Thursday, August 20, 2009

Latest Developments in the prevention of Pneumococcal Disease

I recently attended an Asia Pacific conference highlighting new developments in the prevention of Pneumococcal Disease.

Pneumococcal Disease remains the most common preventable deadly disease in children. Every year, 1.6 million die from it. Yet, there is a vaccine available and a large proportion of these deaths could have been avoided.

One of the take home message is that Pneumococcal Disease affects kids most severely under the age of 2. Therefore it is important to start the vaccination regime from birth. By doing this, you have the added advantage of preventing nasal carriage in the child. The bacteria normally resides in the nose of individuals and by 6 months, a lot of unvaccinated babies would have this bug residing in their noses. Most of the time the bugs are law abiding citizens who cause no problems. But once in a while some become terrorists and wreak havoc by invading the brain, ears, lungs, blood, bones and some eventually get severe enough to cause death.

Although there are antibiotics against Pneumococcal Disease, there is recently been a rise in antibiotic resistance and so there is no guarantee that antibiotics are effective against the disease. The best way is still to prevent the child from getting the disease through vaccination.

Another advantage of vaccinating your child is that it also protects the rest of the family from getting the disease. The research has shown that since the introduction of the pneumococcal vaccine in year 2000, not only has the death rate from the disease been reduced in the infants being vaccinated, there has also been a corresponding decrease in the number of elderly being affected by the disease. This demonstrates what is known as the "herd effect" which basically means that by vaccinating babies, we decrease the number of persons affected by the bug in the general population because there is a higher level of immunity in the population.

Many exciting things are happening in vaccine development which we should see next year in Singapore. There are going to be new and more effective vaccines being introduced which means better protection for your loved ones.

However, you should not wait to vaccinate your child from Pneumococcal Disease. The best time to vaccinate is now because vaccinations are like insurance. The earlier you buy the better and you hope you never have to use it.

Wednesday, August 05, 2009

Dr Tay's National Day Message

Aiyah, PM got National Day Message, so I thought I also can give my own National Day Message.

Actually the message is very simple.

Our opening hours during the National Day Long Weekend are as follows:

Saturday 8 Aug, 8.30am to 12.30pm
Sunday 9 Aug, CLOSED
Monday 10 Aug, 8.30am to 12.30pm

Have a very good Long Weekend and don't forget to catch "Buzzing Cashier" on Channel 8 on 10 Aug at 8pm. I will be taking off my stethoscope and assume my role as a food critic in the TV series.

Flu Kits and Tamiflu now available in our clinic

There has been a recent surge in the number of cases of flu like illnesses in our clinic which is reflective of what is happening around us.

As a result we have brought in the Influenza A and B test kit. With this test kit, we can take a sample from your nose and be able to determine if you have Influenza A or B within 15 minutes. The test is not specific for H1N1, but since H1N1 is a subtype of Influenza A which is now the predominant strain, we can say that anyone who is tested positive for Influenza A has a high chance of having H1N1. The test kit is just a convenient way for our patients to know their condition on the spot instead of having to wait for the results if we have to send it to the lab.

If you are diagnosed with Influenza A or B, our patients can now have the option of taking Tamiflu. Tamiflu should be used only in the more serious cases so not everyone will be given Tamiflu if they are tested positive.

As an additional precaution, our staff are masked and patients will be required to wear masks and wait outside the clinic if they are having a fever and/or flulike symptoms.

These are measures that we need to put in place during this time. We hope that you will bear with us as it might be a little uncomfortable and the waiting times will be a little longer than usual.