[整理] 新加坡疫情更新(2021/10/25)

[skbb2553 (星祈)]

發稿單位：新加坡衛生部
發稿時間：25th Oct 2021
撰 稿 者：同發稿單位
原文連結：https://bit.ly/3nmptEo
進一步資訊&確診者足跡地圖：https://covidsitrep.moh.gov.sg/

COVID-19 Statistics：
https://www.moh.gov.sg/covid-19/statistics/
Latest Situation Report：
https://www.moh.gov.sg/covid-19/testing/situation-report-pdf


(黃字的部分是新聞稿新增的敘述)
(有兩篇額外的新聞稿)
(括弧內的增減是跟昨天的新聞稿相比，可能會有數值上的劇烈變動)
(有可能會有寫錯的地方所以哪邊跟新聞稿不同的請盡量指出)


Summary of local situation(新加坡目前狀況)：

●今天有2,954名病例解除醫學觀察，
  其中有428名60歲以上


●最近28天內的86,106名病患中
  84,958(98.7%)輕症或無症狀
     778( 0.9%)曾需要供氧治療
      94( 0.1%)曾在ICU監測病況
      98( 0.1%)曾在ICU重症插管治療過
     178( 0.2%)死亡

●至2021/10/25 中午12點 為止
  1,779(+ 41)人住院
    261(- 17)人重症需要供氧治療
    107(+ 10)人在ICU觀察病況中
     64(+  8)人住ICU插管治療中
  目前ICU使用率83.6%

●至2021/10/24 中午12點 為止
  84%人口完整接種疫苗
  85%人口至少完成一劑接種
  13%人口打了追加劑

●至2021/10/25 中午12點 為止，
  新增   3,174名病例
   本土  3,165
    社區 2,843，年齡分布：https://bit.ly/3EesWf3 (圖7)
    移工   322
   境外      9
  今日的周感染成長率為1.18( https://bit.ly/3BjmHVn 圖8)




Situation Update
1.最近28天內的86,106名病患狀況：https://bit.ly/3BfARan (圖1)

2.每日ICU病床數利用率：https://bit.ly/3baDmA3 (圖2)

3.(總計329名)新增14名因為COVID-19感染而死亡。
介於60~93歲。
均有潛在疾病(multiple underlying medical conditions)

留院觀察到死亡的病況對年齡的分布：https://bit.ly/2ZtZrav (圖3)


4.今天有2,954名病例解除醫學觀察，其中有428名60歲以上。

最近7日內需要醫療處理的病患狀況：https://bit.ly/312BS9e (圖4)
至2021/10/25 中午12點 為止，目前有25,636名病患需要醫療處理：
居家療養    (HRP)：18,279例(71.3%)  (+417)
社區照顧中心(CCF)： 4,626例(18.0%)  (-191)
COVID-19中心(CTF)：   952例( 3.7%)  (-  9)

留院觀察         ： 1,779例( 6.9%)  (+ 41)
   供氧治療病例數：   261例         (- 17)
ICU觀察病況病例數：   107例         (+ 10)
ICU插管治療病例數：    64例         (+  8)


Vaccination(疫苗施打工作進度)

6.新加坡疫苗施打狀況(10/24)：
booster dose FAQ：https://bit.ly/3CaMJM9

國家疫苗施打計畫部分(輝瑞和莫德納)
累計施打劑次               ：9,786,082(劑)(+12,201)
累計人口涵蓋數        (85%)：4,630,558(人)(+   961)
累計完整接種人口數    (84%)：4,668,722(人)(       )
累計接受追加劑施打人數(13%)：  709,525(人)(+ 9,983)

不在施打計畫上的WHO EUL疫苗(10/20清單： https://bit.ly/3mbA6uA )
總施打劑量  ：  239,146(劑)(+  557)
人口涵蓋數  ：  122,126(人)(+  199)

7. Over the past 7 days, the number of fully vaccinated and non-fully
vaccinated cases who are critically ill in the ICU are at 0.5 and 4.2 per
100,000 population respectively. Over the same period, the number of fully
vaccinated and non-fully vaccinated cases who died are 0.1 and 0.8 per
100,000 population respectively.  Among seniors aged 60 and above, the number
of fully vaccinated and non-fully vaccinated cases who are critically ill in
the ICU are 2.3 and 30.1 respectively.  The number of fully vaccinated and
non-fully vaccinated seniors who died are 0.4 and 8.0 respectively.

每10萬人口中供氧治療或ICU、和死亡的病例中
依據疫苗狀態的7日移動平均數： https://bit.ly/3vJpRAI (圖5)
(圖片標題：7-Day Moving Average of Number of Deaths and Active Cases
in ICU or Requiring Oxygen Supplementation,
per 100,000 Population by Vaccination Status


新加坡到本篇新聞稿發布為止，額外發出了兩篇新聞稿：

10/24 打擊假消息：伊維菌素(Ivermectin)和疫苗無用
衛生部新聞稿：https://bit.ly/3GpVvbE

          Many of the materials published on the “Truth Warriors” website
mislead people into thinking that COVID-19 vaccines are not effective in
reducing transmission rates of COVID-19, and promote the safety and efficacy
of ivermectin in preventing viral infections and treating COVID-19. These
materials are from unverified and dubious sources, and individuals who heed
the advice of “Truth Warriors” can endanger themselves and the people
around them.

2.     The Minister for Health has instructed the Protection from Online
Falsehoods and Manipulation Act (POFMA) Office to issue a Correction
Direction to the “Truth Warriors” website for these falsehoods. The website
is required to publish the correction notice at the top of each webpage
containing the falsehoods.

3.     The Government takes a serious view of the deliberate communication of
these falsehoods, and criminal investigations will be conducted.

Corrections and clarifications on falsehoods regarding COVID-19 on “Truth
Warriors” website

4.     In particular, the website has published false claims stating that:

i. The most vaccinated countries have the most cases and deaths per million
population and the least vaccinated countries have the fewest cases and
deaths per million population; and

ii. Vaccines do not prevent the transmission of COVID-19.

5.     These claims are false. As of 23 October 2021, the weight of
international evidence shows categorically that vaccines reduce COVID-19
infection, as well as serious illness and mortality rates from COVID-19
infection. The latest data does not support the claim that countries with the
highest vaccination rates also have the highest cases/deaths per million
population. While some countries with the lowest vaccination rates also have
low reported COVID-19 deaths, this is likely due to poor record collection
for both vaccinations and deaths.

6.     While the vaccines do not completely stop viral transmission, vaccines
do reduce the risk of transmission. Vaccinated persons are less likely to
transmit the virus than unvaccinated persons. Furthermore, while the vaccine
on its own does not kill the virus, it is false to suggest that the effect of
the vaccine on the immune system does not lead to the killing of the virus.
The vaccines cause the body to produce antibodies and immune cells that act
against the virus and, in effect, kill it.

7.     For facts of the case, please refer to the Factually article “
Corrections and Clarifications regarding content about COVID-19 by “Truth
Warriors” website at https://www.gov.sg/article/factually241021 .

Additional clarifications

8.     The website also claimed that ivermectin prevents COVID-19 infection,
and that it is safe and effective in treating COVID-19, even for pregnant
women. MOH and Health Sciences Authority (HSA) are aware that there are
members of the public trying to import or use ivermectin for the prevention
or treatment of COVID-19. Ivermectin is a prescription-only medicine
registered in Singapore specifically for the treatment of parasitic worm
infections. It is not an anti-viral medicine and is not approved by HSA for
preventing or treating COVID-19.

9.     Self-medicating with ivermectin can be dangerous to one’s health.
Side-effects associated with ivermectin include vomiting, diarrhoea, stomach
pain, neurologic adverse events (dizziness, seizures, confusion), sudden drop
in blood pressure, severe skin rash potentially requiring hospitalisation,
and liver injury (hepatitis). Ivermectin can also interact with other
medications used, such as blood thinners.

10.     HSA takes a serious view against those engaged in the illegal sale
and supply of medicines, including ivermectin, and will take strong
enforcement action against such persons. Anyone convicted of the illegal sale
of these medicines faces a penalty fine of up to $50,000 and/or imprisonment
for a period of up to two years under the Health Products Act.

11.     The website also shares user-collated and unverified data on
suspected vaccine injuries in Singapore, citing the “SG Suspected Vaccine
Injuries” Telegram chat as its source. We advise members of the public not
to speculate and/or spread misinformation which may cause public alarm, and
to refer to credible sources of information instead.

12.     Please visit https://www.moh.gov.sg for the latest information on COVID-19
and COVID-19 vaccinations. For vaccine SAE statistics, please refer to HSA
and its Safety Updates published monthly. For information regarding
ivermectin and consumer safety, please visit https://www.hsa.gov.sg .


MINISTRY OF HEALTH
24 OCTOBER 2021





10/25 https://bit.ly/2XIKikH
Prudent Use of Scdf Emergency Medical Services and Emergency Department
Services

1. The Ministry of Health (MOH) and Singapore Civil Defence Force (SCDF)
advise members of the public to activate 995 Emergency Medical Services (EMS)
only for life-threatening emergencies.

2. Between 15 and 21 October 2021, SCDF 995 Operations Centre received about
5,500 calls for medical assistance. Approximately 20% of the calls were from
COVID-19 patients. They were conveyed to the nearest Emergency Department
(ED). Of these COVID-19 patients conveyed to the ED, about 47% received only
day treatment at the ED and did not need to be hospitalised. Additionally,
15% were warded for 2 days or less, and mainly for observation.

3. SCDF 995 EMS caters to the conveyance of both COVID-19 and non-COVID
patients who suffer from life threatening and emergency conditions.1

4. To ensure that the 995 EMS is able to provide responsive conveyance for
those with emergency conditions, we advise individuals who are not
experiencing life-threatening emergencies to refrain from calling 995.

5. Individuals who have tested positive in their polymerase chain reaction
(PCR) test and are recovering at home under the Home Recovery Programme or
awaiting conveyance to a care or isolation facility, but who are experiencing
only mild symptoms, are advised to seek medical help via the following
channels:

a. A telemedicine provider ( https://go.gov.sg/telemedicineproviders );
b. Their regular primary care provider; or
c. The HR Buddy hotline [phone]).

6. Those who have tested positive in their Antigen Rapid Test (ART) and are
feeling unwell or experiencing symptoms such as fever or persistent cough
should visit a Public Health Preparedness Clinic (PHPC)
(https://flu.gowhere.gov.sg) via private transport for medical attention.

7. As we learn to live with COVID-19, appropriate activation of 995 EMS and
use of ED services is important. It will ensure that patients requiring
emergency care are able to receive it in a timely and prompt manner.

[1] These conditions include sudden onset of chest pain, breathlessness,
drowsiness or confusion, sudden onset of limb or body weakness, difficulty in
speech, or drooping of the face, severe bleeding from injuries, loss of
consciousness, and unexplained jerking of the body or fits.

MINISTRY OF HEALTH
SINGAPORE CIVIL DEFENCE FORCE

25 OCTOBER 2021

--
※ 發信站: 批踢踢實業坊(ptt.cc), 來自: 220.129.230.29 (臺灣)
※ 文章網址: https://www.ptt.cc/bbs/nCoV2019/M.1635206560.A.77F.html
※ 編輯: skbb2553 (220.129.230.29 臺灣), 10/26/2021 08:08:26
推 lancerjump: 這次似乎並沒有像過去公布當日死亡
→ lancerjump: 病例是否有接種疫苗...謝謝整理
→ skbb2553: 今天是真的沒說
推 Y1309: 不知道為什麼不公佈，其實之前的數字都很支
→ Y1309: 持疫苗的效果啊
→ skbb2553: 疫苗有沒有效這部分有新的圖
→ skbb2553: 今天的整理有點長 我重貼連結在留言這邊
→ skbb2553: https://bit.ly/3vJpRAI
※ 編輯: skbb2553 (220.129.230.29 臺灣), 10/26/2021 08:43:09
→ lancerjump: 也許是不想要單日死亡中幾例有打疫
→ lancerjump: 苗這數字被過度解讀？畢竟整體佔比
→ lancerjump: 應該相對容易討論？就像skbb大的圖
→ skbb2553: 是阿....
推 decorum: 換算成台灣人口 等於一天死50+人 可怕
推 ckpioneer: 數據美化還那麼恐怖
→ lancerjump: 加護病房空床剩60床...
→ zhuilou: 病床總數可以增加阿 應該會看到一直維持
→ zhuilou: 在80 90%
→ zhuilou: 看總床數比較準 12/10是339床
→ zhuilou: 12/25是366床 偷偷增加了30床
→ zhuilou: 只看比例 不看總數會被誤導 因為床總數
→ zhuilou: 是不固定的
→ fwf12: ICU使用率有點可怕...
推 allan0926: 所以疫苗有效早就國際開放了
→ elainakuo: 疫苗有效的話就自由出入境了+1 疫苗打
→ elainakuo: 了還是快速且明顯會影響到醫療量能
推 Y1309: ICU硬體加床還不是最難的，難的是增加醫護
→ kunm: 我們請新加坡的醫生來教導台灣防疫
推 nht: 看來都差不多一天三千多人確診
→ fwf12: ICU一半以上都是肺炎在用
推 dixsion: 感謝整理
推 stoxin: 這就是和病毒共存嗎？
推 darlington:     這數據實在讓人絕望......
推 stoxin: 台灣如果也要和病毒共存，準備好了嗎？中
→ stoxin: 央和地方醫療量能夠嗎？人力、藥物備妥了
→ stoxin: 嗎？這可不是口頭喊一喊開放就好了
→ Daehunny: 六百萬人口只有數百床icu?
→ zhuilou: 應該是可以視需要增加到千床
→ zhuilou: 所以看百分比根本沒意義 因為總數根本不
→ zhuilou: 是固定的
→ skbb2553: 考慮醫護狀況 ICU不太可能加到上千吧...
→ zhuilou: https://i.imgur.com/oys8phS.jpg
→ zhuilou: 彭博的報導說可以擴到千床
→ skbb2553: https://bit.ly/3ni4t1E 10/20新聞稿
→ skbb2553: 個人覺得彭博對於非經濟領域的論述
→ skbb2553: 並不能確實的反應新加坡真實狀況
→ skbb2553: 也不是懷疑新加坡有沒有能力開千床ICU
→ skbb2553: 千床ICU還須要足夠的醫護人力調度去支撐
→ zhuilou: 那個又不是彭博說的  自己去看內文
→ zhuilou: 彭博訪問新加坡王（ong）部長說的
→ zhuilou: ong是王的意思 你會講台語就知道
→ skbb2553: 我貼的是10月的新聞稿 過了一個月了
→ skbb2553: 不過我再講就會超出我對星的醫療理解了
→ skbb2553: 另外彭博訪問王部長至少7月的事...0_0?
→ zhuilou: 兩件事又不影響，現在又沒開到千床的必
→ zhuilou: 要
→ skbb2553: 是這樣沒錯啦...
→ zhuilou: if needed 這個字沒看到嗎
→ skbb2553: 所以我透漏出我對星的醫療理解有限了
→ skbb2553: 先這樣