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28 Nov 2021

28th Nov 2021


Summary of local situation

· 1,147 cases remain warded in hospital. 210 cases require oxygen supplementation in the general ward, 27 are unstable and under close monitoring in the intensive care unit (ICU), and 55 are critically ill and intubated in the ICU. The current overall ICU utilisation rate is 57.4%.

· Over the last 28 days, of the 63,816 infected individuals, 98.7% had no or mild symptoms, 0.8% required oxygen supplementation in the general ward, 0.2% were in the ICU, and 0.2% has died.

· As of 27 November 2021, 94% of our eligible population has completed their full regimen/ received two doses of COVID-19 vaccines. Among the total population, 85% has completed their full regimen/ received two doses of COVID-19 vaccines, 86% has received at least one dose, and 25% has received their booster shots.

· Over the past day, 2,061 cases were discharged, of whom 324 are seniors aged 60 years and above. 747 new cases of COVID-19 infection were detected, with 719 in the community, 25 in the migrant worker dormitories and 3 imported cases. The weekly infection growth rate is 0.69.


Situation at Hospitals

1.     As of 28 November 2021, 210 cases require oxygen supplementation in the general ward, 27 are unstable and under close monitoring in the ICU to prevent further deterioration, and 55 are critically ill and intubated in the ICU. The current overall ICU utilisation rate is 57.4%.

Figure 1: Daily Adult ICU Bed Utilisation
Fig1_28Nov21

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, 0.1% 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 2: Local Cases in the Last 28 Days by Severity of Condition1
Fig2_28Nov21
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
Fig3_28Nov21

Vaccination 

4.     As of 27 November 2021, 94% of our eligible population (aged 12 years and above) has completed their full regimen/ received two doses of COVID-19 vaccines. Among the total population, 85% has completed their full regimen/ received two doses of COVID-19 vaccines, 86% has received at least one dose, and 25% 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 4.4 per 100,000 population respectively. Over the same period, the number of fully vaccinated and non-fully vaccinated cases who died are 0.04 and 0.4 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 1.6 and 41.2 respectively. The number of fully vaccinated and non-fully vaccinated seniors who died are 0.2 and 4.3 respectively. 

Figure 4: 7-Day Moving Average of Number of Deaths and Active Cases in ICU, per 100,000 Population by Vaccination Status3
Fig4_28Nov21

Inflow and Outflow of Cases


6.     Over the past day, 2,061 cases were discharged, of whom 324 are seniors aged 60 years and above. 

7.     As of 28 November 2021, 12pm, the Ministry of Health has detected a total of 747 new cases of COVID-19 infection, comprising 719 community cases, 25 dormitory resident cases and 3 imported cases. Amongst the community cases today are 135 seniors who are aged 60 years and above. The ratio of community cases for the past week over the week before is 0.69.

8.    11 more cases, aged between 67 and 98 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
Fig5_28Nov21

Figure 6: Week-on-week Infection Ratio4
Fig6_28Nov21

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

Figure 7: Large Clusters with New Cases

Cluster

New Cases

Total5

Remarks

ECON Healthcare Nursing Home (Chai Chee)

3

41

Transmission amongst staff and residents. Of the 41 cases, 1 is a staff and 40 are residents.

Pacific Healthcare Nursing Home (6 Lengkok Bahru)

9

44

Transmission amongst staff and residents. Of the 44 cases, 1 is a staff and 43 are residents.

Society for the Aged Sick

1

29

Transmission amongst staff and residents. Of the 29 cases, 3 are staff and 26 are residents.


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

MINISTRY OF HEALTH
28 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.