama
[6:31 pm, 14/04/2020] : Agree on all points

Blue and White Flag Guy
[6:31 pm, 14/04/2020] : Hi Zen beng good evening

[6:32 pm, 14/04/2020] ☸️  Danny 心:
Huh?
Long time never heard of this name.

Blue and White Flag Guy
[6:33 pm, 14/04/2020] :
Trust me, we mention you in G2ers all the time!
At least you're much more sane than some people here 🤭

Rama
[6:33 pm, 14/04/2020] : Yes

Adam
[6:33 pm, 14/04/2020] : Lol

Rama
[6:33 pm, 14/04/2020] : 🤣😅😂😃

[6:34 pm, 14/04/2020] ☸️  Danny 心:
Remember what I say, address the issue - don't do personal attack.

Blue and White Flag Guy
[6:34 pm, 14/04/2020] :
Not me lor, you see the rest here for yourself
But ok lah peacekeeping task here has been quite doable 🕊️

[6:36 pm, 14/04/2020] ☸️  Danny 心:
We are here to contribute ideas to solve national problem.
If we spend time attacking one another, we deviate from our purposes what we have set out to do.
Our time and effort will be wasted.

Rama
[6:36 pm, 14/04/2020] : Agree

Adam
[6:37 pm, 14/04/2020] : Agree

Blue and White Flag Guy
[6:38 pm, 14/04/2020] : Hanor hanor! I say before to everyone liao, fight here fight there got what use nia, we here to feedback and to give ideas
We should not completely assert that we are right and listen to what others have to say - that's what discussion is about!
But of course I would still appreciate it if we all respect all the SMEs if you know who they are and what they specialize in
You've been here for a long time just as I have, you know how it is :)

[6:40 pm, 14/04/2020] ☸️  Danny 心:
(1) The Temporary Relief Fund is to help those people's jobs and business as well as Solidarity Fund to help individual to tie over that are affected by the circuit breaker - to as to ensure the infection curve will be flatten after the measure.

(2) The brewing local transmission - specifically growing unlink cases, new clusters and dorm infection reported everyday demonstrate the needs for everyone to observe and take the circuit breaker seriously - but not to abuse it by flouting the measures --- and lead to failure in the measures --- that need to extend the partial lockdown - that will not only hurt business, individuals as well as jobs --- who are making sacrifices to ensure the measures work.

(3) And the amount of money spend by the Government - the custodian of the taxpayer money - will be wasted --- if the small minorties blatantly flout the circuit measures, and abuse the money given out by cheating.

(4) In this trying time, we should encourage people to stay home - if we see people straying and flouting the circuit measures --- eg. we still can see some elderly sitting in the void deck without a mask on (even though the deck is taped out) or see elderly loitering and wandering around aimlessly instead of staying at home.

(5) It is a consolation that a vast majority of the people are wearing a mask in the street except a few ---- but hopefully peer pressure as well as rule to refuse entry for people going into supermarkets, markets, public transport, banks --- will ensure more and more people wear masks --- that will help to curb and reduce the local transmission that are growing every day.

(6) Hopefully, the local transmission will go down by the next 2 weeks and see the infection curve flatten --- before we can breathe a sigh of relief.

Rama
[6:41 pm, 14/04/2020] : Yes

Kelvin Law
[6:55 pm, 14/04/2020] : No u have crossed the line.  I wanted to disregard what u said, but what I stated was my opinion on the matter, nothing against PT.  If based on the same yardstick (or line) u have drawn, then many of the participants would have offended you in your eyes since many of us are not the so-called expert as you claimed.
You have crossed the line. Peacemaker my foot.  What you said runs counter to what you claimed.
Go back and read the terms or you will be referred to the moderator.

Blue and White Flag Guy
[6:56 pm, 14/04/2020] : Refer me to the moderator then. Unless you have better ideas on how PT can be run, I suggest you read what I have typed and not disregard it like as if it's not even there.
I gave you your space as SME for Education yet you couldn't for me as SME for PT, shame on you.

Kelvin Law
[7:41 pm, 14/04/2020] : This is my last statement on this matter: That was a load of fantastic excretion.  You responded in a very imbalanced manner to my simple response to that article on reducing public transport frequency. Lambasting me on claiming to be SME?  Pls......that is your pattern.  Anyway u are going to get what u wanted all the while.  I'm getting out of this group.   The environment is definitely more toxic when I first joined.  You are welcome here as long as you,for some odd reason, stepped on the great almighty Nat.
Megan, I came here to contribute my opinion and yet was unfairly attacked.  I wonder if you have lost the plot when it comes to administering this feedback group.  U can check with me direct for any clarification on my statement.
For the rest of you, I don't know you that well and I have nothing against you all.  So forgive my diatribe.  You don't deserve this.
With my departure, you will not see anymore of such unhealthy and unhappy exchanges.  Can't promise there aren't any more down the road.
See the person for who he is, not for who he claimed.
Stay safe people, unless the Great Nat finds this farewell offensive as well since I'm not a SME.

Kelvin Law left

Dongliang
[7:44 pm, 14/04/2020] : Well, both of you are impressive. I just wish kelvin could have stayed to contribute more.

Blue and White Flag guy
[7:44 pm, 14/04/2020] : Kelvin Law has become too toxic
[7:45 pm, 14/04/2020] : Noticed his sudden change in tone?
Perhaps you haven't but many of us in G2ers have and it's both disappointing and disgusting

----

[6:46 pm, 13/04/2020] ☸️  Danny 心:
Joint Contribution with my close friend :-

(1) The rise in unlinked cases (167 on 12 apr) and large number of cases (in the hundreds) is alarming as this suggests community spread is (i) becoming pervasive (ii) likelihood that asymptomatic persons are contributing to the rapid spread and (iii) current method of contact tracing is unable to cope.

(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.

(3) In the case of diamond princess cruise ship, asymptomatic cases constitute 18%. In south Korea case, 20% out of 9000 studied. This is a very worrying statistic. In the case of outbreaks at foreign workers dorms, our foreign workers are like the passengers on board of diamond princess cruise who are isolated within their cruise ship cabins. The covid19 virus thrives in the environment and invisibly being carried around. Can we plead with the authorities to rapidly test and isolate and treat those workers who already have been infected and not wait for symptoms to appear please. From the humanity standpoint, we are responsible for their well being. From the pandemic standpoint, we cannot afford to let the cases explode.

(4) With the large daily number of cases and if these were a result of community asymptomatic spread, contact tracing based on closed contact will need to be enhanced. Can the authorities look into contact tracing using mobile signals. The privacy issue related to such tracing should be allowed during such special situation. Once a person is confirmed, can the authorities retrieve from Telcos the mobile signal logs related to the person in question and trace his/her movement over the past 14 days. And all the related mobile signals that were in close vicinity.  We can them identify all the persons who have come close the the confirmed case and perform tests in them on them. If positive, isolate and treat quickly without waiting for symptoms to appear and isolate those who are tested negative.

----

Shirley
[7:30 pm, 14/04/2020] :
covid-19 - Compulsory to wear mask when leave home
https://www.channelnewsasia.com/news/singapore/covid19-wearing-masks-compulsory-lawrence-wong-12640828?cid=FBcna

Ron Ho
[7:46 pm, 14/04/2020] : REACH: Finally, they found the courage and bit the bullet. Should have done this 4 weeks ago. Very disappointing.

Fulgrim
[8:13 pm, 14/04/2020] : They mention no mask is allowed for strenuous activity like jogging but have to put back after ? Means bring mask and wear till jogging site, take off and jog and after finish,  wear back mask?

Ron Ho
[8:22 pm, 14/04/2020] : There is no magic bullet in any of the defences against C19. Just because Govt says  'social distancing' to be observed and yet allow people crammed next to each other, without masks, in the trains 4 weeks ago is quite a farce. I have said it before, and will say it again. When you allow residents and citizens to be dependent on govt for supply of masks, you make them feeble, not robust. Hence, supply of masks is not an issue. People should be motivated to get masks, make masks, etc. That was what happened in HK. People became creative, not lame. I have been pitching NO Mask NO Entry for public transport for weeks on this REACH Forum but no action from Govt till just these few days ago. Why? My feedback is always to Reach to get the C19 Task Force to get tougher and quicker. I should be happy now that all my objectives have now been met. But I am disappointed the delay have caused the local community to increase to over 120 per day and this will go to 300 per day within 10 days. And CB will surely be extended to May end. Business is suffering now. Anyway, I have said what I want to say to Reach and I will shut up now. Will feedback through REACH Online portal.

[9:11 pm, 14/04/2020] ☸️  Danny 心:
The mask-wearing requirement takes effect immediately, said Mr Wong who was speaking at a press conference by the multi-ministry task force tackling COVID-19.
Individuals who are caught refusing to wear a mask will be fined S$300 on their first offence, while those who flout the rule a second time will be fined S$1,000. Egregious cases will be prosecuted in court, he added.



----

[7:53 pm, 14/04/2020] ☸️  Danny 心: --
Straits Times :-
About 5,000 foreign workers to be tested for Covid-19 in next few days, even those who are well but are contacts of confirmed cases
14 Apr 2020 7:30pm
"So if we have any concerns, particularly in any of the dormitories where there is, in fact, an infected foreign worker, then we want to know where they are and we will make plans to test as many of them as is possible."
Work is ongoing to test asymptomatic workers or those with minimal symptoms, Prof Mak said.
"In some dormitories, we have started work to screen close contacts of confirmed cases. For example, they may be fellow workers who share the same room and, because of their proximity of contact in their living arrangements, are deemed therefore as at higher risk.
--

[8:33 pm, 13/04/2020] ☸️  Danny 心:

DRAFT :-

Key points are :-
(1) Ring fencing a bigger target.
(2) Then widen criteria to test.
(3) Lesson learned from SKorea.

Joint Contribution with my close friend :-

Part ! - 2 Things that we felt have loopholes - that can be done better (at the backdrop of more and more local transmission)

(1) We are getting increasingly more and more concern as local transmission - is now the predominant infection source. Imported infection is very low and in 13 Apr 2020 is zero.

(2) What is worst, now the main transmission sources come from unlink cases :-

13 Apr 2020 - 167 cases (where 141 are foreign workers working in dorm) and the rest are residents.
12 Apr 2020 - 119 unlink cases
10 Apr 2020 - 71 unlink cases

(3) We felt that mild asymptomatic cases could be the major infection sources in our local transmission.

(4) If this is the case, 2 things we do currently may not go right and may have flaws :-
a. Contact tracing and Testing
b. Quarantine in dorm and Testing


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.

- Tracetogether mobile apps - will not be able to detect such unlink cases.

- So even if the contact tracing is 100% successful and all those who come into contact with the infected person are trace through the Tracetogether apps (assume all people installed) or detective means, tested and quarantine or Stay at Home ----- the above infection sources can still infect healthy people that come into contact with contaminated areas --- as tracetogether won't tell where the infected person has leave his/her trace of contamination.
Even through personal interview, he/she may not remember all the places he/she goes.


b.  Quarantine in dorm and Testing

- Currently, we are using gold standard test ktis - a very accurate lab test - that take about 1 day to know the result.

- And in total, can only conduct about 2,900 to 3,000 test a day.

- In a dorm that are currently quarantine, there are 24,000 foreign workers - and it will need 8 to 9 days to complete.

- While waiting for the tests, there could be more infection even though social distancing may be implemented as mild asymptomatic cases may sneeze or cough and infect the doors, chairs, water basin, toilets, food, utensils, TV, gadgets - and anyone touch if may get infected - if the tests are not done fast enough.

- This could have explained why we have 141 dorm workers are infected as unlink cases in 12 Apr 2020.


Part 2 - Proposed 2 Alternative approaches to plug the loopholes
aka datang .............

==============

Joint Contribution with my close friend :-

Part 2 - Proposed 2 Alternative approaches to plug the loopholes

(1) And we will like to propose an alternate perspective and approach (that deviate from how the above 3 things are done) - as the number of local transmission cases and unlink cases are on the rise every day.

a. Contact tracing and testing
- Based on the scenario described in Part 1, where vicintiy and surface areas can be contaminated by infected persons ---- Cannot be based on close contact anymore.

- Adjusting Contact tracing approach become important.

- "Like I heard in HK", one person infected , entire block qurantined, everyone in the block need to be tested and the whole block need to be disinfected.

- By using this approach - we can catch and weed out those mild and asymptomatic cases where they don't come into contact with the infected person - but got infected by contaminated surfaces, aerosol left in the air.

- Thus we felt that using Tracetogether mobile apps and even detective legworks - will not fully cover all the contaminated areas as well as those people who don't come into contact with the infected person - but got infected by touching contaminated areas (as tracetogether don't identify areas that the infected person visit and people may tend to forget certain place they visit when interview by detective).

- A more effective method is to use location-based tracking - such as mobile signal data, GPS location tracking that we can collect from the respective Telcos - that provide all contact data for contact tracers to scientifically traced all people in the vicinity that is visited by the infected person - and get all these people tested, quarantine if need be.
(Question :- Is it possible to use mobile signal tracing to trace all the places that the person has visited over the past 14 days? And trace all the signals that were in the same premises around the same time?
Answer :- Yes. All are logged into the syslog.)


- There is a need to widen the criteria for tests - as we know that there is a limit a test can be done per day using our golden standard test kits - that need lab test to verify the outcome and will need a day to know the test result.

- As such, there is a need to have a faster and cheaper tests --- that is a rapid test kit to quickly test those people in the vicinity that have no close contact with the infected person - though with 95% accuracy.

- For those that show symptoms and for those that come into contact with the infected person --- the golden standard lab test kit - can be retested on these people - to ensure they are not infected - if yes - then sent to hospital for treatment, else quarantine at home.
(The point is - Even if there 95% accuracy, can quickly isolate the infected.)


b.  Quarantine in dorm and Testing
- As foreign workers are so many and even by practising social distancing - it is still possible to get infected by contaminated surfaces as mention in scenarios described in Part 1.

- And in total, as we can only conduct about 2,900 to 3,000 test a day using golden lab test kits ---there is a need to quickly ramp up the tests before more and more foriegn workers got contaminated --- as evident in 141 foreign workers are infected on 12 Apr 2020.

- Thus using the rapid test kits will be one way to speed up the dorm foreign workers testing.

- For essential jobs, foreign workers need to undergo the golden standard lab test - as they will need to go out to community to work - and if not 100% proven - can infect the community.

- For those who are symptomatic, golden standard lab test also need to be conducted - and if found infected - got to be treated in hospitals.

Summary :-
- We felt that the above 2 approaches will  be able to plug the gaps and bring down the number of local transmission - either through unlink cases, new clusters or continue infection in foreign workers dorms.

------

Monday, April 13, 2020

REACH - 49. How you adapt to the circuit breaker measures (SK)
13 Apr 2020 (12 pm - 10pm)

REACH
[11:37 am, 13/04/2020] : [Sent by Gov.sg - 13 Apr
COVID-19: Stay updated with official sources
💻 Websites on COVID-19 situation
MOH: moh.gov.sg/covid-19
Gov.sg: gov.sg/features/covid-19
📱Receive updates on the go
go.gov.sg/whatsapp
go.gov.sg/govsg-telegram
🤖 COVID-19 Info Bot - a repository of answers to your questions on latest measures
ℹ Summarised info from different govt agencies, organised into topics that are of interest to you
gov.sg/infobot
🏥 Sick? Find a PHPC clinic near you
phpc.gov.sg
🤧 COVID-19 online symptom checker
sgcovidcheck.gov.sg
🤳 Installing TraceTogether app
tracetogether.gov.sg
✅ Support for S'poreans & businesses
singaporebudget.gov.sg/budget_2020
📝 SG United Jobs Portal
sgunitedjobs.gov.sg
🌳 Check how crowded malls/parks are before going
www.spaceout.gov.sg
safedistparks.nparks.gov.sg
📞 Hotlines
MOH COVID-19 hotline 1800 333 9999
National CARE hotline -for those facing anxiety and stress: 6202 6868
Full list:
go.gov.sg/covid-resources

[11:57 am, 13/04/2020] : Greetings from REACH
A warm welcome to those who have just been added to this chat group.
The topic for today will be posted shortly.
Gentle reminder on our Terms of Use:
https://go.gov.sg/reach-whatsapp-terms
Megan 😊

[12:00 pm, 13/04/2020] : Dear contributors,
Welcome back! ☺️
⏰ Our chat will be open till 10pm 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.
📢 Topic: 📢
Today marks one week since the start of the "circuit breaker" period.
1. Have you adjusted to the tightened circuit breaker measures?
2. How are you staying connected to your family, friends, schoolmates or colleagues?

----

[6:46 pm, 13/04/2020] ☸️  Danny 心:
Joint Contribution with my close friend :-

(1) The rise in unlinked cases (167 on 12 apr) and large number of cases (in the hundreds) is alarming as this suggests community spread is (i) becoming pervasive (ii) likelihood that asymptomatic persons are contributing to the rapid spread and (iii) current method of contact tracing is unable to cope.

(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.

(3) In the case of diamond princess cruise ship, asymptomatic cases constitute 18%. In south Korea case, 20% out of 9000 studied. This is a very worrying statistic. In the case of outbreaks at foreign workers dorms, our foreign workers are like the passengers on board of diamond princess cruise who are isolated within their cruise ship cabins. The covid19 virus thrives in the environment and invisibly being carried around. Can we plead with the authorities to rapidly test and isolate and treat those workers who already have been infected and not wait for symptoms to appear please. From the humanity standpoint, we are responsible for their well being. From the pandemic standpoint, we cannot afford to let the cases explode.

(4) With the large daily number of cases and if these were a result of community asymptomatic spread, contact tracing based on closed contact will need to be enhanced. Can the authorities look into contact tracing using mobile signals. The privacy issue related to such tracing should be allowed during such special situation. Once a person is confirmed, can the authorities retrieve from Telcos the mobile signal logs related to the person in question and trace his/her movement over the past 14 days. And all the related mobile signals that were in close vicinity.  We can them identify all the persons who have come close the the confirmed case and perform tests in them on them. If positive, isolate and treat quickly without waiting for symptoms to appear and isolate those who are tested negative.

----
[6:47 pm, 13/04/2020] ☸️  Danny 心:

Taking reference to SKorea experience in briing local transmission down

We can also take reference to a SKorea epidemic professor interview - in which they have adopted and succeeded in bringing down their local transmission :-

---  SKorea conduct many tests and 20% of 9,000 don't show symptoms.

--- SKorea wear mask including resusable washable ones (and many wear spectacles) - good barrier to reduce infection (as oppose to the West - who dislike wearing mask).

- WHO recommendation initially for public not to wear mask is wrong - which explain why West has such a rapid infection rate as opposed to Asians who wear mask in public.

-- SKorea are using location tracking system to ensure quarantine people stay at home and help to do contact tracing - as people in SKorea consent to their Government - even means intruding into their personal privacy.

- The best scenario is where covid-19 run its course by itself like SARs or if vaccine is developed like smallpox where the whole human race got vaccinated and the epidemic cease.

- Plasma of recovered patients have anti-bodies that can help critically ill patients (who belong to the same blood type) to recover.

- covid-19 patients will depend on their immune systems to fight against the virus to recover as there are no vaccine and standard treatment announced currently (only trial medicine). Thus older patients with existing conditions will have weaker immunity and thus more vulnerable.

----

[8:33 pm, 13/04/2020] ☸️  Danny 心:
Coronavirus: WHO says 70 vaccines in the works, with three leading candidates

https://www.straitstimes.com/world/united-states/coronavirus-who-says-70-vaccines-in-the-works-with-three-leading-candidates


----

DRAFT :-

Key points are :-
(1) Ring fencing a bigger target.
(2) Then widen criteria to test.
(3) Lesson learned from SKorea.


Joint Contribution with my close friend :-

Part ! - 2 Things that we felt have loopholes - that can be done better (at the backdrop of more and more local transmission)

(1) We are getting increasingly more and more concern as local transmission - is now the predominant infection source. Imported infection is very low and in 13 Apr 2020 is zero.

(2) What is worst, now the main transmission sources come from unlink cases :-

13 Apr 2020 - 167 cases (where 141 are foreign workers working in dorm) and the rest are residents.
12 Apr 2020 - 119 unlink cases
10 Apr 2020 - 71 unlink cases

(3) We felt that mild asymptomatic cases could be the major infection sources in our local transmission.

(4) If this is the case, 2 things we do currently may not go right and may have flaws :-
a. Contact tracing and Testing
b. Quarantine in dorm and Testing


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.

- Tracetogether mobile apps - will not be able to detect such unlink cases.

- So even if the contact tracing is 100% successful and all those who come into contact with the infected person are trace through the Tracetogether apps (assume all people installed) or detective means, tested and quarantine or Stay at Home ----- the above infection sources can still infect healthy people that come into contact with contaminated areas --- as tracetogether won't tell where the infected person has leave his/her trace of contamination.
Even through personal interview, he/she may not remember all the places he/she goes.


b.  Quarantine in dorm and Testing

- Currently, we are using gold standard test ktis - a very accurate lab test - that take about 1 day to know the result.

- And in total, can only conduct about 2,900 to 3,000 test a day.

- In a dorm that are currently quarantine, there are 24,000 foreign workers - and it will need 8 to 9 days to complete.

- While waiting for the tests, there could be more infection even though social distancing may be implemented as mild asymptomatic cases may sneeze or cough and infect the doors, chairs, water basin, toilets, food, utensils, TV, gadgets - and anyone touch if may get infected - if the tests are not done fast enough.

- This could have explained why we have 141 dorm workers are infected as unlink cases in 12 Apr 2020.


Part 2 - Proposed 2 Alternative approaches to plug the loopholes
aka datang .............

==============

Joint Contribution with my close friend :-

Part 2 - Proposed 2 Alternative approaches to plug the loopholes

(1) And we will like to propose an alternate perspective and approach (that deviate from how the above 3 things are done) - as the number of local transmission cases and unlink cases are on the rise every day.

a. Contact tracing and testing
- Based on the scenario described in Part 1, where vicintiy and surface areas can be contaminated by infected persons ---- Cannot be based on close contact anymore.

- Adjusting Contact tracing approach become important.

- "Like I heard in HK", one person infected , entire block qurantined, everyone in the block need to be tested and the whole block need to be disinfected.

- By using this approach - we can catch and weed out those mild and asymptomatic cases where they don't come into contact with the infected person - but got infected by contaminated surfaces, aerosol left in the air.

- Thus we felt that using Tracetogether mobile apps and even detective legworks - will not fully cover all the contaminated areas as well as those people who don't come into contact with the infected person - but got infected by touching contaminated areas (as tracetogether don't identify areas that the infected person visit and people may tend to forget certain place they visit when interview by detective).

- A more effective method is to use location-based tracking - such as mobile signal data, GPS location tracking that we can collect from the respective Telcos - that provide all contact data for contact tracers to scientifically traced all people in the vicinity that is visited by the infected person - and get all these people tested, quarantine if need be.
(Question :- Is it possible to use mobile signal tracing to trace all the places that the person has visited over the past 14 days? And trace all the signals that were in the same premises around the same time?
Answer :- Yes. All are logged into the syslog.)


- There is a need to widen the criteria for tests - as we know that there is a limit a test can be done per day using our golden standard test kits - that need lab test to verify the outcome and will need a day to know the test result.

- As such, there is a need to have a faster and cheaper tests --- that is a rapid test kit to quickly test those people in the vicinity that have no close contact with the infected person - though with 95% accuracy.

- For those that show symptoms and for those that come into contact with the infected person --- the golden standard lab test kit - can be retested on these people - to ensure they are not infected - if yes - then sent to hospital for treatment, else quarantine at home.
(The point is - Even if there 95% accuracy, can quickly isolate the infected.)


b.  Quarantine in dorm and Testing
- As foreign workers are so many and even by practising social distancing - it is still possible to get infected by contaminated surfaces as mention in scenarios described in Part 1.

- And in total, as we can only conduct about 2,900 to 3,000 test a day using golden lab test kits ---there is a need to quickly ramp up the tests before more and more foriegn workers got contaminated --- as evident in 141 foreign workers are infected on 12 Apr 2020.

- Thus using the rapid test kits will be one way to speed up the dorm foreign workers testing.

- For essential jobs, foreign workers need to undergo the golden standard lab test - as they will need to go out to community to work - and if not 100% proven - can infect the community.

- For those who are symptomatic, golden standard lab test also need to be conducted - and if found infected - got to be treated in hospitals.

Summary :-
- We felt that the above 2 approaches will  be able to plug the gaps and bring down the number of local transmission - either through unlink cases, new clusters or continue infection in foreign workers dorms.

------

Joint Contribution with my close friend :-

Part 3 - Taking reference to SKorea experience in briing local transmission down

We can also take reference to a SKorea epidemic professor interview - in which they have adopted and succeeded in bringing down their local transmission :-

---  SKorea conduct many tests and 20% of 9,000 don't show symptoms.

--- SKorea wear mask including resusable washable ones (and many wear spectacles) - good barrier to reduce infection (as oppose to the West - who dislike wearing mask).

- WHO recommendation initially for public not to wear mask is wrong - which explain why West has such a rapid infection rate as opposed to Asians who wear mask in public.

-- SKorea are using location tracking system to ensure quarantine people stay at home and help to do contact tracing - as people in SKorea consent to their Government - even means intruding into their personal privacy.

- The best scenario is where covid-19 run its course by itself like SARs or if vaccine is developed like smallpox where the whole human race got vaccinated and the epidemic cease.

- Plasma of recovered patients have anti-bodies that can help critically ill patients (who belong to the same blood type) to recover.

- covid-19 patients will depend on their immune systems to fight against the virus to recover as there are no vaccine and standard treatment announced currently (only trial medicine). Thus older patients with existing conditions will have weaker immunity and thus more vulnerable.

----

Sunday, April 12, 2020

REACH - 48. Any other circuit measures to stop transmission (SK)
12 Apr 2020 (12 pm - 10pm)

REACH
[11:33 am, 12/04/2020] : [Sent by Gov.sg – 12 Apr]
😷 COVID-19: Mask Advisory
🛒 Supermarkets, convenience stores, pharmacies
- Have right to refuse entry to those w/o masks
- Purchase quickly, don’t linger
- Check crowd levels: www.spaceout.gov.sg
🧺 At markets
- Those w/o masks will be denied entry at 39 markets: go.gov.sg/markets-12apr
- Seniors: Avoid markets; others to help with shopping
- Keep 1m distance from others
🚌 On public transport
- Wear masks on public buses and trains, even after circuit breaker period
🥘 For F&B
- All F&B staff should wear a mask/face shield
- Non-compliance (for SFA-licensed establishments, from 13 Apr): Fines up to $5,000 and/or suspension/cancellation of licences
- Delivery personnel must wear masks at all times during pick-up and delivery
…
[12:00 pm, 12/04/2020] : 🛒😷 All customers visiting supermarkets, convenience stores, pharmacies and shopping malls must wear masks from Sunday (April 12), or they will be denied entry.
👉https://str.sg/JgPv
👉https://www.enterprisesg.gov.sg/media-centre/media-releases/2020/april/customers-to-wear-masks-when-visiting-supermarkets-convenience-stores-pharmacies-and-malls
⚠From Sunday (April 12), enforcement officers will no longer issue written warnings, and anyone found flouting circuit breaker measures will be fined $300 right away.
👉https://str.sg/JgPz
👨‍🍳😷 All workers who are engaged in the sale and preparation of food and drinks will be required to wear masks or other forms of physical barriers from April 13, said the Singapore Food Agency.
👉https://str.sg/JgPN
🚫🏖All beaches in Singapore closed to public as circuit breaker measures tightened.
👉https://www.straitstimes.com/singapore/coronavirus-all-beaches-in-singapore-closed-to-public-as-circuit-breaker-measures
🚌😷All commuters have to wear masks on public transport, even after circuit breaker period, says Khaw Boon Wan.
👉https://www.straitstimes.com/singapore/coronavirus-all-commuters-have-to-wear-masks-on-public-transport-says-khaw-boon-wan

[12:00 pm, 12/04/2020] : Dear REACH contributors,
Welcome back to our discussion 😀
Our chat will be open till 10pm today.
Thank you for sharing your views :)
REACH notes the feedback given on our WhatsApp chats, and conveys this to the relevant authorities for consideration.
📢Topic📢
Authorities tightened circuit breaker measures further on Saturday, recommending that commuters wear masks on public transport and closing all beaches.
Markets will also refuse entry to people not wearing face masks and food handlers will be required to wear masks.
1. What are your views on the further tightening of "Circuit Breaker" (CB) measures?
2. With the stiffer penalties for flouting Circuit Breaker measures, what other measures do you think should be in place to minimise transmission during the post-CB period?
REACH WhatsApp Terms of Use:
-  https://go.gov.sg/reach-whatsapp-terms
---
REACH
[12:06 pm, 12/04/2020] : Coronavirus: Delivery riders, cabbies can eat at void decks, parks if they can't head home
Taxi drivers and food delivery riders can eat at public spaces or in their vehicles if it is not practical for them to head home for meals, the Health Ministry (MOH) clarified on Saturday (April 11).
More: https://str.sg/Jgsr

[12:42 pm, 12/04/2020] ☸️  Danny 心:
This is the neighborhood that I conducted my mobile signal and GPS trial.
Now a likely 5G satellite GPS is conducting the same trial at the same neighborhood.
Spooky......

Desmond
[12:52 pm, 12/04/2020] : Looks like google earth lei

[12:54 pm, 12/04/2020] ☸️  Danny 心:
China satellite deploy Google earth?

Fulgrim
[1:20 pm, 12/04/2020] : Doubt it, thought Google is banned there

[12:55 pm, 12/04/2020] ☸️  Danny 心:
Tune on your speaker louder and listen to their narrative.



David Murugan
[1:04 pm, 12/04/2020] : Wow..... How to get the app?

Eugene
[1:05 pm, 12/04/2020] : looks pretty cool

Desmond
[1:05 pm, 12/04/2020] : https://apps.apple.com/sg/app/google-earth/id293622097

Poh S Lim
[1:08 pm, 12/04/2020] : Google Earth satellite images are not real time. Images are only taken periodically when the satellite is over the position.

[2:20 pm, 12/04/2020] ☸️  Danny 心:
Well whether China use Google map? (Where China is forbidden by US to use Google) or using their own 5G satellite (in Shanghai) - they have demonstrated their cap.
My point is satellites GPS are highly accurate to the last 1 meter and can track and trace anyone.

Kevinn Wang
[2:22 pm, 12/04/2020] : Thanks for the info.... Which is good to know

David Murugan
[2:23 pm, 12/04/2020] : I cannot cos mine Android.

Desmond
[2:24 pm, 12/04/2020] : https://play.google.com/store/apps/details?id=com.google.earth&hl=en_SG
[2:25 pm, 12/04/2020] : Nah u missing the point haha, I was commenting if the video was made with google earth, cos the resemblances... I didn’t say anything if is accurate or not, so chill k 🤣






[2:27 pm, 12/04/2020] ☸️  Danny 心:
Now revisit Shanghai satellite images.
Any similarities?

Desmond
[2:30 pm, 12/04/2020] : Eh isn’t got other people pointed out is not satellite liao? Also the website said is a super high pixel camera liao...
Also don compare 🍎 and 🍊
I am talking pertaining the recent video u posted...








[2:28 pm, 12/04/2020] ☸️  Danny 心: Google map.

Desmond
[2:31 pm, 12/04/2020] : @☸️  Danny 心 I said google earth 🤣
https://play.google.com/store/apps/details?id=com.google.earth&hl=en_SG

XaniceAfcai
[2:32 pm, 12/04/2020] : Is it instant capture?

Desmond
[2:32 pm, 12/04/2020] : Is google earth not google map haha

[2:32 pm, 12/04/2020] ☸️  Danny 心: Ok mistype Google earth.

Desmond
[2:33 pm, 12/04/2020] : Nah, google periodically, drive around to take pics

Eugene
[2:33 pm, 12/04/2020] : is google earth reliable?

Desmond
[2:42 pm, 12/04/2020] : Not the most updated but good enough ba...

Eugene
[2:42 pm, 12/04/2020] : thanks @Desmond

Desmond
[2:34 pm, 12/04/2020] : https://www.channelnewsasia.com/news/technology/google-street-view-singapore-map-cars-hit-the-road-9888142

XaniceAfcai
[2:38 pm, 12/04/2020] : Thanks for sharing.

Desmond
[2:42 pm, 12/04/2020] : According from WIKI:
Imagery resolution ranges from 15 meters of resolution to 15 centimeters. For much of the Earth, Google Earth uses digital elevation model data collected by NASA's Shuttle Radar Topography Mission.[15] This creates the impression of three-dimensional terrain, even where the imagery is only two-dimensional.

[6:39 pm, 12/04/2020] ☸️  Danny 心:
Satellite can only orbit and take top picture.

Ground level images will have to rely on :-
1. Using high resolution pixel camera to take pictures on the street with a car and stitch to satellite images. Or other methods.

2. AI computer scientists use (GAN) - Generative Adversarial Network neural networks to generate ground images using annotated data or unsupervised learning by training AI model.

Phyllis
[6:40 pm, 12/04/2020] : Satellite nonstop arrrrrr

[6:49 pm, 12/04/2020] ☸️  Danny 心: Point 2 is not satellite engineer's domain - but AI computer scientists domain.

Saturday, April 11, 2020

REACH - 47. How to keep senior at home (SK)
11  Apr 2020 (12 pm - 10pm)

REACH

[9:36 am, 11/04/2020] : https://www.straitstimes.com/singapore/wearing-a-mask-compulsory-at-40-markets-from-april-12-police-called-in-more-than-20-cases

[11:05 am, 11/04/2020] : [Sent by Gov.sg – 11 Apr]
COVID-19: Safe distancing on public transport
🚫 Safe-distancing stickers
- On buses, trains; bus stops, bus interchanges and train stations
- Standing spaces and seats to be avoided are marked out
- DO NOT SIT AT THOSE SPOTS
👨👩 Implementing safe distancing measures
- Transport Ambassadors, bus captains and LTA enforcement officers will limit numbers at stations and on buses
🌡 Thermal scanners
- Deployed at selected stations
- Commuters with high temp will be denied entry, and asked to see a doctor immediately
🏠 Stay at home
- Avoid unnecessary commutes
- If you must go out, wear a mask if you are likely to come in close contact with others — eg public transport
- Opt for digital banking and e-payments
Update on COVID-19 situation in S'pore:
go.gov.sg/situation10apr

[12:00 pm, 11/04/2020] : Dear REACH contributors,
Welcome back to our discussion 😀
Our chat will be open till 10pm today.
Thank you for sharing your views :)
REACH notes the feedback given on our WhatsApp chats, and conveys this to the relevant authorities for consideration.
📢Topic📢
Yesterday, PM Lee urged older Singaporeans to stay at home for their own safety during this "circuit breaker" period.
How can we encourage more seniors to stay at home? How can the community provide support to seniors during this period?
REACH WhatsApp Terms of Use:
-  https://go.gov.sg/reach-whatsapp-terms

-----

[12:09 pm, 11/04/2020] ☸️  Danny 心:
Now the advisory seems to be:-
1. Go NTUC - wear a washable mask.
2. Go market - wear a washable mask.
3. Take public transport - wear a washable mask.

David Murugan
[12:10 pm, 11/04/2020] : That means simply put on mask when step out of home?

[12:11 pm, 11/04/2020] ☸️  Danny 心: Almost as good as making it compulsory.

David Murugan

[12:11 pm, 11/04/2020] : When news come out? Never see lei. I thought market only from tomorrow?

[12:12 pm, 11/04/2020] ☸️  Danny 心:
Yes you are right.
For market is tommorrow.

David Murugan
[12:12 pm, 11/04/2020] : Public Transport one is from when?

[12:14 pm, 11/04/2020] ☸️  Danny 心:
Today REACH advisory.
If not can ask the PT expert here.

David Murugan
[12:14 pm, 11/04/2020] : That means NTUC,  Market, Public Transport all have to wear mask from tomorrow? Compulsory?

David Murugan
[12:17 pm, 11/04/2020] : Thanks but is it true that all taking public transport must wear 😷?

Blue and White Flag Guy
[12:18 pm, 11/04/2020] : It's not mandated under PT, even everyone I called yesterday were equally confused but let's not think too much, just wear it.
But of course when you wear it, you have to know how to use it properly so you don't end up contaminating yourself :)

XaniceAfcai
[12:18 pm, 11/04/2020] : Advisable to wear to protect oneself n others.

Blue and White Flag Guy
[12:18 pm, 11/04/2020] : NTUC and Market is compulsory. What about public transport?  When will they mandate ir?

[12:20 pm, 11/04/2020] ☸️  Danny 心: [Sent by Gov.sg
🏠 Stay at home
- Avoid unnecessary commutes
- If you must go out, wear a mask if you are likely to come in close contact with others — eg public transport 
- Opt for digital banking and e-payments
Update on COVID-19 situation in S'pore:
go.gov.sg/situation10apr

Blue and White Flag Guy
[12:20 pm, 11/04/2020] : It's still on an advisory note more so than a mandatory requirement

Rama
[12:23 pm, 11/04/2020] : A controversial Muslim cleric says acceptance of the virus is a test from Allah.

[12:26 pm, 11/04/2020] ☸️  Danny 心:
In NTUC and markets if no mask cannot enter.
As good as compulsory.
Not sure about PT.

Blue and White Flag Guy
[12:27 pm, 11/04/2020] : I'd say it's still on an advisory note, not a requirement at the moment
[12:28 pm, 11/04/2020] : But please please please wear a mask, don't tell me not effective, you know how to wear, how to remove can liao

Rama
[12:28 pm, 11/04/2020] : Agree

Rama
[12:23 pm, 11/04/2020] +65 9661 0607: A controversial Muslim cleric says acceptance of the virus is a test from Allah.

Valli
[12:29 pm, 11/04/2020] : Similarly here, I asked an elderly Malay Uncle why he did not put on a mask.  He said Allah will protect him.

Carol
[12:32 pm, 11/04/2020] : When comes to religion we cannot criticise.  Very sensitive.  Regardless of which...

[12:32 pm, 11/04/2020] ☸️  Danny 心:
The problem is one get it, the whole community get it.
It is not one person own problem.
It is everyone's problem.

Joeann
[12:44 pm, 11/04/2020] : Like the conference in Msia....

Rama
[12:33 pm, 11/04/2020] : Survival of the country and its people takes precedence over religious beliefs

Ron Ho
[12:45 pm, 11/04/2020] : You will see about 10% refusing to wear a mask for whatever reason they claim. Unless it is a law, no one can make it 99.99% effective. For this, I have to say Task Force taking a lame approach.

Desmond
[1:21 pm, 11/04/2020] : Apologies to off topics...
@☸️  Danny 心 for your info, please 😊
Google and Apple are announcing a joint effort to enable the use of Bluetooth technology to help governments and health agencies reduce the spread of the virus, with user privacy and security central to the design.
https://www.apple.com/covid19/contacttracing/

[8:20 pm, 11/04/2020] ☸️  Danny 心:
(1) Like I say before, I am not against TraceTogether mobile apps to do contract tracing - as long as the security is assured - in this respect, the Bluetooth security.

(2) Until and unless I am assured about the Bluetooth security is not compromise, then I will consider using TraceTogether bluetooth apps.

(3) If you read carefully Google and Apple joint statement - it says a joint effort to enable the use of Bluetooth technology to help governments and health agencies reduce the spread of the virus, with "user privacy and security central to the design".

(4) This statement also imply the Bluetooth security - is their main concern - and is making effort to tighten it before used.

(5) And honestly, security organisation are also looking into the security vulnerability of Bluetooth security.

(6) Western Countries (like France and US) don't want to use mobile signals - not because they are not effective - but because people are paranoid about their privacy and their personal movement being tracked by mobile signals.

(7) China, SKorea and Taiwan are using mobile signal effectively in their contact tracing via mobile signals - as there are no hoo-haa by the public of their personal movement being tracked.


***
Carol and Evonne quarallel part (with vulgar languages) --- not posted.
***

Blue and White Flag guy
[3:35 pm, 11/04/2020] :
Eh listen to pioneer, don't be pai kia
Megan say warn means warn
You continue she remove you, really is bye bye, she removed 2 people before, I say liao hor!

Blue and White Flag guy
[3:34 pm, 11/04/2020] : Eh you two please ah 管你是皮癢還是沒教養也好,不用扯到這個離譜的地步 🙏

REACH
[3:33 pm, 11/04/2020] : Hi @Evonne and @Carol Please respect the views of others, consider the quiet ones to give them a chance to comment and let us make this a conducive platform for all.
This is warning for both of you.
Please be reminded of our *REACH Terms of Use:
https://go.gov.sg/reach-whatsapp-terms


Eugene
[1:24 pm, 11/04/2020] :
Lawrence Wong follow WHO's advisory
https://www.theonlinecitizen.com/2020/04/11/lawrence-wong-claims-to-follow-whos-advisory-while-the-pm-lee-coins-his-own-phrases/

Eugene
[2:45 pm, 11/04/2020] :
Hawkers must wear face masks
https://www.channelnewsasia.com/news/singapore/workers-food-hawker-centres-must-wear-face-masks-covid-19-12633378?cid=FBcna

Eugene
[4:05 pm, 11/04/2020] :
https://www.facebook.com/ministerkhawboonwan/posts/3020535091339024
Glad to hear that mask wearing in PT is compulsory now

Ron Ho
[4:21 pm, 11/04/2020] :
Taiwan to donate medical mask to Singapore
https://www.taiwannews.com.tw/en/news/3913993

REACH
[4:54 pm, 11/04/2020] : All commuters have to wear masks on public transport, says Khaw Boon Wan
https://www.straitstimes.com/singapore/coronavirus-all-commuters-have-to-wear-masks-on-public-transport-says-khaw-boon-wan

Jerick Tan
[5:48 pm, 11/04/2020] : Good on those in G2 who suggested this 👍🏼 you thought about it around the same time as our govt executives. We know you faced strong opposition here, but now even our ministers see sense in your suggestion 👏🏼 keep voicing your opinions.

@⁨נתנאל חן ויי ליאנג 🇮🇱⁩ You're intelligent, and resourceful, but sometimes the less scholarly or even the less literate are wiser. They have good suggestions, but not necessarily the means to articulate them. It would be salutary to all of us to ask guided questions to draw out what they have to say, rather than continue to assert our judgment. It makes for a much for constructive G2 atmosphere.
Having said all that, I mean no offence, and to me, you're still our resident PT expert 😁


REACH
[6:16 pm, 11/04/2020] : Foreign domestic workers must stay home on rest days, says MOM
https://www.straitstimes.com/singapore/coronavirus-foreign-domestic-workers-must-stay-home-on-rest-day-says-mom


[7:26 pm, 11/04/2020] ☸️  Danny 心:
Joint contribution with my close friend :-

(1) Looking at the number of unlinked cases every day eg. 71 yesterday, 48 cases the day before, with so many foreign workers in the dorm that risk infection and new clusters forming ----  cheap rapid tests become an important part of the effort to tackle local transmission and community spreading.

(2) In total, Singapore has conducted 72,680 tests to date up to yesterday - via lab test that usually need at least 1 day to know the result.

(3) With rapid test kit, a blood test for antibodies - it can provide result within 10 minutes (that will greatly speed up the test).

(4) In addition, the test kit is relatively cheaper - and has been approved in various Countries like China, EU, Philippines and waiting for approval in US.

(5) This test kit is overseen by HSA and is 95% accurate and can greatly speed up testing where asymptomatic cases are suspected. Once tested positive, the person in question can be sent to hospital for further investigation. This will help reduce silent community spread

(6) The rapid tests also means we can open our border. Passengers who arrive at sg has to be subjected to the test a and arrest infected passengers early. This is to complement the SHN versus a total denial of travellers.

(7) With reference to Diamond Princess cruise cases, a total of 712 cases are infected out of  3000+ passengers and crew. If we don't have rapid tests of all fw to speedily isolate the infected ones, then the dorms are like diamond princess cruise ship cases. A good 20% infected. It was also reported that 18% of the infected has no symptoms. Every 10000 fw, means 2000 infected. Now 5 dorms have been gazetted as isolation facilities.
Without rapid test and swift segregation, will we be facing a prospect of 10000 cases?

(8) Looking at our  14 day recovery it does not look promising - we should be looking at 844 discharged instead of 492 discharged as per yesterday.
Early detection and fast treatment will bring better recovery rate.

[7:26 pm, 11/04/2020] ☸️  Danny 心: https://www.facebook.com/nasdaily/videos/319028135734588/?vh=e&d=n
Friend's company develop this test kit in Singapore.

[7:26 pm, 11/04/2020] ☸️  Danny 心:
https://www.mobihealthnews.com/news/asia-pacific/biolidics-launch-ten-minute-rapid-test-kits-covid-19

Rama
[7:29 pm, 11/04/2020] : Coronavirus vaccine could be ready in six months, says UK scientist https://www.straitstimes.com/world/europe/coronavirus-vaccine-could-be-ready-in-six-months-says-uk-scientist?&utm_source=whatsapp&utm_medium=social-media&utm_campaign=addtoany

[7:30 pm, 11/04/2020] : Coronavirus: WHO looking into reports of some patients testing positive again https://www.straitstimes.com/world/united-states/coronavirus-who-looking-into-reports-of-some-patients-testing-positive-again?&utm_source=whatsapp&utm_medium=social-media&utm_campaign=addtoany

[7:34 pm, 11/04/2020] ☸️  Danny 心: Cambridge University published a paper yesterday, thinking that the new coronavirus type A is the root cause of the virus outbreak, and the type A appears in the United States and Australia. The virus that appears in Wuhan belongs to the type B, which is derived from the type A mutation.
This paper was published in the Proceedings of the American Academy of Sciences. If the conclusion is true, it is a blessing for Chinese and global Chinese.

Cambridge University published a research report on several variants and transmission routes of the new coronavirus.

The report pointed out that the new coronavirus is divided into three variants: A, B, C. Type A viruses are more commonly found in infected people in the United States and Australia. There are only a few cases of Class A in Wuhan, and they come from Americans who have lived in Wuhan. Type A is most similar to viruses extracted from bats and pangolins. Researchers call the class A virus "the root of the outbreak" ("the root of the outbreak").

Type B strains are the main type in China (ie Wuhan) and have not spread out of East Asia.

Class C viruses are the main type in Europe. Hong Kong, Singapore, and South Korea all have this type. It was not found in mainland China.

The researchers believe that strain C type evolved from B, and type B evolved from A.

The research methods used by the researchers have previously been mainly used to track the movement of prehistoric people through DNA research. This is the first time it has been used to track the propagation path of the new coronavirus (“These technologies” are most known known for mapping ”the movements of prehistoric human population populations through DNA. coronavirus like COVID-19. ”)

Original address: https://www.cam.ac.uk/research/news/covid-19-genetic-network-analysis-provides-snapshot-of-pandemic-origins

The paper was published today in PNAS (Proceedings of the American Academy of Sciences), link to the paper: https://www.pnas.org/content/early/2020/04/07/2004999117





Mike G C Shee
[9:23 pm, 11/04/2020] : https://www.straitstimes.com/singapore/coronavirus-all-shoppers-must-wear-masks-in-supermarkets-and-malls-or-be-denied-entry?utm_source=STSmartphone&utm_medium=share&utm_term=2020-04-11+21%3A23%3A41









[9:55 pm, 11/04/2020] ☸️  Danny 心: 5G satellite.
[9:56 pm, 11/04/2020] ☸️  Danny 心: ?
[9:57 pm, 11/04/2020] ☸️  Danny 心: Can't be drone or CCTV.



REACH
[10:23 pm, 11/04/2020] +65 9675 5154: [Sent by Gov.sg]
COVID-19: 11 Apr update
New cases: 191
- Imported: 0
- Local cases (linked): 72 (51 cases linked to clusters at foreign worker dorms; 21 linked to non-dorm clusters/cases)
- Pending contact tracing: 119
Total cases: 2,299
- Hospitalised: 943 (31 in ICU)
- In community facilities: 820
- Fatalities: 8
- Total discharged: 528 (Discharged today: 35)
Another death due to COVID-19
A 90 year-old male S'pore citizen, has passed away from complications due to COVID-19 infection on 11 Apr morning. He was confirmed to have COVID-19 on 3 Apr and admitted to NCID on the same day. NCID has reached out to his family and is extending assistance
More: go.gov.sg/moh11apr
Stiffer Penalties for flouting Circuit Breaker
- Many not taking circuit breaker seriously. Over 3k stern warnings issued today
- Do what others do: Stay at Home unless you must go out for essentials
- From 12 Apr, 1st-time offenders: $300 fine
- Re-offenders: Higher fines, prosecution in court
More: go.gov.sg/mewrenforcement


Thursday, April 9, 2020

REACH - 46. How can we boost our morale, with new spike yesterday (SK)
10 Apr 2020 (12 pm - 10pm)

REACH
[11:38 am, 10/04/2020] : [Sent by Gov.sg – 10 Apr]
COVID-19: Stricter circuit breaker measures
 🏃‍♂️ Exercise alone or with household members, observe safe distancing
- Sports stadiums are closed because ppl had gathered in groups
- Entry to parks will be strictly controlled if necessary
🙅‍♂️ Minimise physical interactions with elderly
- Don’t expose them to COVID-19; if infected, they are more likely to die than younger people
🏠 Stay home
- All, esp elderly, should avoid unnecessary commutes and crowded places
- Elderly should not go to markets; others should shop for them
Measures may be tightened further if people continue to gather
It is an offence to disobey safe distancing measures
1st offence: Stern warning
2nd offence: $300 fine
3rd offence: Charge in court
👨‍✈️2.6k enforcement officers + ambassadors deployed daily to ensure compliance
📝10k advisories + 158 stern warnings since 7 Apr. Too many not doing the right thing
Do the right thing. Stay at home. The health of all depends on each one of us.

REACH
[12:00 pm, 10/04/2020] : Dear REACH contributors,
Welcome back to our discussion! ☺️
⏰ Our chat will be open till 10pm today.
Yesterday, Singapore reported its highest daily spike. New measures include the closure of sports stadiums and Circuit Breaker measures may continue to be tightened as required.
📢 Topic: 📢
As we learn to adapt our daily lives to Circuit Breaker measures, how can we boost our morale as well as the morale of those around us as we stay home for Singapore?
REACH WhatsApp Terms of Use:
- https://go.gov.sg/reach-whatsapp-terms

----
[2:31 pm, 10/04/2020] ☸️  Danny 心:
Joint Contribution with my close friend :-

Part 1 - Motivational Messages
(1) Wuhan has done it with 60,000 over infected and more than 3,000 death.
Now Wuhan has "0" local infections.

(2) Message to Singaporeans - we can achieve the same feat as Wuhan by :-
a. Stay Home - to work and study
b. Only for essential buying of food and groceries - wear a reusable "FACE MASK" as long as anyone step out of the house into the Public.
(Understand that only 3 over million reusable face masks are issue to the people, we have in total 5.6 million people - but those who have the reusable face masks should wear them - to keep the local transmission down).
c. Keep a safe distance while wearing the face mask in public.
d. Stop loitering in the Public and Stay Home

(3) As per attached video, Singapore is taking part in the Global trial using "Remdesvir" - on all those under moderate and severe infection (ICU) in Singapore.
These people selected for the trial drug must have good kidney and liver though if lungs are inflame by covid-19.
Doctors said that the recovery is very promising, but more complete data can only come out in 1 month's time. Some of things just need time to see result.


[2:31 pm, 10/04/2020] ☸️  Danny 心: https://youtu.be/0vl_eMXMQho


----

[3:11 pm, 10/04/2020] ☸️  Danny 心:
Part 2 - Taking stock of where we are now, and how to proceed
(1) Malaysia like us has seen a increase in the infection case almost everyday.
- But the chart has show that it has plateau in April 2020 with strict lockdown of movement among people, safe distancing and wear masks.
- This shows that as long as they do the right things - virus infection can plateau.



(2) Looking at the chart of Singapore, we begin very well at the initial stage - by controlling the infection at a low level.



- However the beginning of Mar 2020, as residents return from abroad and when the World shows increase infection - we see a sharp spike in Mar and Apr 2020 - and 9 Apr 2020 - we see a record number of infection --- majority from foreign workers dorm where the source of infection come from Mustafa - where different dorm workers mingle with one another.


- I think Singapore should not be de-motivated with the sharp spike in infection --- as long as followings measures are done closely :-

- Singapore can plateau the infection number like Malaysia and bring the local infection down to 0 like Wuhan



- Feel that yesterday's high infection is due to hangover from Mustafa infection a week or 2 back and those infected now showing symptoms.
So it looks alarming.
But because now circuit breaker set in, the spreading could have been contain.
So we may think circuit breaker failed.
But actually is not.
On hindsight, we wish there were more risk-based measures that could limit the spread within and across foreign workers' dorms

- as an additional precaution could the  large clusters at foreign worker's dorms have spillover effects to foreign domestic helpers?:-
a. It is no secret that foreign workers and domestic helpers go dating.
B. From a risk based approach, should gov start pre-emptive work with regards to domestic helpers e.g. MOM alert or issue advisory to employers to monitor their helpers closely as they are helping to care for the elderly and the young  before new cases amongst domestic helpers start to spike and we will start to see multitudes of mini clusters in the local community.
c. Contact tracing for this scenario may be very difficult.

---

[3:13 pm, 10/04/2020] ☸️  Danny 心:
Part 3 - What we can attempt to do better

Part #3:-
(1) I can understand that Singapore wants an evidence-based approach,  Scientific approach but the virus spread faster than evidence can proof.

(2) Suggest that we help raise awareness of community spread by mapping cases by place of residence - to circle out all the covid hot spots.

(3) the thinking behind is to discourage people from other neighbourhood to use the common amenities e.g. Wet market in an effort to contain unlinked cases.

(4) By encircling the large infection area, will make people stay alert in these hotspots, and can take effort to up to patrol the areas, up the hygiene standards, spray disinfectant etc.

(5) Using mobile signal data can help to achieve the above encirclement effect and contact tracing --- to keep the infection spread within the encircled areas.

(6) More targeted tests can be done of those people in these encircled areas --- and symptomatic as well as mild asymptomatic cases can be systematically weed out.

---

Janice
[3:19 pm, 10/04/2020] : For the plateau, everyone in Singapore has to be sensible and cooperate by only leaving the house when absolutely necessary, not just out of boredom.
Does every Singaporean know about the measures or do only the literate people know.

Carol
[3:20 pm, 10/04/2020] : I think ppl won't bother.  Boring at home,  go supermarket pass time.   My judgement la

Janice
[3:20 pm, 10/04/2020] : I think this is a great idea.   If only it would be done 🤔

XaniceAfcai


[3:34 pm, 10/04/2020] ☸️  Danny 心:
Today very good.
All malls are not crowded.
People are staying at home.

XaniceAfcai
[3:35 pm, 10/04/2020] : Now off peak hr. Need to monitor those peak hr m

[3:35 pm, 10/04/2020] ☸️  Danny 心: After dinner monitor again.


[3:37 pm, 10/04/2020] ☸️  Danny 心:
Parks in some areas have some crowds but not crowded.
Also notice that many parks have been crossed out and not allow to visit.
Very good.
Satellite maps and mobile signals have been used effectively to do crowd mapping and crowd monitoring.

Joeann
[3:38 pm, 10/04/2020] : Wah! Why u monitoring everyday si
[3:38 pm, 10/04/2020] : Sia

[3:41 pm, 10/04/2020] ☸️  Danny 心:
Of course lah.
Proposed something good, and when government implement - must put to good used mah.
Otherwise all efforts and money spent wasted.
Also proof that REACH is a serious platform that implement good ideas not play play masak masak type.

Joeann
[3:41 pm, 10/04/2020] : Aiseh! 👏🏻👏🏻👏🏻

Carol
[3:41 pm, 10/04/2020] : 👍
[3:42 pm, 10/04/2020] : Reach logo should comes with this.... 🙄

Blue and White Flag Guy
[3:42 pm, 10/04/2020] : Hi all,

I just finished calling SBS Transit, SMRT Corporation, Tower Transit Singapore, Go-Ahead Singapore and the Land Transport Authority.

Here is the summary.

Q: What are the social distancing measures put in place with regards to public transport?
SBST: (Acting on forwarded SMRT post) Quota might be placed on number of passengers in a bus
SMRT: Addressed that forwarded post is inaccurate and not implemented but mentioned that it might happen on the direction of the LTA
TTS: Stickers have been pasted on seats of buses but none on the floors of buses for now, though not all, due to the short time frame of notice.
GAS: Stickers have been pasted on seats of buses, same as TTS, not all have it but their Engineering Department has been working overtime to push out the stickers across all buses as quickly as possible.
LTA: CSO seemed unaware of the forwarded SMRT post but I told him that SMRT has mentioned that it is inaccurate

Q: Will the implementation of passenger counters at the entrance and exit doors (for buses) be considered?
SBST: -
SMRT: (Internal reference)
TTS: CSO engaged with me on a personal level and agreed with my perspective of what's going on
GAS: (Internal reference)
LTA: (Internal reference)

Q: What about quota for trains?
SBST: Nothing from LTA
SMRT: Stickers have been used
TTS: N/A
GAS: N/A
LTA: Point taken

Q: Are masks available for all frontline public transport staff such as drivers, ambassadors and on-site managers? What about TransCom and Transit Security officers?
SBST: Masks are available for all staff
SMRT: Masks are available for all drivers, not too sure about other staff
TTS: Masks are available for all staff
GAS: Masks are available for all staff
LTA: Masks are available

Q: Will the thermal/temperature screening measures be implemented across all stations?
SBST: -
SMRT: Asserts that it's a trial
TTS: N/A
GAS: N/A
LTA: -

Q: What is the protocol for passengers detected to have a high temperature or a fever? Will they be turned away or referred to a medical team?
SBST: No info
SMRT: No info
TTS: N/A
GAS: N/A
LTA: Passengers will be denied entry to the station and referred to the nearest clinic. No medical team or personnel is on-site to assist.

Q: Is the thermal/temperature screening at Serangoon implemented at all entrances?
SBST: No info
SMRT: No info
TTS: N/A
GAS: N/A
LTA: No info

Q: Are frequencies for bus and train services affected as a result of the Circuit Breaker measures?
SBST: No
SMRT: No but mentioned about suspension of CBD services
TTS: No but mentioned about suspension of CBD services though I did mention about 974
GAS: No, asked for particular service but I said I needed this info in general
LTA: -

I will be happy to answer any other questions which I might have left out from my collation before the call. Thank you to those who participated!

I have also provided all 4 PTOs and the LTA my contact details for them to follow up with me in the immediate future.

Eugene
[4:01 pm, 10/04/2020] : How about the point of making wearing  masks compulsory for all commuters on all public transport

Jimmy Chew
[4:01 pm, 10/04/2020] : Just to ask, is it compulsory now to wear mask or strongly encourage, I am getting confusing messages

Blue and White Flag Guy
[4:05 pm, 10/04/2020] : I have highlighted this case, the LTA will keep this in view


---

[5:57 pm, 10/04/2020] ☸️  Danny 心:
My close friend contribution :-
To keep ourselves positive and united, we need the followings

(1) Stay Informed. Good news or bad news, we should know. Show people gov knows where the problems, has the solutions and resources to act. What has the gov done and is doing and what are results  Then we can continually trust the gov.

(2) Obey the rules. There has been a lot of discussion on this. Covid is a serious problem. We are one Singapore. As more and more people fall, the rest will be less and less safe. As an individual, if I cannot help, the least I can do is not to add to the problem. So obey rules and don't fall prey to covid.

(3) Volunteer and contribute
There are many assistance provided by other organisations, help to report them. This is an invaluable opportunity to do good. Research has shown that people derive happiness by helping others. So more could be done to garner constituents (Singaporeans, PRs, pass holders) to act positively.
E.g.
a. Create a channel for constituents to submit photos of people who flout rules. We can do this from our flat, car camera. It's not about how clear the photos are and whether they are admissible in court to bring those people to task but it can be a form of deterrent. What if I'm caught by someone? Better don't take risk
B. Link community improvement efforts together that we can be aware what we can help. If people have time to complain, how about using the time more effectively? During the circuit breaker period, can we not help to cook for our elderly neighbour who is living alone?
C. Help to come up with fun messages, rhymes or songs why we should stay at home and obey rules. The Chinese in China had come up with lots of good punchlines to ask people stay at home. Then the true essence will sink into people's minds.
D. Share foresight, hindsight and problems on the ground. Don't blame, someone else might just have answers to those problems.

----


[6:20 pm, 10/04/2020] ☸️  Danny 心:
My close friend contribution :-
China's efforts to turnaround their covid situation is highly commendable. One thing that it did differently was the combined use of traditional Chinese medicine and western medicine across the country. It has statistics to support the combined formulation is more effective in treat ing mild cases, reducing mild cases from developing into more serious cases etc.
Question : Has singapore gov consider China's treatment approach?

There was a survey circulating around to gather Singaporeans willingness on the use of tcm for covid 19. Question: is moh aware of this?

While I personally have benefited from tcm and am open to the use of tcm for treatment of covid, I have concerns if this initiative is taken without a holistic approach. If we have covid infected persons separately seeking tcm treatments, will we be missing out on cases and allow them to move around within the community and spread? Hope gov can address or embrace  this in its containment strategy.

Carol
[6:23 pm, 10/04/2020] : World knew about this from what I read from an article but cannot be applied.  I think is through WHO approval I guess...  All I know is cannot.

[6:57 pm, 10/04/2020] ☸️  Danny 心:
Clarification by my close friend on TCM :-
I mean we cannot allow private tcm to separately do this outside of the larger containment strategy.
If gov has a posit.ion, then cannot let covid cases go untrack through tcm route and spread.

[8:22 pm, 10/04/2020] ☸️  Danny 心:
Caveat :- Not sure if this notice is real or fake - but it sing the same tune as post.

重要通知
新加坡中医学院全体学员:
当前,COVID-19疫情严峻,政府正投入大量人财物力,广泛动员,紧锣密鼓地组织全民抗疫,并已取得显著的成绩。
近日有人未经新加坡中医师公会批准,擅自以“中医自愿抗疫组”的名义在网上发放调查表,也有在学生中转发,这种做法是极其错误的,我们坚决反对,有关人员必须立即停止该做法。
在此,学院郑重通知我院全体学员,抗击疫情是由政府统一领导组织和指挥的,作为新加坡中医学院的全体师生员工(包括合约教师)应绝对服从政府的统一指挥和安排,努力争取早日战胜疫情。不得参加和转发任何未经政府、中医师公会或中医学院批准的调查等活动,以免对整体抗疫工作带来不利影响。
特此通知,请遵照执行。

    新加坡中医学院院长 项平
      2020年4月10日

[6:58 pm, 10/04/2020] ☸️  Danny 心: Loudspeaker come out already

Eugene
[7:00 pm, 10/04/2020] : Where is this market?

[7:12 pm, 10/04/2020] ☸️  Danny 心: I have no idea. Someone sent to me.

Richard Wong
[7:24 pm, 10/04/2020] : This is at Jurong west bk 505 hawker center . I recognised the stalls and the POSB atms.

[7:25 pm, 10/04/2020] ☸️  Danny 心: Oh. Wonder this no wear mask no coming to market extending to other markets?

----



[7:23 pm, 10/04/2020] ☸️  Danny 心:
Peak hours after dinner.
All malls and parks have very little crowd.
Every one observing circuit breaker measures and stay at home.
Good !

Eugene
[7:23 pm, 10/04/2020] : 👍 considerate people out there

Leonard Lau
[7:25 pm, 10/04/2020] : Some of these building have business offices .. so it goes crowded on working day . Check on Monday

[7:50 pm, 10/04/2020] ☸️  Danny 心: Will check on the weekdays and see how people behave.

----

[8:00 pm, 10/04/2020] ☸️  Danny 心:
Coronavirus: Should the world worry about Singapore's virus surge?
By Anna Jones
BBC News, Singapore
7 hours ago
Singapore had been a master class in how to handle the Covid-19 outbreak.
Before the disease even had a name, the country had stringent travel restrictions and an efficient contact-tracing operation which contained the virus's spread.
But in recent days, the number of confirmed cases has rocketed. Thursday brought the highest day of new infections to date at 287, up from 142 the day before.
Mostly, these are coming from densely-packed migrant worker accommodation.
Having avoided it for months, Singapore is now under a partial lockdown, with schools and non-essential businesses closed, and people urged to stay at home.
Experts say one of the world's wealthiest nations - which seemed to be doing everything right - has important lessons for poorer countries, and there's still time to put them in place.
What was going well in Singapore?
Singapore had its first case of the new coronavirus very early on. It was a Chinese tourist who arrived from Wuhan on 23 January, the same day the virus epicentre was put into a total lockdown.
By the time the disease caused by the virus got its official name - Covid-19 - it was already spreading among the population here. But a well-rehearsed response was in place.
In addition to health checks at airports, Singapore carried out extensive testing of every suspected case; tracked down anyone who'd come into contact with a confirmed case; and confined those contacts to their homes until they were cleared.
WHO chief Tedros Adhanom Ghebreyesus called it "a good example of an all-of-government approach".
Everyone who arrives in Singapore now has to quarantine in a government facility for 14 days
For weeks, Singapore managed to keep its numbers low and trackable, with only small, easily contained clusters, without any real restrictions to daily life.
But Prof Dale Fisher, chair of the WHO's Global Outbreak Alert and Response Network and a professor at the National University of Singapore, told the BBC that whenever he heard people say Singapore was doing well, he'd reply: "So far."
"This is a really hard disease to contain," he says.
When did things start to get worse?
The system worked until mid-March, says Prof Yik-Ying Teo, dean of the Saw Swee Hock School of Public Health in Singapore.
That's when, as the gravity of the situation became clear around the world, countries started urging their citizens to get home.
Thousands returned to Singapore from countries which had not been as proactive - among them more than 500 people who unwittingly brought the virus back with them.
It was by then mandatory for returnees to stay at home for two weeks. But other people in their household were told they could carry on with their lives, as long as no-one showed any symptoms.
Singapore quarantines 20,000 migrant workers
How Singapore stayed one step ahead of the virus
While new cases had been increasing incrementally, by mid-March there were many dozens a day. The majority were imported or linked to imported cases, but for the first time, not all domestic cases could be easily traced.
Prof Teo says it's easy to say with hindsight that it was a mistake to not limit returnees' interactions. But the reality is "right now, we know a lot more about the disease compared to back in March".
"We now know that asymptomatic spread is entirely possible - it does happen and could be the main driver of transmission for Covid-19," says Prof Teo.
Precisely because Singapore has kept such detailed records of all cases, it's been able to learn from the domestic spread.
"The measures have evolved with the understanding of where the cases are coming from," says Prof Teo.
That means, he adds, that countries should be cautious of relying too much on information we have now - for example, believing that people who've recovered are immune from future infection, when it is still far from certain that's the case.
What does Singapore tell us about where the virus spreads?
The problem of importation is now being dealt with by all new arrivals being sent directly to government quarantine. With a tiny number of people now entering, the number of imported cases has dropped into single figures in recent days.
And on Tuesday evening, Singapore passed a new law, which - although it's not using the term - is effectively a partial national lockdown.
Cordoned off tables at a food court in SingaporeImage copyrightGETTY IMAGES
Singapore's famous hawker centres are off limits for all but takeaways now
Everyone is prohibited from leaving their homes except for essential activities and exercise, with fines of up to S$10,000 ($7,000; £5,600) or six months in prison.
Prof Teo says this will be effective, and stresses that while there may still be an increase in numbers in the short term, it "is a reflection of what happened in the past seven days - it doesn't mean the measures taken are not working".
But the alarming exponential rise in the last week has been around Singapore's migrant worker population - the hundreds of thousands of men from poorer countries employed in construction, shipping, and maintenance.
Singapore is utterly dependent on these workers to keep its economy operating, but they are jobs in which social distancing is all but impossible.
On top of that, the workers are required by law to live in dormitories - privately-run facilities which house up to 12 men per room, with shared bathroom, cooking and social facilities.
It seems almost inevitable that these dorms would become clusters, and indeed they did. Close to 500 cases have now been confirmed in several dormitory clusters - one facility alone makes up 15% of all cases nationally.
Minister for National Development Lawrence Wong said on Thursday that if it had been known earlier how quickly the virus could spread "I would have done things differently", but that many workers continued at their jobs despite having symptoms.
The fear is that in the next week or so, these numbers will explode.
Prof Teo says what has happened in the dorms "is an indication of what will happen in some other countries, particularly the lower middle income, less well-resourced countries".
"All you have to do is look at many countries in South Asia, South East Asia, parts of Africa - there are many communities where the living conditions are very similar to dorms."
He says the need now is for all governments to look at their countries with "a frank and transparent lens" in terms of what they can do to "minimise the risk of an uncontrollable outbreak where people are living very closely packed together".
Prof Li Yang Hsu, also at SSH, says there is also a lesson going forward about social equality.
"The virus has been very efficient at highlighting to us the weaknesses of our societies - that's certainly the case for the migrant worker communities," he says.
The dorms exceed all international requirements for space per resident, says Prof Hsu, but a situation like this "just shows that they [the requirements] are inadequate".
"Perhaps a high income country like Singapore can do better to protect the health and improve the welfare of people that are so crucial to our society," he says.

Media captionThe BBC visited a dormitory for 17,000 people in 2015
More than 24,000 workers are now confined to their dorms - on full pay and with meals provided. The government says it is also "aggressively" testing and has started moving some virus-free residents to empty properties or army camps to try to reduce the density.
Comparing the dorms to the cruise ships which have generated such large clusters around the world, advocacy group Transient Workers Count Too has called this "a risky strategy", saying the "infection rate in the dorm could increase dramatically" and has called for urgent action to provide better accommodation.
Manpower Minister Josephine Teo has committed to raising standards in dorms overall, calling it "the right thing to do".
Does Singapore show the virus cannot be contained?
Despite some accusations that it was too slow to bring about a partial lockdown, Prof Fisher says Singapore actually acted far earlier than other countries, while case numbers were still only just above 100 daily.
But for a lockdown to be effective, he says, three things need to happen. Firstly for transmission to stop - which will happen if everyone stays home. Then the healthcare system needs the time and space to recover - for beds to be freed up, and medical staff to be able to take time off.
"Third is to get all systems in place - all isolation facilities, quarantine capacity, laws, contact tracing.
"If you just do one and two and then you reopen, history is going to repeat," he warns.
Singapore is fortunate in this respect - unlike the UK and the US, for example, it has at no point seen its medical system overwhelmed.
It also has one completely dominant political party and a compliant media, but Prof Dale says even with "clear, crisp messaging to a community that trusts the government" he is concerned that "the average Singaporean still isn't quite grasping the importance of their individual role".
"They're probably saying yes Singapore should do this, but I am going to visit my mum."
Within the first two days of the new law, more than 10,000 warnings were issued for infractions like sitting down to eat in a food court instead of taking away, or socialising in public spaces.
For countries with bigger populations and more complex politics, it may be many weeks or months before they start to turn a corner.
The porous borders where the virus cannot be controlled
Clothing makers in Asia give stark virus warning
As China opens up, a remote border town locks down
A dazed city emerges from the harshest of lockdowns
All countries are looking for signs of hope, but the lesson from Singapore is that there is no room for complacency, and that all countries must be prepared to face a second - and possibly third or fourth - wave of infection.
Prof Teo says that if reported global coronavirus cases are a fair reflection of its real spread, "many countries still have a window of opportunity to really try to prepare", by ring-fencing their vulnerable or overcrowded communities and "trying to minimise anyone who has the disease interacting with communities".
"I can only say the world has to look at Singapore very clearly, particularly on the dormitory issue, and start exploring what is happening.
"We need to start preparing the world - even in Europe and America there are communities where people are living very closely packed together. What happens when Covid-19 enters?"

https://www.bbc.com/news/world-asia-52232147

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Valli
[8:38 pm, 10/04/2020] : Thanks for sharing Danny. 👌

[9:16 pm, 10/04/2020] ☸️  Danny 心: No problem.

---
REACH
[9:41 pm, 10/04/2020] : Coronavirus: 198 new cases of infections on Friday, seventh death reported; 2,108 cases now
https://www.straitstimes.com/singapore/health/coronavirus-198-new-cases-of-infections-on-friday-seventh-death-reported-2108-cases?xtor=CS3-18&utm_source=STiPhone&utm_medium=share&utm_term=2020-04-10%2021%3A04%3A42

Carol
[9:41 pm, 10/04/2020] : 1 died.... 😞

Dongliang
[9:45 pm, 10/04/2020] : 71 unlinked cases are really worrying.

Poh S Lim
[9:46 pm, 10/04/2020] : Numbers climbing up

Sam
[9:47 pm, 10/04/2020] : Unlink just mean one thing. There is community spread. So instead of everything in control, the spread is out of control. To curb further spread, we must isolate from others. Stay home please.

----

Eugene
[9:52 pm, 10/04/2020] : and 3 new clusters reported today - Sungei Kadut Dorm, ICA Building and NUH Renovation Site

Adam
[9:54 pm, 10/04/2020] :
Why some die some survive because of Covid 19?
The answer I was looking for was finally found.  We know that the  younger the person infected with covid , the better the  chance of cure .  But there are many young patients in their 20s, 30s, and 40s who also died of the virus. I first thought it might be because of different personal built and immunity  but I had  no real answer.

 I found the answer today in this article, written by an English doctor.  I think he is right.  He said that when a person infected with  the virus, how sick he was going to be depends on how much the viral load ( amount of virus )( of course there are other factors ) .  A person who gets a viral infection has an incubation period, explaining why there may be no symptoms for the first 1 to 14 days.  This is because the symptoms  will not occur until the amount  of viruses is sufficient to cause the symptoms .  This explains why it is necessary to quarantine for 14 days .One  may be infected  with the virus but with no symptoms.  !

 If you were in a very crowded place, like a room, a classroom, a religious gathering , if many  people inside carried the  virus, they could  spread a large amount of  viruses onto your body at once.  Because of the large amount, the virus multiplies quickly, and your body do not have enough time to produce antibodies to fight the virus!  So one dies of the  viral infection .

 The immunity of young people is relatively stronger .  But if the virus comes in a large amount at one time , the body doesn’t have enough time to produce the immunity , to fight it.  So young people also succumb to the decease! The article also explained that some elderly people may only have  a little viral load when they got it, so their bodies could  have sufficient time to produce antibodies to fight the virus.  So they recovered . This explains why at the hugh religious gathering in KL last month , so many people got them, so many people die.  It also explained  why so many people  on some cruise ships got very sick  and many  died . This is because they were in a very crowded place. The viral load on contact was too much for the body to mount an appropriate large enough immune response in time  .

 The above explanation was provided by a British doctor.  I think his deduction  is very logical.
 He finally advised everyone to be isolated and keep their social distance.  Don't involve in  large gatherings .

So ,  if you were  unlucky to be infected with the virus and it is only passed to you by one person. The amount of virus load is small and your have sufficient time to mount an adequate immune response . Chance of recovery is a lot higher .

I am so happy to come across  this article which gave me the answer I was searching for . Although I believe there were many other factors ( heart disease , diabetes etc  ) as to why some die  some survive, the viral load is certainly one of the. explanations .
Clement
5/4/2020

REACH
[9:54 pm, 10/04/2020] : [Sent by Gov.sg]
COVID-19: 10 Apr update
New cases: 198
- Imported: 0
- Local cases (linked): 127 (79 cases linked to clusters at foreign worker dorms; 48 linked to non-dorm clusters/cases)
- Pending contact tracing: 71
Total cases: 2,108
- Hospitalised: 875 (32 in ICU)
- In isolation, private hospitals*: 734
- Fatalities: 7
- Total discharged: 492 (Discharged today: 32)
Another death due to COVID-19
An 86-year old female Singapore Citizen has passed away from complications due to COVID-19 on 9 Apr 2020 night. She was admitted to NCID on 1 Apr, and was confirmed to have the infection on the same day. NCID has reached out to her family and is extending assistance to them.
More: go.gov.sg/moh10apr
*Patients doing well but still testing positive for the virus are moved to Community Isolation Facilities and private hospitals

Carol
[9:55 pm, 10/04/2020] : Let's hope Foreign workers spread stop,  otherwise we will need extend ..

Eugene
[9:56 pm, 10/04/2020] : but the number of unlinked cases in our community is increasing each day too which is scary

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