Singapore - Monkeypox outbreak 2022

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MOH STATEMENT ON ONE CONFIRMED MONKEYPOX CASE INVOLVING A TRANSIT TRAVELLER



6TH JUN 2022


The Ministry of Health (MOH) was informed on 4 June 2022, by the New South Wales Ministry of Health, of one confirmed case of monkeypox who had transited through Singapore to Australia on 2 June.

The traveller arrived in Sydney on 3 June and had tested positive for monkeypox there. He had departed from Barcelona on 1 June and arrived at Changi Airport on 2 June. He had remained in the transit holding area at Changi Airport until his departure for Sydney on the same day, and did not visit other areas in Changi Airport.

As the case did not enter Singapore or interact with persons in the community, there is currently no significant risk of community transmission. However, as a precautionary measure, we have conducted contact tracing for the two affected flights and those who might have come into contact with the traveller at the airport transit area.

There were no assessed close contacts, and hence no requirement for quarantine. However, we have put 13 persons who may have casual contact with the traveller on phone surveillance for 21 days. Persons under phone surveillance will receive daily phone calls to ascertain their health status until the end of the monitoring period. Should they report symptoms that are suggestive of monkeypox infection, they will be medically assessed and may be conveyed to the National Centre for Infectious Diseases for further evaluation.

https://www.moh.gov.sg/news-highlights/details/moh-statement-on-one-confirmed-monkeypox-case-involving-a-transit-traveller

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CONFIRMED IMPORTED CASE OF MONKEYPOX IN SINGAPORE

21ST JUN 2022


The Ministry of Health (MOH) has confirmed one imported case of monkeypox infection in Singapore. The patient is a 42-year-old male British national who works as a flight attendant and was in Singapore between 15 and 17 June 2022 and again on 19 June as he flew in and out of Singapore. He tested positive for monkeypox on 20 June. He is currently warded in at the National Centre for Infectious Diseases (NCID), and his condition is stable. Contact tracing is ongoing.

2. The case had onset of headache on 14 June, and fever on 16 June. These symptoms subsequently resolved, and he then developed skin rashes on 19 June. He sought medical attention via teleconsultation on the night of 19 June, and was conveyed to NCID on 20 June for further assessment.

3. Contact tracing is ongoing for the affected flights and for the duration of his stay in Singapore. During this period, he had largely remained in his hotel room, except to visit a massage establishment, and eat at three food establishments on 16 June. In general, the risk of transmission to visitors at these locations is low, as data has shown that monkeypox transmits through close physical or prolonged contact. All four locations visited by the case are undergoing cleaning and disinfection.

4. As of 21 June, 13 close contacts have been identified. All close contacts will be placed on quarantine for 21 days since their last contact with the case. In addition, two low-risk contacts have been placed on phone surveillance. Persons under phone surveillance will receive daily phone calls during the 21-day period to monitor for any onset of symptoms. If suspected of being infected, they will be immediately conveyed to the NCID for further evaluation and isolation to prevent further transmission.


Health Advisory

5. Monkeypox is a viral disease that is caused by infection with the monkeypox virus. Infected persons would typically experience fever, headache, muscle ache, backache, swollen lymph nodes, chills, lethargy and skin rash. The disease is usually self-limiting, with most patients recovering within two to three weeks. In some cases, however, the virus can cause serious complications. Individuals who are at higher risk of severe illness include young children, pregnant women or immunocompromised individuals.

6. Human-to-human transmission is generally uncommon, but can occur via exposure to respiratory droplets or direct physical contact with the blood, body fluid or lesion material from infected individual or contaminated materials. The incubation period ranges from five to 21 days. People with the infection are generally infectious from onset of fever until the skin lesions have scabbed over.

7. Given the evolving global situation, members of the public, especially travellers are advised to maintain vigilance and take the following precautions:

· Maintain a high standard of personal hygiene, including frequent hand washing after going to the toilet, or when hands are soiled.

· Avoid direct contact with skin lesions of infected living or dead persons or animals, as well as objects that may have become contaminated with infectious fluids, such as soiled clothing or linens (e.g. bedding or towels) used by an infected person.

· Avoid contact with wild animals that could harbour the virus, and consumption of bush meat.

· Seek immediate medical attention if they develop any disease symptoms (e.g. sudden onset of high fever, swollen lymph nodes and rash) compatible with monkeypox. They should inform their doctor of their recent travel history, if any.


MINISTRY OF HEALTH

21 JUNE 2022


https://www.moh.gov.sg/news-highligh...-singapore2022

[Mary Wilson]

09:33, 22 Jun 2022

By Adam May

A British Airways crew has been put in isolation after one of them is understood to have caught monkeypox.

Two pilots and nine stewards and stewardesses have all been placed in quarantine for 21 days in Singapore, it has been reported.

The flight is understood to be on British Airways' London to Sydney route, which goes via Singapore, and it's thought the positive test came when the crew were returning to the UK.

Health officials reportedly detected the infection in a steward once staff were tested after landing on Sunday evening.

... Authorities on Tuesday disclosed the case, saying the 42-year-old man had flown in and out of the city state in mid-June.

The infection is the first recorded case of monkeypox in South-East Asia linked to the recent global outbreak.

... "One of them had it, so they impounded the whole crew. Now they have got to spend 21 days in quarantine.

"Everyone has been told not to talk about it – but it's all everyone is talking about." ...

https://www.mirror.co.uk/news/world-news/british-airways-crew-isolation-after-27296790

[Shiloh]

Source: https://www.channelnewsasia.com/sing...l-case-2792906

Singapore confirms first local case of monkeypox infection
The patient is a 45-year-old Malaysian man residing in Singapore.
Singapore confirms first local case of monkeypox infection
Yasmin Begum
06 Jul 2022 11:00PM (Updated: 06 Jul 2022 11:17PM)

SINGAPORE: The Ministry of Health (MOH) has confirmed the first local case of monkeypox infection in Singapore.

The patient is a 45-year-old male Malaysian national who resides in Singapore. MOH said the man tested positive for monkeypox on Wednesday (Jul 6).

"He is currently warded at the National Centre for Infectious Diseases (NCID) and his condition is stable," MOH said in a media statement on Wednesday.

The man is not linked to the imported case announced by MOH on Jun 21, it added.

The man first developed lower abdomen skin lesions on Jun 30 and subsequently experienced fatigue and swollen lymph nodes on Jul 2.

He developed fever and a sore throat on Jul 4 and sought medical attention where initial tests for other possible medical conditions were done.

"When these tests returned negative, he was subsequently conveyed to NCID on 6 July, where he was isolated for further assessment," said MOH.

As of Wednesday, three close contacts - two housemates and one social contact - have been identified...

[Mary Wilson]

Singapore confirms first local case of monkeypox infection

Published July 6, 2022 3:09pm EDT

Singapore has confirmed its first local case of monkeypox, the health ministry said late on Wednesday.

The patient is a 45-year-old male Malaysian national who resides in Singapore. He tested positive on Wednesday.

He had symptoms such as lower abdomen skin lesions, fatigue, swollen lymph nodes, fever and a sore throat.

His condition is stable and he is currently in a ward at the National Centre for Infectious Diseases in Singapore, the ministry said, adding that the transmission risk to the general public remains low.

https://www.foxnews.com/world/singapore-confirms-first-local-case-monkeypox-infection

[Mary Wilson]

Singapore confirms first local case of monkeypox infection
...The man is not linked to the imported case announced by MOH on Jun 21, it added.

https://www.channelnewsasia.com/singapore/monkeypox-singapore-first-local-case-2792906?cid=TWTcna

[Shiloh]

Source: https://www.moh.gov.sg/diseases-updates/monkeypox

8 July 2022

The Ministry of Health has confirmed one more imported case of monkeypox infection in Singapore on 8 July 2022. The patient is a 30 year-old male India national who resides in Singapore and had recently returned from Germany. He tested positive for monkeypox on 8 July 2022. He is currently warded at the National Centre for Infectious Diseases (NCID) and his condition is stable. He is not linked to the monkeypox cases earlier announced by MOH. The case developed rashes in the groin area on 30 June, and subsequently a fever on 7 July. He sought medical care on 7 July and was subsequently conveyed to NCID on the same day. Contact tracing is ongoing.


7 July 2022
The Ministry of Health has confirmed one more imported case of monkeypox infection in Singapore on 7 July 2022. The patient is a 36 year-old male India national who resides in Singapore and had recently returned from the United States. He tested positive for monkeypox on 7 July 2022. He is currently warded at the National Centre for Infectious Diseases (NCID) and his condition is stable. He is not linked to the monkeypox cases earlier announced by MOH. The case developed anal discomfort on 28 June, and other symptoms, including rashes typical of monkeypox, progressively over the next few days. He sought medical care on 6 July and was subsequently conveyed to NCID on the same day. Contact tracing is ongoing.

Click here for the details on the first monkeypox case in Singapore.
Click here for the details on the second moneypox case in Singapore.

[Shiloh]

Source: https://www.moh.gov.sg/diseases-updates/monkeypox

13 July 2022

The Ministry of Health has confirmed one more local case of monkeypox infection in Singapore on 13 July 2022. The patient is a 48 year-old male British national who resides in Singapore. He tested positive for monkeypox on 13 July 2022. He is currently warded at the National Centre for Infectious Diseases (NCID) and his condition is stable. The case is not linked to any of the monkeypox cases earlier announced by MOH. The case developed rashes in the perianal region on 6 July and fever on 11 July. He sought medical care on 13 July and was subsequently admitted to NCID on the same day. Contact tracing is ongoing.

[Mary Wilson]

7th and 8th cases of monkeypox confirmed in Singapore

PUBLISHED 1 HOUR AGO

Timothy Goh and Clement Yong

SINGAPORE - Two more cases of monkeypox were reported on Sunday (July 24), with one a 46-year-old man from Estonia and the other a 26-year-old Singaporean man.

This brings the total number of cases detected here to eight, comprising four local and four imported cases. None have been linked to one another.

In its updates on monkeypox on its website, the Ministry of Health (MOH) said the Estonian man came to Singapore from London on July 21. He tested positive for monkeypox on Sunday, after he developed rashes in the groin area and had fever and swollen lymph nodes.

The Singaporean man also developed rashes in the groin area as well as other parts of his body and also tested positive on Sunday. Both of them were taken to the National Centre for Infectious Diseases and are in stable condition.

https://www.straitstimes.com/singapore/health/7th-and-8th-cases-of-monkeypox-confirmed-in-singapore

[Shiloh]

Source: https://www.moh.gov.sg/diseases-updates/monkeypox

25 July 2022

The Ministry of Health has confirmed one more local case of monkeypox infection in Singapore on 25 July 2022. The patient is a 31 year-old male Philippine national. He tested positive for monkeypox on 25 July 2022. He is currently warded at the Singapore General Hospital (SGH) and his condition is stable. The case is not linked to any of the monkeypox cases earlier announced by MOH. He developed fever on 21 Jul, and subsequently rashes on his face and at his perianal region with further spread to other parts of his body. He sought medical care at SGH on 24 July and was admitted on the same day. Contact tracing is ongoing.


24 July 2022

The Ministry of Health (MOH) has confirmed two more cases of monkeypox infection in Singapore on 24 July 2022.


The first is an imported case involving a 46 year-old male Estonia national who entered Singapore from London on 21 July. He tested positive for monkeypox on 24 July. He developed rashes in the groin area, had fever and lymphadenopathy, and sought medical care on 23 July. He was subsequently admitted to the National Centre for Infectious Diseases (NCID) on the same day.


The second is a local case involving a 26 year-old male Singapore Citizen. He tested positive for monkeypox on 24 July 2022. The case developed rashes in the genital region and other parts of his body, and sought medical care on 24 July. He was subsequently admitted to NCID on the same day.


Both cases are in a stable condition. They are not linked to any of the monkeypox cases earlier announced by MOH. Contact tracing is ongoing.



14 July 2022

The Ministry of Health has confirmed one more local case of monkeypox infection in Singapore on 14 July 2022. The patient is a 41 year-old male Singapore Citizen. He tested positive for monkeypox on 14 July 2022. He is currently warded at the National Centre for Infectious Diseases (NCID) and his condition is stable. The case is not linked to any of the monkeypox cases earlier announced by MOH. The case developed genital rashes on 9 July. He sought medical care on 12 July and was subsequently admitted to NCID on 13 July. Contact tracing is ongoing.

[Shiloh]

Source: https://www.moh.gov.sg/diseases-updates/monkeypox

27 July 2022

The Ministry of Health (MOH) has confirmed one more local case of monkeypox infection in Singapore on 27 July 2022. The patient is a 32 year-old male Singapore Citizen. He tested positive for monkeypox on 26 July 2022. He is currently warded at the National Centre for Infectious Diseases (NCID) and his condition is stable. The case is not linked to any of the monkeypox cases earlier announced by MOH. He developed fever on 12 July, and subsequently lesions in the groin area with further generalised spread. He sought medical care on 26 July and was admitted to NCID on the same day. Contact tracing is ongoing.


26 July 2022

The Ministry of Health has confirmed one more imported case of monkeypox infection in Singapore on 26 July 2022. The patient is a 28 year-old male Taiwanese who resides in Singapore and had recently returned from Canada. He tested positive for monkeypox on 26 July 2022. He is currently warded at the National Centre for Infectious Diseases (NCID) and his condition is stable. The case is not linked to any of the monkeypox cases earlier announced by MOH. He developed fever, headache, pain in the anal region and myalgia on 22 July which subsequently progressed to a rash at the perianal region. He sought medical care on 26 July and was admitted to NCID on the same day. Contact tracing is ongoing.

[Mary Wilson]

Monkeypox patients who are clinically stable to be transferred to dedicated isolation facility: MOH

PUBLISHED 11 HOURS AGO
Tay Hong Yi

SINGAPORE - All monkeypox patients who are clinically stable will be transferred to a dedicated monkeypox isolation facility from Monday (Aug 1).

The quarantine period for close contacts will now be cut to 14 days, followed by seven days of monitoring for symptoms via phone calls.

Previously, the quarantine period was up to 21 days

The Ministry of Health (MOH) in a statement on Monday said: "These updated public health measures are in line with the latest local and international data, including that from the World Health Organisation (WHO)."

Public hospitals will assess whether the monkeypox cases are clinically stable.

Those deemed stable will be sent to the isolation facility with round the clock telemedicine support.

The patients will recover in the monkeypox isolation facility until they are non-infectious and fit for discharge, said MOH.

... These patients are all currently in stable condition with mild symptoms,.

Meanwhile, patients assessed by the public hospitals to be at higher risk of complications will continue to be managed in hospitals.

"This allows hospitals to preserve their capacity for cases with more severe symptoms or complications."

... MOH said those who are unable to complete their quarantine at home will be transferred to a government quarantine facility. ...

https://www.straitstimes.com/singapore/health/clinically-stable-monkeypox-patients-to-transfer-to-dedicated-isolation-facility

[Shiloh]

Source: https://www.moh.gov.sg/diseases-updates/monkeypox

On 1 August 2022 there was a conformed case.
On 3 August 2022, the Ministry of Health (MOH) has confirmed one new local case of monkeypox in Singapore.

Please click here for the summary of the confirmed monkeypox cases in Singapore to-date.

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MONKEYPOX
...
Local Situation Update

On 5 August 2022, the Ministry of Health (MOH) has confirmed two new local cases of monkeypox in Singapore.

Please click here for the summary of the confirmed monkeypox cases in Singapore to-date.
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SUMMARY OF CONFIRMED MONKEYPOX CASES IN SINGAPORE

Case Number Date of Confirmation Age (years) Gender Recent Travel History Exposure

1 20 June 2022 42 Male United Kingdom, Australia Imported
2 06 July 2022 45 Male Local unlinked
3 07 July 2022 36 Male United States Imported
4 08 July 2022 30 Male Germany Imported
5 13 July 2022 48 Male Local unlinked
6 14 July 2022 41 Male Local unlinked
7 24 July 2022 46 Male United Kingdom Imported
8 24 July 2022 26 Male Local unlinked
9 25 July 2022 31 Male Local unlinked
10 26 July 2022 28 Male Canada Imported
11 26 July 2022 32 Male Local unlinked
12 01 August 2022 59 Male Local unlinked
13 02 August 2022 33 Male Local unlinked
14 05 August 2022 25 Male Local unlinked
15 05 August 2022 54 Male Local linked; contact of Case 13

https://www.moh.gov.sg/docs/librarie...13dbecc2df.pdf

https://www.moh.gov.sg/diseases-updates/monkeypox