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About 170 people test positive for TB in Jalan Bukit Merah; MOH extends screening


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Side track a bit from monkeypox. 

 

For those who are still blissfully unaware, while you are focusing on the spread of COVID and monkeypox, tuberculosis has just made a return to Singapore with a cluster of 170 cases found in a single block at 2 Jalan Bukit Merah on Friday. And that is after seven people were diagnosed with TB at the block between February 2021 and March this year.

 

https://www.straitstimes.com/singapore/health/more-than-150-tested-positive-for-tb-in-jalan-bukit-merah-moh-extends-screening 

 

SINGAPORE - Some 30 per cent of 574 residents and workers at 2 Jalan Bukit Merah - or about 170 people - who went through voluntary testing in late May have tested positive for tuberculosis.

 

The Ministry of Health (MOH) said on Friday (June 24) that further tests would be run for those living and working at the site – a Housing Board block with several shops on the ground floor – who tested positive to determine if they have TB infection or active TB disease.

 

"Those with active TB disease will be treated while those with latent TB infection will be given appointments for follow-up at the TB Control Unit and offered treatment if suitable," said MOH in the release.

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Guest Guest

 

On 6/28/2022 at 9:14 PM, Guest Guest said:

How it got spread in the first place?

 

 

 

Very good question! 

 

https://palsmds.com/Tuberculosis-TB#:~:text=Incubation period%3A 2 to 10,They remain with latent infection.

 

  • Incubation period: 2 to 10 weeks after the initial infection. The risk of disease after infection is highest in the first 2 years, but the bacteria can be carried in the body for many years before active disease develops. Most infected people never develop active disease. They remain with latent infection.

 

And when was it first detected in the block? February 2021 

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... and to add on, in case you want to ask where it could have originated .. I will let you go figure it out yourself in case I get labeled as "xenophobic", "racist" etc .... 

 

Tuberculosis (who.int)

 

In 2020, 86% of new TB cases occurred in the 30 high TB burden countries. Eight countries accounted for two thirds of the new TB cases: India, China, Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa.

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On 6/28/2022 at 9:45 PM, Guest Guest said:

 

 

 

 

Very good question! 

 

https://palsmds.com/Tuberculosis-TB#:~:text=Incubation period%3A 2 to 10,They remain with latent infection.

 

  • Incubation period: 2 to 10 weeks after the initial infection. The risk of disease after infection is highest in the first 2 years, but the bacteria can be carried in the body for many years before active disease develops. Most infected people never develop active disease. They remain with latent infection.

 

And when was it first detected in the block? February 2021 

Sounds scary, so anyone of us also could have the bacteria in our body but it's just did not develops. So if the bacteria did not become active disease, so even we go for x-ray also cannot detect?

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Let's put some light into TB in Singapore:

 

 

24th Mar 2021

           On World Tuberculosis (TB) Day on 24 March, Singapore joins the global community in reiterating its commitment to continue the fight against TB. The World Health Organization’s (WHO) theme for 2021’s World TB Day is “The Clock is Ticking”, which appeals for global action on the commitments made by global leaders to end TB.

2.        TB remains a global public health threat. In 2019, there were more than 10 million cases of active TB globally, with 1.4 million deaths. In addition, there were almost half a million cases of multi-drug resistant TB (MDRTB). MDRTB is more difficult to treat and has lower cure rates, with death rates as high as 30 to 40 percent.

 

3.         TB is endemic in Singapore and latent TB infection is not uncommon in our population, with rates of up to 30 per cent in the older age groups. In 2020, there were 1,370 new cases of active TB among Singapore residents. This is lower than the 1,398 cases in 2019. The incidence rate was 33.9 cases per 100,000 population in 2020, compared to 34.7 cases per 100,000 in 2019. Older age groups and males continue to make up a significant proportion of the new active TB cases.

 

 

UPDATE ON THE TUBERCULOSIS SITUATION IN SINGAPORE
MOH was notified of 1,370 new cases of TB among Singapore residents1 in 2020,
which is lower than the 1,398 cases in 2019. Correspondingly, the incidence rate was
33.9 cases per 100,000 population in 2020, compared to 34.7 cases per 100,000 in
2019.
Most of the cases (79.5%) among Singapore residents were Singapore-born. Older
age groups and males continue to make up a significant proportion of the new cases.
Of the 1,370 new cases notified in 2020, 985 (71.9%) were 50 years old and above,
and 888 (64.8%) were males.
There were 105 relapsed cases among Singapore residents, of whom 82 (78.1%)
were Singapore-born.

 

 

 

Eventually, the government should run a program to screen all residents to detect people with TB much earlier.

 

 

 

Edited by singalion
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On 6/28/2022 at 9:49 PM, Guest Guest said:

... and to add on, in case you want to ask where it could have originated .. I will let you go figure it out yourself in case I get labeled as "xenophobic", "racist" etc .... 

 

Tuberculosis (who.int)

 

In 2020, 86% of new TB cases occurred in the 30 high TB burden countries. Eight countries accounted for two thirds of the new TB cases: India, China, Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa.

Yeap,  people need to learn to be able to seperate between fact,  xenophovic and racist.

 

Fact is all these countries are:

1.) very good friend of SG

2.) very populated countries

3.) with poor health system

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On 6/29/2022 at 12:25 PM, singalion said:

Let's put some light into TB in Singapore:

 

 

24th Mar 2021

           On World Tuberculosis (TB) Day on 24 March, Singapore joins the global community in reiterating its commitment to continue the fight against TB. The World Health Organization’s (WHO) theme for 2021’s World TB Day is “The Clock is Ticking”, which appeals for global action on the commitments made by global leaders to end TB.

2.        TB remains a global public health threat. In 2019, there were more than 10 million cases of active TB globally, with 1.4 million deaths. In addition, there were almost half a million cases of multi-drug resistant TB (MDRTB). MDRTB is more difficult to treat and has lower cure rates, with death rates as high as 30 to 40 percent.

 

3.         TB is endemic in Singapore and latent TB infection is not uncommon in our population, with rates of up to 30 per cent in the older age groups. In 2020, there were 1,370 new cases of active TB among Singapore residents. This is lower than the 1,398 cases in 2019. The incidence rate was 33.9 cases per 100,000 population in 2020, compared to 34.7 cases per 100,000 in 2019. Older age groups and males continue to make up a significant proportion of the new active TB cases.

 

 

UPDATE ON THE TUBERCULOSIS SITUATION IN SINGAPORE
MOH was notified of 1,370 new cases of TB among Singapore residents1 in 2020,
which is lower than the 1,398 cases in 2019. Correspondingly, the incidence rate was
33.9 cases per 100,000 population in 2020, compared to 34.7 cases per 100,000 in
2019.
Most of the cases (79.5%) among Singapore residents were Singapore-born. Older
age groups and males continue to make up a significant proportion of the new cases.
Of the 1,370 new cases notified in 2020, 985 (71.9%) were 50 years old and above,
and 888 (64.8%) were males.
There were 105 relapsed cases among Singapore residents, of whom 82 (78.1%)
were Singapore-born.

 

 

 

Eventually, the government should run a program to screen all residents to detect people with TB much earlier.

 

 

 

 

As if 20% of the cases being foreigners is not bad enough, especially when these 20% foreigners constitute only ones who have gotten detected in Singapore, while the rest of them have already flown back to where they came from.

 

And besides, it is just so typical of you to hide the rest of the inconvenient truth from what you post, isn't it?? tb-pr-annex.pdf (moh.gov.sg) 

 

MDRTB remains a serious public health challenge. In 2021, Singapore had 8 new cases of MDRTB (4 Singapore-born and 4 foreign-born residents).

 

 

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On 6/29/2022 at 1:25 PM, Guest Guest said:

 

As if 20% of the cases being foreigners is not bad enough, especially when these 20% foreigners constitute only ones who have gotten detected in Singapore, while the rest of them have already flown back to where they came from.

 

And besides, it is just so typical of you to hide the rest of the inconvenient truth from what you post, isn't it?? tb-pr-annex.pdf (moh.gov.sg) 

 

MDRTB remains a serious public health challenge. In 2021, Singapore had 8 new cases of MDRTB (4 Singapore-born and 4 foreign-born residents).

 

 

 

Thanks for exposing Singalion's lies again!

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On 6/29/2022 at 2:30 PM, singalion said:

And 20% makes the majority of cases???

 

Please do your maths before making yourself to the laughing stock at BW.

 

 

20% detected were foreigners. How many more left the country before they got detected? 

 

The current monkeypox patient was detected in Singapore on 21 Jun 2022, and that is only because he showed symptoms. But as early as 4 June 2022, the Ministry of Health (MOH) was informed by the New South Wales Ministry of Health, of one confirmed case of monkeypox who had transited through Singapore to Australia on 2 June. 

 

To make things worse, the risk of TB after infection is highest in the first 2 years, but the bacteria can be carried in the body for many years before active disease develops. Most infected people never develop active disease. They remain with latent infection

 

Again, how many of the foreigners were checked for TB upon entry, especially when these following eight countries accounted for two thirds of the new global TB cases including India, China, Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa? How many of them came in as carriers and left without detection, perhaps even after weeks of staying here? 

 

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How does this stand with your pointing to foreigners as the main "source" of TB cases.

Who wants to hide the true facts?

 

Did it come into  your xenophobic mind that those foreign born people might have come infected with TB from contact with a Singaporean?

Did you think that these foreign born locals arrived in Singapore disease free?

Does the publication anywhere say that these foreign born residents were suffering TB when they came to Singapore or brought TB into Singapore???

 

Your xenophobia is quite obvious.

 

Second: Did you explain what MDRTB stands for or just wanted to cloud the people here to believe something?

 

Multidrug-resistant TB (MDR TB) is caused by TB bacteria that are resistant to at least isoniazid and rifampin, the two most potent TB drugs.

 

Trying to cover up the fact that 80% of the TB cases are locals and local born???

 

And what does "relapse"  mean?

 

You read the word "foreign" and directly jump on wrong conclusions...

 

TB relapse is defined as a patient who has become (and remained) culture negative while receiving therapy but after completion of therapy becomes: Culture positive again.

 

Before you throw fog into the forum, clear your mind from your xenophobe stance.

 

 

Here are more statistics from the 2021 Annex:

Table 2

Distribution of TB cases by age group and country of birth,

Singapore residents, 2021 Age (Years)

2021 new cases

2021 relapsed cases

S’pore-born

Foreign born

Total

S’pore-born

Foreign born

Total

0 – 9

8

0

8

0

0

0

10 – 19

20

3

23

0

0

0

20 – 29

56

15

71

1

0

1

30 – 39

55

51

106

3

3

6

40 – 49

90

53

143

4

3

7

50 – 59

182

46

228

24

3

27

60 – 69

310

35

345

26

5

31

70 +

305

77

382

37

8

45

Total

1,026

280

1,306

95

22

117

                       

 

 

 

 => It is clear that the "foreign born" cases represent the minority of TB cases in Singapore (namely just 280 out of 1306 new cases and just 22 out of 117 relapse cases.

 

Table 3

Ethnic-gender distribution of reported tuberculosis (new case)

Singapore residents, 2021 Ethnic group

Male

Female

Total (%)

Chinese

641

259

900 (68.9)

Malay

127

109

236 (18.1)

Indian

64

56

120 (9.2)

Others

19

31

50 (3.8)

Total

851

455

1,306 (100.0)

 

 

 

"Foreign born" in the statistic presented refers to people who have been naturalised as Singaporeans or are PRs.

 

The statistics only talks of residents which are locals and PRs.

 

So how do these statistics stand with your xenophobia?

 

 

 


 

Edited by singalion
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Wrong assumption!

 

The 20% are foreign born but local residents. They are either nationalised Singaporeans or PRs.

 

Everyone knows that Singapore categorises "residents" as locals and PRs.

 

The statistics from MOH talks of residents and not of Foreigners or foreign workers at all.

 

If you had any clue, then you had known that all foreigners working here are tested for TB.

 

Unfortunately, you don't have any clue or intelligence which is obvious from your misrepresentations in trying to paint a xenophobe picture.

 

At no point the statistic says that these people are foreigners.

 

Your starting point is already wrong.

 

 

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On 6/29/2022 at 3:02 PM, singalion said:

 

"Foreign born" in the statistic presented refers to people who have been naturalised as Singaporeans or are PRs.

 

OH! So those "foreign born" are those "who have been naturalised as Singaporeans or are PRs" huh? HAHAHAHA! What a joke! 

 

But let's just say that I let you "win" that "truth" (LOL!), how many of the foreigners were checked for TB upon entry, especially when these following eight countries accounted for two thirds of the new global TB cases including India, China, Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa?

How many of them came in as carriers and left without detection, perhaps even after weeks of staying here? 

 

How would I know that YOU are not a monkeypox and/or TB carrier? 

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On 6/29/2022 at 3:22 PM, Guest Guest said:

 

OH! So those "foreign born" are those "who have been naturalised as Singaporeans or are PRs" huh? HAHAHAHA! What a joke! 

 

But let's just say that I let you "win" that "truth" (LOL!), how many of the foreigners were checked for TB upon entry, especially when these following eight countries accounted for two thirds of the new global TB cases including India, China, Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa?

How many of them came in as carriers and left without detection, perhaps even after weeks of staying here? 

 

How would I know that YOU are not a monkeypox and/or TB carrier? 


wow, typin in red and bold makes you seem really sans, doesn’t it. Not hysterical at all…

 

btw, how do you you know that YOU are not a monkey pox and/or TB carrier? Scary, scary…. Panic, panic…. 

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And what is the point of potential tourists from India, China, Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa, when any foreigner intending to work in Singapore is pre-tested on TB and can't take up the job if tested positive?

 

What is the point?

 

Is it realistic to close any borders to foreign tourists?

 

I can also ask about Singaporeans who travel to above areas and bring back TB to Singapore due to close contact with a TB carrier in these countries...

 

How about those Singaporean TB carriers that travelled to India, China, Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa and infected people in these countries???

 

 

You made yourself once again to the laughing stock of Blowing Wind with your unknowledgeable posts.

 

 

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On 6/29/2022 at 3:28 PM, Guest Wow said:


wow, typin in red and bold makes you seem really sans, doesn’t it. Not hysterical at all…

 

btw, how do you you know that YOU are not a monkey pox and/or TB carrier? Scary, scary…. Panic, panic…. 

 

He just tries to look as if he is a Moderator by using these red fonts and that his post is authoritative while in fact his post is nonsensical and dumb and he does nothing other than exposing himself as the most embarrassing Guest troll on BW....

 

Can't even manage to understand the word "foreign born resident" used by MOH...

 

 

This is a good lesson to all not directly to jump on some early and flawed conclusions or assumptions...

 

 

Edited by singalion
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There could be travelers who come here, not as tourists nor as workers, and they are infected.

They are visiting families and friends.

Their husbands are working here, so they tag along with their kids.

We see that, so common these days, in Singapore. 

 

I wish they would give all visitors a proper screening, like the way these did during the turn of last century, in America, at Ellis Island in New York. 

That's how they caught a lot of infected new immigrants.

I am advocating a comprehensive, thorough yet humane way of welcoming visitors to Singapore.

Don't close our borders completely but be sensible.

 

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On 6/29/2022 at 3:28 PM, Guest Wow said:


wow, typin in red and bold makes you seem really sans, doesn’t it. Not hysterical at all…

 

btw, how do you you know that YOU are not a monkey pox and/or TB carrier? Scary, scary…. Panic, panic…. 

 

Then don't read lor. If I am a monkeypox carrier and/or TB carrier, I'd be called in for checks sooner or later. Foreigners leh? Balik kampung already. Call them also no use. 

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On 6/29/2022 at 3:33 PM, superflawless said:

There could be travelers who come here, not as tourists nor as workers, and they are infected.

They are visiting families and friends.

Their husbands are working here, so they tag along with their kids.

We see that, so common these days, in Singapore. 

 

I wish they would give all visitors a proper screening, like the way these did during the turn of last century, in America, at Ellis Island in New York. 

That's how they caught a lot of infected new immigrants.

I am advocating a comprehensive, thorough yet humane way of welcoming visitors to Singapore.

Don't close our borders completely but be sensible.

 

 

Yes Exactly GIFs | Tenor

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On 6/29/2022 at 3:33 PM, superflawless said:

There could be travelers who come here, not as tourists nor as workers, and they are infected.

They are visiting families and friends.

Their husbands are working here, so they tag along with their kids.

We see that, so common these days, in Singapore. 

 

I wish they would give all visitors a proper screening, like the way these did during the turn of last century, in America, at Ellis Island in New York. 

That's how they caught a lot of infected new immigrants.

I am advocating a comprehensive, thorough yet humane way of welcoming visitors to Singapore.

Don't close our borders completely but be sensible.

 

 

I would wonder then for those countries that implement reciprocal regime for your arrival test in their country for Singaporeans?

Meaning a Singaporean who flies to Thailand/Europe and then is tested on arrival and kept in a arrival ghetto until cleared...

 

And how many diseases do you want to test???

 

Don't think this is very realistic...

 

Please note that for certain countries (Ebola, yellow fever etc.) people from these countries must bring negative test results before they fly to Singapore...

 

 

And this xenophobe Guest , if he is so agitated, then why doesn't he open a charity to fund more tests in: India, China, Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa. Only more testing can prevent the spread of TB... But these countries don't have the funds...

 

 

 

 

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On 6/29/2022 at 3:41 PM, singalion said:

 

I would wonder then for those countries that implement reciprocal regime for your arrival test in their country for Singaporeans?

Meaning a Singaporean who flies to Thailand/Europe and then is tested on arrival and kept in a arrival ghetto until cleared...

 

And how many diseases do you want to test???

 

Don't think this is very realistic...

 

Please note that for certain countries (Ebola, yellow fever etc.) people from these countries must bring negative test results before they fly to Singapore...

 

 

And this xenophobe Guest , if he is so agitated, then why doesn't he open a charity to fund more tests in: India, China, Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa. Only more testing can prevent the spread of TB... But these countries don't have the funds...

 

 

Why is it unrealistic? I guess the health of Singaporeans plays second or third fiddle to people like you coming into the country, huh? And of course, as long as you get your convenience of flying to and from your parents' place, the health of the nation is of no consequences, right?  

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Guest Wah Wah Wah
On 6/29/2022 at 5:13 PM, Guest Guest said:

 

Why is it unrealistic? I guess the health of Singaporeans plays second or third fiddle to people like you coming into the country, huh? And of course, as long as you get your convenience of flying to and from your parents' place, the health of the nation is of no consequences, right?  


Total 🤡 show 

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On 6/29/2022 at 3:41 PM, singalion said:

 

I would wonder then for those countries that implement reciprocal regime for your arrival test in their country for Singaporeans?

Meaning a Singaporean who flies to Thailand/Europe and then is tested on arrival and kept in a arrival ghetto until cleared...

 

And how many diseases do you want to test???

 

Don't think this is very realistic...

 

Please note that for certain countries (Ebola, yellow fever etc.) people from these countries must bring negative test results before they fly to Singapore...

 

 

 

 

 

 

If the government can force travelers from certain countries to bring in negative test results before flying to Singapore, that means it is doable. 

No need for quarantine.

Just eyeball each and every traveller and ask simple but pertinent questions about well being.

 

It can be as quick as a 3 minute visual examination or, if warranted, suspected cases would be instructed to follow another physician for a more detailed examination.

 

Gee, doesn't this sound like what many countries are doing during immigration clearance?

I have seen Australian and the US border control reality TVs, and suspected travelers are given more thorough immigration examinations.

Whatever hassle is warranted to safeguard the citizens of that country. 

Anyone who complains that it's too troublesome, imagine if an outbreak really does occur. Now that would really be trouble for the entire country. 

Example: if the TB situation in Singapore continues to worsen, would our country be black listed by other countries?

Surely you do not Singapore to be a pariah state whereby other other countries block our travelers from visiting them. 

We would not be able to travel to other countries, because the situation was not handled well. That is just an example.

 

 

That is why it is always better to be vigilent. Not all ailments have a vaccine. 

 

 

 

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On 7/1/2022 at 2:11 PM, superflawless said:

 

If the government can force travelers from certain countries to bring in negative test results before flying to Singapore, that means it is doable. 

No need for quarantine.

Just eyeball each and every traveller and ask simple but pertinent questions about well being.

 

It can be as quick as a 3 minute visual examination or, if warranted, suspected cases would be instructed to follow another physician for a more detailed examination.

 

Gee, doesn't this sound like what many countries are doing during immigration clearance?

I have seen Australian and the US border control reality TVs, and suspected travelers are given more thorough immigration examinations.

Whatever hassle is warranted to safeguard the citizens of that country. 

Anyone who complains that it's too troublesome, imagine if an outbreak really does occur. Now that would really be trouble for the entire country. 

Example: if the TB situation in Singapore continues to worsen, would our country be black listed by other countries?

Surely you do not Singapore to be a pariah state whereby other other countries block our travelers from visiting them. 

We would not be able to travel to other countries, because the situation was not handled well. That is just an example.

 

 

That is why it is always better to be vigilent. Not all ailments have a vaccine. 

 

 

 

 

Australia and New Zealand might be a bit particular due to certain reasons in protecting their environment.

 

I personally have never been checked going through their immigration... It is a case by case assessment (surely some bias maybe also).

 

Note that such restrictions defray potential visitors to come to Singapore. I don't think an immigration officer is trained to spot if someone suffers from Ebola or even monkeypox.

 

What I meant is that for the most severe diseases (Yellow fever, Ebola) Singapore requires a vaccination certificate prior to entry.

But I am not sure you can check on all diseases that may cause infections within Singapore.

 

From ICA

To protect against the risk of importation and transmission of yellow fever in Singapore, all travellers, including Singapore residents, with travel history to countries with risk of yellow fever transmission (i.e. wholly or partly endemic for yellow fever) in the six days prior to arrival in Singapore are required to have a valid yellow fever vaccination certificate.

Travellers without a valid yellow fever vaccination certificate (including those who are ineligible to receive the vaccination e.g. children aged 1 year old and below and individuals with contraindications), are liable to be quarantined under Section 31 of the Infectious Disease Act, for up to six days upon arrival in Singapore. Non-residents who refuse quarantine will be turned away and returned to his/her place of origin or last port of embarkation.

 

You can check the countries here:

https://www.ica.gov.sg/enter-depart/entry_requirements/yellow-fever-vaccination-certificate

 

 

Here you have a list of the critical diseases (not all are relevant):

List of Diseases & Conditions

 

As I said, MOH could do more to test the residents on Singapore on TB, if they wanted. But same like for Covid tests, it comes with a cost.

In most European countries their residents get tested for TB at different stages, I don't see anything as such in Singapore.

From the numbers, TB seems more to be a community spread issue than something brought to Singapore by tourists...

Where is the point to ask for a test for tourists and where to draw the line?

 

 

 

 

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While I do know about the requirement for the Yellow Fever vaccination, if travelling from a country with endemic disease, I have never been asked for the documentary proof of vaccination (the Yellow WHO Booklet with the relevant entry) on entry into Singapore when travelling from Africa or South America.

Слава Україні!

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On 7/1/2022 at 2:58 PM, sgmaven said:

While I do know about the requirement for the Yellow Fever vaccination, if travelling from a country with endemic disease, I have never been asked for the documentary proof of vaccination (the Yellow WHO Booklet with the relevant entry) on entry into Singapore when travelling from Africa or South America.

 

Ask ICA.

But from my assumption most visa applications from these countries with yellow fever will be handled by the Singapore embassies in these countries, and probably they want a copy of the Vaccination passport... Who would enter a flight to Singapore and fear being sent back on arrival. So most visa applicants will lodge their visa application with the embassies.

 

My past entry to Singapore while I did not upload any vaccination QR, nobody asked for the printout also despite the SG travel confirmation saying that I would require to present the vaccination proof to the immigration...

 

 

Edited by singalion
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On 7/1/2022 at 6:13 PM, sgmaven said:

Well, if I am a Singaporean travelling to those countries, I don't need a visa to get back...

 

That's a lapse. 

 

Maybe ICA relies on the airline to check?

 

Not sure with the new SG arrival app/online platform to register your arrival online whether you need to upload such cert...

 

 

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