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What Singapore is doing

25 replies

AsiaTruly · 14/03/2020 14:56

There have been many mentions of Singapore in relation to Covid-19 and its response. I thought it might be useful to outline what measures have been put in place. Apologies in advance if I miss anything or make any errors.

Since the outbreak started, contact tracing of any cases has been thorough. This includes contacting anyone who has been in a certain radius of a case for a certain amount of time and placing those contacts on a mandatory quarantine order.

People under quarantine orders are required to remain in their homes, with access to their own room and bathroom, for 14 days.

Anyone entering the country from heavily affected countries (currently China, South Korea, Iran, Italy, Germany, Spain and France are placed on a stay at home notice (SHN). They are not allowed to leave their home for 14 days. This is enforceable by law and people infringing this have had visas revoked.

Airports and ferry ports temperature screen. They then swab test symptomatic travellers.

Anyone entering the country with symptoms will be placed on a SHN, regardless of testing results.

Workplaces and schools are required to take a detailed, regular (reported to the authorities 2x week) travel declarations for every employee/student and visitor.

Ever since we started getting cases, schools have been asked to take temperatures of anyone on site. A reading of above 37.5 means that you cannot enter. This has now been increased to workplaces and is twice daily. Many other organisations, such as leisure centres, etc also temperature test.

Schools have not closed, although all are expected to have home learning capabilites in place if required.

All schools will soon have to hold a certificate showing that it has certain cleanliness measures in place, including twice daily disinfection of toilets, working taps, available soap, etc.

Assemblies are cancelled, as are all out of school excursions. Play times are staggered and preschool children are asked to eat in their classrooms.

Preschools have been advised to restrict environments to students and necessary staff only. Preschool staff and children have been strongly advised not to travel overseas.

If schools have a confirmed case, they have been closed for a day for a deep clean.

Doctors have been instructed to issue anyone with flu-like symptoms a medical certificate for 5 days.

Specific medical centres have been allocated to provide reduced cost GP clinics.

Workplaces have been asked to allow working from home, or where that isn't possible, split shifts.

Meetings are reduced - cancelled or over the internet wherever possible or reduced to minimal numbers if necessary.

Testing for the virus is free of charge. Hospital treatment was initially also free for anyone, but has now been reduced to citizens and residents.

Cruises are no longer allowed to dock in Singapore.

Mosques are closed.

Organisations providing social programmes for senior citizens are closed.

Social distancing includes a request that cinemas, meetings, restaurants etc. have seating more than 1m apart.

Tourist sites, entertainment venues, sports centres, etc. are asked to reduce the number of people.

Gatherings of more than 250 people are cancelled. Under 250 are advised to take temperatures and collect data to inform contact tracing, should it be required.

We receive detailed, daily updates about all cases, including where the cases live, where they are likely to have contracted the virus, and where they are hospitalised. All cases are, at the moment, hopitalised for containment. There is a recognition that this might not remain the case if we see a large increase in cases.

That's from the top of my head. There are probably more measures in place - I will add if I recall. I suppose the point in posting this was to clarify that closing schools isn't the first and only delay technique that the UK could consider. Although Singapore is expecting an economic impact, schools remaining open has undoubtedly helped with national productivity. We are a small country and an international hub, so we are expecting many more imported cases, but I think the general feeling is that we are fairly safe here.

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JulietTango · 14/03/2020 15:01

But there's still twice as many cases per 1m population than the UK?

AsiaTruly · 14/03/2020 15:02

Yes - we are a tiny country and had our first case a long time before the UK, as we are so close to China. I think the highest increase in cases in any day so far has been 13.

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SabineSchmetterling · 14/03/2020 15:06

JulietTango- if cases keep going up at the sort of rate they have this week in the UK we will overtake Singapore on cases per million in 3-4 days.

AsiaTruly · 14/03/2020 15:08

I think actually, UK might have had cases at a similar time, I think I was wrong on that.

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AsiaTruly · 14/03/2020 15:12

I forgot the hand washing! LOTS of hand washing posters everywhere. Antibac on desks going into buildings, in lifts, everywhere.

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AsiaTruly · 14/03/2020 15:16

Also worth mentioning that 105 of the 212 Singapore cases have recovered. That's presumably because testing includes non-critical cases.

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babychange12 · 14/03/2020 15:19

Also I understood that there's no deaths in Singapore? Or much lower than here in the UK anyway

AsiaTruly · 14/03/2020 15:20

No deaths, no

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GrumpyHoonMain · 14/03/2020 15:22

Singapore is not exactly a true democracy- residents can have their permits revoked for lying about travel history and / or not following guidance. They also pay the self-employed in the event of sickness.

GrumpyHoonMain · 14/03/2020 15:23

Colleagues based in Singapore have also been told to be prepared for all non-citizens to have their residence permits revoked in the event of a true outbreak. To the point where many people are leaving (or trying to leave) now.

AsiaTruly · 14/03/2020 15:26

Absolutely - the population is very compliant and very strict measures are in place.

For example, for people placed on a SHN, it is the employers' or schools' responsibility to ensure that people comply and that they are kept physically and psychologically well. That involves daily telephone calls and if no answer, physical checks. Also offering counselling and if food needed, someone from the workplace to deliver it. Accountability down to the workplace/school and the possibility of curtailed hiring practices if not carried out properly. Unionised UK would never allow that!

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AsiaTruly · 14/03/2020 15:27

GrumpyMoonHain I've not heard of that at all and I don't believe it to be true. I don't know of people trying to leave either.

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JulietTango · 14/03/2020 15:28

SabineSchmetterling

Oh I totally agree. But it shows that despite the rigorous measures it's not stopped.

I think the best country to watch the numbers of is Germany.

I saw a graph comparing Italy to South Korea at around the same amount of cases and the difference was startling. Italy had so many more cases in the over 65's than South Korea. For this reason I don't think it's possible to compare different countries outbreaks. Purely due to different criteria and availability for testing. I mean imagine comparing Germany to USA in 6 weeks time. Their deaths in relation to confirmed cases are going to be through the roof.

Personally I think taking out of circulation anyone displaying any sort of symptoms is logical. I have had a slight cough since Monday. I probably cough about twice per hour and yes I'm staying in until this Monday coming. Do I think I have covid-19? No I don't. Am I going to take the chance? Certainly not.

daisypond · 14/03/2020 15:29

But there's still twice as many cases per 1m population than the UK?
Because they are actually testing people. Unlike the UK.

AsiaTruly · 14/03/2020 15:35

I con't think it can be stopped, even with all these measures, if we still allow entry from other countries.

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JulietTango · 14/03/2020 15:38

The only thing which will stop it is complete isolation until such time as 28 days have passed without any new cases. And that means testing anyone displaying any sort of symptoms.
But I think that's impractical 🤷🏼‍♂️

JJPC · 14/03/2020 15:44

I think Singapore is also doing a lot better at diagnosing people. My relatives with minor symptoms have been fully tested and held in quarantine until cleared.

We no longer live there but even 2 years ago my sons preschool did temperature checks before letting anyone in and closed for 2 days to deep clean after a child had hand foot and mouth disease!

AsiaTruly · 14/03/2020 15:53

It's definitely not a case of testing everyone. I know of quite a few people who have had minor colds, etc. recently and have not been tested. But anyone with contact or more serious symptoms seems to be.

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Limpshade · 14/03/2020 16:19

I live in Singapore and haven't heard of anyone actively trying to leave. I'm not saying it isn't the case, just not something I've heard of. Amongst friends the belief tends to be the opposite - that we are safer here (currently) than we would be in the UK.

AsiaTruly · 14/03/2020 16:22

Yes, same here Limpshade. I really doubt that idea of visas revoked either. Singapore thrives on the amount of expats here.

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LauraAshleyDuvetCover · 14/03/2020 16:30

I know somebody who has been recalled to Singapore from the UK (is British, but has lived /worked there for years, was meant to be over here for three months of mixed working and seeing friends and family). I thought they might have left her here to be honest, rather than calling her back.

AsiaTruly · 14/03/2020 16:32

recalled? By her company?

We are fully expecting the UK to be added to the list of countries that require a 2 week SHN for residents or non-entry for non-residents in the next few days. That might be why.

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LauraAshleyDuvetCover · 14/03/2020 16:58

Yes. I suppose it makes sense to get her back now, rather than waiting until May when she might not be able to get back.

AsiaTruly · 15/03/2020 12:34

Things have changed today. Advice against all foreign travel and SHN for 14 days for lots more countries, including the UK.

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AsiaTruly · 15/03/2020 12:42

Quote from www.channelnewsasia.com/news/singapore/coronavirus-covid-19-singapore-malaysia-asean-stay-home-notice-12539952

About the UK being on the list:

[Instead,] some of the countries under travel restrictions have "abandoned any attempt" at containing the spread of the virus, he said.

Noting that the UK and Switzerland had said so "publicly", Mr Wong said: "If there is no deliberate effort to contain, then we anticipate that the numbers of infected cases in these countries will rise even more sharply in the coming days or weeks."

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