Monday, May 04, 2020

Migrant workers were on MOM's radar since January - Josephine Teo: she was right

Foreign workers have been in the authorities’ sight early on in the COVID-19 outbreak in Singapore at the start of the year, said Manpower Minister Josephine Teo on Monday (4 May).
Delivering a ministerial statement in Parliament, she explained how the Ministry of Manpower (MOM) helped to prevent imported cases by limiting the return of work pass holders and monitoring returnees’ compliance with Leaves of Absence and Stay-Home Notices, among other things.
“Throughout this period, migrant workers were also on our radar,” said Teo.
“The day after the first confirmed case in Singapore (in January), MOM reached out to dormitory operators to be more vigilant and to step up hygiene. In fact, one of the earliest media conferences that Minister Lawrence Wong and I held was at the Tuas View Dormitory, after we inspected their quarantine facilities (in early February),” she said.

pre-June 1's: Up to 40 per cent fall in taxi and private hire driver earnings

With some passengers shunning taxis and ride hailing services amid the novel coronavirus outbreak, taxi driver Harry Ng said his daily income has fallen some 20 per cent. 

“It’s not as bad as how it was during Sars (severe acute respiratory syndrome). But it is my main worry today... I feel that it is very quiet now and there are very few passengers around,” said the ComfortDelGro driver who has been plying the roads for the past 25 years.

Taxi and private hire car drivers like Mr Ng are reporting a fall in takings of 30 per cent, said Mr Ang Hin Kee, executive adviser to the National Taxi Association (NTA) and the National Private Hire Vehicles Association on Monday (Feb 10). 

In fact, there is a sense that drivers fear losing their livelihoods more than the virus itself, said NTA’s president Raymond Ong when asked by the media on what they were more anxious about.
He estimated that the fall in demand was also between 20 and 40 per cent.

post-June 1: life will not be the same

Sunday, May 03, 2020

do not go together: alone

It was a boisterous and lively Chinese New Year dinner that dragged on for five hours, with guests shuttling between tables to chit-chat and pose for wefies with one another, recalls case 130 of a celebration he and his wife attended at Safra Jurong on Feb 15.
"The atmosphere was upbeat and people were happy," the 66-year-old, who would give his name only as Mr Tan, tells The Sunday Times.
The dinner would later be identified as a coronavirus cluster, and was once the nation's largest one with 47 cases linked to it.
Never did the Tans - seated at table 28 - expect it to turn into a nightmare that saw them struggling to survive in the intensive care unit (ICU) and having multiple therapy sessions to relearn how to walk and talk.
But the couple count themselves lucky, as someone at the same function also contracted the coronavirus but never recovered. The 70-year-old man - case 128 - tested positive for the virus on March 6 and died of complications on April 14.
The Tans, who work as food handlers, tested positive for Covid-19 three weeks after the party.
Within days, their lungs became severely inflamed, they were gasping for air and on the verge of dying.
For 31 days, Mr Tan fought for his life in the ICU at Ng Teng Fong General Hospital (NTFGH). He was in hospital for a total of 49 days.
His 68-year-old wife, who is case 129, was at the same hospital for 40 days - 15 in the ICU.
Strangely, no one else in their circle of friends that night was infected, Mr Tan says in Mandarin.
"We were just unlucky. We didn't know there were people who were sick at the dinner."
Being members of that group, the couple decided to attend the event organised by Ms Liang at Safra Jurong's Joy Garden restaurant, despite being aware of the coronavirus situation.
By then, Singapore had over 70 Covid-19 cases, and had raised its Disease Outbreak Response System Condition (Dorscon) level to orange - the second-highest alert level - for more than a week.
Some 200 guests had to undergo temperature checks before attending the dinner, which featured song-and-dance performances and a traditional lohei tossing. There were an estimated 30 tables.
"We didn't know everyone seated at our table that night," says Mr Tan, adding that he did not notice anyone who was particularly sick.
At their table of 10, the Tans believe they were the only ones who caught the virus. But Mr Tan points out: "We didn't mingle with friends much and didn't move from table to table... but some people did come over to take photos.

The couple do not know the 70-year-old man who died, but Mr Tan says the episode has prompted them to think twice before committing to future social gatherings.

Mr Tan was the first to report the onset of symptoms.
It started innocuously enough with a cold on Feb 24. He visited a general practitioner on the same day. On Feb 29 and March 1, he visited the same doctor again after his symptoms did not let up.
Over the next few days, he felt lethargic and did not eat or drink much. His bones and back ached, and he spent most of his time in bed.
"The smell of food made me nauseous," he recollects.
On March 4, a relative took him to the emergency department at NTFGH, where he was admitted.
"When I got there, the staff told me that they would safekeep my bag, wallet and cellphone for me," says Mr Tan, who was drifting in and out of consciousness and could not recall what happened after that.
That evening, a doctor phoned Mrs Tan after suspecting that her husband had the coronavirus and told her to come by for a swab test.
Mrs Tan was later advised to admit herself into the hospital, and she immediately packed her cellphone, charger and a water bottle before an ambulance arrived to pick her up. "I had only one set of clothes - the set I was wearing. It happened quite suddenly," says Mrs Tan, who had earlier gone out to dye her hair and visit the market.
On March 6, both their test results for the virus returned positive.

Mr Tan, who had a fever, was sent to the ICU on March 5 - not long after arriving at the emergency department of NTFGH.
His wife, who was initially asymptomatic, started running a fever two days into admission. She was later transferred to the ICU on March 14, after her condition deteriorated with worsening breathlessness.
Both were in a bad shape when they arrived at the ICU, said members of the critical care team. What they had was acute respiratory distress syndrome, a severe lung condition and a common cause of death in seriously ill Covid-19 cases.
The Tans had entered with alarmingly low oxygen levels in their blood, says Dr Damian Bruce-Hickman, a resident physician at NTFGH.
When they were transferred to the ICU, breathing tubes connected to ventilators were needed to pump enough oxygen into their fragile lungs.
For the next few days, both remained unconscious.
Doctors and nurses, in their cumbersome personal protective equipment, also had to flip the patients face down - in a fairly common intervention known as proning - to boost their oxygen levels.
Dr Bruce-Hickman says: "The second you need extra procedures to protect the lungs, you automatically have quite a high chance of mortality."
When they woke up, the Tans appeared confused and disorientated. At times, they were agitated and did not know where they were.
Because of their weak lungs, it took several phases to slowly reduce the amount of oxygen support and doses of sedative drugs they were on.
Mr Tan ended up with a tracheostomy - an incision made in the windpipe to help him breathe - on March 19.
"I thought I would die," he admits. "I couldn't talk due to the tracheostomy. I wasn't allowed to drink and was fed through a tube."
For days, he hallucinated and saw images that looked like viruses on the ceiling of his room. "I felt like I was in a dream," he adds.
All he could recall then were brief and hazy encounters of nurses asking him how he was feeling.
For the next few days, both remained unconscious.
Doctors and nurses, in their cumbersome personal protective equipment, also had to flip the patients face down - in a fairly common intervention known as proning - to boost their oxygen levels.
Dr Bruce-Hickman says: "The second you need extra procedures to protect the lungs, you automatically have quite a high chance of mortality."
When they woke up, the Tans appeared confused and disorientated. At times, they were agitated and did not know where they were.
Because of their weak lungs, it took several phases to slowly reduce the amount of oxygen support and doses of sedative drugs they were on.
Mr Tan ended up with a tracheostomy - an incision made in the windpipe to help him breathe - on March 19.
"I thought I would die," he admits. "I couldn't talk due to the tracheostomy. I wasn't allowed to drink and was fed through a tube."
For days, he hallucinated and saw images that looked like viruses on the ceiling of his room. "I felt like I was in a dream," he adds.
All he could recall then were brief and hazy encounters of nurses asking him how he was feeling.

100 days of Covid-19 in Singapore | Covid-19 vs Sars: Lessons learnt | T...

On April 3, an assistant manager at the Lido branch of McDonald's saw a doctor for a sore throat and fever. She was given five days' medical leave.
At the end of her medical leave on April 8, the 44-year-old mother of a teenage boy went back to the doctor.
This time, she was sent to Seng-kang General Hospital for a Covid-19 swab test.
It was positive.

Over the next nine days, six other employees of the fast-food chain, who had worked across nine outlets, were diagnosed with the coronavirus.
Over at the Ministry of Health, doctors and officials watched with increasing concern.
Steps had already been taken by McDonald's to contain this cluster, but did they go far enough?
The company had told all employees from the affected outlets to isolate themselves for 14 days. These restaurants were also closed and underwent deep cleaning.
On April 18, McDonald's stopped takeaways - Singapore had already banned dining-in - and switched to delivery and drive-through service only.
But the ministry - by then battling huge numbers of foreign workers who got infected at worksites and living quarters - felt more had to be done.
A decision was made: From 11am the following day - April 19 - all 135 McDonald's outlets would close down till May 4.
The decision wasn't taken lightly.
The chain employs more than 10,000 people and serves more than six million hungry customers every month.
But, as McDonald's noted on its website: "These are unprecedented times for all of us. With the safety of all our customers and employees as the top priority, we will do all we can to help Singapore flatten the curve."
The company promised to pay salaries to its employees while operations were suspended.

Prof Tan, who was director of medical services during Sars, says the most important takeaway from that period was experience.

Berkshire sells entire stakes in U.S. airlines - Buffett

Berkshire Hathaway Inc  has sold its entire stakes in the four largest U.S. airlines, Chairman Warren Buffett said Saturday at the company's annual meeting.




The conglomerate held sizeable positions in the airlines, including an 11% stake in Delta Air Lines , 10% of American Airlines Co , around 10% of Southwest Airlines Co  and 9% of United Airlines  at the end of 2019, according to its annual report and company filings.
The conglomerate was one of the largest individual holders in the four airlines.

"We made that decision in terms of the airline business. We took money out of the business basically even at a substantial loss," Buffett said. "We will not fund a company that -- where we think that it is going to chew up money in the future."
Buffett said Berkshire had invested around $7 billion (£5.60 billion) or $8 billion amassing stakes in the four airlines including American Airlines Group Inc.
"We did not take out anything like $7 or $8 billion and that was my mistake," Buffett said at the company's annual meeting which was livestreamed. "I am the one who made the decision."

Saturday, May 02, 2020

seniors find it hard to stay at home

there are others, like Yishun resident Wong Ya Long, who lost their one and only social network with the closure of the seating areas at coffee shops.

The 77-year-old who lives alone was almost in tears when this reporter asked how the circuit breaker had been for him, as he was walking back to his flat with a takeaway packet of pig organ soup he got from Chong Pang Market and Food Centre.

“I have nobody to talk to,” he said. He used to pass the time by hanging out with four to five other friends at a coffee shop. They did not have the foresight to exchange phone numbers before the circuit breaker, he lamented.

Since the circuit breaker measures took effect, there have been viral video clips showing seniors not adhering to the rules, attracting criticism of this group as “stubborn”, “ignorant” and “socially irresponsible”

he days used to pass quickly when she was working as a food court cleaner from 7am to 3pm.

But ever since she was told to stop work after patrons were not allowed to dine in anymore, the 67-year-old who is living alone and wanted to be known only as Madam Chia has had to face four walls in her Bedok flat — until she could not take it anymore.

Despite contravening circuit breaker rules, Mdm Chia regularly hangs out with a few neighbours on public benches near her flat even though they had been cordoned off with red-and-white tape.

Friday, May 01, 2020

You need to be psychologically prepared: a year

With the new coronavirus now spreading globally, countries around the world must be prepared for the economic aftermath of the outbreak to last at least a year, Singapore’s Foreign Minister Vivian Balakrishnan said on Wednesday.
“The genie’s out of the bottle,” Balakrishnan told CNBC’s “Squawk Box Asia,” adding that the disease had “exploded” after it spread beyond Asia to countries such as Iran, Italy and the U.S.





He said that containment would have been possible if the new disease, named COVID-19, had been like SARS.


The Severe Acute Respiratory Syndrome outbreak 17 years ago was largely contained within East Asian countries including China, Japan, South Korea and Singapore. It infected more than 8,000 people in total, of which 774 died, according to data from the World Health Organization.In comparison, the new coronavirus has infected more than 110,000 people across at least 110 countries and territories, with over 4,000 deaths worldwide, WHO said.
Balakrishnan pointed out that the SARS outbreak lasted about four months and its economic impact took around six months to wear off. Meanwhile, the spread of the new coronavirus could last longer and its impact may also be bigger due to the scale of the outbreak, the minister said.
“I think you have to be concerned about a major impact because it’s a global phenomenon and it’s going to last quite some time,” he said. “You need to be psychologically prepared.”





Balakrishnan said Singapore took many years to build up its capabilities to manage a situation like the ongoing outbreak. He added that the outbreak puts such capabilities to the test.
“This is a new virus, it is very dangerous and wishful to believe that it will behave according to previous viruses. So, we do not make the assumption that this will disappear in the summer months,” he said.
“In fact, this is an acid test of every single country’s quality of healthcare, standard of governance and social capital. And if any one of this tripod is weak, it will be exposed and exposed quite unmercifully by this epidemic.

not man-made or genetically modified': accidental

 The top US spy agency said for the first time on Thursday (Apr 30) that the American intelligence community believes the COVID-19 virus that originated in China was not man-made or genetically modified.
"The Intelligence Community also concurs with the wide scientific consensus that the COVID-19 virus was not man-made or genetically modified," the Office of Director of National Intelligence (ODNI) said in a statement.
"The (Intelligence Community) will continue to rigorously examine emerging information and intelligence to determine whether the outbreak began through contact with infected animals or if it was the result of an accident at a laboratory in Wuhan," it added.
The ODNI statement appeared to sharply contradict conspiracy theories floated by anti-China activists and some supporters of US President Donald Trump suggesting that the coronavirus had been developed by Chinese scientists in a government biological weapons laboratory from which it then escaped