While looking through old records for a project on the history of Middleton Hospital/Communicable Diseases Centre, we came across numerous references to enteric fever and typhoid in annual reports from the Ministry of Health, Ministry of Environment, and even those from the Medical Department in the Colonial Office (pre-independence) archives. It was clear that starting […]

There were 18 cases of typhoid fever reported in Singapore over 3 weeks, with the onset of symptoms between 13th July and 4th August this year. This is a far larger number than usual – the disease now occurs primarily in returning travelers or migrant workers from countries where the bacterium remains endemic. The cause […]

In 2008, a few colleagues and I wrote a position paper on antibiotic use and antimicrobial resistance in Singapore, making a number of recommendations which we felt would be important to improve antibiotic use and mitigate the threat of antimicrobial resistance here. Those were not particularly controversial recommendations, and reflected the thinking of the international […]

I was asked to write a commentary on adult vaccination in Singapore, during the course of which I read a number of articles surrounding adult vaccinations in general and Singapore in particular. A handful of things stood out for me: There is no clear or easy way to find the data on vaccination rates among […]

I had the privilege of attending a tour of the former Communicable Diseases Centre/Middleton Hospital today, organized by Jerome Lim of the Long and Winding Road and the Singapore Land Authority. CDC has now been added to the series of tours of state-owned sites (Discovering Singapore’s Best Kept Secrets) that includes old Changi Hospital and […]

This topic was previously touched on 2 years ago. The speculation at that time was whether hepatitis E in Singapore is also linked to the consumption of undercooked pork. This seems to be answered by a new study (behind a pay wall) that has just been published in the journal Zoonoses Public Health by investigators […]

A belated post on the announcement on 9th July that UK will be testing a subscription model for antibiotics that hopes to encourage the pharmaceutical industry to develop new antibiotics in the future. The background to this is that – unlike most other drugs and medical devices – there is acknowledged market failure where antibiotics […]