Update on Local COVID-19 Situation (27 Oct 2021)

Summary of local situation

· 3,172 cases were discharged today, of whom 484 are seniors aged 60 and above.

· Over the last 28 days, of the 90,203 infected individuals, 98.7% had no or mild symptoms, 0.9% required oxygen supplementation in the general ward, 0.1% were unstable and under close monitoring in the intensive care unit (ICU), 0.1% were critically ill and intubated in the ICU, and 0.2% has died.

· 1,777 cases remain warded in hospital. 308 cases require oxygen supplementation in the general ward, 76 are unstable and under close monitoring in the ICU, and 66 are critically ill and intubated in the ICU. The current overall ICU utilisation rate is 79.8% and the Ministry of Health (MOH) is in the process of standing up more ICU beds.

· As of 26 October 2021, 84% of our population has completed their full regimen/ received two doses of COVID-19 vaccines, 85% has received at least one dose, and 14% has received boosters.

· As of 27 October 2021, 12pm, MOH has detected a total of 5,324 new cases of COVID-19 infection in Singapore, with 4,651 in the community, 661 in the migrant worker dormitories and 12 imported cases. The weekly infection growth rate is 1.15.

· The infection numbers are unusually high today, mostly due to many COVID-positive cases detected by the testing laboratories within a few hours in the afternoon. MOH is looking into this unusual surge in cases within a relatively short window, and closely monitoring the trends for the next few days.

Situation update

1. Over the last 28 days, 98.7% of local infected cases were asymptomatic or had mild symptoms, 0.9% required oxygen supplementation in the general ward, 0.1% were unstable and under close monitoring in the ICU to prevent further deterioration, and 0.1% had been critically ill and intubated in the ICU.

Figure 1: Local Cases in the Last 28 Days by Severity of Condition¹

2. As of 27 October 2021, 308 cases require oxygen supplementation in the general ward, 76 are unstable and under close monitoring in the ICU to prevent further deterioration, and 66 are critically ill and intubated in the ICU. The current overall ICU utilisation rate is 79.8%, and MOH is in the process of standing up more ICU beds.

Figure 2: Daily Adult ICU Bed Utilisation

3. 10 more cases, aged between 54 and 96 years, have passed away from complications due to COVID-19 infection. All except an unvaccinated case had various underlying medical conditions.

Figure 3: Patients Needing Oxygen Supplementation, ICU Care or Died², by Age Groups

4. 3,172 cases were discharged today, of whom 484 are seniors aged 60 and above. As of 27 October 2021, 12pm, amongst all COVID-19 community cases who have been onboarded or admitted, 20,895 (74.3%) cases are undergoing Home Recovery. 4,589 (16.3%) cases are in Community Care Facilities mostly because their homes are not suitable for Home Recovery, 849 (3.0%) cases are in COVID-19 Treatment Facilities, and 1,777 (6.3%) COVID-19 patients are currently warded in hospital, mostly for observation.

Figure 4: Breakdown of Number of Active Cases in Hospital, COVID-19 Treatment Facilities, Community Care Facilities, and Home Recovery Programme in the Last 7 Days

Vaccination

5. As of 26 October 2021, 84% of our population has completed their full regimen/ received two doses of COVID-19 vaccines, 85% has received at least one dose, and 14% have received their booster shots.

6. We have administered a total of 10,029,148 doses of COVID-19 vaccines under the national vaccination programme (Pfizer-BioNTech Comirnaty, Moderna and Sinovac). In total, 4,733,014 individuals have received at least one dose of vaccine under the national vaccination programme, 4,673,461 individuals having completed the full vaccination regimen, and 745,102 have taken their booster shots. In addition, 43,773 doses of other vaccines recognised in the World Health Organization’s Emergency Use Listing (WHO EUL) have been administered, covering 24,471 individuals.

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 4.3 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 2.2 and 32.6 respectively. The number of fully vaccinated and non-fully vaccinated seniors who died are 0.3 and 7.7 respectively.

Figure 5: 7-Day Moving Average of Number of Deaths and Active Cases in ICU or Requiring Oxygen Supplementation, per 100,000 Population by Vaccination Status³

Active clusters under close monitoring

8. We are closely monitoring the clusters listed below, which have already been ringfenced through tracing, testing and isolation.

Figure 6: Large Clusters with New Cases

Cluster	New Cases	Total⁴	Remarks
Maple Bear Loyang	2	16	Transmission amongst staff and students. Of the 16 cases, 3 are staff and 13 are students.
Institute of Mental Health	9	153	Transmission amongst staff and patients. Of the 153 cases, 10 are staff and 143 are patients.
Banyan Home @ Pelangi Village	2	79	Transmission amongst staff and residents. Of the 79 cases, 1 is a staff and 78 are residents.
AWWA Community Home for Senior Citizens	2	80	Transmission amongst staff and residents. Of the 80 cases, 1 is a staff and 79 cases are residents.
Bukit Batok Home for the Aged	1	157	Transmission amongst staff and residents. Of the 157 cases, 6 are staff and 151 are residents.
MWS Christalite Methodist Home	2	126	Transmission amongst staff and residents. Of the 126 cases, 14 are staff and 112 are residents.
PCF Sparkletots @ Zhenghua (632A Senja Road)	1	26	Transmission amongst staff and students. Of the 26 cases, 5 are staff, 13 are students and 8 are household contacts of cases.

Summary of trends for local cases

9. As of 27 October 2021, 12pm, the Ministry of Health has detected a total of 5,324 new cases of COVID-19 infection in Singapore, comprising 4,651 community cases, 661 dormitory resident cases and 12 imported cases. Amongst the community cases today are 728 seniors who are aged 60 and above. The ratio of community cases for the past week over the week before is 1.15.

10. The infection numbers are unusually high today, mostly due to many COVID-positive cases detected by the testing laboratories within a few hours in the afternoon. MOH is looking into this unusual surge in cases within a relatively short window, and closely monitoring the trends for the next few days.

Figure 7: Number of Community Cases by Age

Figure 8: Weekly Infection Growth Rate⁵

11. Please refer to MOH’s daily Situation Report (www.moh.gov.sg/covid-19/situation-report) for details.

MINISTRY OF HEALTH
27 OCTOBER 2021

¹ Includes only new cases reported in the past 28 days. Based on cases’ worst-ever condition; deceased cases previously in ICU are counted under ‘Deceased’ and not under ‘Ever Critically ill and Intubated in ICU’.²May differ from the deaths reported for the day as the latter includes those who have passed on earlier, but whose cause of death was investigated and confirmed only later, e.g. Coroner’s cases.³Non-fully vaccinated comprises persons who are partially vaccinated and completely unvaccinated.4 Includes new cases added today.
⁵ Ratio of community cases in the past week over the week before.

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