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Explore Singapore's pandemic response plan, recent developments such as vaccine availability, ethical considerations on resource distribution, individual liberties, and obligations towards healthcare workers.
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INFLUENZA PANDEMIC PREPAREDNESS IN SINGAPOREDevelopments & Ethical Considerations Communicable Diseases Division Ministry of Health, Singapore
Agenda • Pandemic response plan • Recent developments • Ethical considerations 1 2 3
1 Pandemic response plan
2 Recent developments • From Nov 09 onwards, pandemic vaccines are made available for the public • With effect from 12 Feb 10, Singapore has stepped down from DORSCON yellow to DORSCON green • Stand down of PPCs (GP clinics and polyclinics) • Revised infection control measures • Continued vigilance
3 Ethical considerations A) Distribution of resources B) Restriction on individual liberties C) Obligation towards HCWs
Ethical considerations – Distribution of resources 3 Consider- ations • How to ensure an appropriate order of distribution An illustration: Vaccine distribution in the recent pandemic • Estimating vaccine needs • Establishing priority groups for vaccination • High-risk group • pregnant women • people with chronic medical conditions* • young children from 6 months to under 5 years of age • Essential service personnel (e.g. HCWs) Measures * Lung disorders, heart diseases, diabetes, kidney failure, neuromuscular disorders and immunosuppressed
Ethical considerations – Restriction on individual liberties 3 • Restriction on individual liberties in public health measures during crisis • Border controls • Provision of necessary medical treatment, IHR (2005) • Isolation / Quarantine order • Tripartite advisory on workplace measures • Implementing quarantine based on time of exposure Consider- ations Measures
Ethical considerations – Obligations towards HCWs 3 • Try to establish a right balance • Infection control measures • Intensive monitoring of health • Appropriate usage of PPE • Temporary rotation to non-front line roles • Applicable for high risk group personnel (e.g. pregnant HCWs) • Anti-viral prophylaxis Consider- ations Measures