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Outbreak Situation

Updated as of ​​19 ​February 2020

​Local Update

18 February

The Ministry of Health (MOH) has confirmed and verified four additional cases of COVID-19 infection in Singapore. Of these, three are linked to the Grace Assembly of God and one is linked to a previous case.

There are now 5 clusters of COVID -19 infection:

  • The Life Church and Missions Singapore – 5 cases
  • Yong Thai Hang (24 Cavan Road). – 9 cases
  • Private business meeting held at Grand Hyatt Singapore from 20 to 22 January—3 cases
  • Seletar Aerospace Heights construction site – 5 cases
  • Grace Assembly of God – 21 cases

Contact tracing is underway for another 7 locally transmitted cases to establish any links to previous cases or travel history to mainland China.

This total number of cases in Singapore stands at 81 

Update on condition of confirmed cases

To date, a total of 29 cases have fully recovered from the infection and have been discharged from hospital. Of the 52 confirmed cases who are still in hospital, most are stable or improving. Four are in critical condition in the intensive care unit.

CONFIRMED CASES IN SINGAPORE

81

CASES AWAITING RESULTS

103

CASES IN CRITICAL CONDITION

4

DISCHARGED

29

 

Global ​Spread Update

  • 2 charts show how quickly the Wuhan coronavirus has spread across the world (Read full - Source: Business Insider)

Toll of the Infection as of ​Feb 1​9

PLACES  CONFIRM CASES  REPORTED DEATH
China 74,185 2,004
Cruise ship (Diamond Princess) 542 0
Singapore 81 0
Hong Kong 62 2
Japan 60 1
South Korea 46 0
Thailand 35 0
Malaysia 22 0
Taiwan 20 1
Germany 16 0
Vietnam 16 0
Australia 15 0
United States 15 0
France 12 1
Macau 10 0
United Arab Emirates 9 0
United Kingdom 9 0
Canada 8 0
India 3 0
Italy 3 0
Philippines 3 1
Russia 2 0
Spain 2 0
Belgium 1 0
Cambodia 1 0
Egypt 1 0
Finland 1 0
Nepal 1 0
Sri Lanka 1 0
Sweden 1 0
TOTAL 75,183 2,010

Source: www.channelnewsasia.com/news/topics/wuhan-virus

Wuhan coronavirus compared to other major viruses

VIRUS

YEAR IDENTIFIED

DEATHS

FATALITY RATE

CASES

Ebola***

1976

15,158

4​3.​9%


34,453

SARS

2003

813

10%

8,437

MERS**

2012

858

34.4%

2,494

2019-n-Cov*

2020

305

2.1%

​14,562

*As of 2 February 2019 
**As of November 2019
***As of 20 January 2020
Sources: 
https://multimedia.scmp.com/infographics/news/china/article/3047038/wuhan-virus/index.html

Symptoms

It is not possible to distinguish clearly between symptoms of the common cold, influenza and the 2019-nCoV. 

In an article published in the Lancet, it was reported that there were three major patterns of the clinical course of infection:

  • Mild gradual illness with upper respiratory tract presenting symptoms; 

  • Non-life-threatening pneumonia; 

  • Severe pneumonia with acute respiratory distress syndrome (ARDS) that begins with mild symptoms for 7 to 8 days and then progresses to rapid deterioration and ARDS requiring advanced life support

It causes a mild and self-limiting disease in most people (80%) who are infected, with severe disease more likely among older people or those with coexisting diseases, such as diabetes, pulmonary disease, and other chronic conditions. The fatality rate stands around 2.6 per cent.

Mode of Transmission and Infectiousness

Preliminary studies suggest that incubation period for the 2019-nCoV can range from two to 14 days. Mean incubation period observed in a study: 5.2 days.

Like other human coronaviruses, transmission of the 2019-nCoV occurs through droplets and can happen through:

i. Coughing and sneezing

ii. Close personal contact, such as touching or shaking hands

iii. Touching an object or surface with the virus on it, then touching your mouth, nose, or eyes before washing your hands

The role of faecal–oral transmission is yet to be determined in COVID-19.

Treatment Updates

Medical care of viral pneumonia is largely supportive using medication and to help relieve symptoms and address seven complications such as bacterial infections. There are no licensed vaccines or coronavirus antivirals.

On 2 February, doctors in Thailand reported positive outcomes in treating patients with a mixture of the HIV drugs, Lopinavir and Ritonavir, in combination with a flu drug Oseltamivir in large doses, noting that the treatment had improved the condition of several patients under their care. A few coronavirus patients in Singapore were treated with a combination of lopinavir and ritonavir as well.

Meanwhile, scientists from the United States to Australia, led by the Coalition for Epidemic Preparedness Innovations (CEPI) established in 2017, are using new technology in an ambitious, multi-million-dollar drive to develop a vaccine in record time to tackle China's coronavirus outbreak.

Updates on Definition of suspected case of 2019nCoV

The MOH definition of a suspect case of the 2019-nCoV infection was further expanded on 4 February to be:

a) ​A person with clinical signs and symptoms suggestive of pneumonia or severe respiratory infection with breathlessness AND travel to mainland China within 14 days before onset of illness; OR


b) A person with an acute respiratory illness of any degree of severity who, within 14 days before onset of illness had:

  • Been to Hubei Province (including Wuhan city) or Zhejiang Province (including Hangzhou city), China; OR

  • Been to a hospital in mainland China; OR 

  • Had close contact with a case of 2019 novel coronavirus infection; OR

  • Had frequent or close contact during work* with recent travellers from mainland China (travel history in the last 14 days). 

(*Persons who attended business meetings / discussions, frontline staff in hospitality and tourism (e.g. hotels, shops, tours) with regular dealings with travellers from mainland China.)

What’s Happening in China

China continued to report escalating numbers of confirmed COVID-19 cases to 72500 with death toll rising to 1868.

According to the WHO, the majority of the novel coronavirus cases in China were considered "mild". A breakdown of cases provided by Chinese authorities found that 82 per cent of the cases were mild, 15 per cent severe and 3 per cent critical.

SINGAPORE

81 - Confirmed Cases

DORSCON Level - Orange
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