Publications

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concerns, perceived impact and preparedness in an avian influenza pandemic--a comparative study between healthcare workers in primary and tertiary care.with the potential threat of an avian influenza (ai) pandemic, healthcare workers (hcws) are expected to play important roles, and they encounter significant stress levels from an expected increase in workload. we compared the concerns, perceived impact and preparedness for an ai pandemic between hcws working in public primary care clinics and a tertiary healthcare setting.200818327343
new influenza a (h1n1) 2009 in singapore: the first ten adult imported cases.since late march 2009, a novel influenza h1n1 strain emerged in humans in mexico and the united states. it has rapidly spread to many countries on different continents, prompting unprecedented activation of pandemic preparedness plans. singapore has adopted a containment strategy with active screening of febrile travellers with respiratory symptoms from affected countries since april 27, 2009.200919551309
influenza in the tropics. 200919628167
an epidemiological study of 1348 cases of pandemic h1n1 influenza admitted to singapore hospitals from july to september 2009.we reviewed the epidemiological features of 1348 hospitalised cases of influenza a (h1n1-2009) [pandemic h1n1] infection in singapore reported between 15 july and 28 september 2009.201020473452
outbreak of novel influenza a (h1n1-2009) linked to a dance club.this paper describes the epidemiology and control of a community outbreak of novel influenza a (h1n1-2009) originating from a dance club in singapore between june and july 2009. materials and methods: cases of novel influenza a (h1n1-2009) were confirmed using in-house probe-based real-time polymerase chain reaction (pcr). contact tracing teams from the singapore ministry of health obtained epidemiological information from all cases via telephone.201020473455
influenza a (h1n1-2009) pandemic in singapore--public health control measures implemented and lessons learnt.we describe the public health control measures implemented in singapore to limit the spread of influenza a (h1n1-2009) and mitigate its social effects. we also discuss the key learning points from this experience. singapore's public health control measures were broadly divided into 2 phases: containment and mitigation. containment strategies included the triage of febrile patients at frontline healthcare settings, admission and isolation of confirmed cases, mandatory quarantine orders (qo) for c ...201020473458
international health regulations: lessons from the influenza pandemic in singapore.singapore's defense against imported novel influenza a (h1n1-2009) comprised public health measures in compliance with the world health organization's (who) international health regulations (ihr), 2005. we report herein on the epidemiology and control of the fi rst 350 cases notified between may and june 2009.201020473459
use of healthcare worker sickness absenteeism surveillance as a potential early warning system for influenza epidemics in acute care hospitals. 201020473464
the influenza a (h1n1-2009) experience at the inaugural asian youth games singapore 2009: mass gathering during a developing pandemic.from 29 june to 7 july 2009, singapore hosted the inaugural asian youth games (ayg), which brought 1210 athletes and 810 officials from 43 participating countries. on 11 june, just 1 week before the games village medical centre started operations, the world health organization officially declared a global h1n1 2009 pandemic. working in close partnership with the olympic council of asia medical commission, singapore ayg organising committee and other government agencies, the ayg medical services ...201020519257
oseltamivir ring prophylaxis for containment of 2009 h1n1 influenza outbreaks.from june 22 through june 25, 2009, four outbreaks of infection with the pandemic influenza a (h1n1) virus occurred in singapore military camps. we report the efficacy of ring chemoprophylaxis (geographically targeted containment by means of prophylaxis) with oseltamivir to control outbreaks of 2009 h1n1 influenza in semiclosed environments.201020558367
pandemic (h1n1) 2009 infection in adult solid organ transplant recipients in singapore.influenza can produce significant complications in immunocompromised persons.201020814355
effectiveness of public health measures in mitigating pandemic influenza spread: a prospective sero-epidemiological cohort study.few studies have validated the effectiveness of public health interventions in reducing influenza spread in realā€life settings. we aim to validate these measures used during the 2009 pandemic.201020863233
comparison of the incidence of influenza in relation to climate factors during 2000-2007 in five countries.relatively few international comparisons of the incidence of influenza related to climate parameters have been performed, particularly in the eastern hemisphere. in this study, the incidence of influenza and climate data such as temperature, relative humidity, and rainfall, from cities at different latitudes with contrasting climates: singapore, hong kong (china), ulaanbaatar (mongolia), vancouver (canada), and three australian cities (brisbane, melbourne and sydney) were examined to determine w ...201020872724
experience of a screening centre for influenza a/h1n1: the first 50 days.the authors' emergency department (ed) served as singapore's screening centre for influenza h1n1 cases. the aims of the study were to describe their screening experience and to compare clinical and laboratory features of h1n1 versus seasonal flu cases.201020943834
clinical characteristics and outcomes of hospitalized patients with 2009 h1n1 influenza in a large acute care tertiary hospital, singapore.this study describes the clinical characteristics and outcomes of hospitalized patients with 2009 h1n1 influenza in a large, acute care, tertiary hospital in singapore. of the 265 hospitalized patients with laboratory-confirmed 2009 influenza a (h1n1) during the height of the h1n1 flu pandemic, 13% (35) suffered severe outcomes including a mortality rate of 4.5% (12). severe outcomes were associated with patients aged 40 years or more, underlying comorbidities, and complicated by pneumonia.201121664005
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