Singapore
Covid-19 rules ‘streamlined’ to prepare Singapore for easing when Omicron wave subsides, says Health Ministry
Singapore reported 45 new cases of Covid-19 on January 14, 2021. u00e2u20acu201d TODAY pic

SINGAPORE, Feb 16 — Over the past week, Singapore’s daily Covid-19 case numbers have remained high, at an average of around 11,000, but a large majority continue to have mild or no symptoms, said the Ministry of Health (MOH) today.

The ministry said these numbers are within its expectations, given the high transmissibility of the Omicron variant of Covid-19.

Furthermore, it added: "Our high vaccination and booster rates, along with vaccination-differentiated safe management measures, have been effective in keeping the number of severe cases low, and our healthcare capacity available to treat the severely ill currently remains sufficient.”

Speaking during a press conference by the ministerial task force handling Singapore’s response to Covid-19, Health Minister Ong Ye Kung noted, however, that there are still pressures on the healthcare system, particularly among general practitioners and polyclinics.

The authorities are thus moving to streamline Covid-19 regulations in a way that preserves healthcare capacity while preparing Singapore for an eventual downturn in case numbers, he said.

"Given that we are still climbing the epidemic curve, today is not the time to announce any easing of restrictions,” he said. "It is, however, an important juncture to review in depth our current rules, and we have done so.”

In a few weeks, he noted, case numbers will likely come down, perhaps quite dramatically, if Singapore follows the trajectory of other countries that have faced their own Omicron waves.

"And then we’ll be in a position to ease travel rules as well as our domestic safe management measures,” he said.

The latest streamlining of the rules will enable Singapore to move quickly when that happens, he added.

"These rules have accumulated over the past two years and have become quite unwieldy actually, and by streamlining them we can adopt a posture that will better enable us to open up when the timing is right.”

Finance Minister Lawrence Wong stressed that the latest changes to the rules represent a "streamlining or rationalisation”, not easing.

He noted that Singapore is in a new phase of the pandemic and because the rules have become complex over the years, it has become harder for Singaporeans to understand and follow them.

"The reset of the safe management measures will help set the stage for further easing down the road. This is not the time for easing... because we are still seeing a rise in our infections and, in fact, we are seeing very high infection numbers now,” he said.

"But we are quietly confident in facing this Omicron wave, because everyone in Singapore is well-protected with vaccinations and boosters and... the vast majority of people who get infected are not so ill, so the numbers needing oxygen or ICU care remain manageable, and things are generally well under control.”

Ong also noted that "almost everything” about the Omicron variant is faster than all previous variants.

For instance, Omicron patients recover faster, which is why the authorities have shortened the discharge period. Omicron also has a shorter incubation duration and an earlier infectious window.

"So our health protocols need to adapt to this distinct characteristic of Omicron,” said Ong.

The task force has decided to simplify Covid-19 regulations to help people not just understand the letter, but also the spirit of the rules, he added.

"They will then be able to exercise individual responsibility and do their part to help manage the pandemic… and bring us to a position where we are more nimble and ready… so we can ease safe management measures more readily when the Omicron wave subsides.”

Writing on Facebook on Wednesday night, Prime Minister Lee Hsien Loong noted that the healthcare system is "coping well” despite the rising number of infections.

"Hopefully after a few weeks, new cases will peak and start falling. Then we can ease up on safe management measures significantly. But we will ease up in several steps, to keep good control of the situation,” he said.

At the same time, he cautioned that people should be mentally prepared that if a new, dangerous variant emerges, the Government may have "to take another pause or tighten up further”.

He thanked Singaporeans for their trust and support and urged everyone to continue to do their part in complying with the rules and "make individual sacrifices for our greater good”.

"There is light at the end of the tunnel!” he added.

Update on local situation

MOH said that the number of patients who are in hospital stands at around 1,400, of which 30 per cent are described as "incidental cases”.

This means they were hospitalised due to other illnesses, but subsequently tested positive for Covid-19.

MOH said the hospitals are also increasing bed capacity to care for severe Covid-19 cases, while ensuring that care for non-Covid-19 patients are not compromised.

MOH added that there are about 70 children under the age of 12 who are hospitalised because of Covid-19.

The ministry said the infection rates for children aged zero to four and those aged five to 11 are currently high at about 243 and 258 per 100,000 population respectively.

Meanwhile, individuals aged 12 to 19 have the highest infection rate of about 269 per 100,000 population.

Aside from standing up more beds for children in Singapore’s public and private hospitals, MOH said it is also "actively converting beds” in Covid-19 treatment facilities, such as those at the Singapore Expo, for children and their caregivers.

As for the proportion of severe Covid-19 infections and Multisystem Inflammatory Syndrome in Children associated with Covid-19 infection (MIS-C) cases, MOH said this is around one out of 1,000 paediatric infection cases.

"Vaccination of children will help lower the risk of such episodes,” said MOH.

Nevertheless, MOH said the overall situation in Singapore’s healthcare system "remains stable”.

MOH said there are 23 patients in the intensive care unit (ICU), while another 140 cases require oxygen supplementation.

In the past 28 days, 0.04 per cent and 0.3 per cent of local cases required ICU care or oxygen supplementation respectively, said MOH. — TODAY

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