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Medical staff wait at a traffic light outside Singapore’s Tan Tock Seng Hospital, as authorities try to contain the spread of a coronavirus cluster detected at the facility. Photo: AFP

Singapore tightens coronavirus restrictions amid hospital cluster fears. But will this affect travel bubble?

  • Certain public areas will be closed and mall shoppers limited after 13 Covid-19 cases linked to Tan Tock Seng Hospital - including five who were fully vaccinated
  • Singapore also banned visitors from India’s neighbours Bangladesh, Nepal, Pakistan and Sri Lanka, and cautioned that the Hong Kong travel bubble situation is ‘fluid’
Singapore is enforcing stricter coronavirus measures after finding an infection cluster at one of its largest hospitals, with health authorities saying on Friday they may consider further restrictions if cases grow and indicate widespread transmission.
The country this week reported its highest number of new domestic Covid-19 infections in about seven months, after a run of almost zero domestic transmissions. It currently has over 61,000 infections and this month reported 55 new local cases compared to the nine in March.

The new controls include restricting the number of people in malls, shops and attractions, and closing public areas such as outdoor barbecue pits in parks and condominiums. Campsites will also be closed. In addition, employers have been urged to let staff work from home and avoid social gatherings at work, just weeks after the limit on employees in workplaces was relaxed from 50 per cent to 75 per cent.

Singapore will also ban short-term visitors from the four countries neighbouring India – Nepal, Pakistan, Bangladesh and Sri Lanka – from 11.59pm on Saturday, given India’s “sharp increase” in infections. It has reported over 2.5 million cases in the past seven days, 30 times as many as in mid-February. Singapore banned short-term arrivals from India starting April 23. There will also be stricter quarantine requirements for arrivals from Thailand, which has in recent weeks set record daily highs of new cases and deaths.

Nurse, doctor and 3 patients test positive for Covid-19 at Singapore hospital

Singapore on Thursday announced a new cluster of infections at Tan Tock Seng Hospital in the centre of the city and on Friday reported four more cases linked to the cluster, bringing the total to 13. Of these, five are staff and eight are patients.

Health Minister Gan Kim Yong said authorities are monitoring the hospital cluster closely and the next few days were critical. “If we find many more cases that suggest widespread transmission, we will have to introduce more measures to break the chain of transmission,” said Gan.

The hospital has already shut down four wards and will test all its staff for Covid-19. The patients in the four closed wards have so far all tested negative. Staff will work in cohorts, and all discharged patients and visitors who were at the hospital from April 18 will be surveilled by authorities. Public places visited by the hospital cases during their infectious period will be closed for two days for cleaning. These include restaurants, supermarkets, a church and mosques.

Education Minister Lawrence Wong, who co-chairs the virus task force with Gan, said Singapore had to be prepared that if the situation were to worsen “we may have to consider further tightening and significantly reducing interactions in the community with more stringent measures”. He said authorities will pay attention to unlinked cases found in the community as well as compliance with safe management measures.

Of the 13 cases at the hospital, four of the staff and one of the patients were fully vaccinated while another patient had received one dose of the vaccine. Director of medical services Kenneth Mak said investigations so far found that there were no issues with the quality of the vaccines these people had received. Singapore has been using vaccines from Pfizer-BioNTech and Moderna.

Wong said residents should not overreact to news of vaccinated people catching the virus nor make the mistake of thinking that vaccinations do not work. “I think that would be disastrous because the vaccinations do work,” he said.

Singapore’s Education Minister Lawrence Wong, who co-chairs the virus task force, said the travel bubble suspension mechanism would not change, but the situation is ‘highly unpredictable’. Photo: AFP


Singapore and Hong Kong are due to start a travel bubble on May 26. The suspension mechanism for the bubble kicks in if either city reports more than five unlinked cases on a seven-day moving average. An earlier attempt to launch the bubble was stymied by a new wave of cases in Hong Kong.

In response to a question from This Week in Asia on whether the situation in Singapore would affect the quarantine-free travel arrangement, Wong said the bubble suspension mechanism would not change. However, he added that travellers must be “mentally prepared” that the “fluid” situation could change, and the bubble would not start if Singapore reached the threshold before May 26.

“It’s highly unpredictable, there will be ups and downs in our infection controls from time to time,” said Wong.

Currently, Singapore’s seven day moving average of unlinked cases was 1 as of Thursday night, while Hong Kong’s was 0.29 as of Friday.

Explainer | What you need to know about the Hong Kong-Singapore travel bubble

The growing hospital cluster is among the handful of active coronavirus clusters that Singapore has recently discovered. Another involved a group of recovered migrant workers who were all staying in the same mega-dormitory. They were linked to a 35-year-old Bangladeshi worker who caught the virus despite being fully vaccinated.

Health authorities provided an update on Friday, saying that 27 recovered migrant workers had again tested positive for the virus. Of these, 20 are shedding virus fragments of old infections, which they earlier said were non-infectious. Two were later tested negative, and five were determined to be likely reinfections.


Travel bubble: Hong Kong and Singapore to launch quarantine-free entry after long delay

Travel bubble: Hong Kong and Singapore to launch quarantine-free entry after long delay

Regarding the tightened border restrictions, Wong, the co-chair of the task force, said Singapore has been monitoring the situation in India but it “unfortunately has continued to deteriorate, and we know that the infection is spreading beyond India to the surrounding countries”.

Visitors entering Singapore from Thailand could previously opt out of serving their two-week quarantine period at a dedicated facility, but will no longer be able to.

But those arriving from Fiji and Vietnam would still be allowed to serve their 14-day stay-home notice at their place of residence, provided they live there alone or are with household members who are also serving the same isolation period, authorities said.