COVID-19 Omicron Variant Rapid Report

On 26 November 2021, the World Health Organisation designated SARS-CoV-2 B.1.1.529 a ‘variant of concern’ and named it Omicron.

The Saw Swee Hock School of Public Health summarises the emerging information, expert opinion and evidence around Omicron in a rapid review that will be updated at weekly intervals as the evidence gathers.

This report continues the series of COVID-19 Science Reports produced by the School in 2020 when Singapore saw its first cases.

Publications

Epidemiological, Clinical, and Phylogenetic Characteristics of the First SARS-CoV-2 Transmission in a Nursing Home of Singapore: A Prospective Observational Investigation

Frontiers In Medicine
Published: January 2022

doi:10.1016/j.scitotenv.2021.150060

Wastewater surveillance to infer COVID-19 transmission: A systematic review

Science of the Total Environment
Published: September 2021

doi:10.1016/j.scitotenv.2021.150060

Impact of travel ban implementation on COVID-19 spread in Singapore, Taiwan, Hong Kong and South Korea during the early phase of the pandemic: a comparative study

BMC Infectious Diseases
Published: August 2021

doi:10.1186/s12879-021-06449-1

Factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic: a cross-sectional study in 12 Asian countries

BMJ Open
Published: August 2021

doi:10.1136/bmjopen-2020-046310

Factors influencing SARS-CoV-2 transmission and outbreak control measures in densely populated settings

Scientific Reports
Published: July 2021

doi:10.1038/s41598-021-94463-3

Epidemiological and clinical characteristics of non-severe and severe pediatric and adult COVID-19 patients across different geographical regions in the early phase of pandemic: a systematic review and meta-analysis of observational studies

BMJ Journal of Investigative Medicine
Published: June 2021

doi:10.1136/jim-2021-001858

Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals: A cross-sectional study

PLOS One
Published: June 2021

doi:10.1371/journal.pone.0252835

Estimating direct and spill-over impacts of political elections on COVID-19 transmission using synthetic control methods

PLOS Computational Biology
Published: May 2021

doi:10.1371/journal.pcbi.1008959

Micronutrients Deficiency, Supplementation and Novel Coronavirus Infections—A Systematic Review and Meta-Analysis

Nutrients
Published: May 2021

doi:10.3390/nu13051589

How the lessons of previous epidemics helped successful countries fight covid-19

BMJ
Published: March 2021

doi:10.1136/bmj.n486

Highly functional virus-specific cellular immune response in asymptomatic SARS-CoV-2 infection

Journal of Experimental Medicine
Published: March 2021
doi:10.1084/jem.20202617

The Impact of the Coronavirus Disease 2019 (COVID‐19) pandemic on Irritable Bowel Syndrome

Journal of Gastroenterology and Hepatology
Published: February 2021
doi:10.1111/jgh.15466

Infectivity of asymptomatic versus symptomatic COVID-19

The Lancet
Published: December 2020
doi:10.1016/S0140-6736(20)32651-9

SARS-CoV-2 seroprevalence and transmission risk factors among high-risk close contacts: a retrospective cohort study

The Lancet Infectious Diseases
Published: November 2020
doi:10.1016/S1473-3099(20)30833-1

Lessons learnt from easing COVID-19 restrictions: an analysis of countries and regions in Asia Pacific and Europe

The Lancet
Published: September 2020
doi:10.1016/S0140-6736(20)32007-9

Revealing regional disparities in the transmission potential of SARS-CoV-2 from interventions in Southeast Asia

Proceedings of the Royal Society B
Published: August 2020
doi:10.1098/rspb.2020.1173

Strategies at points of entry to reduce importation risk of COVID-19 cases and reopen travel

Journal of Travel Medicine
Published: August 2020
doi:10.1093/jtm/taaa141

Importations of COVID-19 into African countries and risk of onward spread

BMC Infectious Diseases
Published: August 2020
doi:10.1186/s12879-020-05323-w

The Costs of an Expanded Screening Criteria for COVID-19: A Modelling Study

International Journal of Infectious Diseases
Published: August 2020
doi:10.1016/j.ijid.2020.08.025

Modelling lockdown and exit strategies for COVID-19 in Singapore

ScienceDirect
Published: August 2020
doi:10.1016/j.lanwpc.2020.100004

The Practice of Gastrointestinal Motility Laboratory During COVID-19 Pandemic: Position Statements of the Asian Neurogastroenterology and Motility Association (ANMA-GML-COVID-19 Position Statements)

Journal of Neurogastroenterology and Motility
Published: July 2020
doi:10.5056/jnm20107

Use of Health Belief Model–Based Deep Learning Classifiers for COVID-19 Social Media Content to Examine Public Perceptions of Physical Distancing: Model Development and Case Study

JMIR Public Health and Surveillance
Published: July 2020
doi:10.2196/20493

Estimating the Size of a COVID-19 Epidemic from Surveillance Systems

Epidemiology
Published: July 2020
doi:10.1097/EDE.0000000000001202

Ethical Implementation of Immunity Passports During the COVID-19 Pandemic

The Journal of Infectious Diseases
Published: June 2020
doi:10.1093/infdis/jiaa352

Epidemiological and Clinical Characteristics of Cases During the Early Phase of COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Frontiers in Medicine
Published: June 2020
doi:10.3389/fmed.2020.00295

Assessment of Proficiency of N95 Mask Donning Among the General Public in Singapore

JAMA Network Open
Published: May 2020
doi:10.1001/jamanetworkopen.2020.9670

Measuring the Outreach Efforts of Public Health Authorities and the Public Response on Facebook During the COVID-19 Pandemic in Early 2020: Cross-Country Comparison

Journal of Medical Internet Research
Published: May 2020
doi:10.2196/19334

Connecting clusters of COVID-19: an epidemiological and serological investigation

The Lancet Infectious Diseases
Published: April 2020
doi:10.1016/S1473-3099(20)30273-5

Institutional, not home-based, isolation could contain the COVID-19 outbreak

The Lancet
Published: April 2020
doi:10.1016/S0140-6736(20)31016-3

A Systematic Review of COVID-19 Epidemiology Based on Current Evidence

Journal of Clinical Medicine
Published: March 2020
doi:10.3390/jcm9040967

Covid-19: a remote assessment in primary care

BMJ
Published: March 2020
doi:10.1136/bmj.m1182

Epidemiological and Clinical Predictors of COVID-19

Clinical Infectious Diseases
Published: March 2020
doi:10.1093/cid/ciaa322

Interventions to mitigate early spread of SARS-CoV-2 in Singapore: a modelling study

The Lancet Infectious Diseases
Published: March 2020
doi:10.1016/S1473-3099(20)30162-6

How Should the Rehabilitation Community Prepare for 2019-nCoV?

Archives of Physical Medicine and Rehabilitation
Published: March 2020
doi:10.1016/j.apmr.2020.03.003

Investigation of three clusters of COVID-19 in Singapore: implications for surveillance and response measures

The Lancet
Published: March 2020
doi:10.1016/S0140-6736(20)30528-6

Potential Rapid Diagnostics, Vaccine and Therapeutics for 2019 Novel Coronavirus (2019-nCoV): A Systematic Review

Journal of Clinical Medicine
Published: February 2020
doi:10.3390/jcm9030623

SSHSPH COVID-19 Science Reports

When Singapore saw its first case of COVID-19 on 24 January 2020, the Saw Swee Hock School of Public Health started to collate emerging evidence to produce COVID-19 Science Reports for researchers, policymakers and regional colleagues. The reports were based on searches of research databases, relevant journals, science reports and expert comment, and were updated at weekly intervals until July 2020. The last versions are shared below.

Introduction

Clinical Characteristics

Fever, tiredness, cough and sore throat are the most common presenting symptoms and many cases are mild. Older people and those with underlying medical conditions like high blood pressure, heart problems or diabetes, are more likely to develop serious illness. Early identification through analysis of detailed clinical presentations supports understanding and care of these high-risk groups. This section reviews the latest evidence.

Diagnostics

As COVID-19 has similar clinical characteristics to many other respiratory illnesses, accurate and timely diagnosis contributes to prompt public health surveillance, prevention and control measures. Latest developments in diagnostic testing for COVID-19 are outlined in this section.

Therapeutics

There is currently no specific drug treatment for COVID-19. Existing drugs used to treat other conditions may be candidates and repurposed for COVID-19, and are undergoing clinical trials. This section summarises the research in relation to potential drug treatments.

Vaccines

There are currently no vaccines effective against COVID-19. There has been no significant change in the RNA of the virus since its emergence and potential vaccines are in development. This section provides an overview of vaccines in research and development.

Containment Measures

Non-pharmaceutical interventions (NPIs) are often the only options available to governments to contain an evolving outbreak until the arrival of medical solutions. This section surveys the current literature on NPIs used in outbreaks of respiratory diseases and summarises the key measures taken, evidence on their effectiveness and efficiency, and considerations and impact from their deployment.

Lockdowns

This report explores the learning around lockdown measures from the 1918 pandemic and current COVID-19 case study examples. This report should be read alongside the COVID-19 Science Report: Containment Measures (above).

Exit Strategies

Many countries have instituted lockdowns in face of the COVID-19 pandemic. This report provides an overview of the emerging literature on exit plans and exit strategies, as countries seek to emerge from lockdowns. This report should be read alongside COVID-19 Science Report: Containment Measures and COVID-19 Science Report: Lockdowns (above), and COVID-19 Science Report: Country Journeys (below).

Exit Strategies Appendix - Safe Reopening of Schools

Countries around the world have implemented various combinations of safe measures in the reopening of schools. This appendix reviews these measures and discusses the rationale and considerations behind them.

Exit Strategies Appendix - Safe Reopening of Dining In

Varying degrees of restrictions had been imposed on dining in at food and beverage (F&B) establishments across countries. This appendix discusses the measures and considerations for the resuming of dining activities in food and beverage establishments.

Country Journeys

The report follows different countries on their journeys through the COVID-19 pandemic, looking at the measures put in place to manage the outbreak and the approaches taken to ease restrictions, and themes emerging across the countries.