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Singapore is seeing record Covid cases. That may not be a bad thing

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People walk at a pedestrian crossing along the Orchard Road shopping district in Singapore on September 7, 2021.

Roslan Rahman | AFP | Getty Images

SINGAPORE — Authorities in Singapore have tightened Covid measures as infections in the country rise to fresh record highs — but two health experts told CNBC they are not terribly concerned.

After stricter guidelines were announced Friday, officials from the Health Ministry said that there was a need for slowing down the transmission of infections to protect vulnerable people such as the elderly.

In the coming weeks, the group size for social gatherings will drop to 2 people instead of 5 people. Working from home will become the default.

CNBC still heard from medical professionals that this latest outbreak of the virus may be beneficial, as Singapore is a highly-vaccinated country.

Teo YikYing, the dean of Saw Swee Hock Schools of Public Health, at the National University of Singapore, said that many of those who received Covid-19 were able to avoid severe illnesses and would be protected against any future infections by antibodies.

A total of 82% have received at least two Covid vaccinations. Health authorities on Sunday said 98% of infected individuals had no or mild symptoms over the last 28 days.

Case numbers may remain high for a few months, but the “vast majority” will be well protected by the vaccines and won’t fall seriously ill, Teo said.

In an email, he stated that infection would not cause any long-term or short-term health problems for these individuals, but could trigger a natural immune reaction which may reduce the likelihood of catching another infection.

Potential benefits of natural infection

Letting the virus transmit slowly through the population is “not necessarily a bad thing,” said Ooi Eng Eong, a professor in Duke-NUS Medical School’s emerging infectious diseases program.

The two main vaccines used in Singapore are developed by PfizerBioNTech or Moderna, and both use the messenger RNA technology.

mRNA vaccines instruct the body to produce a so-called spike protein which is found on the surface of the virus that causes Covid-19. It is harmless, but triggers the immune system to develop antibodies so that the body will be able to fight off infection better if exposed to the real virus.

Ooi explained that the immune system can recognize more of the virus if there is a natural one.

Instead of vaccinating after infection, we will opt for vaccination and infection. I find this to be more effective as the majority of infections are mild.

Ooi Eng Eong

Professor at Duke-NUS Medical School

He said Singapore could reap the benefits of natural infection that some parts of Europe and North America are experiencing, but in the reverse order.

“Instead of infection followed by vaccination, we’re going to go vaccination followed by infection, which I think is even better because [infections] will mostly be mild,” he said.

“Those [countries] that had high rates of disease last year paid the price” of higher death rates, he told CNBC.

Do we have more new varieties?

Ooi was asked whether Covid transmission could result in new Covid variants. Ooi said that it is difficult to know what might happen.

He did however point out that the future versions will be competing with the globally dominant “very transmissible delta” variant.

He said, “It is very difficult to beat delta.”

There were also concerns about mu, a new variant of interest, but it couldn’t take off because delta was too strong, he said.

Ooi stated that despite this, it is wise to remain prepared for something better than delta to emerge or the possibility that a new strain could be developed that could overcome the immune system.

Local Covid situation

The number of severe Covid cases remains within expectations, according to Singapore’s health ministry.

On Sunday there were 172 cases which required oxygen supplementation. There was also 30 patients in ICU. According to the government, ICU beds can be increased up to 1,600 if necessary.

CNBC interviewed two professors about whether additional restrictions were necessary.

Ooi said the current virus wave is “well within the limits” of Singapore’s capacity. Ooi said the restrictions, which he called “unnecessary”, will hinder efforts to cope with the disease.

Teo said that while the current situation isn’t getting worse, tighter measures were necessary to allow Singapore “breathing room” to adjust its hospitalization and operational protocols.

Teo stated that hospital beds are overflowing due to the “very prudent” country’s approach and not because so many people require acute medical care.

Teo said the long-term solution against Covid is vaccinations and natural infections to offer protection, while not overwhelming hospitals. He also stated that although he doesn’t anticipate an increase in death rates, absolute numbers could be higher.

On Sunday, Singapore had reported 87.892 Covid deaths and 78 Covid cases since the outbreak.

— CNBC’s Cory Stieg and Berkeley Lovelace Jr. contributed to this report.

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