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Singapore - Zika outbreak 2016 - MoH: 383 cases of locally transmitted Zika virus infection including 8 pregnant women as of September 20, 2016

Pathfinder

Pathfinder

Editor, Senior Moderator
First Case of Locally Transmitted Zika Virus Infection
  • News Highlights
The Ministry of Health (MOH) and National Environment Agency (NEA) have been informed of a case of Zika virus infection. The patient is a 47-year-old female Malaysian who resides at Block 102 Aljunied Crescent and works in Singapore. As she had not travelled to Zika-affected areas recently, she was likely to have been infected in Singapore.
2. The patient had developed fever, rash and conjunctivitis from 25 August. She visited a general practitioner (GP) on 26 August and was referred to the Communicable Diseases Centre (CDC) at Tan Tock Seng Hospital, where she was tested positive for Zika on 27 August. She has since been hospitalised for observation at the CDC. The patient is currently well and recovering.
3. With the presence of Zika in our region and the volume of travel by Singaporeans as well as tourists, it is inevitable that there will be imported cases of Zika into Singapore. There is also risk of subsequent local transmission, as the Aedes mosquito vector is present here. While MOH and NEA have stepped up precautionary measures, we expect that there may be further cases, as most infected persons may display mild or no symptoms.
Screening of Contacts
4. MOH is screening the patient?s close contacts, including household members. MOH is also carrying out Zika testing on others living and working in the area who have symptoms of fever and rash. At this point, three other suspect cases ? two in a family who live in the area and an individual who works in the area ? had preliminarily tested positive based on their urine samples. They are pending further confirmation tests.
5. MOH has alerted all GPs around the patient?s home and workplace to be extra vigilant and to immediately report patients with symptoms associated with Zika virus infection to MOH. MOH and NEA will also actively alert residents in the vicinity to seek medical attention should they develop symptoms.
6. Minister for Health, Mr Gan Kim Yong, said, ?MOH and NEA are working together to carry out vector control and testing of residents in that area with fever and rashes so as to reduce the risk of further spread. I encourage those who are unwell and with these symptoms to visit their doctors for medical attention. We have also alerted our clinics in the area to look out for suspect cases and refer them to the CDC for testing."
7. For now, as an added precaution, all suspect cases of Zika virus infection will be isolated while awaiting confirmation of the blood test results.
Vector Control
8. NEA has intensified vector control operations to control the Aedes mosquito population in the vicinity of Aljunied Crescent by immediately deploying about 100 officers to inspect the area. NEA is also conducting outreach efforts and distributing Zika information leaflets and insect repellents to residents living in the area. NEA?s intensified vector control operations include:
  • Inspecting all premises, ground and congregation areas
  • Conducting mandatory treatment such as ultra-low volume (ULV) misting of premises and thermal fogging of outdoor areas to kill adult mosquitoes
  • Increasing frequency of drain flushing and oiling to prevent breeding
  • Public education outreach and distribution of insect repellents
9. NEA will also be activating partner agencies of the Inter-Agency Dengue Task Force to step up localised search and destroy efforts in their respective areas to help reduce the risk of the virus spreading further.
10. The patient?s residence at Aljunied Crescent is not located in an active dengue cluster. However there are two active dengue clusters nearby, each with two cases. Prior to the Zika case being notified, NEA had been inspecting the premises in nearby dengue clusters to detect and destroy mosquito breeding.
11. As the majority of people infected with the virus do not show symptoms, it is possible that some transmission may already have taken place before this case of Zika was notified. Hence, even as NEA conducts operations to contain the transmission of the Zika virus, residents are urged to cooperate fully with NEA and allow its officers to inspect their premises for mosquito breeding and to spray insecticide to kill any mosquitoes. NEA may need to gain entry into inaccessible premises by force after serving of requisite Notices, to ensure any breeding habitats are destroyed quickly.
12. To minimise the risk of any spread of Zika in Singapore, it is critical that all of us as a community take immediate steps to prevent mosquito breeding in our homes by doing the 5-step Mozzie Wipeout every alternate day, and protect ourselves from mosquito bites by applying insect repellent regularly.
Health Advisory
13. Zika is generally a mild disease. It may cause a viral fever similar to dengue or chikungunya, with fever, skin rashes, body aches, and headache. But many people infected with the Zika virus infection do not even develop symptoms.
14. Zika virus infection can however cause microcephaly in the unborn foetuses of pregnant women. We advise residents, especially pregnant women, in the Aljunied Crescent area to monitor their health. They should seek medical attention if they are unwell, especially with symptoms such as fever and rash. They should also inform their doctors of the location of their residence and workplace. Those without these symptoms but who are concerned that they have been infected with the Zika virus should consult and follow the advice of their doctors regarding the monitoring of their pregnancy.
15. MOH will provide updates on any further developments and our latest public health risk assessments. Singaporeans should refer to MOH?s webpage on Zika (www.moh.gov.sg/zika) for the latest health advisory.

Annex A - Areas in the Vicinity of the First Local Case of Zika
MINISTRY OF HEALTH AND NATIONAL ENVIRONMENT AGENCY
27 AUGUST 2016





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Last updated on 27 Aug 2016

https://www.moh.gov.sg/content/moh_...locally-transmitted-zika-virus-infection.html
 
Localised Community Spread Of Zika Virus Infection With More Cases Confirmed
News Highlights

The Ministry of Health (MOH) has confirmed 41 cases of locally transmitted Zika virus infection in Singapore. Of these cases, 36 were identified through active testing of potentially infected persons.

Aljunied Crescent/ Sims Drive Cluster

2. All the cases are residents or workers in the Aljunied Crescent/ Sims Drive area. They are not known to have travelled to Zika-affected areas recently, and are thus likely to have been infected in Singapore. This confirms that local transmission of Zika virus infection has taken place. At this point, the community transmission appears to be localised within the Aljunied Crescent/ Sims Drive cluster.

3. 34 have fully recovered. The other 7, who are still symptomatic and potentially infectious, are recovering at Tan Tock Seng Hospital.

4. The profile of the 41 cases are as follows:

A 47-year-old female Malaysian had developed fever, rash and conjunctivitis from 25 August. She was referred to the Communicable Diseases Centre (CDC) at Tan Tock Seng Hospital, where she was tested positive for Zika on 27 August. She has since been hospitalised for observation at the CDC.
A Singaporean father and his son who reside at Block 62 Sims Drive. The former is a 65 year-old retiree, while his son is a 21 year-old full time National Serviceman who is doing his National Service at Khatib Camp. They developed symptoms of fever and rash from 23 August and 21 August respectively and were warded at CDC on 27 August.
A 30 year-old male Singaporean who works at a construction site at 60 Sims Drive and lives at Sembawang Drive. He developed fever and rash since 22 August and was warded at CDC on 27 August.
A 44-year-old unemployed male Singaporean who lives at Block 54 Sims Drive. He developed symptoms on 23 August and is currently warded at CDC.
36 foreign workers were tested positive, of which 7 are warded at the CDC. They were among the 118 persons working at the construction site at 60 Sims Drive who were tested[1]. The other 29 who tested positive have fully recovered.
Other Areas of Concern

5. Given that the Zika virus is spread by the Aedes mosquito vector, MOH cannot rule out further community transmission in Singapore, since some of those tested positive also live or work in other parts of Singapore. At this point, these other areas of concern include Khatib Camp, Sembawang Drive and places where the construction workers live (Kranji Road, Joo Chiat Place, Senoko South Road, Toh Guan Road East and Lor 101 Changi).

Ongoing Screening and Testing

6. MOH will continue to screen the close contacts of confirmed cases. MOH is also carrying out Zika testing on others living and working in the Aljunied Crescent/ Sims Drive area and other areas of concern who have symptoms of fever and rash. In particular, MOH has worked with the contractors at a construction site at Sims Drive to screen the workers there who were recently reported by a general practitioner (GP) to have symptoms of fever, rash and conjunctivitis. We have verified with Khatib Camp that there were no symptomatic cases to date.

7. MOH has also alerted all GPs, polyclinics and hospitals to be extra vigilant and to immediately report patients with symptoms associated with Zika virus infection to MOH.

Current Assessment

8. We expect to identify more positive cases. Given that the majority of Zika cases are asymptomatic or mildly symptomatic, and mosquitoes in the affected areas may already have been infected, isolation of positive cases may have limited effect to managing the spread. We should focus our efforts on vector control.

Vector Control

9. Since receiving notification from MOH on 27 August, NEA has intensified vector control operations to control the Aedes mosquito population in the vicinity of Aljunied Crescent/ Sims Drive. NEA has deployed more than 200 officers to inspect the area and conduct outreach to residents and other stakeholders in the vicinity. NEA?s intensified vector control operations include:

Inspecting all premises, ground and congregation areas
Conducting mandatory treatment such as ultra-low volume (ULV) misting/spraying of premises and thermal fogging of outdoor areas to kill adult mosquitoes
Increasing frequency of drain flushing and oiling to prevent breeding
Public education outreach and distribution of insect repellents
10. On 27 August, NEA accessed more than 1,800 premises out of an estimated 6,000 premises to check for mosquito breeding, and also conducted ground checks in the vicinity. 19 breeding habitats - comprising 13 in homes and 6 in common areas, were detected and destroyed

11. On 27 August, NEA also followed up on an earlier inspection on 24 August at the construction site at Sims Drive to re-inspect the site and conduct misting and thermal fogging. A Stop Work Order was issued to the construction site on 27 August, as the housekeeping of the construction site was found to be unsatisfactory with potential breeding habitats favourable to mosquito breeding. The construction site is required to rectify these conditions and step up preventive measures to prevent recurrence of mosquito breeding.

12. The on-site workers quarters at the construction site and two other dormitories at Senoko South and Kranji were also inspected on 27 August. One breeding was detected and destroyed at the dormitory at Kranji. NEA is conducting vector control operations at the remaining dormitories and the vicinity of Sembawang Drive today.

13. NEA officers and grassroots volunteers also conducted outreach in 14 blocks of flats in the vicinity of Aljunied Crescent and Sims Drive, to distribute Zika information leaflets and insect repellents on 27 August. We completed outreach to the remaining blocks in the vicinity on 28 August. NEA will similarly be conducting outreach in the Sembawang Drive residential area.

14. As the majority of people infected with the virus do not show symptoms, it is likely that some transmission may already have taken place before these cases of Zika were confirmed. Hence, even as NEA conducts operations to contain the transmission of the Zika virus, residents are urged to cooperate fully with NEA and allow its officers to inspect their premises for mosquito breeding and to spray insecticide to kill any mosquitoes. NEA may need to gain entry into inaccessible premises by force after serving of requisite Notices, to ensure any breeding habitats are destroyed quickly.

15. To minimise the risk of further spread of Zika in Singapore, it is critical that all of us as a community take immediate steps to prevent mosquito breeding in our homes by doing the 5-step Mozzie Wipeout and protect ourselves from mosquito bites by applying insect repellent regularly.

Health Advisory

16. We advise those living or working in the affected area of Aljunied Crescent/ Sims Drive and the other areas of concern, especially pregnant women, to monitor their health. They should seek medical attention if they are unwell, especially with symptoms of fever and rash. They should also inform their doctors of the location of their residence and workplace.

17. Zika is generally a mild disease and many people infected with the Zika virus do not even develop symptoms. Like dengue, it is transmitted by the bite of an infected Aedes mosquito.

18. Zika virus infection can however cause microcephaly in the unborn foetuses of pregnant women. Pregnant women should adopt strict mosquitoes precaution if travelling to an affected area. Individuals working, studying or living in an affected area who are sexual partners of pregnant women should adopt safe sexual practices (e.g. consistent and correct use of condoms during sex) or consider abstinence throughout the women?s pregnancy.

19. MOH will provide updates on any further developments and our latest public health risk assessments. Singaporeans should refer to MOH?s webpage on Zika (www.moh.gov.sg/zika) for the latest health advisory.



[1] Of those tested, 78 were negative. 4 results are pending.


Last updated on 28 Aug 2016

https://www.moh.gov.sg/content/moh_...ad-of-zika-virus-infection-with-more-cas.html
 
MOH confirms 15 more cases of Zika virus in Sims Drive and Aljunied Crescent

PUBLISHED1 HOUR AGO
Chew Hui Min

SINGAPORE - There are 15 more cases of locally transmitted Zika virus infection in Singapore, the Ministry of Health (MOH) has said.

Of the 15, two work at the construction site at 60, Sims Drive, and they have recovered.

Thirteen live or work in the broader Sims Drive and Aljunied Crescent area, where 41 cases were earlier found.

With the new cases, there is now a total of 56 confirmed cases here.
...
http://www.straitstimes.com/singapor...unied-crescent
 
Joint MOH-NEA statement (30 Aug)

News Highlights

As of 12pm, 30 August, MOH has confirmed 26 more cases of locally transmitted Zika virus infection in Singapore. Another 111 individuals were tested negative over the last 24 hours.

17 cases live or work in the Sims Drive/ Aljunied Crescent area and five live or work in Kallang Way and Paya Lebar Way, north of Sims Drive/Aljunied. We are investigating the remaining four cases for their links to the affected area.

Vector Control & Outreach

As of 29 August, NEA has inspected about 5,000 premises out of an estimated 6,000 premises in the Aljunied Crescent/Sims Drive cluster to check for mosquito breeding, and also conducted ground checks in the vicinity. 39 breeding habitats ? comprising 23 in homes and 16 in common areas/other premises - have been detected and destroyed. As of 29 August, NEA has served Notices on more than 400 inaccessible premises in the Aljunied Crescent/Sims Drive cluster to require the owners to contact NEA to arrange for an inspection, failing which NEA will proceed with forced entry. NEA has also inspected the on-site workers quarters at the construction site at Sims Drive. The Stop Work Order on the construction site at Sims Drive is still in force.

NEA officers and grassroots volunteers have completed the first round of outreach efforts in the Aljunied Crescent/Sims Drive cluster, to distribute Zika information leaflets, and we will be continuing with outreach in the areas of concern to raise general awareness of Zika, reiterate need for source reduction to prevent mosquito breeding, and advise residents to apply repellent as precaution.

NEA will be commencing vector control operations and outreach efforts in Kallang Way and Paya Lebar Way.

Advisory for Construction Sites and Dormitory Operators

In addition to inspecting homes and their common areas, NEA also inspects construction sites and engages dormitory operators. The latter plays an important role in helping to prevent and stem Zika transmission in their premises by ensuring a clean and hygienic environment. Some good practices include engaging dedicated pest control operator(s) for mosquito control, ensuring and sustaining proper housekeeping, and ensuring that all workers/residents apply insect repellent regularly.

Last updated on 30 Aug 2016

https://www.moh.gov.sg/content/moh_...se/2016/joint-moh-nea-statement--30-aug-.html
 
Potential Zika Cluster at Bedok North Ave 3 and First Case of Pregnant Woman Tested Positive

News Highlights

The Ministry of Health (MOH) has identified a potential cluster of Zika virus infection at the Bedok North Avenue 3 area. MOH was also notified today that a pregnant woman living in the Aljunied Crescent/ Sims Drive area was tested positive for Zika virus infection.

2. 24 new cases were identified today. Of these, 22 were from the Aljunied Crescent/Sims Drive/ Kallang Way/ Payar Lebar cluster. Two cases had no known links to the affected areas. One case lives at Joo Seng Road and the other at Punggol Way. Inaddition, nine cases were detected as a result of MOH?s look-back testing of previous cases.

3. There is a potential cluster involving three previously reported cases. They are staying at the Bedok North Avenue 3 area. One of the cases works at the Aljunied Crescent/ Sims Drive area while the other two cases had no known links.

4. MOH was also notified that a pregnant woman living in the Aljunied Crescent/ Sims Drive area was tested positive for the Zika virus today. Her doctor is following up closely with her to monitor her health and the development of her baby. She will be referred to a maternal-foetal medicine (MFM) specialist for counselling and advice.

5. Minister for Health Mr Gan Kim Yong said, ?Over time, we expect Zika cases to emerge from more areas. We must work and plan on the basis that there is Zika transmission in other parts of Singapore and extend our vector control efforts beyond the current affected areas. All Singaporeans can play our part to prevent mosquito breeding.?

6. Vector control remains the mainstay in reducing the spread of Zika. Our efforts will extend to other parts of Singapore. The National Environment Agency (NEA) will be stepping up its vector control efforts to wider areas.

Vector Control

7. NEA is continuing with vector control operations to control the Aedes mosquito population in the existing Aljunied Crescent/ Sims Drive cluster, which now covers about 7,000 premises in Aljunied Crescent, Sims Drive, Paya Lebar Way and Kallang Way. NEA has inspected about 5,500 premises in the cluster for mosquito breeding and conducted ground checks in the vicinity. 45 breeding habitats ? comprising 26 in homes and 19 in common areas/other premises ? have been detected and destroyed. As of 30 August, NEA has served Notices on more than 500 inaccessible premises in the cluster to require the owners to contact NEA to arrange for an inspection, failing which NEA will proceed with forced entry.

8. NEA has deployed more than 300 personnel per day comprising NEA officers, contractors and volunteers to carry out vector control operations and outreach from 27 Aug to 30 Aug in the cluster area. NEA officers and grassroots volunteers have completed two rounds of outreach efforts in the Aljunied Crescent/Sims Drive areas, to distribute Zika information leaflets, and have commenced outreach in the expanded cluster areas in Paya Lebar Way/Kallang Way. We will continue with outreach to raise general awareness of Zika, reiterate the need for source reduction to prevent mosquito breeding and advise residents to apply repellent as precaution.

9. NEA will also be commencing vector control operations and outreach efforts in Bedok North Avenue 3, comprising more than 6,000 premises. Residents are urged to cooperate fully with NEA and allow its officers to inspect their premises for mosquito breeding and to spray insecticide to kill any mosquitoes. NEA may need to gain entry into inaccessible premises by force after serving of requisite Notices, to ensure any breeding habitats are destroyed quickly.

10. NEA has activated partner agencies of the Inter-Agency Dengue Task Force to step up localised search and destroy efforts in their respective areas to help reduce the risk of the virus spreading further.

11. In NEA?s approach to tackling Zika cases, besides conducting checks for mosquito breeding habitats based on Zika cases, we also take a preventive and risk-based approach through pre-emptive checks in areas assessed to be at higher risk, even in the absence of Zika cases. Residents should also do their part to prevent mosquito breeding in their homes.

12. Minister for the Environment and Water Resources, Mr Masagos Zulkifli, said, ?Vector control remains the primary way to tackle the transmission of Zika. Hence, I urge all residents in affected areas to cooperate fully with NEA officers and allow them to inspect homes so that we can spot and destroy mosquito breeding as soon as possible, and to spray insecticide to kill any mosquitoes. It is also important that everyone in the community takes immediate steps to prevent mosquito breeding in our homes by doing the 5-step Mozzie Wipeout. We can also protect ourselves from mosquito bites by applying insect repellent to curb the transmission of the Zika virus in Singapore.?

Last updated on 31 Aug 2016

https://www.moh.gov.sg/content/moh_...t-bedok-north-ave-3-and-first-case-of-pr.html
 
Local Zika cases in Singapore jump to 115; first pregnant woman diagnosed

Posted 31 Aug 2016 22:43

SINGAPORE: A total of 115 Zika infections has been confirmed in Singapore, including the first pregnant woman in the country to be diagnosed with the virus, the Ministry of Health (MOH) and National Environment Agency (NEA) said in a joint briefing on Wednesday evening (Aug 31).

The authorities also identified a new potential cluster at Bedok North Avenue 3, and also confirmed 24 new cases, most of which are from the existing cluster.
...
http://www.channelnewsasia.com/news/singapore/local-zika-cases-in/3089076.html
 
Singapore raises Zika tally; first pregnant woman diagnosed

by Reuters
Wednesday, 31 August 2016 16:06 GMT

SINGAPORE, Aug 31 (Reuters) - A pregnant woman was among those diagnosed with Zika infections in Singapore, as confirmed cases of the virus in the city-state rose to 115, the health ministry said on Wednesday.
...
"Over time, we expect Zika cases to emerge from more areas. We must work and plan on the basis that there is Zika transmission in other parts of Singapore and extend our vector control efforts beyond the current affected areas," Minister for Health Gan Kim Yong said in the statement.
...
Most of the initial cases were among the hundreds of thousands of foreign workers, drawn mainly from the Asian sub-continent, who work on Singapore's construction sites and in the marine sector.

Thirteen Indian citizens were among those infected in the early stages of the outbreak, said a person at the Indian High Commission in Singapore.
...
(Reporting by Aradhana Aravindan; Editing by Dominic Evans and Ian Geoghegan)


http://news.trust.org/item/20160831160846-3ekg3/
 
ZIKA VIRUS OUTBREAK
AUG 31 2016, 6:02 PM ET

Zika Worsens in Singapore, and U.S. Experts Are Worried

by MAGGIE FOX
...
The jump to Singapore is worrying, health experts say. "I really think we need to keep our eye on Singapore, among other places," said Dr. Tony Fauci, head of the National Institute of Allergies and Infectious Diseases.

"It went from a handful of cases to 50, to 80 and now it's well over 100 cases," Fauci told a session on Zika at Georgetown University law school Wednesday.

"Any time there is a disease outbreak in Singapore, it tells us how difficult that disease is to control," CDC director Dr. Tom Frieden told reporters.
...
http://www.nbcnews.com/storyline/zi...-should-avoid-zika-affected-singapore-n640681
 
Civil servant diagnosed with Zika was trying for baby with his wife

By Melissa Zhu Posted 01 Sep 2016 08:10 Updated 01 Sep 2016 08:45

SINGAPORE: It started with what he thought was just a heat rash, but when 26-year-old Jude Chen developed a mild fever four days later he thought it would be best to see a doctor just in case.
...
After a nine-hour wait, Mr Chen was told that the virus was found in his urine sample. There was no need for him to be quarantined, though, as his blood was already clear of the infection and he was no longer contagious except through sexual contact.
...
Mr Chen is one of 115 confirmed Zika cases in Singapore, since the first locally transmitted case ? a woman living just several blocks from his apartment at Block 112 Aljunied Crescent ? was announced last Saturday.
...
"My wife is most definitely worried because we were trying to have a baby before the news of the outbreak," Mr Chen said.
...
The doctor at TTSH advised Mr Chen to abstain from sexual contact for six months as the virus was still detected in his urine.
...
http://www.channelnewsasia.com/news/singapore/civil-servant-diagnosed/3089212.html
 
Joint MOH-NEA statement (1 Sep)
News Highlights
Joint MOH-NEA statement (1 September)

1. As of 12pm, 1 September, MOH has confirmed 31 new cases of locally transmitted Zika virus infection in Singapore. Of the 31, three cases are not linked to any existing cluster. They live in Tagore Avenue, Yishun Street 81 and Harvey Crescent. One of the cases confirmed today is pregnant; she is linked to the Aljunied Crescent/Sims Drive cluster. Her doctor is following up closely with her to provide support and counselling.

2. Another five cases were detected as a result of MOH’s look-back testing of previous cases. The look-back exercise is now completed. A total of 236 samples were taken, of which 52 tested positive, and 184 were negative.

Vector Control Update

3. Vector control remains key to reducing the spread of the Zika virus. NEA takes a systematic and holistic approach to arrest mosquito borne transmission in Singapore, through surveillance, prevention and control, outbreak management and outreach. The objective is to keep mosquito borne disease incidence low through reducing the mosquito population and breaking the disease transmission chain. In NEA’s approach to tackling Zika cases, similar to NEA’s approach for dengue cases, NEA not only conducts checks for mosquito breeding habitats based on cases, but also takes a preventive and risk-based approach through pre-emptive checks in areas assessed to be at higher risk, even in the absence of cases.

4. Premises owners should undertake vector control measures regularly, such as applying larvicide in stagnant water to kill larvae, fogging open areas when the mosquito population is high and spraying insecticides in indoor spaces to kill adult mosquitoes. They should ensure proper housekeeping within their premises at all times to remove potential mosquito breeding habitats. Residents should also do their part to prevent mosquito breeding in their homes by doing the 5-step Mozzie Wipeout, which includes simple steps such as inverting pails and plant pot plates, and changing water in vases regularly.

5. NEA is continuing with vector control operations to control the Aedes mosquito population in the existing Aljunied Crescent/Sims Drive cluster. 49 breeding habitats – comprising 26 in homes and 23 in common areas/other premises – have been detected and destroyed. Indoor spraying, misting and oiling were conducted, and daily misting of common areas is ongoing. Two rounds of thermal fogging have been completed and another round will be conducted this week.

6. NEA officers and grassroots volunteers have completed outreach efforts to distribute Zika information leaflets in the Aljunied Crescent/Sims Drive cluster, and have commenced outreach in the expanded cluster areas in Paya Lebar Way/Kallang Way.

7. NEA has also conducted vector control operations and outreach efforts in Bedok North Avenue 3, Punggol Way and Joo Seng today.

8. Residents are urged to cooperate fully with NEA and allow its officers to inspect their premises for mosquito breeding and to spray insecticide to kill any mosquitoes. NEA may need to gain entry into inaccessible premises by force after serving of requisite Notices, to ensure any breeding habitats are destroyed quickly

Last updated on 1 Sep 2016

https://www.moh.gov.sg/content/moh_w...t--1-sep-.html
 
WORLD NEWS | Thu Sep 1, 2016 10:53am EDT

China steps up arrivals checks from Singapore amid Zika outbreak

By Aradhana Aravindan and Ben Blanchard | SINGAPORE/BEIJING

China intensified its checks on people and goods arriving from Singapore on Thursday, as an outbreak of the Zika virus in the small city-state was confirmed to have spread to at least one person in neighboring Malaysia.
...
"We have been tracking Zika for a while now, and knew it was only a matter of time before it reached Singapore," Singapore Prime Minister Lee Hsien Loong posted on his Facebook page. "Our best defense is to eradicate mosquitoes and destroy breeding habitats, all over Singapore."
...
The outbreak and travel warnings come just two weeks before the Singapore F1 motor-racing Grand Prix, a major sporting and tourist draw. Race promoter Singapore GP has said planning for the event is going ahead "as per normal".
...
More than 55 million people pass through Singapore's Changi airport each year. Tourism arrivals topped 8 million in the first half of this year, around 1 million more than a year ago.
...
On Thursday, Singapore said half of the cases found so far involved foreigners - including 23 Chinese nationals, 15 Indians and 10 Bangladeshis - adding that most patients had recovered. Many of the foreigners are believed to be among the hundreds of thousands of migrant workers who work in Singapore's construction and marine industries.
...

http://www.reuters.com/article/us-health-zika-malaysia-idUSKCN1173G3?il=0
 
As of 12pm, 2 September, MOH has confirmed 38 new cases of locally transmitted Zika virus infection in Singapore. Of these, 34 cases are linked to the Aljunied Crescent/ Sims Drive/ Kallang Way/ Paya Lebar Way cluster. Four cases have no known links to any existing cluster.

Vector Control Update

2. Vector control remains key to reducing the spread of the Zika virus. Premises owners should undertake vector control measures regularly, and ensure proper housekeeping within their premises at all times to remove potential mosquito breeding habitats. Residents also need to do their part to prevent mosquito breeding in their homes by doing the 5-step Mozzie Wipeout.
3. NEA has been continuing with vector control operations to control theAedes mosquito population in Aljunied Crescent / Sims Drive / Kallang Way / Paya Lebar Way. As of 1 September, 55 breeding habitats – comprising 30 in homes and 25 in common areas/other premises – have been detected and destroyed. Indoor spraying of insecticides, outdoor fogging, and oiling and flushing of drains are continuing. NEA has also worked through the Inter-Agency Dengue Task Force members to carry out vector control measures at their respective premises and assets, such as schools, construction sites, and expressway drains. NEA officers and grassroots volunteers have completed outreach efforts in the Aljunied Crescent/Sims Drive, and are conducting outreach in the expanded cluster areas in Paya Lebar Way/Kallang Way.
4. NEA has also conducted vector control operations and outreach efforts in Bedok North Avenue 3. As of 1 Sep, 19 breeding habitats – comprising 12 in homes and 7 in common areas/other premises – have been detected and destroyed. Mosquito control measures are ongoing.
5. There will be community outreach activities over the coming two weekends across the island to urge all residents to join in the collective efforts in the fight against Zika by doing the 5-step Mozzie Wipeout, removing stagnant water and not littering.

https://www.moh.gov.sg/content/moh_w...t--2-sep-.html
 
Adding up the MoH reports:

1 new case August 27 link
40 new cases August 28 link
26 new cases August 30 link
24 new cases August 31 link - including 1 pregnant woman
31 new cases September 1 link - including 1 pregnant woman
38 new cases September 2 link


That is a total of 160.
 
MoH September 3, 2016
Joint MOH-NEA Statement (3 Sep)

Tags:
  • News Highlights
As of 12pm, 3 September, MOH has confirmed 26 new cases of locally transmitted Zika virus infection in Singapore. Of these, 24 cases are linked to the Aljunied Crescent/ Sims Drive/ Kallang Way/ Paya Lebar Way cluster. Two cases have no known links to any existing cluster.

2. The National Public Health Laboratory has worked with A*STAR’s Bioinformatics Institute to complete the sequencing analysis of the Zika virus found in two patients from the Aljunied Crescent/ Sims Drive cluster. The analysis found that the virus belongs to the Asian lineage and likely evolved from the strain that was already circulating in Southeast Asia. The virus from these two patients was not imported from South America. The research team will release more details shortly.


more...

https://www.moh.gov.sg/content/moh_w...t--3-sep-.html
 
Adding up the MoH reports:

1 new case August 27 link
40 new cases August 28 link
26 new cases August 30 link
24 new cases August 31 link - including 1 pregnant woman
31 new cases September 1 link - including 1 pregnant woman
38 new cases September 2 link
26 new cases September 3 link

That is a total of 186
 
Joint MOH-NEA statement (4 September)
1. As of 12pm, 4 September, MOH has confirmed 27 new cases of locally transmitted Zika virus infection in Singapore. Of these, 25 cases are linked to the Aljunied Crescent/ Sims Drive/ Kallang Way/ Paya Lebar Way cluster.
2. There is a potential new cluster involving one previously reported case and a new case today. They both live in the Joo Seng Road area. The other new case has no known links to any existing cluster.

more..

https://www.moh.gov.sg/content/moh_...int-moh-nea-media-statement--4-sep-2016-.html

-------------------------------------------------------------------------------


Adding up the MoH reports:

1 new case August 27 link
40 new cases August 28 link
26 new cases August 30 link
24 new cases August 31 link - including 1 pregnant woman
31 new cases September 1 link - including 1 pregnant woman
38 new cases September 2 link
26 new cases September 3 link
27 new cases September 4 link

Total = 213
 
Joint MOH-NEA statement (5 September)
As of 12pm, 5 September, MOH has confirmed 16 new cases of locally transmitted Zika virus infection in Singapore. Of these, 11 cases are linked to the Aljunied Crescent/ Sims Drive/ Kallang Way/ Paya Lebar Way cluster. One case is linked to the Joo Seng Road cluster. The other four cases have no known links to any existing cluster.

more...

https://www.moh.gov.sg/content/moh_w...t--5-sep-.html
-----------------------------------------------------------------

Adding up the MoH reports:

1 new case August 27 link
40 new cases August 28 link
26 new cases August 30 link
24 new cases August 31 link - including 1 pregnant woman
31 new cases September 1 link - including 1 pregnant woman
38 new cases September 2 link
26 new cases September 3 link
27 new cases September 4 link
16 new cases September 5 link

Total = 229


------------------------------------------------------------------

Press Release - Cessation of isolation, MOH to subsidise Zika testing for all Singaporeans with symptoms

Tags:
  • News Highlights
1. From 6 September 2016, the Ministry of Health (MOH) will no longer require suspect Zika cases to be isolated while waiting for test results. As the cases of Zika in Singapore have been mild so far, confirmed cases will no longer need to be hospitalised unless medically indicated. From 7 September, MOH will extend subsidies for the Zika test to all Singaporeans with Zika symptoms.

more..

https://www.moh.gov.sg/content/moh_w...e-zika-te.html
 
Joint MOH-NEA statment (6 September 2016)

Tags:

Joint MOH-NEA statement (6 September)
1. As of 12pm, 6 September, MOH has confirmed 17 new cases of locally transmitted Zika virus infection in Singapore. Of these, 10 cases are linked to the Aljunied Crescent/ Sims Drive/ Kallang Way/ Paya Lebar Way cluster.
2. There is a potential new cluster involving one previously reported case and a new case today. They both live in the Bishan Street 12 area. The other six cases have no known links to any existing cluster.


more...

https://www.moh.gov.sg/content/moh_w...ber-2016-.html


---------------------------------------------------------------


Adding up the MoH reports:

1 new case August 27 link
40 new cases August 28 link
26 new cases August 30 link
24 new cases August 31 link - including 1 pregnant woman
31 new cases September 1 link - including 1 pregnant woman
38 new cases September 2 link
26 new cases September 3 link
27 new cases September 4 link
16 new cases September 5 link
17 new cases September 6,link

Total = 246
 
WORLD NEWS | Thu Sep 8, 2016 8:05am EDT

Singapore says unclear if local Zika strain causes birth defects

By Fathin Ungku and Marius Zaharia | SINGAPORE
...
Scientists say the Zika strain in Brazil most likely evolved from an Asian strain. The virus, first detected in Uganda in 1947, spread to equatorial Asia in the 1960s and 1980s.

Singapore said the strain causing the current outbreak also evolved from an Asian strain. Raymond Lin, head of the National Public Health Laboratory said the strain in Singapore and Brazil were slightly different, but it was not clear what this meant.

"There might be fine differences, there might be more mutations but currently there is no evidence at all to suggest that it's less severe or more severe; whether there is less or more likelihood of getting microcephaly," he told media.
...
http://www.reuters.com/article/us-health-zika-singapore-idUSKCN11E0O9
 
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