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from straitstimes.com:

S'pore's new Covid-19 rules to focus on 5 effective measures, including group size, safe distancing​


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SINGAPORE - It is no longer necessary to block off public seating areas or close barbecue pits to prevent the transmission of Covid-19, now that Singapore has a good handle on what makes the virus spread, said Health Minister Ong Ye Kung on Wednesday (Feb 16).

Instead, the country's safe management measures will be simplified to cover five areas. They are: group sizes, mask-wearing, workplace rules, safe distancing and capacity limits.

Should the pandemic situation change, these parameters can be more easily tightened or relaxed across the board, instead of making small changes across different settings that will add up to a "confusing web of regulations", Mr Ong said.

He told reporters at a virtual press conference that focusing on these five areas will allow restrictions to be eased in other areas.

For instance, Singapore can do away with the practice of blocking off alternate seats on park benches or urinals in toilets, as long as users are wearing masks. While some businesses may also have removed magazines from common areas and hairdryers from public showers, this is no longer necessary.

"We no longer forbid practices that actually do not make a material difference to the pandemic, but which we are observing very strictly," Mr Ong said. "I think all these little things really don't matter anymore, and we can do away with them."

Streamlining the rules will also mean that there will no longer be prescriptive rules for various social situations, the minister added.


Some examples: Barbecue pits can be open as long an as people stick to the prevailing restrictions on group size, while wedding guests do not have to be separated into zones if they abide by the rules and do not mingle with other tables.

In addition, school assemblies no longer need to be limited to 30 minutes, while team sports can resume as long as players keep to the rules on masks and group size.

Finance Minister Lawrence Wong observed that Singapore had implemented various safe management measures over the past two years in an effort to suppress the spread of Covid-19.

"Now, we are in a new phase of dealing with the pandemic. And at the same time, the rules have become complex, unwieldy - and it's becoming harder for people to remember or follow the rules," he said.

This is why the existing rules have been distilled to five key parameters, he added. "These are what we think are the most important and effective parameters, based on the experiences of the last two years."

As part of these changes, the permitted group size for social gatherings will be set at five persons across the board starting Feb 25. This means households will be able to receive five visitors at any one time, instead of five visitors a day now.

Social gatherings of up to five people will also be allowed to take place in the office. Workers will not have to stay 1m apart as long as their masks are on.

And safe distancing will be encouraged, but not mandatory, as long as all in the group keep their masks on. However, in settings where masks are removed, people will still have to stay 1m apart.

From March 4, there will no longer be varying size limits for different types of events. Instead, size limits will be imposed based on an event venue's capacity.

For example, funerals held outside the home are currently allowed to have only 30 people present at any one time. Under the changes, they will be allowed to host as many people as the venue can hold.

However, a capacity limit of 50 per cent will still be imposed for larger settings and events where more than 1,000 people are present and mask-on rules apply. This is a precaution as such settings pose more infection risks, the Health Ministry said.

They include attractions and cruises, as well as large work events, performing arts venues and sports stadiums.

The occupancy limit for shopping malls and large standalone stores will remain at 10 sq m per person of gross floor area when there are more than 1,000 visitors present.

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Other rules to address the problem posed by "higher-risk activities" will not be changed for now, Mr Wong said. These include restrictions pertaining to singing, alcohol consumption at food and beverage outlets and nightlife.

"But over time, as we adjust our overall posture around the five key parameters, we will also be reviewing and updating these specific rules for the settings which I have just described," he added.
 

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from straitstimes.com:

More Covid-19 Omicron patients in S'pore can isolate at home​


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SINGAPORE- From Wednesday (Feb 16), more people infected with Covid-19 can be managed by primary care doctors, said the Ministry of Health (MOH).

Specifically, this applies to those aged three to 69 years old, regardless of vaccination status, and fully vaccinated patients aged 70 to 79 - if they experience only minor respiratory symptoms and have no underlying health risks. They do not need to head to a hospital.

This is an expansion of the previous qualifying age band for treatment from primary care doctors - fully vaccinated patients aged five to 69 years old, and non-fully vaccinated patients aged five to 49.

Patients falling outside of the revised age brackets announced on Wednesday (Feb 16) will continue to be managed by MOH, either through the home recovery programme or at a care facility such as a Covid-19 treatment facility or a hospital.

For instance, all fully vaccinated seniors aged 80 and above as well as non-vaccinated individuals aged between 70 and 79 will be managed under the home recovery programme, where telemedicine providers will monitor and provide treatment as needed.

Those aged 80 and above who are not fully vaccinated will be managed in a care facility.

Also, infected infants below the age of three months will be managed in a care facility, while infected children aged from three months to below three will be put on the home recovery programme.


"We reviewed the outcomes of our patients infected with Omicron. The majority had mild symptoms (and) are asymptomatic, and they're able to safely recover on their own," said Singapore's director of medical services Kenneth Mak at a Covid-19 multi-ministry taskforce press conference on Wednesday.

For example, less than 3 per cent of fully vaccinated patients below the age of 80 and non-fully vaccinated patients below the age of 70 needed oxygen supplementation, or intensive care unit (ICU) care in hospitals. This is in contrast to those who are not fully vaccinated and above the age of 80, where more than 20 per cent needed oxygen supplementation or ICU care.

"This data... allows us now to simplify our health protocols and reduce the need for admission into the hospital or the community treatment facilities for treatment and care," said Prof Mak.

"This means more age groups of patients may now be managed by primary care physicians...if they exhibit mild symptoms."

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The latest move will ensure that Singapore's healthcare capacity is reserved for those who require acute care, MOH said in a statement on Wednesday (Feb 16).

As Omicron cases surge, general practitioner clinics and polyclinics have been seeing a flood of Covid-19 patients. More people have also been rushing to the emergency departments of hospitals, even though they have mild symptoms.

"If you are well and suspect you have Covid-19, please self-isolate at home," advised Prof Mak. He said there is no need to see a GP, visit a polyclinic or rush to the emergency department to get a test. If needed, a test can be obtained at various test centres around Singapore. MOH has made these free from Wednesday till March 15.

"Individuals with non-emergency conditions turning up at EDs (emergency departments) may be diverted to other urgent care clinics for further assessment, so as to prioritise ED resources for patients requiring acute care," said MOH in its Wednesday (Feb 16) statement.

"Individuals may also be diverted for admission to Covid-19 treatment facilities for further monitoring of their medical condition, as long as they do not require hospitalisation."
 

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from straitstimes.com:

S'pore to simplify Covid-19 rules for gatherings, travel; up to 5 household visitors allowed at any one time per day​


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SINGAPORE - Singapore is changing its Covid-19 rules to make them easier to understand, in a move to better adapt to future changes in the pandemic situation.

These changes will impact healthcare protocols for infected people, workplace testing requirements, border measures and safe management measures.

"These rules have accumulated over the past two years and become quite unwieldy," said Health Minister Ong Ye Kung. "By streamlining them, we can adopt a posture that will better enable us to open up when the time is right."

But it is not yet time to ease restrictions as Singapore is still climbing the epidemic curve, he added at a press conference on Wednesday (Feb 16).

Singapore saw its largest single-day spike in coronavirus cases on Tuesday, when a total of 19,420 infections were reported. Of these, 19,179 were local cases and the rest imported.

"If Singapore is like many other countries that have gone through, or are going through the Omicron wave, in a few weeks, cases will come down - perhaps even quite dramatically," the minister added.

"And then we will be in a position to ease travel rules, as well as our domestic safe management measures."

Trade and Industry Minister Gan Kim Yong said bolder moves can be considered once the Omicron wave is over, for instance raising group sizes from the current five to eight, 10 or more.

As part of the changes, Singapore will focus its safe management measures on five areas. These are: group sizes, mask-wearing, workplace rules, safe distancing and capacity limits.

From Feb 25, households will be allowed to host five visitors at any one time, instead of five visitors a day. Social gatherings at workplaces will also be allowed to resume in groups of up to five.

In all settings, safe distancing is encouraged - but not mandatory - as long as masks remain on. But people should still remain 1m apart for all events and gatherings where masks are off.

The changes mean that these measures are now more consistent across different settings, while other restrictions - such as blocking off alternate seats in public areas or sealing off barbecue pits - can be done away with altogether.

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Rules for Covid-19 patients and their close contacts have also been streamlined, to allow more people to be treated by general practitioners and ease the load on hospitals.
From Wednesday, general practitioners will manage almost all Covid-19 patients above the age of three. And people who have been in close contact with an infected person will be told to monitor their health for five days, down from seven days.
And from Feb 18, rostered routine testing will no longer be mandatory for most workers. Only those working with vulnerable people - that is, healthcare workers and those in the eldercare and pre-school sectors - will have to keep on taking regular Covid-19 tests.

Singapore will also condense several existing travel categories into a new "general travel" category, and create a new "restricted" category for countries where the situation warrants closer watching.

In addition, people arriving from Feb 21 will face relaxed border measures, including simpler on-arrival testing requirements.

This is because Singapore's Covid-19 incidence rate is now comparable with most overseas destinations, and imported cases are unlikely to affect the trajectory of local cases, the Health Ministry said in a statement.

"Our focus has thus shifted to facilitating inflows from travellers who are less likely to become severely ill and burden our healthcare capacity while they are in Singapore," it said.

The Vaccinated Travel Lane scheme, which facilitates quarantine-free travel into Singapore, will also be expanded to more countries including Qatar, Saudi Arabia and the Philippines.
 

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from straitstimes.com:

Covid-19 patients with mild symptoms can get results certified for free at test centres, instead of GPs​


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SINGAPORE - From Wednesday (Feb 16) to March 15, Covid-19 patients with mild or no symptoms can visit a test centre to take a supervised self-administered antigen rapid test (ART) for free, and get their results reflected in their HealthHub record.

This is to ease the pressure on general practitioner (GP) clinics and polyclinics, so that they can focus on patients who need medical attention, the Ministry of Health (MOH) announced on Tuesday.

It will first make this available at 48 combined test centres (CTC) or quick test centres (QTC) located islandwide.

By the end of the week, about 205 such centres will offer these supervised self-administered ARTs, which will be fully funded by the Government for these four weeks, MOH said.

If a person is shown to be positive on the test, he can then collect three free ART kits from a vending machine and self-isolate at home for at least 72 hours.

Members of the public can book their supervised self-administered ART at this website.

In its release, MOH said that in recent weeks, GP clinics, polyclinics and hospitals have continued to report a surge in the number of patients, many with no or mild symptoms visiting to get an ART conducted by a medical professional and officially documented in MOH's records.


The hospitals' emergency departments have similarly received many patients who are not in need of emergency medical assistance.

Health Minister Ong Ye Kung revealed the news on this plan in Parliament earlier on Tuesday. He said that allowing quick test centres to do this will help take some pressure off the GP clinics.

Singapore is in the midst of an Omicron surge, with around 10,000 cases daily, and this could rise further to possibly 15,000 to 20,000 cases a day, Mr Ong said in Parliament in response to Mr Yip Hon Weng's (Yio Chu Kang) question on how the healthcare system is coping with the Omicron wave.

But he added that this is not an issue, as most people who catch Covid-19 today have mild symptoms.

There are currently 20 to 30 patients in the intensive care unit (ICU), compared with the 171 ICU beds occupied by Covid-19 patients at the peak of the Delta wave last year, he said.

"Where we face pressure now is not on the clinical side of healthcare but on the operational side of healthcare because the number of calls from patients to hotlines is increasing," Mr Ong said.

MOH is able to answer well over 90 per cent of calls from the public, with the help of government agencies, including the Singapore Armed Forces, he added.

But GPs are facing quite a bit of pressure, with long queues of patients, he said.

Mr Ong noted that people go to GPs for various reasons, for instance, to confirm their infection and get a medical certificate, or to prove that they have recovered from Covid-19 before travelling.

In Singapore, an infection episode can be considered a booster dose if a person prefers not to get the extra jab, provided he has seen a doctor so that the infection will be reflected in MOH's medical records.

While the quick test centres will ease the load on doctors, they will not be able to issue medical certificates, unlike going to a GP, said Mr Ong.
 

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from straitstimes.com:

Covid-19 restrictions can be eased if infection numbers subside: Ong Ye Kung​


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SINGAPORE - The number of deaths caused by the Omicron variant of Covid-19 averaged two to three a day in the past two weeks, down from the 13 deaths a day caused by the Delta variant at its peak, said Health Minister Ong Ye Kung in a written parliamentary reply on Monday (Feb 14).

"We will continue to monitor the key indicators closely to make sure our healthcare system can cope as we ride through the Omicron transmission wave. Once it has peaked and starts to subside, we can look forward to easing our safe management measures," he said.

The timeline will depend on the epidemic situation, and the number of deaths is one of the key indicators to tell if Singapore's healthcare system is able to cope with the Omicron wave, Mr Ong added.

He was responding to Mr Lim Biow Chuan (Mountbatten SMC), Mr Christopher de Souza (Holland-Bukit Timah GRC) and Mr Gerald Giam (Aljunied GRC), who asked about the target criteria to ease up on current Covid-19 restrictions and to allow social gatherings of more than five.

During the peak of the Delta wave from late October to early November, there were about 13 deaths a day, he said.

In the past two weeks, despite cases being three times more than during the Delta wave as the Omicron variant is more infectious, there have been an average of two to three deaths a day.

"But there had been days when deaths were also more than five. We have to watch the trend very closely, but for now, the case mortality due to the Omicron variant is not very different from the number of deaths related to various viral infections pre-Covid-19," said Mr Ong.


The number of cases in intensive care units (ICUs) is another key indicator, and current figures show that the intensive care wards are not "coming under pressure and are in good shape", he said.

There are around 30 patients in ICUs across hospitals, compared with 170 patients at the peak of the Delta wave, said Mr Ong, noting that around 0.05 per cent - or five in 10,000 - of Covid-19 cases require intensive care currently.

The duration of stay in ICU is also shorter, typically three to five days, compared with the average 11 days' stay by Delta patients.

There are 113 ICU beds now, which can be ramped up to 350 at short notice and to 500 beds should the need arise, Mr Ong said.

Currently, around 130 patients require oxygen supplementation, which is around 40 per cent of the peak of the Delta wave, he added.

The biggest constraint is the number of hospital beds, as there are around 1,200 Covid-19 patients currently hospitalised, said Mr Ong.

Of these, around 30 per cent are "incidental cases", meaning they were admitted for non-Covid-19 conditions and subsequently found to be infected as patients are tested during their stay.

"In other words, they do not take up extra beds due to their infection. So the extra workload on our hospitals is two-thirds of the 1,200 hospitalised cases," said Mr Ong.

Patients infected with the Omicron variant also have a shorter hospital stay of about three to four days, compared with five to eight days for those infected with the Delta variant, so beds are freed up faster, he added.

Additionally, there are about 3,800 beds in Covid-19 treatment facilities, which will be ramped up to 4,600 by the end of this month.

On top of these key indicators, it is also important to monitor the state of healthcare manpower, noted Mr Ong.

The attrition rate of doctors from public acute hospitals has remained comparable with the rate in 2019, at around 3 per cent to 5 per cent, while nurses' attrition rate was about 8 per cent in 2020 and 2021, comparable with that in 2019. The absenteeism rate due to Covid-19 is around 2 per cent, he added.

"We do not take this for granted and will continue to support our healthcare professionals. We are also working closely with clusters to help them recruit new healthcare workers," said Mr Ong.

In a separate written reply to Mr Louis Chua (Sengkang GRC), Mr Ong noted that about 887,000 health risk warnings (HRWs) were issued between Oct 11 last year and Jan 31 this year.

Close to 60 per cent were household contacts of Covid-19 cases, while the remainder were identified by TraceTogether, SafeEntry and other forms of contact tracing, he said.

Around 10 per cent of those who received HRWs eventually tested positive, with household contacts more likely to be infected than workplace or social contacts picked up by contract tracing, added Mr Ong.
 

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from straitstimes.com:

Healthcare workers may not need to take unpaid leave if they run out of sick leave​


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SINGAPORE - The sick leave of healthcare workers can be recorded as hospitalisation leave in the coming days, following a request from the Healthcare Services Employees' Union. This means they do not have to take unpaid leave if they run out of sick leave.

Health Minister Ong Ye Kung said this in a note he penned to healthcare workers in public hospitals and polyclinics on Monday (Feb 21).

He said that to help further reduce patient loads, public messages will be pushed out to encourage those with mild symptoms to recover at home, and for employers to not require medical certificates from workers infected with Covid-19.

"I want to let you know that the Ministry of Health and your management will continue to do our best to support you, to pull through this difficult period, just as we ensured you have priority to vaccines and boosters, spread out cases by leveraging Covid-19 treatment facilities and general practitioners, and implemented the difficult no-visitors policy," he wrote.

"We will continue to do whatever we can."

Mr Ong added that a vaccinated travel lane (VTL) with the Philippines will start soon, and the VTL quota with India will be restored. This will allow foreign healthcare workers to travel home to meet their families, and they will not have to serve quarantine when they return to Singapore.

To address manpower shortages, the healthcare volunteer corps is being mobilised and the Singapore Armed Forces has agreed to support hospitals with the heaviest patient loads by providing them with trained medics.


"For our healthcare workers, whether Delta or Omicron, I know your workload has been heavy," Mr Ong said.

"But MOH and the multi-ministry taskforce will also need to continue to explain to the public that Omicron is less severe than Delta because from the public's point of view, they need to know that Omicron poses less of a risk."

He said this would help members of the public to respond calmly instead of rushing to hospitals when their symptoms are mild.

In his letter, Mr Ong also addressed concerns about why safe management measures were being streamlined at this point in time.

He said the "micro rules" do not make a difference to the pandemic at present, and the focus for the public should be on the measures that can still help flatten the transmission wave, such as group sizes, masking and vaccination-differentiated measures.

"The pandemic has been going on for over two years now. Like you, we want to see the pandemic pass," he wrote.

"With each day our society becomes stronger and we move closer to normalcy. So hang in there for a while more. It is no longer light at the end of tunnel, but barring unforeseen circumstances, it is something within our grasp."

He thanked the healthcare workers and their families.

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OYK thanks primary care clinics. :thumbsup:

Ong Ye Kung

1 hr ·
Two days ago, MOH invited GP clinics to extend their operating hours, to spread out the load of patients.
Most heartened that despite being so busy already, about 170 GP clinics have stepped forward to offer their help. The extension of hours will start tomorrow, for the next two weeks.
MOH provides a grant to these GPs that extend their operating hours. I received a text today, informing me that one of the GPs has decided to pass the grant to his 5 staff, to recognise their hard work.
With everyone chipping in, we can all be assured that we will ride this Omicron wave and emerge stronger as one integrated healthcare system.
Many thanks to all our primary care clinics.
Photo credit: Trinity Medical & Aesthetic Clinic

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OYK congratulates HSA. :thumbsup:

Ong Ye Kung

6 hrs ·
Throughout the COVID-19 pandemic, the Health Sciences Authority (#HSA) has put in a stellar performance – in approving vaccines, therapeutics, various PCR and ART test kits, through their rigorous and objective evaluation processes.
This, plus its other capabilities, has earned it a special recognition. It has now achieved the Maturity Level 4 certification.
This is the highest level of accreditation by the World Health Organization (WHO) for benchmarking regulatory systems. HSA is the first regulator of medicines in the world to achieve it.
HSA is well-poised to contribute to the safety and well-being of #Singapore, the region and beyond. Congratulations and well done, HSA!

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OYK is sad that his primary school form teacher has passed away. :frown:

Ong Ye Kung

Yesterday at 18:28 ·
I learnt with sadness that my primary school form teacher 谢修明老师 passed away this morning.
She was our Chinese teacher, and also the discipline mistress of the school.
She is a strong reason why I am bilingual, and she instilled strong values in everyone in class.
Several students still maintain a WhatsApp group with her, often to wish her well on special occasions. Everyone is sad to learn about her passing.
For we all know how lucky we were to have a teacher like her during our formative years.
安息,谢老师。
May be a close-up of 1 person and indoor

 

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from straitstimes.com:

48% of people whose vaccination status lapsed for not taking booster shot are S'poreans, most are seniors​


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SINGAPORE - Just under half of the 21,800 people who have had their Covid-19 vaccination status lapsed on Feb 14 for failing to take the booster shot are Singaporeans, Health Minister Ong Ye Kung told Parliament on Monday (Feb 28).

Another 14 per cent are permanent residents while the remaining 38 per cent are work pass holders.

Most Singaporeans who have not got their booster shots are aged 60 and older, Mr Ong added in response to a question from Ms Joan Pereira (Tanjong Pagar GRC).


"A common reason for not getting booster jabs is that they seldom go out, feel adequately protected with their primary vaccination and preferred to delay their booster vaccination," he said.

He added that the Ministry of Health (MOH) was unable to ascertain the reasons for non-citizens not getting their boosters, although indications are that many are overseas.

On Feb 14, new rules were implemented requiring those 18 and above to have to take a booster shot within 270 days of completing their primary Covid-19 vaccination series to maintain full vaccination status.

People who do not do so will not be able to dine-in at restaurants or go to shopping malls, among other things, under the vaccination-differentiated safe management measures currently in place.


Nine in 10 people have completed the primary series of vaccination, while two-thirds of the population have received booster shots.

Mr Ong said his ministry will continue encouraging people to get their booster shots through various means.

These include sending them reminders and making inoculation as convenient as possible, with mobile teams sent to the heartland, for example.
 

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from straitstimes.com:

HSA is first health authority to reach WHO's top level for medicine regulatory system​


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SINGAPORE - The Health Sciences Authority (HSA), the national regulator of health products in Singapore, has been recognised by the World Health Organisation (WHO) as having an advanced medicine regulatory system.

Out of 28 countries formally assessed by WHO, Singapore is the first to have achieved the highest level - what WHO calls maturity level ML4 - in its classification of regulatory authorities for medical products.

Amid the Covid-19 pandemic, HSA has been releasing monthly Covid-19 vaccine safety reports as it monitors the adverse drug reactions associated with the vaccines.

It said the system that it uses to monitor the reactions associated with medicine and vaccines has also been validated by this achievement.

It took three years for HSA to prepare for this ML4 rating, which came after an assessment by a WHO-led team of international experts that took place from late October to early November last year.

"This is great recognition of Singapore's achievement and very good news for the broader region," said Mr Martin Taylor, director of health systems and services in WHO's Western Pacific region and acting director for data, strategy and innovation, in a WHO press release.

"Singapore already helps several neighbouring countries to expedite their medicines assessments and this WHO classification may also encourage other countries and areas to continue strengthening their medicines oversight."

WHO evaluates the overall maturity of a country's medicine regulatory system on a scale of 1 (existence of some elements of a regulatory system) to 4 (operating at an advanced level of performance and continuous improvement).

It uses a global benchmarking tool, which has replaced all evaluation tools previously used by WHO. There are now seven countries on WHO's list of regulatory authorities operating at maturity levels 3 for different product scopes.

They include Ghana and Tanzania for medicine and vaccines (non-producing).

India, Indonesia, Serbia, Thailand and Vietnam are at this level for vaccines (producing).

Apart from ensuring the quality, safety and efficacy of medical products, regulatory authorities that function well also perform critical functions such as faster authorisation of products and drug safety monitoring after authorisation, said the WHO.

"Fewer than 30 per cent of the world's medicines regulatory authorities are considered to have the capacity to perform the functions required to ensure medicines, vaccines and other health products work and do not harm patients," it said in the release.

"For that reason, WHO has intensified efforts to bolster the capacity to regulate medical products in all regions and is working to strengthen regulatory networks where the most advanced regulatory authorities can act as lighthouses for regulators with fewer resources or which have not yet reached maturity."

Indeed, this rating requires HSA to publish its assessment reports detailing the safety, efficacy and quality of registered medicine and vaccines.

HSA said in its media release that other international regulatory agencies can then leverage its publicly available reports to facilitate their review of these products.

Health Minister Ong Ye Kung said the rating is a remarkable achievement for HSA.

"It means that HSA is recognised internationally as one of the most trusted and advanced regulators for medicines, contributing to public health outcomes in Singapore, the region and beyond," he said in a HSA release.

"The Singapore public will now have even greater confidence in HSA's assessments, and that they have access to high quality, safe and effective medicines."
 

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OYK visited the Water Cove development. :thumbsup:

Ong Ye Kung

12 hrs ·
#Sembawang is one of the few places in #Singapore with residential units at the waterfront.
I visited the Water Cove development over the weekend. A nice tranquil neighbourhood facing the sun and sea. I have residents growing plants, harvesting rain water, and enjoying Sembawang Park as their backyard garden.
#MakeSembawangSpecial

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