Friday, July 17, 2009
Another H1N1 case in ICU
The patient, who has diabetes, hypertension and high cholesterol, was in critical condition, said the Ministry of Health (MOH).
He was warded in intensive care immediately after he sought treatment at CGH's emergency department in the morning.
The patient had flu-like symptoms over the past four days, including severe pneumonia.
Two other H1N1 patients - a pregnant woman and a kidney transplant patient - are in stable condition in ICU at KK Hospital and the Singapore General Hospital, respectively.
Another 51-year-old male patient at CGH was moved out of ICU yesterday.
"If he continues to recover, he can expect to be discharged soon," said the MOH.
There are now 36 - down from 50 on Wednesday - confirmed H1N1 patients hospitalised.
Friday, July 10, 2009
本地心脏中心用机械人动手术 病人1个月康复
借助于外科手术机械人治疗二尖瓣疾病,病人在1个月后就可回返工作岗位。过去使用传统的开刀手术,病人须休养3个月才能上班。
新加坡国家心脏中心今天下午宣布,他们在修复二尖瓣的外科手术上取得了这项重大的进展。
国家心脏中心心胸外科部高级顾问蔡耀龙医生已完成了几次借助于“达芬奇”(da Vinci)外科手术机械人系统进行的手术。因二尖瓣出问题而接受手术的病人,已完全康复。
目前,国家心脏中心是新加坡国内唯一使用这项医疗法修复二尖瓣的医疗机构。
国家心脏中心每年进行大约120起心脏瓣膜手术,其中三分之二是二尖瓣修复手术。
治疗二尖瓣,有的用传统外科手术,有的用手术机械人进行切口小的手术,对病人造成的伤损低。死亡率只有1.92%,远低于6%的国际水平。
传统的心脏开刀手术,切口大约是15公分,使用“达芬奇”机械人,只需约4公分的切口,开在胸部的右边,并不伤及肋骨架构。
低伤损手术也可用在其他心脏疾病和胸部问题的手术。
蔡耀龙医生说,使用先进的“达芬奇”外科手术机械人系统,有两大好处:
●复原快:使用过去的传统手术,一个工作繁重的人,三个月后才能重返工作岗位。使用机械人,同样的病人,一个月就可上班。
●手术后出现的并发症,譬如胸腔受感染的几率减低。
蔡医生说:“今天,我们讲求的是手术后更快复原,使用机械人的好处突显。治疗二尖瓣疾病,国家心脏中心现在让病人有所选择,他们可以选择使用机械人的低伤损心胸外科手术,也可以选择传统的外科手术。”
医疗基金支助 让病人能负担 机械人手术费
人口老化,心脏疾病很快成为一个全球性的问题。心脏疾病包括:心肌、心瓣膜及心血管。
国家心脏中心的医疗团队,自2006年12月以来,已完成了多起借助于机械人进行的手术,包括:冠状动脉绕道手术,先天性心脏缺陷(心脏有孔)及切除胸部肿瘤。
蔡医生说:“由于比较耗时,费用也较高,全球许多医疗中心已经放弃使用机械人进行的手术。但我们相信,这将是日后照顾心脏病人的新标准。”
使用“达芬奇”治疗瓣膜的服务,目前获得新加坡保健服务集团医疗基金拨款支助,让病人们能负担得起。
Wednesday, July 8, 2009
Friday, July 3, 2009
Tuesday, June 30, 2009
Indonesia confirms six new swine flu cases: minister
Three Australian children were among six newly confirmed swine flu cases in Indonesia Sunday, bringing the country's total infections to eight.
Health Minister Siti Fadilah Supari said two boys aged 10 and 12 and a girl aged 14 had been on the same flight from Australia to the resort island of Bali as a 22-year-old Briton who had earlier tested positive for the A(H1N1) virus.
Three other new Indonesian cases included two relatives who had visited Singapore and a 22-year-old woman who visited Australia.
"All the six are doing fine," said Supari, adding that the Australians are now being isolated at Bali's Sanglah hospital and the Indonesians at a Jakarta hospital.
No cases had been confirmed in Indonesia until last Wednesday when the Briton and an Indonesian pilot tested positive. Both have since been discharged from hospital, Supari said.
Indonesia last week expressed concern that Australian tourists flocking to Bali's beaches are bringing swine flu into the country, which had so far avoided the worst of the pandemic.
Australia is the worst-hit country in the Asia-Pacific region with over 3,500 swine flu cases and five related deaths.
Supari said that so far there had been no cases of human-to-human transmission in Indonesia and that the country would remain vigilant.
Indonesian authorities earlier in the year increased the use of body temperature scanners at airports and imposed a ban on the import of live pigs and pork products in a bid to combat the disease, which has been declared a pandemic by the World Health Organization.
The A(H1N1) influenza, which emerged in Mexico in April, has killed over 260 people worldwide and infected nearly 60,000 people in over 100 countries.
Swine flu dents travel arrivals in Singapore
Singapore said Friday that visitor arrivals fell 13 percent year on year in May, as the global swine flu outbreak compounded the impact of the economic downturn on travel demand.
The city-state welcomed 730,000 travellers in May, down from 834,000 in the same month last year, the Singapore Tourism Board said in a statement.
"Singapore's tourism sector saw sharper declines in visitor arrivals in May 2009 from markets such as China and Japan which can be attributed in part to the global outbreak of Influenza A (H1N1-2009)," it said.
Arrivals from China fell 40 percent to 52,000 and 30 percent to 30,000 from Japan.
Hotel room revenue fell 37.7 percent to 112 million Singapore dollars (77.24 million US) and average occupancy rates dipped 12.2 percentage points to 69 percent.
Singapore drew 10.1 million visitors in 2008, falling short of its target of 10.8 million as travel slowed noticeably in the second-half in the face of the global downturn.
Tourism is a major revenue earner for Singapore, which is facing its worst economic crisis in more than 40 years this year because of the worldwide downturn.
Friday, June 26, 2009
昨出现95起新病例 甲流病例未来几天可能激增
本地昨天新增95起新的甲型H1N1流感病例,使病例总数上升至315起。95起新病例当中,有25起在本地受感染,22起在国外受感染,其余48起仍等待调查结果。
甲流在本地社区传播的情况越来严重,前天出现了九个确诊病例的共和理工学院成为最新的传播群,再加上之前公布的三起病例,共和理工学院共有12人感染甲流。
卫生部对近期没出国、出现流感症状的病人进行抽样化验,并在本月17日首次发现有人在社区感染甲流,接下来的几天,甲流的普及率日益增加。
本土传播病例预料在未来几天激增,社区医疗设施开始准备应付更多流感患者。
卫生部医务总监萨库教授昨天召开记者会,公布本月初成立的甲型H1N1流感全国科学委员会取得的初步研究成果。
卫生部传染病署署长詹姆斯(Lyn James)医生在记者会上公布本地甲流最新发展情况。卫生部的流感监测系统在本月17日从医院和诊所搜集的88个样本当中,检测出了一个近期没有出国的甲流病例,在出现流感症状者的普及率为1.1%。
随后几天的抽样检验显示,甲流的普及率开始上升。6月20日至22日之间,H1N1的普及率介于3.8%至5.3%,比第一天高出好多倍,显示病毒开始在社区蔓延。
詹姆斯医生说:“社区只要出现几个病例,开始传染给他人,病例数目会迅速增加。出现这个趋势之后,我们预料甲流病例会倍数上升。”
萨库教授表示,当甲流占流感病例的15%,本地将从抑制病毒传播,转向缓和疾病的冲击,并通知一般公众到能应付流感病患的诊所和综合诊疗所接受治疗。
萨库解释说,一般诊所无法进行化验,确定病人患上哪类流感,所有的流感患者都被配给抗流感药达菲。截至6月22日,5%的流感患者感染了H1N1,也就是说,20名流感患者当中,只有一人服用达菲后能受用。
新加坡基因组研究院也在昨天公布初步的基因分析结果。新加坡基因组研究院高级组长(传染疾病)希柏德博士(Martin Hibberd)指出,新加坡出现的H1N1病毒极度类似于北美和澳洲出现的病毒,而且并没有证据显示,病毒对达菲产生抗药情况。这意味着患者服用达菲可 将病情控制下来。
截至前天晚上11时,卫生部已经发布1499个居家隔离令。92%被隔离者都预防性地服用抗流感药物。只有两名受隔离者在服药后,仍然感染甲流。
Monday, June 22, 2009
Wednesday, June 17, 2009
妖魔鬼怪张牙舞爪 勤洗手广告被指吓到小孩

比恐怖片还恐怖!保健促进局教人勤洗手的广告,被指吓到小孩半夜做恶梦!
保健促进局(HPB)最近刊登在报章,也到处张贴的鼓励人们勤洗手广告,画面上只见一只手,上面布满面目憎狞的妖魔鬼怪,露出骇人、锋利的牙齿和长长的舌头。
这广告的标题是:“用肥皂勤洗手,防止细菌传播!”广告下端解释,细菌能通过人手传播,并可能造成严重的感染。用肥皂和水洗上30秒,就能减少手上的细菌高达99%!
不过,本报最近纷纷接获读者的反映,说能理解保健促进局在甲型流感肆虐期间,加强鼓励人们勤洗手的工作,但这个广告的设计太“诡异”,吓坏了小孩,连成人也觉得恐怖。
10岁童看了做恶梦
刘小姐说:“我看到这个广告张牙舞爪的‘鬼脸’时,心里也有点害怕。我10岁的侄子看过后,更是吓得晚上做恶梦!”
张女士也透露,她在一所小学附近看到这个海报,认为它可能对小孩造成不必要的困扰。也有读者投函报章,指这个广告“比恐怖片还恐怖”!
保健局:经过公众调查
才推出‘恐怖广告’
保健促进局说,经过公众调查,才推出“恐怖广告”!
在回复本报询问时,保健促进局说,在展开这一轮的勤洗手宣传活动前,曾做了项调查和讨论,找来不同年龄层的新加坡人,包括育有小孩的家长,让他们看了多个广告的设计,结果,“恐怖广告”被获选。
接受调查者都认为,这个广告容易理解,也更有说服力:96%参与者了解其中的讯息,并有75%被说服要经常用肥皂洗手。
保健促进局表示,已留心不把这个海报张贴在小学附近。不过,当局也吁请家长,如果看到这个广告,可借此机会向孩子解释,洗手是预防细菌感染的简单而有效的方法。
保健促进局说,会继续留意公众对这次宣传海报的反应。

















