Kamis, 30 September 2021

US government shutdown averted hours before deadline - CNA

WASHINGTON: US Congress approved a stopgap funding Bill on Thursday (Sep 30) in a rare show of cross-party unity to avert a crippling government shutdown, as Democratic leaders struggle to overcome fierce infighting over President Joe Biden's domestic agenda.

Hours ahead of the midnight deadline, the House of Representatives voted to keep the lights on for another two months with a resolution that had already advanced comfortably from the Senate, with opposition Republicans supporting the ruling Democrats in both chambers.

"This is a good outcome, one I'm happy we are getting done," Chuck Schumer, the top Democratic senator, told colleagues on the chamber floor ahead of both votes, which were never in serious doubt.

"With so many things to take care of here in Washington, the last thing the American people need is for the government to grind to a halt."

The rare example of bipartisan cooperation comes with Democratic leaders trying to hammer out a deal over Biden's faltering US$3.5 trillion social spending package, which has no Republican support, and a bipartisan US$1 trillion infrastructure Bill.

Democratic progressives and moderates are entrenched in a war of words over the programmes, as Republicans enjoy the disarray from the sidelines with one eye on next year's midterm elections.

The Senate-passed bipartisan infrastructure Bill is due for a crucial vote in the House on Thursday that appears to have no chance of passing, with the Democrats' left wing in open revolt.

The progressives don't trust that centrists, who object to the size and scope of the larger spending package, will honour an agreement to pass the legislation once infrastructure is across the line.

West Virginia's Senator Joe Manchin inflamed tensions Wednesday with a statement arguing that trillions of dollars in extra spending was "fiscal insanity", solidifying opposition to the smaller infrastructure Bill.

He told reporters on Thursday that he was unwilling to go above US$1.5 trillion.

'WORKING TOWARDS WINNING'

Democratic House Speaker Nancy Pelosi - who maintains she won't put out a Bill that doesn't have the votes - said she planned to forge ahead, while White House press secretary Jen Psaki told reporters: "We're working towards winning a vote tonight. We have several hours left in the day."

Despite the optimism, the necessary support remained unlikely to materialise, leaving Pelosi the option of putting the infrastructure package on ice and returning to it when the plan for the larger package is more fully formed.

This would not be a fatal blow to Biden's agenda, although the delay - likely until later in the fall - would be a frustration to White House aides who risk losing momentum after spending the week marshalling lawmakers.

"It is not some major cataclysm if there isn't a vote today ... This will get through. Mark my words," Energy Secretary Jennifer Granholm told CNN.

"The infrastructure Bill will be passed and a version of the (social spending) Bill will be as well."

A delay would also see the way clear for tempers to cool while Congress focuses on other enormous challenges, such as raising the debt limit.

The US is nerve-janglingly close to defaulting on its US$28 trillion debt, with 19 days to go until the Treasury Department exhausts its ability to obtain new loans.

No one in the leadership of either party has spelled out a clear way to avoid the crisis, which would tank the US economy and roil world markets.

Republicans are demanding that Democrats - whom they regard as profligate over-spenders - carry the political burden of running up the debt on their own as they control Congress and the White House.

But Democrats are against using the an arcane budget process known as "reconciliation" to pass the extension without Republican support. It would take three to four weeks, they argue, making it a non-starter.

The House passed a debt limit hike Wednesday on a party-line vote, but it will be dead on arrival in the Senate thanks to Republican leader Mitch McConnell's opposition.

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2021-09-30 21:24:00Z
CBMiW2h0dHBzOi8vd3d3LmNoYW5uZWxuZXdzYXNpYS5jb20vd29ybGQvdXMtZ292ZXJubWVudC1zaHV0ZG93bi1hdmVydGVkLWhvdXJzLWRlYWRsaW5lLTIyMTQxNzbSAQA

2 deaths as Singapore reports 2478 new COVID-19 cases; large clusters at care home and 6 dormitories - CNA

SINGAPORE: Singapore reported 2,478 new COVID-19 cases as of noon on Thursday (Sep 30) and two more deaths due to complications from the virus.

The fatalities were identified as a 79-year-old Singapore permanent resident and an 87-year-old Singaporean. 

Both women had not been vaccinated against COVID-19 and had various underlying medical conditions, said the Ministry of Health (MOH). 

The Health Ministry did not provide information on what their underlying medical conditions were.

There have been 40 deaths in September alone, a new monthly record. Singapore's death toll now stands at 95.

Of the new cases, 2,474 were locally transmitted infections comprising 2,022 cases in the community and 452 dormitory residents. 

Among these cases were 535 seniors above the age of 60, said MOH in its daily update released to media at 11pm.

There were also four imported cases, with three detected upon arrival in Singapore and one who developed the illness during the stay-home notice or isolation period.

This is the third day in a row Singapore has reported a record number of new infections, after 2,268 new cases were announced on Wednesday.

As of Thursday, Singapore has reported a total of 96,521 COVID-19 cases since the start of the pandemic.

HOSPITALISATIONS

There were 1,360 patients warded in hospital, most of them well and under observation, said MOH.

Among them were 204 cases of serious illness requiring oxygen supplementation, and 34 in critical condition in the intensive care unit (ICU).

Of those who fell very ill, 197 were seniors above the age of 60.

Over the last 28 days, the proportion of local cases who were asymptomatic or had mild symptoms was 98.1 per cent.

In that period, 443 cases required oxygen supplementation and 52 had been in the ICU.

Of these, 49.9 per cent were fully vaccinated and 50.1 per cent were unvaccinated or partially vaccinated.

ACTIVE CLUSTERS

MOH said it was currently "closely monitoring" 15 active large clusters, including seven added to the list on Thursday. 

The latest large clusters comprise six migrant worker dormitories and a care home in Marsiling. 

A total of 29 cases have been linked to the COVID-19 cluster at MWS Christalite Methodist Home. 

One staff member and 28 residents were infected, MOH said. 

The affected dormitories are Jurong Penjuru Dormitory 1, Jurong Penjuru Dormitory 2, ASPRI-Westlite Papan Dormitory, 9 Defu South Street 1 Dormitory, Cochrane Lodge 2 Dormitory and PPT Lodge 1B Dormitory.

The six dormitory clusters currently have a combined total of 475 cases. 

MOH said all six clusters were caused by intra-dormitory transmission among residents, with "no evidence" of spread beyond the dormitory.

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2021-09-30 15:30:00Z
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New machine automates filling of Covid-19 vaccines into syringes, easing workload of nurses in S'pore - The Straits Times

SINGAPORE - Covid-19 vaccinations will now become a simpler, less tedious process for nurses, with the help of a machine that can automatically fill injection syringes.

The first of its kind in Singapore, the Automated Vaccine Inoculation Dispenser (Avid) system weighs less than 25kg and is able to fill six vaccine syringes in less than five minutes.

This innovative solution uses a combination of robotic parts, smart sensors and digital technologies.

The time taken for a nurse to manually fill six syringes varies, and is affected by factors like how experienced and how tired the nurse is.

The system reduces the workload of the nurses and removes the need for them to manually fill the syringes, allowing them to focus on caring and communicating with the people receiving the vaccines. It also reduces the possibility of human error, especially if the nurse is fatigued.

The machine is currently used to fill the Pfizer-BioNTech vaccine but can be customised to fill other vaccines.

Currently, Avid has been deployed at seven vaccination centres islandwide, with the first deployment at Senja-Cashew Community Club in early July. Thomson Medical operates the vaccination centre there.

Vaccination centres should be able to cater to at least 2,000 people a day, it was previously reported.

Avid was developed by researchers from the Agency for Science, Technology and Research's (A*Star) Advanced Remanufacturing and Technology Centre and Singapore Institute of Manufacturing Technology, in collaboration with local systems integrator Sysmatic Global.

The idea was first mooted by Deputy Prime Minister Heng Swee Keat, who challenged the team earlier this year to develop a solution to the tedious process.

A prototype was built in early July, six weeks after the idea was conceptualised. Thereafter, a production machine, which is more compact and cost-effective and had eliminated the teething problems the team earlier faced, was then built.

Some challenges included the fact that the syringes were not precisely identical and there could be slight variations in needle angle. Should the needle angle deviate too much, the system will not fill that syringe.

The team at Sysmatic Global also did not necessarily have a background in biomedical sciences.

Mr Khoo Kiak Nee, director of Sysmatic Global, said: "The A*Star team was very helpful and provided us with a lot of information very quickly. These are the things that we learn from them as a small and medium-sized enterprise, something which we would not have been able to do by ourselves."


The Automated Vaccine Inoculation Dispenser is able to fill up to six syringes in less than five minutes. ST PHOTO: NG SOR LUAN

If needed, new machines can be quickly assembled, taking only about three to four weeks to build from scratch.

Dr David Low, chief executive officer of the Advanced Remanufacturing and Technology Centre, said: "After we developed the protoype, we worked with the Health Ministry, and Senja-Cashew CC was selected by (the ministry). We were very fortunate that the Thomson Medical team was very receptive."

He added: "One of the biggest challenges in rolling out automation is not the problem itself, but whether it will be accepted by the people, so we were quite worried at the start. Of course, there was initial concern from the nurses on issues such as whether the machine is safe, and we took all their feedback and incorporated it to make it user-friendly and cost-effective."

Nurses need only less than an hour to learn how to operate the machine, which uses a three-pin plug.

Similar prototypes have been built abroad, with one in Thailand costing around $100,000. The system built here is a few times cheaper.

The immediate focus for the team now is to make sure the seven Avid systems are stable, and to develop more systems if there is a call to expand deployment to other vaccination centres.

"That is our near-term focus - to make sure that Singapore's vaccination exercise is smooth, has sufficient capacity and our nurses are not overstressed, especially with booster shots coming up," Dr Low said.

"We would also not say no if there is an overseas request for Avid, and it will be good to help with the global vaccination exercise. That'll be our mid-term goal, if there is a call to export some of these machines."


Nurse Nellie Tan, 47, fixing a vial of vaccine into the Automated Vaccine Inoculation Dispenser. ST PHOTO: NG SOR LUAN

How the system works:

1. The empty syringes and diluted Pfizer-BioNTech vaccine is loaded into the machine.

Typically, nurses will have to extract individual doses of the vaccine (0.3ml for the Pfizer-BioNTech vaccine) using syringes. One vial contains six doses after dilution.

2. The nurse closes the door of the machine and presses the "start" button.

3. The Avid extracts the vaccine from the vial into the six syringes, tapping each syringe to get rid of the air bubbles trapped inside. It also automatically uncaps and recaps the syringes.

4. After the six syringes have been filled, the nurse removes them and does a visual check on each syringe to ensure it is correctly filled.

5. Pre-filled syringes can be prepared based on the number of bookings received that day.

6. There are two layers of visual checks. The first is done by the nurse operating the machine, and the second is done by the nurse at each station when a person is about to injected.

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2021-09-30 06:12:52Z
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Rabu, 29 September 2021

How Fumio Kishida might steer Japan as the next Prime Minister - The Straits Times

TOKYO - Mr Fumio Kishida, the man set to become Japan's 100th Prime Minister, has vowed to appoint a ministerial aide on human rights issues, rattling China.

The 64-year-old also supports beefing up Japan's coast guard, in a nod to the move by China earlier this year to allow its coast guard to use force against foreign vessels in territory that it claims. Mr Kishida is also in favour of passing a parlimentary resolution to condemn China's treatment of the Uighur minority in Xinjiang.

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2021-09-29 14:20:15Z
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Fumio Kishida set to be Japan's next PM after winning ruling party LDP election - The Straits Times

TOKYO – Elite conservative power brokers defeated public sentiment on Wednesday (Sept 29) as Japan’s former foreign minister Fumio Kishida was elected by the ruling Liberal Democratic Party (LDP) as its choice for the next Prime Minister.

The 64-year-old will be sworn in next Monday when the Diet convenes to choose Mr Yoshihide Suga’s successor, in a vote that is merely procedural given the LDP coalition’s majority in both chambers of Parliament.

Mr Kishida’s most immediate task will be to unite a divided party with an eye on a general election that must be held by November, as four-year Lower House lawmaker terms are due to expire on Oct 21.

“The LDP leadership election is over. Let us all face the Lower House and (next year’s) Upper House elections as one,” Mr Kishida said in his acceptance speech.

“We must put together a stimulus package of tens of trillions of yen by the end of the year and beyond that important problems are piling up for our nation – a new capitalism and realising a free and open Indo-Pacific, as well as dealing with the low birth rate,” he added.

A moderate party stalwart who was a right-hand man to former prime minister Shinzo Abe, Mr Kishida is seen within the LDP’s conservative ranks as a safe pair of hands, but perceived by the public as boring.

The public’s favourite for the next PM is administrative reform and vaccination minister Taro Kono, 58, who lost to Mr Kishida over two rounds of voting on Wednesday.

Mr Kono is an English-speaking media darling whose maverick reformist credentials do not sit easy with the LDP’s conservative base, even as the public regards him highly on his ability to bash through bureaucratic red tape to get things done.

Both men were neck in neck in the first round, when two former internal affairs ministers were also in the fray. Of the 762 votes cast, Mr Kishida won 256 votes, narrowly edging out Mr Kono by one vote. Ms Sanae Takaichi, 60, a staunch conservative backed by Mr Abe, scored 188 votes while Ms Seiko Noda, 61, whose platform is children- and women-centric, earned 63 votes.

As none of the candidates scored more than half of the votes, the top two finishers faced off in a run-off where Mr Kishida scored 257 votes and Mr Kono, 170 votes, of the 427 ballots cast.

The breakdown of the party rank-and-file votes, however, clearly showed Mr Kono as the favourite in 39 out of Japan’s 47 prefectures.
Mr Kono said in his concession remarks that he lost due to “his own lack of ability”, apologising to his supporters and vowing to support Mr Kishida with all his might and pledging to do his best where he is needed.

Political scientist Toru Yoshida of Doshisha University in Kyoto, told The Straits Times: “LDP lawmakers seem to have been quite relaxed to see that the party’s support has received a boost with Suga’s resignation.”

He added: “They might have felt more secure with Kishida, who opts for a more harmonised style of leadership, than with Kono, in their choice to keep the status quo.”

Mr Kishida, in a victory press conference, alluded to his weaknesses and vowed to listen to the voices of the people and win them over step by step. With Mr Abe and Mr Suga having faced flak for being out of touch, he repeatedly said that he will “sincerely explain” the government’s position to the public.

He added that he will continue Suga-era policies on climate change and digital transformation. 

On the campaign trail, Mr Kishida also pledged to strengthen Japan’s security ties with its like-minded partners, while saying that Japan must boost its defence spending to cope with growing security threats including around the Taiwan Strait.

But in a move that is bound to upset China, Mr Kishida has vowed to appoint a special ministerial aide on human rights.

He has also pledged at least 30 trillion yen (S$365.4 billion)  in stimulus spending to achieve what he has termed a “new form of capitalism” that embodies fairer wealth distribution, noting that Mr Abe’s signature Abenomics policies had catalysed social inequality.

Mr Kishida, whose grandfather and father were Lower House politicians representing their ancestral Hiroshima prefecture, is a ninth-term lawmaker who was first elected in 1993.

He is second time lucky, having competed in last year’s LDP leadership race to succeed Mr Abe, which he lost to Mr Suga.

He is known for his ability to hold his liquor. As foreign minister, he duelled with his Russian counterpart Sergei Lavrov to see how long they could keep a diplomatic conversation going over copious amounts of Russian vodka and Japanese sake.

He has three sons with his wife Yuko. His eldest son Shotaro, 30, is following in his footsteps and is now working as his secretary. 

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2021-09-29 10:01:05Z
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Nursing homes to test all residents, maintain separate zones to prevent spread of Covid-19 - The Straits Times

SINGAPORE - Dividing premises into distinct zones for staff and residents and testing for all residents are some of the measures nursing homes have adopted to minimise the spread of Covid-19.

This comes as the Ministry of Health (MOH) reported on Tuesday (Sept 28) that five more seniors aged between 69 and 79 had died from Covid-19 complications, and more senior centres reported new cases in the last week.

On Tuesday, MOH reported a total of 11 Covid-19 cases at Man Fatt Lam Elderly Joy Daycare Centre in Bedok, while Windsor Convalescent Home in Pasir Panjang reported 39 cases and Woodlands Care Home in Woodlands had 24 cases.

Cases were also reported at Orange Valley Nursing Home in Simei and Jamiyah Nursing Home in West Coast about two weeks ago.

In response to queries from The Straits Times, the Agency for Integrated Care (AIC) said nursing homes have stepped up the frequency of Covid-19 testing for their staff from once every two weeks to twice a week.

"Nursing homes have also begun testing for all residents from Sept 27 as an additional safeguard. Frequent testing will enable any infection to be detected earlier and managed," AIC added.

To limit the spread and impact of Covid-19 within nursing homes in the event of a positive case, nursing homes have divided their premises into distinct zones.

Residents and staff are assigned to a zone and must stay within that area, with no intermingling across zones.

While residents diagnosed with the infection are mostly taken to hospitals for treatment and close monitoring, AIC said that suitable residents may be admitted to MOH's community treatment facilities that provide "more comprehensive medical coverage than nursing homes, and can manage seniors who are stable or have mild symptoms".

Containment measures are also in place to prevent more staff and residents being infected, such as an incident response team, which comprises the nursing home, along with public health, laboratory and hospital partners. The team works to detect, ring-fence and care for Covid-19 cases.

If staff members become infected and are placed in quarantine, the Government said it would help bring in more manpower to ensure services are not disrupted in affected homes.

AIC said affected nursing homes can also tap the #StrongerThanBefore fund for their expenses.

"This fund helps community care providers defray additional operational costs incurred as a result of the heightened precautionary measures required. This includes the need for increased cleaning and disinfection of the premises," AIC said.

The Government has also been working closely with nursing homes to facilitate vaccination for seniors. Vaccinations are carried out by either the home's nursing team or by mobile vaccination teams.

As at Sept 24, 80 per cent of residents in nursing homes have received both doses of the vaccine, while 90 per cent have received the first dose, AIC said.

The agency supports about 14,000 residents across 80 nursing homes.

AIC urged all unvaccinated residents to take the jab as soon as possible as they are among the most vulnerable and the vaccine can increase their protection against severe illness.

"For residents and next of kin who are still uncertain about taking the vaccination or booster shot, nursing homes will continue to engage them on a regular basis, and to address any further questions they may have," the agency added.

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2021-09-29 08:12:41Z
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Fumio Kishida set to become Japan's next prime minister after winning party vote - CNA

TOKYO: Japan's ruling Liberal Democratic Party (LDP) elected former foreign minister Fumio Kishida its new leader on Wednesday (Sep 29), setting him on course to become the next prime minister of the world's third-largest economy.

The soft-spoken centrist defeated popular vaccine chief Taro Kono in an unusually close race to succeed Prime Minister Yoshihide Suga, who decided to step down after just a year in office.

Kishida defeated Kono, a former defence and foreign minister, in a second-round run-off vote. Two female contenders, Sanae Takaichi, 60, and Seiko Noda, 61, dropped out after the first round.

The winner of the party poll is almost certain to become prime minister because of its majority in parliament's lower house.

With masks on, the LDP's parliamentary members, including Suga and former prime minister Shinzo Abe, gathered in the ballroom of a Tokyo hotel to cast their votes from 1pm (12pm, Singapore time). Their ballot box was closed about 30 minutes after they voted in lines.

Last year, LDP factions rallied around Suga after Abe quit following his nearly eight-year tenure, citing ill health. But Suga's ratings tanked over his handling of the pandemic, prompting him to announce his departure ahead of a general election that must be held by Nov 28.

While Kono had the highest numbers in public polls, Kishida has a bland image but a stronger support base from party members in parliament.

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2021-09-29 06:45:42Z
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