A man in his late 50’s presented with generalised lethargy and low-grade fever for 3 days. He had a history of pulmonary tuberculosis 20 years ago, and had completed a 9-month course of therapy. The only other significant history was that of alcoholism and smoking. He was found to be hypotensive at the Emergency Department […]

The Singapore Tuberculosis Elimination Programme (STEP) Registry and TB Contact Clinic used to be based out of a charming (but rickety) old colonial-style bungalow along Moulmein Road. After several months, renovations have been completed.

There is a lot of interesting data available on tuberculosis (TB) in Singapore, available from multiple sources. I was quite privileged to receive a copy of Dr Heng Bee Hoon’s (Director, Health Services and Outcome Research, National Healthcare Group) 1988 Master of Science in Public Health thesis “The Secular Trends of Tuberculosis in Singapore” from the […]

Dr. Raymond Fong – a consultant infectious diseases at Changi General Hospital – had commented in response to my earlier post on legal aspects of tuberculosis management that one other challenging issue sometimes faced by doctors was with regards to air travel and tuberculosis. There have been a number of incidents regarding passengers and crew members of […]

The standard short-course therapy for pulmonary tuberculosis involves taking 4 to 5 different medications for 6 months, and both duration of therapy and medication count (normally about 10 or so pills each day) can be significantly increased as a consequence of drug resistance and/or drug intolerance requiring a change of regimen. Compliance to anti-tuberculosis therapy can […]

Spent some time at the National Library earlier today looking through the digitised newspaper archives. Here are some screenshots of old tuberculosis news articles that caught my eye:

The ECG from Clinical Vignette 17 was actually obtained from the patient described below: This middle-aged man, a sailor, was transferred to the hospital directly after his ship sailed into port. He had been ill for 2 months, with low-grade fever, weight loss of almost 8 kg, and shortness of breath upon exertion. His chest […]

A year ago, a report was published on Public Health Action (the International Union against Tuberculosis and Lung Disease’s open access journal) by members of the Singapore Tuberculosis Elimination Programme (STEP) and Ministry of Health, looking at tuberculosis cases among Singapore residents by ethnicity, notified between 2002 and 2011. There were 15,622 resident cases of […]

I came across this site via a search on “superbugs” on Google News. The UK review team was commissioned by the UK Prime Minister in July 2014, and published its first report about 2 weeks ago. By the end of 2 years – summer 2016 – the Review will have to propose a package of […]

Some of the local press (courtesy of the Saw Swee Hock School of Public Health‘s corporate communications team) picked up an obscure article that we published earlier this year in BMC Public Health, looking at the trend of tuberculosis in Singapore (among residents and non-residents) between 1995 and 2011. Here’s the Today link. Basically, we looked […]