#Covid #FLiRT

For what it's worth: At an estimated 30% FLiRT (JN.1* (Nextclade) + S:R346T, S:F456L) end of wk 10, the impoverished Singapore Covid monitoring shows reduced ARI levels and reduced SARS2 ARI specimen positivity, when comparing wks 9 and 10.

If the FLiRT subvariants have the capacity to drive Rt over 1, this trend would be expected to turn in the coming weeks.

For comparison: JN.1* reached 50% end of Nov, in wk 48, with ARI cases rising since a few weeks.
Week 11, at extrapolated 40% JN.1* (Nextclade) + S:R346T, S:F456L: Still a downward ARI trend. SARS2 positivity 3%.

And a trend reversal in week 12, with slightly rising ARI numbers and SARS2 positivity, at an extrapolated 60% JN.1* (Nextclade) + S:R346T, S:F456L.

It's a shame that Singapore is left with these limited data. Why wouldn't they at least have wastewater.

Update week 13. No wave so far, no new seqs to compare.
Update week 14. No wave, decreasing ARI numbers. SARS2 positivity among ARI samples has increased to 7.4%, up from 2.3% in week 10. Sadly, Singapore hasn't uploaded seqs since weeks.

Possibly, rising SARS2 infections are masked by lowering influenza infections, as flu positivity among ILI samples is steadily decreasing.

This is the state of guessing based on the impoverished surveillance.

For comparison: Singapore had a substantial spring wave, last year.
Extrapolation with new sequences (last available in covSPECTRUM 26.03.) would see JN.1 Spike + S:R346T, S:F456L (FLiRT) dominant in wk 14.
Update wk 15: Not so nice a signal. But no clear trends in the flu and SARS2 positivities.
Update wk 16: Higher SARS2 positivity, soon at 10%, higher flu positivity among ILI. Is this the potential FLiRT-caused rise in SARS2 infections finally becoming a reality?

Clear signs of a Covid wave (albeit still below last year's May wave) in week 17, with SARS2 positivity among ARI samples at 18%.

No new sequences since weeks in covSPECTRUM.

Update wk 18 (29.4.-5.5):

Still rising ARI numbers, SARS2 positivity has plateaued at 16%, while flu positivity went down to 10%. It looks like a minor Covid wave.

Updated seqs on covSPECTRUM:

FLiRT variants are highly dominant as per April 24 (50% beginning of April, wk 14).

Of note, there are almost no KP.3 sequences (15 as compared to 408 FLiRT).

covSPECTRUM queries:

Multilineage JN.1 Spike with S:R346T and S:F456L (FLiRT):

https://cov-spectrum.org/explore/Singapore/AllSamples/Past6M/variants?aaMutations=S%3AR346T%2CS%3AF456L&nucMutations=C22916T%2CT22917G%2CT22926C

KP.3:

https://cov-spectrum.org/explore/Singapore/AllSamples/Past6M/variants?aaMutations=S%3AQ493E&nextcladePangoLineage=JN.1.11.1*

(can't share the link properly, add the star manually)

covSPECTRUM

covSPECTRUM is an interactive platform aiming to help scientists investigate and identify variants of SARS-CoV-2.

Development so far, tabulated.

Note that the covSPECTRUM growth extrapolation, with much fewer seqs, was predicting dominance for wk 14, as the current estimate now shows too.

https://swiss.social/@dominiksteiger/112279678041466048

Dominik Steiger (@[email protected])

Attached: 2 images Extrapolation with new sequences (last available in covSPECTRUM 26.03.) would see JN.1 Spike + S:R346T, S:F456L (FLiRT) dominant in wk 14.

swiss.social
And perhaps the peak has been reached in wk 19. That would mean a considerably lower magnitude compared to last year's XBB wave.
FLiRT sublineages are highly dominant; KP.3 seems not to play a role according to the covSPECTRUM data as of April 25.

Interesting, the MOH itself is seeing a wave now. They even have case numbers. Did I overlook publication of these numbers?

https://www.news18.com/world/new-covid-19-wave-in-singapore-minister-advises-wearing-of-masks-after-25900-cases-recorded-in-a-week-8895361.html

New Covid-19 Wave In Singapore, Minister Advises Wearing Of Masks After 25,900 Cases Recorded In A Week

Singapore grapples with a new Covid-19 wave, recording over 25,900 cases in a week, prompting health measures and vaccine advice

News18
According to their numbers, the wave might even have reached last spring wave height.
Here is their update. Would be nice if they wouldn't have ceased to publish data. Wastewater surveillance could also be considered, for such an advanced city-state.
https://www.moh.gov.sg/news-highlights/details/update-on-covid-19-situation
MOH | News Highlights

Find speeches, press releases, forum replies and parliamentary Q&A.

Covid wave in Singapore, update wk. 20: Highest SARS2 positivity among ARI since wk.9, 21%. I wonder if they are at peak yet.

No new seqs in covSPECTRUM since April 25. FLiRT highly dominant with the last data, KP.3 <10%.

Source:
https://www.moh.gov.sg/resources-statistics/infectious-disease-statistics/2024/weekly-infectious-diseases-bulletin

MOH | Weekly Infectious Diseases Bulletin

Ministry of Health (MOH) is an innovative, people-centred organisation, committed to medical excellence, the promotion of good health, the reduction of illness and access to good and affordable healthcare for all Singaporeans, appropriate to their needs.

Covid wave in Singapore, update wk. 22 (wk. 21 missing): The wave might have peaked in wk. 21, ARI numbers and SARS2 positivity markedly lower.

In terms of ARI, May 2023 wave magnitude. In case numbers and hospitalisations, who knows.

Covid wave in Singapore, update wk. 23 (wk. 21 still missing): Further reduction of ARI cases, stable SARS2 positivity.

In terms of ARI, April/May 2023 wave magnitude. Case numbers and hospitalisations: Who knows, maybe these secrets will be revealed in another press release.

#Covid #Singapore

Peaked Singapore Covid wave: The MOH now supplied the missing peak week 21 ARI data and promulgated case estimates and hospitalisation data.

SARS2 positivity reached 25% in the peak week 21.

I could not find cases and hospitalisations for the weeks 20 and 21.

MOH | Weekly Infectious Diseases Bulletin

Ministry of Health (MOH) is an innovative, people-centred organisation, committed to medical excellence, the promotion of good health, the reduction of illness and access to good and affordable healthcare for all Singaporeans, appropriate to their needs.

For the magnitude of this wave, compare to last year's April-May wave:
Given that the reduction in case numbers, hospitalisations, and SARS2 positivity seems to have slowed, it might be that we are witnessing pressure from KP.3* variants.

Peaked Singapore Covid wave: Update wk. 24, SARS2 positivity thankfully continued to go down. This was a FLiRT and (S:S31del + FLiRT) wave, and large. No KP.3* contribution.

KP.2.3 reached dominance around when the wave peaked in wk 21.

Sources:
https://moh.gov.sg/resources-statistics/infectious-disease-statistics/2024/weekly-infectious-diseases-bulletin
https://github.com/MurrellGroup/lineages?tab=readme-ov-file

MOH | Weekly Infectious Diseases Bulletin

Ministry of Health (MOH) is an innovative, people-centred organisation, committed to medical excellence, the promotion of good health, the reduction of illness and access to good and affordable healthcare for all Singaporeans, appropriate to their needs.

Development so far:

Variant fraction estimates from the covSPECTRUM tool, using Collection 42 query, last data point 29.05.

FLiRT: Multilineage JN.1 Spike with S:R346T and S:F456L

https://cov-spectrum.org/explore/Singapore/AllSamples/Past6M/variants?aaMutations=S%3AR346T%2CS%3AF456L&nucMutations=C22916T%2CT22917G%2CT22926C

DeFLiRT: Multilineage JN.1 Spike with S:S31del, S:R346T, S:F456L

https://cov-spectrum.org/explore/Singapore/AllSamples/Past6M/variants?aaMutations=S%3AS31-%2CS%3AR346T%2CS%3AF456L&nucMutations=C22916T%2CT22917G%2CT22926C

covSPECTRUM

covSPECTRUM is an interactive platform aiming to help scientists investigate and identify variants of SARS-CoV-2.

Peaked Covid wave in Singapore, update wk. 25: lateral movement, ARI cases slightly higher, SARS2 positivity slightly lower.
Development to date. No fresh seqs available in covSPECTRUM.

#Covid #Influenza #Singapore

Peaked Covid wave in Singapore, update wk. 26:

Lowest SARS2 positivity among ARI since wk. 16, at the beginning of the wave.

Highest flu positivity among ILI since before wk. 9.

So rising ARI numbers are likely due to (southern hemisphere) flu, at the moment.

Peaked Covid wave in Singapore, update wk. 27:

Practically no change in SARS2 ARI positivities, slightly lower influenza ILI positivity.

KP.3* still not much of a factor (latest data point in covSPECTRUM: 25.6.).

Peaked Covid wave in Singapore, update wk. 28:

Lowest SARS2 positivity among ARI since wk. 15.

Influenza positivity among ILI >30%. Rising ARI are likely due to influenza.

KP.3* still not much of a factor (latest data point in covSPECTRUM from 07.07.)

Peaked Covid wave in Singapore, update wk. 29:

Same same.

Peaked Covid wave in Singapore, update until wk. 31:

Lowest SARS2 positivities among ARI since March.

The recent influenza wave has also peaked.

Peaked Covid wave in Singapore, update until wk. 33:

These data are now at three months since the peak of the Covid wave.

Peaked Covid wave in Singapore (wk. 21), update until wk. 35:

Still no new Covid wave, 14 weeks after the last peak. SARS2 positivity among ARI at 6%.

Peaked Covid wave in Singapore (wk. 21), update until wk. 37:

Still no new Covid wave, 16 weeks after the last peak.

SARS2 positivity among ARI at 3%, lowest since March.

Peaked Covid wave in Singapore (wk. 21), update until wk. 41:

Still no new Covid wave, 20 weeks after the last peak.

Singapore, update until wk. 43:

Markedly higher ARI numbers, with SARS2 ARI positivity slightly rising and flu ILI positivity falling. Pressure from MV.1*?

#Covid #Singapore #MV.1

Singapore, update until wk. 45.

24 weeks after the peak of the last large Covid wave. We might see the effect of MV.1*. ARI cases and SARS2 positivity lower than in the last two weeks.

#Covid #Singapore #MV.1

Singapore, update until wk. 46.

25 weeks after the peak of the last large Covid wave. We might see the effect of MV.1*.

MV.1* fraction estimate from covSPECTRUM (https://cov-spectrum.org/explore/Singapore/AllSamples/Past6M/variants?nextcladePangoLineage=MV.1*)

covSPECTRUM

covSPECTRUM is an interactive platform aiming to help scientists investigate and identify variants of SARS-CoV-2.

#Covid #Influenza #Singapore

Singapore, update until wk. 49.

No Covid wave, 28 weeks after the peak of the last large Covid wave.

Wk. 49: Strong influenza positivity signal among ILI.

#Covid #Influenza #Singapore

Singapore, update until wk. 52.

No Covid wave, 31 weeks after the peak of the last large Covid wave.

Influenza wave; very high influenza positivity among ILI.

#Covid #Influenza #Singapore

Singapore, update until week 2 2025.

No Covid wave, 33 weeks after the peak of the last large Covid wave.

Influenza wave; very high influenza positivity among ILI.

#Covid #Influenza #Singapore

Singapore, update until week 5 2025.

No Covid wave, 36 weeks after the peak of the last large Covid wave.

Bad Influenza wave.

#Covid #Influenza #Singapore

Singapore, update until week 13 2025.

The bad flu wave is over. There was no large Covid wave since almost a year.

#Covid #Singapore

Singapore, update until week 14 2025.

Highest SARS2 positivity among ARI since the last large Covid wave.

Might be the start of a wave. Might this be NB.1.8.1*?

Dominik Steiger (@[email protected])

Attached: 3 images #Covid A variant to watch: NB.1.8.1* It's become dominant in Hong Kong and is growing quite fast.

swiss.social
Singapore, update until week 15 2025.
Singapore, update until week 16 2025.

#Covid #Singapore

Singapore, update until week 17 2025.

Highest SARS2 positivity among ARI since the large wave last May.

Not clear to me if NB.1.8.1* is the cause.

Cf. https://swiss.social/@dominiksteiger/114438050921054516

Dominik Steiger (@[email protected])

Attached: 3 images #NB.1.8.1* #Covid #Singapore Given the insufficient numbers of seqs, it continues to be hard to say if the rise in Singapore ARI figures is related to NB.1.8.1*. The ARI and SARS2 positivity rise precedes NB1.8.1* fraction growth. Also, ARI numbers seem to rise more then Covid positivity alone would suggest. https://swiss.social/@dominiksteiger/114335575042821674

swiss.social

#Covid #Singapore

Singapore, update until week 18 2025.

Definitely a Covid wave, one year after the last large.

SARS2 positivity among ARI: 17%

And here the MOH's announcement (from yesterday). They cite

102 daily hospitalisations for wk 17
133 daily hospitalisations for wk 18

Compare to last year's figures.

https://www.moh.gov.sg/newsroom/update-on-covid-19-situation-

UPDATE ON COVID-19 SITUATION

Ministry of Health

#Covid #Singapore

Singapore, update until week 19 2025.

ARI numbers and SARS2 positivity slightly down. If this trend continues, it will have been a much smaller wave than last year.

Note the patchy case and hospitalisation numbers derived from occasional press releases.

#Covid #Singapore

Singapore, update until week 20 2025.

SARS2 positivity among ARI now 20%, close to what was seen at the peak of the wave one year ago.

#Covid wave in #Singapore

covSPECTRUM has been updated with seqs until 06.05.

The fraction growth estimate for NB.1.8.1* is based on low seq numbers (231 for NB.1.8.1*).

Growth of SARS2 positivity among ARI had started when NB.1.8.1* fraction was still low.

Cf. https://swiss.social/@dominiksteiger/114335575042821674

@dominiksteiger warum brechen die kurven einfach ab?
@aburgerabz Die Fraktionenkurven? Weil ich mir nicht die Mühe gemacht hatte, sie weiterzuzeichnen. Die Schätzung auf covSPECTRUM ist auch am sinvollsten, wenn die Varianten schnell wachsen. MV.1* erreichte effektiv 60%, bevor es von anderen überholt wurde.

@dominiksteiger

Fast so als ob Impfungen, Masken und Luftfilter wirken würden 👀

@tobi82 Was mir nicht klar ist: Die über den letzten Herbst erhöhten Testpositivitäten: Bilden sie einen ähnlichen Verlauf ab wie hierzulande (langgezogene Welle mit in der Summe dennoch hohen kumulativen Inzidenzen) oder ein tatsächlich tieferes Infektionsgeschehen?