Public health measures implemented during the SARS outbreak in Singapore, 2003
Public health measures implemented during the SARS outbreak in Singapore, 2003
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DOI：
10.1016/j.puhe.2005.10.005
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发表时间：
2006-01-01
期刊：
影响因子：
5.2
通讯作者：
Chew, SK
中科院分区：
文献类型：
--
作者：
James, L;Shindo, N;Chew, SK
2003 年 3 月至 5 月期间，新加坡爆发非典型肺炎 (SARS)。新加坡采取了三方面的公共卫生控制措施：医疗机构、社区和边境内的预防和控制。新加坡 SARS 病例主要是院内传播。为了防止医疗机构内感染，病例集中在非典指定医院，实行禁止访客规则，并限制患者和医护人员的活动。为了分诊目的，设立了发热门诊。专门的救护车服务被用来将可能的病例运送到非典指定医院。对医院进行了聚集性发烧调查。面临的挑战是识别具有非典型表现的病例。总结经验教训，制定有效、安全的出院标准。为防止社区传播，严格追踪病例接触者，居家隔离，每日监测。为了及时发现病例并缩短症状出现和隔离之间的时间，对《传染病法》进行了修订。大规模批发市场关闭导致大规模隔离，从而限制了感染的传播。开展了群众教育活动，以教育和提高公众的认识。在所有空中、海上和陆地入境点、出境和入境点都进行了筛查，实施筛查后实现了 SARS 病例的零输入和输出。跨部门跨部门协作的协调努力、工作组的大力协调以及不同专业人士的承诺，使战胜这种疾病成为可能。(c) 2005 年英国皇家公共卫生研究所。由爱思唯尔有限公司出版。保留所有权利。
The SARS outbreak hit Singapore between March and May 2003. Public health control measures were applied along three fronts; prevention and control within healthcare settings, community and at the borders. Nosocomial spread composed majority of SARS cases in Singapore. To prevent infection within healthcare facilities, cases were centralized in a SARS-designated hospital, a no-visitors rule was applied and movement of patients and healthcare staff were restricted. For triaging purposes, fever clinics were established. A dedicated ambulance service was used to transport possible cases to the SARS-designated hospital. Hospitals were surveyed for fever clusters. The challenge was to identify cases with atypical presentation. Effective and safe discharge criteria were established from the lessons learnt.To prevent community spread, contacts of cases were stringently traced, quarantined in their homes and monitored daily. For prompt identification of a case and to reduce the time between onset of symptoms and isolation, the Infectious Diseases Act was amended. A large wholesale market closure resulted in massive quarantine thereby limiting the spread of infection. A mass education campaign was implemented in order to educate and raise awareness of the public. At all air, sea and land points-of-entry, exit and entry screening took place that resulted in zero importation and exportation of SARS cases after implementation of screening.Coordinated effort of the cross sectional inter-ministerial collaboration and strong coordination by the Task Force and commitment from different professionals made it possible to conquer the disease.(c) 2005 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.