General
What is SARS?
SARS is the short form for Severe Acute Respiratory Syndrome. SARS
is an atypical pneumonia for which the cause has not yet been
determined.
What is atypical pneumonia?
Atypical pneumonia refers to an infection of the lung that is
caused by certain organisms such as Mycoplasma, Legionella and
Chlamydia. However, SARS is a new type of atypical pneumonia, and
we are finding out more about it as we gain more experiences.
How do I know if I may have SARS?
If you have travelled to any of the SARS-affected areas as
identified by WHO, or been in contact with a person diagnosed to
have SARS over the last two weeks and you now develop a high fever
(greater than 38 degree Celsius) you may have developed SARS. Other
respiratory symptoms are cough, shortness of breath or difficulty
breathing.
The most updated list of affected areas is on the WHO website at
www.who.int.
Is SARS infectious?
The infection can spread to persons who have had close contact with
an infected person. Based on evidence so far, persons who have been
infected in Singapore were healthcare workers who had attended to
the patients when they were first admitted to the hospital, and
family members and other close contacts of the patients. Some
infected persons are good "hosts" to the virus and can be very
infectious. Scientists think the virus is most likely to be a
strain of coronavirus not previously known.
What does close contact mean?
According to WHO, close contact means:
having cared for,
having lived with or
having had direct contact with respiratory secretions and body
fluids of a person with SARS
Is SARS dangerous?
SARS, like any other atypical pneumonia, is a serious infection
that can lead to death in some cases.
Is there any vaccination against SARS?
There is no vaccination against SARS.
What are the preventive measures against getting SARS?
Although there are no specific preventive measures against SARS, we
encourage the practice of good hygiene like hand washing and
covering the mouth and nose when coughing. You can also contribute
by heeding MOH's advice to avoid travel to the affected countries
for the time being, unless absolutely necessary, and to also seek
immediate medical attention if you are sick.
Unless you have the above symptoms AND a similar travel history or
personal contact with infected persons, the Ministry urges the
public to seek the advice of a GP first and not go to Tan Tock Seng
Hospital to avoid bogging down its resources.
What is MOH going to do before more people get infected with SARS?
Is it too late then?
Early identification & isolation of symptomatic cases
Tracing of persons who have had close contact with patients with
SARS and requiring them to be quarantined at home.
Timely information to keep doctors, hospitals and the public
updated
Enhanced infection control measures in hospitals
Travel advisory to the public
Health Alert Notice given at the airport to inbound and outbound
passengers from and to the affected countries.
Special precautions for schools
Any advice from MOH to companies with front-line customer service
employees or the general population on whether they must wear a
mask? What sort to buy?
Based on currently available evidence, the infection is spread to
persons who have had close contact with SARS patients. Contact with
exhaled droplets and bodily secretions from an infected person
appears to be important in disease transmission. Persons who have
been infected in Singapore were healthcare workers who had attended
to the patients when they were first admitted to hospital, and
family members and other close contacts of the patients. The
possibility of airborne transmission or through objects that become
contaminated in the environment is still being investigated.
We strongly advise people who are sick to avoid crowded places and
to wear face masks if they do. Otherwise, it is not necessary for
the public to routinely use face masks. Separate guidelines have
already been issued to healthcare workers, who need to take
infection control precautions particularly in areas where they are
at risk of exposure to persons who may have SARS, eg A&E
Departments and ICUs.
Where can I call to obtain general info on SARS?
You can call the MOH's hotline (Tel: 1800-2254122) from Mon to Sun
at 8.30 am to 11.00pm.
Information /queries regarding schools should be directed to
6872-2220. Queries on childcare centres should be directed to
1800-258-0677.
Unless you have the above symptoms AND a similar travel history or
personal contact with infected persons, the Ministry urges the
public to seek the advice of a GP first and not go to Tan Tock Seng
Hospital to avoid bogging down its resources.
Public Places
I have a colleague who is down with pneumonia and we suspect that
he/she has SARS. What shall we do?
Not everyone with pneumonia has SARS. However, you should advise
your colleague to go to TTSH for an assessment.
If a person is diagnosed to have SARS, contact tracing will be
carried out and those who have been in close contact with the
infected person at home or at the work place, etc. will be
subjected to Home Quarantine.
All persons confirmed or suspected to have SARS are admitted to
CDC/TTSH.
Is it safe to use the swimming pools?
So far, there is no evidence that the virus can be transmitted via
swimming pools.
Will visitors/patients who had been to TTSH/CDC spread the virus to
people around them?
So far, evidence suggests that only those who have SARS symptoms
can spread the virus to people around them. Contacts of SARS cases
are not infectious unless they themselves become unwell with fever.
The non-SARS patients warded in TTSH are physically separated from
the SARS wards. Transmission is not likely, as TTSH has taken extra
precautions for infection control.
Can the teachers go to the schools/centre which are closed?
MOE has indicated that this period of school closure is considered
vacation time, during which, some teachers can continue to go to
schools.
The closure of schools is meant to address the parents' fears, and
is not directly related to efforts to stop the spread of SARS. The
schools/centres will have to decide on what is required of their
employees during this period. We hope that special consideration
and/or arrangements can be made for staff members who need to care
for their young children during this period.
Travel
I have booked a tour to the affected countries. Should I continue
with my plans?
As a precautionary measure, the Ministry of Health advises you to
avoid travelling to any of SARS-affected areas as identified by WHO
for the time being, unless absolutely necessary. For those who are
unable to delay their travel to these places, you are advised to
avoid crowded places and to build up your body's resistance by
ensuring that you get adequate rest, proper diet and
exercise.
Is it safe to travel to Guangzhou?
Guangzhou is a city in Guangdong province.
Are there any preventive injections that I could have or
medications that I can take along with me before I continue with my
travel plans to the affected countries?
As the cause of the infections is not yet known, there are no
specific measures that can be taken. If you are unable to delay
your travel plans, you are advised to avoid crowded places and to
build up your body's resistance by ensuring that you get adequate
rest, proper diet and exercise.
I have recently come back from the affected countries. What should
I do?
From 18 March 03, Singapore's Ministry of Health has started
issuing travel advisories to all passengers on outbound and inbound
flights to and from the affected areas. These advisories explain
the symptoms of SARS and tell those who have travelled to go to the
Emergency Department, TTSH immediately if they develop these
symptoms. Visitors who may not be in Singapore when the symptoms
develop should see a doctor in their own country. It is very
important for you to let your doctor know that you have recently
travelled to these places.
Even if a person has travelled to the affected destinations, it
does not mean they are infected. They are at risk of the infection
and therefore will be advised to see a doctor immediately when they
fall ill within 14 days of their travel to such destinations.
If a person has visited the affected countries, how long does one
wait to know if the person is SARS-free?
If the person does not develop any symptoms of SARS within 10 days
following his/her travel to the affected places, it is unlikely
that he or she is infected.
Will people who have travelled to the affected countries likely to
develop SARS?
Persons at risk (with travel history) have been asked to go to the
Emergency Department, TTSH to seek medical help if they develop
fever. Not all persons who have travelled to those affected
countries will get SARS. In fact most will be well.
Travel agencies are refusing to let customers postpone their trip
to parts of China, although MOH's advisory only applies to
Guangdong province. What can I do?
This matter is not under the Ministry's purview. You may wish to
negotiate with your travel agency on such matters.
Home Quarantine Order
What is the Home Quarantine Order (HQO)?
MOH has invoked the Infectious Diseases Act to isolate all contacts
who have been exposed to infected SARS patients. They will be
required to stay at home for 10 days and to minimise contact with
other people. Those who do not heed the quarantine requirement are
liable for prosecution under the Act.
Who is affected by it?
Those who have come into close contact with SARS patients.
What is the purpose of the HQO?
The HQO is to aid the efforts of the authorities to contain the
spread of SARS, as well as to facilitate the monitoring of persons
who have been in contact with SARS patients. Persons who develop
SARS can then be isolated and treated quickly, and will not have
been in contact with many other people during the period they are
symptomatic.
How will I know if I am affected by the HQO?
Officers from the NEA (National Environment Agency) will visit the
person at home to serve the HQO. The order will also clearly
indicate the name and NRIC of the person to be quarantined, and the
period of the quarantine.
Will the quarantine affect everyone in the household?
The HQO will be served to any person who has been in close contact
with a person with SARS:
If the Person served the HQO has school-going children (all
levels of schools other that Polytechnic and University) and
children attending childcare, playgroups and kindergartens, these
children must also be kept at home.
If the HQO is served on a child, his school-going siblings (all
levels of schools other that Polytechnic and University) and
siblings attending childcare, playgroups and kindergartens must
also be kept at home.
Other school-going children (all levels of schools other that
Polytechnic and University) and children attending childcare,
playgroups and kindergartens, who are not related to the contact
but who are living in the same house must also be kept at home for
the period specified in it.
Other adults in the household who have not been issued the Home
Quarantine Order are free to leave the house and carry on with
their daily routine.
In cases where the parents feel the need to take care of the
quarantined child and his/her siblings, they may wish to approach
their employers for leave from work. The Ministry has appealed to
the employers to be sympathetic to parents whose child(ren)
was/were served with the order.
What will happen during the period of quarantine?
During the home quarantine period, NEA and MOH officers will be
contacting the person daily as well as conducting spot checks to
ensure that the person is present at home.
How will my employer/school know that I am under quarantine?
The Ministry is asking all employers whose employees are affected
by the home quarantine measure to accept the Home Quarantine Order
from MOH to the contacts as medical certificate
If your child is being quarantined, the Home Quarantine Order
issued to your child can be used when claiming for child sick
leave.
Employees who are served a Home Quarantine Order will be deemed to
be on medical leave. The period of absence from work would be
treated as paid hospitalisation sick leave, as part of the
employee?s hospitalisation leave eligibility under their employment
contracts, collective agreements or as per the Employment
Act.
Please contact Ministry of Manpower's (MOM) Call Centre at 64385122
for question on employment terms related to hospitalisation sick
leave.
I received a quarantine order paper for my son/daughter, but three
other family members' name appeared on the top right hand corner of
the letter (beside MOH's letterhead), so who is/are quarantine?
(refer to to Q5)
Only the person whom the Quarantine Order was served to is
quarantined.
However, if your son/daughter is a school-going child (all levels
of schools other that Polytechnic and University) or attending
childcare, playgroups and kindergartens, then his school-going
siblings (all levels of schools other that Polytechnic and
University) and siblings attending childcare, playgroups and
kindergartens must also be kept at home.
My child has come into contact with the children from the Pats
School House and Pei Cai Secondary School. Must she/he be
quarantined?
Only children who have come into close contact with a suspected
SARS patient are to be quarantined. If your child is to be
quarantined, he/she will be served with a HQO.
Sars Patients at TTSH/CDC
Who is paying the hospital bills for those who are warded at TTSH
for SARS?
Normal circumstances, where the SARS patients will have to pay for
their own hospital bills, will apply. However, if they require
financial assistance, they can approach the Medical Social Worker
for help.
