COVID-19: Local Clusters in Singapore (2020)

The Ministry of Health (MOH) confirmed its first locally transmitted cases on 4 February 2020.[1] This entry clarifies the differences between local and community transmission while compiling the confirmed virus transmission points in Singapore (as of 7 February 2020).

Infographic by MustShare News showing the 6 places that the Chinese tour group visited.

Local vs. Community spread

The following sections highlight the differences between local and community transmission, as clarified by MOH.

Local spread[2]

  • Limited spread of infection
  • Common source(s) of transmission
  • Identifiable source(s)

The confirmed Singaporean cases on 4 February 2020 involving the Chinese tour group is considered a limited local spread as they can all be traced back to one location - Yong Thai Hang Medical Hall.[3]

Community spread[4]

  • Widespread infection
  • Multiple clusters of transmission
  • Unidentifiable sources

Local Clusters (Confirmed)

Local Cluster 1. Yong Thai Hang Medical Hall

 
The shopfront of Yong Thai Hang Medical Hall. Photo from Channel News Asia.

On 22 January, a group of tourists from Guangxi, China entered Singapore.[5] The group visited at least 6 locations in Singapore the next day.[6] The tour group visited these 6 locations:

  • T Galleria by Duty Free Singapore (25 Scotts Road)
  • Meeting You Restaurant (14 Hamilton Road)
  • D'Resort @ Downtown East (1 Pasir Ris Close)
  • Yong Thai Hang Medical Hall (24 Cavan Road)
  • Royal Dragon Restaurant (2 Havelock Road)
  • Diamond Industries Jewellery Company (20 Harbour Drive)

Certain individuals from this group were carriers of the virus, hence initially infecting 4 Singaporeans who were within close and prolonged contact.

Source: 2 infected Chinese nationals

As of 5 February 2020, at least 2 of the 20 Chinese tourists have been confirmed to be infected with the coronavirus.[7]

7 Singaporeans infected

There are 7 individuals who are confirmed to have the virus.[8] The first case was confirmed on 3 February. 4 cases were reported on 4 February and 2 were announced on 5 February.[9][10] These cases are considered to be part of a limited local transmission cluster.[11][12]

Case No. Profile Date Tested Positive Relationship Refs.
Case 19 28-year-old female employee at Yong Thai Hang Medical Hall 3 February Employer-Domestic Helper [13]
Case 21 44-year-old female Indonesian national 4 February
Case 20 48-year-old female employee at Yong Thai Hang Medical Hall 4 February -
Case 24 32-year-old female Tour Guide 4 February Husband-Wife
Case 25 40-year-old male employee at Diamond Industries Jewellery Company 4 February
Case 27 45-year-old male 5 February Husband to Case 1 [14]
Case 28 6 month-old child 5 February Child to Case 1 & 6

Local Cluster 2. Grand Hyatt Singapore

 
The Grand Hyatt is one of the local transmission points in Singapore. Photo from The Straits Times.

109 people were gathered for a private business meeting at Grand Hyatt Singapore from 20 January to 22 January 2020.[15][16] Present at the conference were Chinese nationals from Hubei.[17][18]

3 confirmed international cases

The 3 confirmed cases involve citizens from Malaysia and South Korea.


The 41-year-old individual from Malaysia, who happened to be the country’s first case, was tested positive for the virus on 4 February.[19] His 40-year-old sister was confirmed to be infected on 6 February.[20]


The infected patient from South Korea is a 38-year-old man who tested positive for the virus on 3 February. He had previously shared a meal with the infected Malaysian individual at the meeting.[21]

3 Singaporeans infected

There were a total of 15 Singaporean residents at the conference. 4 individuals of the 15 have displayed symptoms of the virus. These 4 have since been referred to the National Centre for Infectious Diseases (NCID) on 5 February.[22]


As of 10 February, 3 of the 4 being investigated were found to be infected with the coronavirus.[23]

Local Cluster 3. The Life Church and Missions Singapore

Established in 2002, the church has a congregation made up of 170 members.[24] Out of the 5 individuals in this cluster, there are 2 Chinese nationals and 3 Singaporeans. On 9 February, the church announced that they would be suspending meetings for at least 2 weeks.[25] They added that the suspension could be prolonged if the situation becomes worse.

Source: 2 infected Chinese nationals

The two Chinese nationals were Cases 8 and 9 in Singapore. The married couple landed in Singapore on 19 January 2020 and had reportedly visited the church on their own accord.[26][27]

3 Singaporeans infected

As of 10 February 2020, there are 3 Singaporeans infected in this cluster.

References / Citations

  1. CONFIRMED CASES OF LOCAL TRANSMISSION OF NOVEL CORONAVIRUS INFECTION IN SINGAPORE”. Ministry of Health. February 4, 2020. Accessed on 7 February 2020.
  2. FAQs on the 2019 Novel Coronavirus (2019-nCoV) Situation”. Ministry of Health. Accessed on 7 February 2020.
  3. CONFIRMED CASES OF LOCAL TRANSMISSION OF NOVEL CORONAVIRUS INFECTION IN SINGAPORE”. Ministry of Health. February 4, 2020. Accessed on 7 February 2020.
  4. FAQs on the 2019 Novel Coronavirus (2019-nCoV) Situation”. Ministry of Health. Accessed on 7 February 2020.
  5. Mahmud, Aqil Haziq and Chew, Hui Min. “4 locally transmitted cases among new coronavirus patients in Singapore”. Channel News Asia. February 4, 2020. Accessed on 7 February 2020.
  6. Tan, Cheryl. “Four of six places visited by Chinese tour group linked to local coronavirus transmissions closed”. The Straits Times. February 6, 2020. Accessed on 7 February 2020.
  7. CONFIRMED CASES OF LOCAL TRANSMISSION OF NOVEL CORONAVIRUS INFECTION IN SINGAPORE”. Ministry of Health. February 4, 2020. Accessed on 7 February 2020.
  8. Tang, See Kit. “What we know about the 5 families among Singapore's confirmed coronavirus cases”. Channel News Asia. February 6, 2020. Accessed on 7 February 2020.
  9. Ng, Jun Sen and Lim, Janice. “Novel coronavirus: Singapore reports first local transmissions, 4 cases linked to Jalan Besar shop visited by Chinese tour groups”. Today. February 4, 2020. Accessed on 7 February 2020.
  10. Chee, Kenny. “Coronavirus: Singapore confirms 4 new cases, including 6-month-old child of infected couple”. The Straits Times. February 5, 2020. Accessed on 7 February 2020.
  11. Mahmud, Aqil Haziq and Yong, Michael. “What we know about the locally transmitted coronavirus cases in Singapore”. Channel News Asia. February 4, 2020. Accessed on 7 February 2020.
  12. FOUR MORE CONFIRMED CASES OF NOVEL CORONAVIRUS INFECTION IN SINGAPORE”. Ministry of Health. February 5, 2020. Accessed on 7 February 2020.
  13. CONFIRMED CASES OF LOCAL TRANSMISSION OF NOVEL CORONAVIRUS INFECTION IN SINGAPORE”. Ministry of Health. February 4, 2020. Accessed on 7 February 2020.
  14. FOUR MORE CONFIRMED CASES OF NOVEL CORONAVIRUS INFECTION IN SINGAPORE”. Ministry of Health. February 5, 2020. Accessed on 7 February 2020.
  15. Geddie, John. “WHO probes Singapore meet linked to spread of virus”. Reuters. 6 February 2020. Accessed on 7 February 2020.
  16. "More than 100 people attended meeting at Grand Hyatt Singapore linked to Malaysia, South Korea coronavirus cases". Channel News Asia. February 5, 2020 (updated 6 February 2020). Accessed on 7 February 2020.
  17. Novel coronavirus: 2 more cases in S’pore, including one with no travel history to China or apparent”. Today. February 6, 2020. Accessed on 7 February 2020.
  18. Kamil, Asyraf. “WHO probes Singapore conference linked to coronavirus spread”. The Straits Times. 7 February 2020. Accessed on 7 February 2020.
  19. Sukumaran, Tashny. “Coronavirus cases in South Korea and Malaysia linked to Singapore meeting spark WHO investigation”. South China Morning Post. February 5, 2020. Accessed on 7 February 2020.
  20. Sukumaran, Tashny. “Coronavirus: Malaysia confirms first case of human transmission from Singapore meeting, taking tally to 14”. South China Morning Post. February 6, 2020. Accessed on 7 February 2020.
  21. 3 new coronavirus cases in South Korea; 2 men had travelled to Singapore for conference”. Channel News Asia. February 5, 2020. Accessed on 7 February 2020.
  22. FOUR MORE CONFIRMED CASES OF NOVEL CORONAVIRUS INFECTION IN SINGAPORE”. Ministry of Health. February 5, 2020. Accessed on 7 February 2020.
  23. Coronavirus: Singapore confirms 2 new local infections; 1 appears to have no link to previous cases”. The Straits Times. February 6, 2020. Accessed on 7 February 2020.
  24. About the church”. The Life Church and Missions. Accessed on 10 February 2020.
  25. Mohan, Matthew. “Church linked to possible coronavirus cluster engaged cleaning company to disinfect premises, will suspend meetings”. Channel News Asia. February 9, 2020. Accessed on 10 February 2020.
  26. Mohan, Matthew. “Church linked to possible coronavirus cluster engaged cleaning company to disinfect premises, will suspend meetings”. Channel News Asia. February 9, 2020. Accessed on 10 February 2020.
  27. Tan, Audrey. "Coronavirus: Two of five patients who attended Paya Lebar church were not known to the church". The Straits Times. February 9, 2020. Accessed on 10 February 2020.