Use of quarantine in the control of SARS in Singapore
Identifieur interne : 004807 ( Main/Merge ); précédent : 004806; suivant : 004808Use of quarantine in the control of SARS in Singapore
Auteurs : Peng Lim Ooi ; Sonny Lim ; Suok Kai Chew [Singapour]Source :
- American Journal of Infection Control [ 0196-6553 ] ; 2005.
Abstract
A total of 238 cases of the severe acute respiratory syndrome (SARS) occurred in Singapore between February 25 and May 11, 2003. Control relied on empirical methods to detect early and isolate all cases and quarantine those who were exposed to prevent spread in the community.
On April 28, 2003, the Infectious Diseases Act was amended in Parliament to strengthen the legal provisions for serving the Home Quarantine Order (HQO). In mounting large-scale quarantine operations, a framework for contact tracing, serving quarantine orders, surveillance, enforcement, health education, transport, and financial support was developed and urgently put in place.
A total of 7863 contacts of SARS cases were served with an HQO, giving a ratio of 38 contacts per case. Most of those served complied well with quarantine; 26 (0.03%) who broke quarantine were penalized.
Singapore's experience underscored the importance of being prepared to respond to challenges with extraordinary measures. With emerging diseases, health authorities need to rethink the value of quarantine to reduce opportunities for spread from potential reservoirs of infection.
Url:
DOI: 10.1016/j.ajic.2004.08.007
PubMed: 15947741
PubMed Central: 7119078
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PMC:7119078Le document en format XML
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<author><name sortKey="Ooi, Peng Lim" sort="Ooi, Peng Lim" uniqKey="Ooi P" first="Peng Lim" last="Ooi">Peng Lim Ooi</name>
<affiliation><nlm:aff id="affa">From the Disease Control Branch</nlm:aff>
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<author><name sortKey="Lim, Sonny" sort="Lim, Sonny" uniqKey="Lim S" first="Sonny" last="Lim">Sonny Lim</name>
<affiliation><nlm:aff id="affa">From the Disease Control Branch</nlm:aff>
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<author><name sortKey="Chew, Suok Kai" sort="Chew, Suok Kai" uniqKey="Chew S" first="Suok Kai" last="Chew">Suok Kai Chew</name>
<affiliation wicri:level="1"><nlm:aff id="affb">Epidemiology and Disease Control Division Ministry of Health, Singapore</nlm:aff>
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<wicri:regionArea>Epidemiology and Disease Control Division Ministry of Health</wicri:regionArea>
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<author><name sortKey="Ooi, Peng Lim" sort="Ooi, Peng Lim" uniqKey="Ooi P" first="Peng Lim" last="Ooi">Peng Lim Ooi</name>
<affiliation><nlm:aff id="affa">From the Disease Control Branch</nlm:aff>
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<author><name sortKey="Lim, Sonny" sort="Lim, Sonny" uniqKey="Lim S" first="Sonny" last="Lim">Sonny Lim</name>
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<author><name sortKey="Chew, Suok Kai" sort="Chew, Suok Kai" uniqKey="Chew S" first="Suok Kai" last="Chew">Suok Kai Chew</name>
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<series><title level="j">American Journal of Infection Control</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>A total of 238 cases of the severe acute respiratory syndrome (SARS) occurred in Singapore between February 25 and May 11, 2003. Control relied on empirical methods to detect early and isolate all cases and quarantine those who were exposed to prevent spread in the community.</p>
</sec>
<sec><title>Methods</title>
<p>On April 28, 2003, the Infectious Diseases Act was amended in Parliament to strengthen the legal provisions for serving the Home Quarantine Order (HQO). In mounting large-scale quarantine operations, a framework for contact tracing, serving quarantine orders, surveillance, enforcement, health education, transport, and financial support was developed and urgently put in place.</p>
</sec>
<sec><title>Results</title>
<p>A total of 7863 contacts of SARS cases were served with an HQO, giving a ratio of 38 contacts per case. Most of those served complied well with quarantine; 26 (0.03%) who broke quarantine were penalized.</p>
</sec>
<sec><title>Conclusion</title>
<p>Singapore's experience underscored the importance of being prepared to respond to challenges with extraordinary measures. With emerging diseases, health authorities need to rethink the value of quarantine to reduce opportunities for spread from potential reservoirs of infection.</p>
</sec>
</div>
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