Update on Local COVID-19 Situation (14 Nov 2021)

14 November 2021

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Summary of local situation

· 1,525 cases remain warded in hospital. 242 cases require oxygen supplementation in the general ward, 52 are unstable and under close monitoring in the intensive care unit (ICU), and 69 are critically ill and intubated in the ICU. The current overall ICU utilisation rate is 63.3%.

· Over the last 28 days, of the 88,848 infected individuals, 98.7% had no or mild symptoms, 0.8% required oxygen supplementation in the general ward, 0.3% were in the ICU, and 0.2% has died.

· As of 13 November 2021, 85% of our population has completed their full regimen/ received two doses of COVID-19 vaccines, 86% has received at least one dose, and 20% has received boosters.

· Over the past day, 2,202 cases were discharged, of whom 393 are seniors aged 60 years and above. 1,723 new cases of COVID-19 infection were detected, with 1,651 in the community, 66 in the migrant worker dormitories and 6 imported cases. The weekly infection growth rate is 0.97.

Situation at Hospitals

1. As of 14 November 2021, 242 cases require oxygen supplementation in the general ward, 52 are unstable and under close monitoring in the ICU to prevent further deterioration, and 69 are critically ill and intubated in the ICU. The current overall ICU utilisation rate is 63.3%.

Figure 1: Daily Adult ICU Bed Utilisation

Status of Patients

2. Over the last 28 days, 98.7% of local infected cases were asymptomatic or had mild symptoms, 0.8% required oxygen supplementation in the general ward, 0.2% 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 2: Local Cases in the Last 28 Days by Severity of Condition¹

3. Seniors 60 years old and above, especially if unvaccinated, continue to be more adversely affected by COVID-19:

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

Vaccination

4. As of 13 November 2021, 85% of our population has completed their full regimen/ received two doses of COVID-19 vaccines, 86% has received at least one dose, and 20% has received their booster shots.

5. 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 5.4 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 0.9 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 1.9 and 48.0 respectively. The number of fully vaccinated and non-fully vaccinated seniors who died are 0.4 and 9.2 respectively.

Figure 4: 7-Day Moving Average of Number of Deaths and Active Cases in ICU, per 100,000 Population by Vaccination Status³

Inflow and Outflow of Cases

6. Over the past day, 2,202 cases were discharged, of whom 393 are seniors aged 60 years and above.

7. As of 14 November 2021, 12pm, the Ministry of Health has detected a total of 1,723 new cases of COVID-19 infection, comprising 1,651 community cases, 66 dormitory resident cases and 6 imported cases. Amongst the community cases today are 307 seniors who are aged 60 years and above. The ratio of community cases for the past week over the week before is 0.97.

8. 10 more cases, aged between 60 and 96 years, have passed away from complications due to COVID-19 infection. All of them had various underlying medical conditions.

Figure 5: Number of Community Cases by Age

Figure 6: Week-on-week Infection Ratio⁴

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

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Cluster	New Cases	Total⁵	Remarks
Iman Childcare (Woodgrove)	6	27	Transmission amongst staff and students. Of the 27 cases, 6 are staff, 18 are students and 3 are household contacts of cases.
Safari House Preschool (Toa Payoh)	2	18	Transmission amongst staff and students. Of the 18 cases, 5 are staff, 10 are students and 3 are household contacts of cases.
Institute of Mental Health	1	423	Transmission amongst staff and patients. Of the 423 cases, 27 are staff and 396 are patients.
Surya Home	1	25	Transmission amongst staff and residents. Of the 25 cases, 3 are staff and 22 are residents.
Acacia Home	1	50	Transmission amongst staff and residents. Of the 50 cases, 3 are staff and 47 are residents.
NTUC Health Nursing Home (Chai Chee)	2	18	Transmission amongst staff and residents. Of the 18 cases, 2 are staff and 16 are residents.

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

MINISTRY OF HEALTH
14 NOVEMBER 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’.
² May 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.
³ Non-fully vaccinated comprises persons who are partially vaccinated and completely unvaccinated.
⁴ Ratio of community cases in the past week over the week before.
⁵ Includes new cases added today.