Update On Local COVID-19 Situation (21 Nov 2021)

21 November 2021

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Summary of local situation

1,362 cases remain warded in hospital. 186 cases require oxygen supplementation in the general ward, 44 are unstable and under close monitoring in the intensive care unit (ICU), and 60 are critically ill and intubated in the ICU. The current overall ICU utilisation rate is 52.9%.

Over the last 28 days, of the 79,364 infected individuals, 98.8% 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 20 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 23% has received their booster shots.

Over the past day, 2,640 cases were discharged, of whom 448 are seniors aged 60 years and above. 1,670 new cases of COVID-19 infection were detected, with 1,577 in the community, 80 in the migrant worker dormitories and 13 imported cases. The weekly infection growth rate is 0.81.

Situation at Hospitals

1. As of 21 November 2021, 186 cases require oxygen supplementation in the general ward, 44 are unstable and under close monitoring in the ICU to prevent further deterioration, and 60 are critically ill and intubated in the ICU. The current overall ICU utilisation rate is 52.9%.

Figure 1: Daily Adult ICU Bed Utilisation

Status of Patients

2. Over the last 28 days, 98.8% 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

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 20 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 23% 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 4.7 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 0.9 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 1.8 and 41.8 respectively. The number of fully vaccinated and non-fully vaccinated seniors who died are 0.2 and 10.1 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, 2,640 cases were discharged, of whom 448 are seniors aged 60 years and above.

7. As of 21 November 2021, 12pm, the Ministry of Health has detected a total of 1,670 new cases of COVID-19 infection, comprising 1,577 community cases, 80 dormitory resident cases and 13 imported cases. Amongst the community cases today are 273 seniors who are aged 60 years and above. The ratio of community cases for the past week over the week before is 0.81.

8. 8 more cases, aged between 63 and 95 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.

Figure 7: Large Clusters with New Cases

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Cluster	New Cases	Total⁵	Remarks
Sunlove Senior Care Centre @ 70 Buangkok View	3	18	Transmission amongst staff and clients. Of the 18 cases, 2 are staff, 12 are clients, and 4 are household members.
Pacific Healthcare Nursing Home (6 Lengkok Bahru)	1	15	Transmission amongst residents. Of the 15 cases, all are residents.
Jenaris Home @ Pelangi Village	12	86	Transmission amongst staff and residents. Of the 86 cases, 2 are staff and 84 are residents.

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

MINISTRY OF HEALTH
21 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.