nooka look book for 2009-2010 preview



like all venerable brands, nooka produces a new look book each year. this exercise is always takes longer than scheduled and usually runs over-budget, but the results help add new visual vocabulary to the marketing materials [in our case, we use the images on the web site and print materials]

last year [the images on nooka.com as of this writing] we used a studio comprised of students still at carnegie mellon called the supervisory. they have since graduated and moved their studio to nyc and we have contracted with them for this years as well!

(though not necessarily apparent in the finished images) conceptually, we pushed a sci-fi inspired angle for 2008 with a nod to the aesthetics of both westworld and blade runner by treating the models as androids. with the new look book and moreover with messaging for the brand, i want to focus on the concept of universal language as this is a common theme in what motivates me as a designer. this line of thought brought me to contemplate the concept and how to explore it more...math is a universal language, as is music. what movie told this story better than 1977's close encounters of the third kind? and this became our conceptual jumping off point for the art direction of the 2009 photo shoot.

it is from that point the ball was in the supervisory's court to cast and direct the photography to create the images previewed here. the hair and make-up in many of the images is a bit 1970s, but then again, that was the decade that best presented the look of the future in its sci-fi and fashion (both things that inspired my aesthetic approach for nooka).

we will preview the new look book at our pop-up shop at den in the east village of nyc opening july 9th. more on that in a later post. this is where we will launch our belts, wallets and our something else that's very exciting!

more about the supervisory here.

nooka is available at fine stores and here. join nooka and love nooka on facebook and nookaNOW on twitter.

Nooka is an official sponsor of The Juan Maclean US Tour happening now!

Where & when you can donate blood | World Blood Donation Day

The link is not that hard to find actually. You can find where & when to donate blood here.

On a separate note, the World Blood Donor Day this year shall be celebrated at Jurong Bird Park on Saturday, 13 June. (Official site: here) Admission is strictly by invitation. Although I received the invitation card, I found the intent to make the event exclusive is not a right move.

The organizer should make it as an open event. Let the blood donors be recognized for their selfless contribution & at the same time, let the public learn more about blood donation. (And how to attract more people to attend the event? Waive the entrance fee. Just like the free museum entry as part of International Museum Day celebrations.)

Oh, and to be in line with the World Blood Donor Day, the event ought to be held on 14 June. Heh.

Update: here's the invitation card. It's made in the form of a postcard. I like how simple the design is.



Is There Money In This? by Vanguard – 48 Hour Film Project: Singapore 2009

To watch a comedy is an intention to amuse. Haven’t you heard that laughter is the best medicine? If you ever wonder what two dimwitted pre-planned robbers might do to carefully prepare themselves to do a well strategize robbery (Singaporean-style) this is a perfect film to get your answers. Maybe not all robbers acted this way but this is a sure fun film to watch leaving you smacking your foreheads and shaking your heads at their hilarious antics.

These two men who looked like in their late 30s, were choosing their weapon of choice from a small knife to a big parang and even rehearsed on their lines with it, advising each other on how to make themselves looked fierce at which point I couldn’t help myself but to laugh. They even tried on the right socks to wear over their heads for disguise. Although their plan was to rob these two men were well dressed for their mission, sitting under the void deck of a HDB flat, munching on peanuts while evaluating and choosing their victims as people walked by. Soon after they spotted a young girl who looked quite wealthy then prepared themselves to strike on her, following her from behind then surprised her afterwards. The girl however, instead of shrieking for help, fainted.

Despite planning to rob, upon seeing the girl lying motionless on the floor decided to help her by calling the ambulance. From robbers to hero, they “saved” what turned out to be a tycoon’s daughter. With their faces on the television news these two men, even though did not fulfill their mission were quite happy.

Honestly, although simple, this film manages to amuse me from the start till the end spicing it up with a little bit of local flair. I liked how it wasn’t too dopey for a comedy. I was glad it wasn’t another Scary Movie turn off.

Lily by JoabImages – 48 Hour Film Project: Singapore 2009

Thriller is well known for it’s cliffhangers and my all time favorite directors that manage to create this was Alfred Hitchcock. Although often overlapped with mysterious stories, the hero in thriller movies have to thwart the plans of the enemy but in Lily, the hero became helpless in the end.

I wasn’t quite sure of the whole storyline at first. Maybe I was trying too hard to make some common sense into it. But the idea of having to be trap in a place where you have to do the same routine over and over again could drive me, or anyone for that matter, up the wall.

Lily was a fictitious character of a television show that felt shackled by the repeated routine she has to do everyday and was dying to be released into reality where she would be “free”. She managed to grab the attention of a television viewer who was sitting on his couch looking rather weary, watching the show. At first in disbelief he then decided to help Lily escape by plugging in his camcorder and pressing the record button only to realize that he will replace Lily’s place in return.

Plot-wise, I thought it was smart in a way but I felt like there could be more to establish Lily’s role in the film and her relationship with the television viewer. But I guess in that moment all he wanted was to free a pretty young lady from her husband and that maybe he wasn’t dreaming after all. I think this could be perfect scare for kids who watch too much television.

Tuff Questions by 3Dollars50Cents - 48 Hour Film Project: Singapore 2009

Animation helps in creating an illusion of something that may not exists in real life. You may not see a real life colossal robot but only in the movie, Transformers. With animation you can also trick the viewers into thinking that you’re in space when you’re actually standing in front of a green screen. Tuff Questions seemed to be using a lot of that with their background making theirs one of the most unique among many. Using an animated drawn effect background created an illusion of a comic strip. With only one actor in this film, it was easy to focus on the subject matter.

I was almost fully intrigued by the use of an animated background throughout the film. Imagining how the production would look like and how editing could almost be arduous and all of which was done in a short span of 48 hours. It was fascinating to a point where it could end up like Sin City (in a way). The usage of the local slang always makes us laugh or chuckle at how amazingly dense it sounds sometimes but the touch of locality made it more easier to correlate to everyday situation. At one part of the film, the actor was made to play several characters in helping him understand or perhaps helped him imagined what happened during the scene of the crime. I must say, it was believable at some point and it felt as if you were trying to solve the case together with him.

I find that they have cleverly utilized the characters well and have created a film with clear direction that resulted in an intelligent yet witty short piece.

Art World by Kijo – 48 Hour Film Project: Singapore 2009

There are many evaluations and definition of art whereby any human can differently view the aesthetic value of a piece of creation. What may seem to be of value to someone can also be a child’s painting that is nicely framed. The thought process of creating a piece of art encompasses a fusion of the human emotions, activities as well as music and literature. Many describe artists as a very disturbed individual – one who lives in seclusion a lot maybe? Essentially, whatever that is made is a fabrication of the human mind.

Every once in a while a film may take you by surprise and sometimes it can be too obvious that you may even predict its “common” dialogues then blows you away with shoddy storyline or even acting. I was nearly killed by the latter. As I was trying to acquire their less audible voices, trying to comprehend every conversation that bandied back and fourth was like deciphering a secret code (not to mention the awkwardly sense of acting that made me irked). So I stopped listening and concentrated on the visual aspects of this film.
A journalist took up a job to interview an artist, one that does not like to be interviewed in the first place. And upon arrival to his spine-chilling lair, she helped herself in, almost constantly greeted to eclectic art pieces and especially one of a human heart in a glass jar. The artist emerged and soon after they conversed but it all ended when she found a human size “statue” behind a plastic curtain. Turns out, she became an art piece for the artist’s exhibition with her heart nicely preserved in a glass jar – the same as the one that she found while wandering in the house.

Smart plot? Yes. Horrifying? A little. Seen before? Yes. Reminds me of The Wax Museum. Although thanks to this film, I am dying to trot myself down to Haji Lane and visit the “scene of the crime” because the place looked very interesting.

Beyond the Band: The Rise and Fall of Johnny Axel by Team Seja – 48 Hour Film Project: Singapore 2009

I am not a big fan of television shows on celebrity gossips neither do I want to pry into other people’s secret lives (though it can bring juicy bits of details that are ultimately overly amplified). But considering the nature of my sense of curiosity, I may in the end want to be informed of the latest inside scoop. And for this one, it was as if I was watching a spoof of Entertainment Tonight.

Johnny Axel was a charismatic young man who was initially from a hardcore band, The Zombies. He left to join a rival band, The Scissors after he fell in love with the bassist, Danny and while they performed in their huge concert, Johnny was killed by a pair of scissors that was flung from a waving fan’s hand and into his chest (unreal but the doctor’s testimony made it seemed possible especially with the 3-D graphics illustrating how the scissors punctured his chest and into his heart).

It wasn’t draggy as I assumed it would be but I was ridiculously annoyed with the reporter on how she played such an unconvincing role. But that aside, Beyond the Band was nicely paced (with well written dialogues I must say) and cleverly edited with details such as name headlines, 3-D graphics and a mock television logo that made this mockumentary well strung together.

It was challenging enough to create a short piece in 48 hours but to make it more difficult was the fact that this was collaboration between two countries, Singapore and Australia (Curtin University). With over 35 casts and crew, I applaud this team for being able to produce an amazing job. I bet they’ve fully utilized Skype for this. Kudos to team Seja.

'Girl Off A Leash' by Amalia Yunus - NYU Tisch 2nd Year Works In Progress

That standard blue SIA bag carried by their stewardesses screams at me when the film opens. It seems to stick out from the overall pink uniform of the flight attendant who’s just disembarked from her flight. Hair still as coiffed and make-up still completely untampered with, she glides through he HDB corridors like she was still strutting down the aisle. That is until she gets home and finds herself immediately embroiled in yet another confrontation with her father. Cornered by hostility at home, she takes a walk out. But at he void deck, she notices her neighbour, Max, a little girl, who is on her way out with her mother. What startles her is the leash that encircles her torso and being tugged around by her doting mother.

I almost became too quick to dismiss this piece as an exaggerated manifestation of HDB living running on a trite topic of parental control. But it turned out to have more heart than I thought. In a ‘tug-of-war’ kind of struggle, the mother loses her balance and her consciousness as well (how convenient!). This allows the Max to ‘runaway’ with Sarah. With the initial clues that Max likes aeroplanes, it is easy to guess what will bring the two half-strangers together, almost too deliberately.

But in a more liberated and breathable setting under a tree, I found there were moments when there was a gush of tenderness seeping through my heart. Perhaps it speaks to a common desire – to escape and fly away (not like a flight attendant!). Layering the issue, Max asks Sarah why she does not ‘flyaway’ from her job if she was not happy in it. Not that Sarah could find an answer. Not that we could find an answer ourselves. But through asking someone else, we often answer our own questions, like Max did. And she got us all a happy ending.

'Encounter' by Ashish Ghadiali - NYU Tisch 2nd Yr Works in Progress

The first thing that made me sit up in this film was the polished and well-contrasted look of the cinematography. For its premise about a cop, the use of shadows, shades and silhouettes accentuate the suspense in all 10 minutes of tension in this drama. A Mumbai cop is on the hunt for a criminal somewhere in a dark alley. With the somber-hued colour palette of the visuals, the mood is appropriately dense. The well-paced editing also sheds enough light on where the story is going without sacrificing mystery and suspense.

But it could be a mediocre, formulaic attempt at recreating a Hollywood thriller or cop drama. Notice I do not say Bollywood despite the content about a Mumbai cop. This is largely owing to the style of the cinematography, which seems very close to commercial standards. Thankfully, there is a twist that brings us back to the less bombastic world of independent films (or even short films). And it hits a frequency close to me because it deals with a familiar issue – being a workaholic. In fact, a cheesy title to the film could be ‘Occupational hazard’.

After the initial 6-7 tense minutes, the cop who has been on the hunt finds himself in his own house. Not entirely sure why, he treads on furtively with a pistol ambushed between his palms, until he sees his wife and child in bed. They exchange incredulous looks at each other – a moment that jolted me out of my viewing stalemate, one that defined the film. He cannot stop working even in the comfort of his own home. In fact, in the light of this revelation, the film’s commonplace title ‘Encounter’ gets an ironic and pretty intelligent double entendre.

'Frankfurt' by Nicolas Pacheco - NYU Tisch 2nd Yr Works-in Progress

A film like this could be potentially pretentious because of the attempt to make something out of nothing. ‘Nothing’ by layman’s standards – the act of abandoning an old sofa. Of course, in the eyes of the characters, the sofa means much more to them and the act of abandoning it is a philosophical journey. 3 friends, who supposedly act as themselves – film students, decide to abandon a musty and crusty sofa. One is regular bloke who just wants his beer at the end of the day. One is more or less the eye-candy (female) of the trio who is also more expressive and emotional. The last one, also capable of stealing the attention, is a gawky intellectual who is documents every moment in the sofa’s road to ‘heaven’.

Reminiscent of Tsai Ming Liang’s ‘I Don’t Want to Sleep Alone’, the sofa goes through a bumpy journey through a urban scape. While the feature imposes a kind of surrealism over a possibly realistic situation – workers salvaging an abandoned mattress, this short takes an unreal situation but makes it quite naturalistic. Poor sofa, after suffering bruises from a 2 storey fall, it tears from the dragging and lugging by the characters. Then, it has to take the pub-debris rubbish of beer cans and peanuts from the trio. Finally, it gets ‘executed’ by kerosene and fire.

The matter-of-fact, unpretentious acting in this potentially pretentious piece probably stems from the fact that they know each other pretty well as schoolmates. It actually becomes quite a treat as the film progresses to see the dynamics of their friendship and interactions. The best is, you know it is mostly quite real. Their reactions to each other, their final thoughts on the sofa, the quirks and touches of spontaneity… it’s a fine line between what’s real and what’s induced by having a camera pointed at them. Don’t quite understand the title though (unless it’s mentioned somewhere in the lines).

juan mclean on tour

some pics from the boston and atlanta gigs of the juan mclean last week. more info on the link at the bottom of this entry to find out when the band and the robot nookanooka will be in your town!




nooka is available at fine stores and here. join nooka and love nooka on facebook and nookaNOW on twitter.

Nooka is an official sponsor of The Juan Maclean US Tour happening now!

Updates of Influenza A(H1N1) in Singapore -- Hope there won't be further updates, though

Within just a day since the first case reported, there are 3 more cases of Influenza A(H1N1) flu detected on 28/05. Scary, huh? But the golden rule applies: Don't Panic! The 3 cases are not related to the patient zero (SMU student, Ms. Theresa Wee). They arrived in Singapore on different flights from the United States over the past few days.

Perhaps, our patient zero currently being flamed by Netizens might indeed be quite responsible. Even her boyfriend Mr. Chris Goh was said to isolate himself. Well done! Kiasuism does help.

The question now remains how equally responsible the other 3 victims were. How prompt did they go to see their doctors? Were the doctors equally prompt & capable in their response like the GP, Dr Koh Chong Cheng who handled the Singapore's first confirmed H1N1 flu victim? I do hope so.

Meanwhile, SMU has a lot to answer. Was the study trip really "very essential and time-sensitive"? Health Minister Mr. Khaw Boon Wan has been diplomatic in not trying to judge the school's decision. I doubt netizens would be taking a similar approach. (Although to be fair, even if the first case was not the SMU student, there would still be those 3 separate cases!)

If more irresponsible travelers were to arrive in Singapore with this influenza A(H1N1), I'm looking forward for Singapore treating them as criminals.



Singapore has reported its first patient infected with the new A(H1N1) flu strain.

The patient is a 22-year-old third year Business Management student at Singapore Management University. She had been in New York from May 14 to 24 on a business study mission with 19 other students and the faculty in-charge.

While seated in row 55 on Singapore Airlines flight SQ25, she began to develop a cough, but she passed the thermal scanner at the airport later without being stopped, because she did not have a fever at the time.

Later that morning, she went to a general practitioner who decided to send her to Tan Tock Seng Hospital via the special ambulance service 993 meant for suspected Influenza A (H1N1) cases. Laboratory test confirmed her infection at midnight on Tuesday.

The patient is being treated at the TTH Communicable Disease Centre and is in stable condition. Her boyfriend, who picked up her at the airport and sent her home, is also under observation at the CDC and is expected to be quarantined there for at least four days.

The Health Ministry said the patient has been vigilant in monitoring her condition and had sought immediate medical attention once she realised she was unwell.

'Her attending GP, through his quick response in activating the 993 ambulance for the patient, had also helped to minimise the spread of infection from this case,' said a ministry statement.

In a statement on Wednesday, SMU said: 'She returned to Singapore early morning on 26 May with the faculty member and another student, and went to see a doctor as she felt unwell during the flight. She informed the university on May 27 when she found out she was tested positive. She is now recovering in hospital and has not been back on campus since returning from New York. The university is in close touch with her.'

SMU said the faculty member and another student who returned with the infected student are both fine.

'They are currently on home quarantine for the next 6 days and will continue to monitor their health and take temperature checks twice daily,' added the university.

'SMU has contacted the remaining 18 students on the New York study mission who have extended their stay in North America and alerted them to go for tests and remain vigilant.'

The Health Ministry has begun contact tracing of those who have been in close contact with the patient. They will be quarantined and given antivirals to prevent them from developing the disease.

The ministry asked passengers who had been seated in rows 52 to 58 on the same flight to call its hotline on 1800-333 9999, so that its officers can check on their health condition.

The Ministry has reminded all medical practitioners and healthcare institutions to continue to be vigilant to suspect cases. Temperature screening for passengers entering Singapore at all checkpoints - land, sea and air - will continue.

All passengers passing through or entering Singapore are given Health Alert Notices on board their flights, advising them to monitor their own health if they have been to affected areas and to seek medical attention immediately if they are not well.

From Straits Times, "SMU student is 1st flu case".



A day after Singapore's first H1N1 case was detected, three more patients have tested positive for the same flu virus.

The man and two women, who touched down in Singapore on different flights from the United States over the past few days, have been admitted to the Communicable Disease Centre.

Among the new cases:

# A Singaporean man, 28, who returned from Chicago via Hong Kong on Monday on United Airlines Flight UA 895. He became unwell on the same day.

# An American woman, 28, who works in Singapore. She arrived on Tuesday from Honolulu, Hawaii, via Tokyo on Flight UA 803 and was unwell.

# A Filipino woman, 43, a permanent resident (PR) here who returned from San Francisco via Manila on Tuesday on Singapore Airlines Flight SQ 917.

They have relatively mild symptoms and are stable, the Health Ministry said on Thursday. It is in the process of tracking down those in close contact with them, including passengers on the same flight, so they can be quarantined and given the antiviral drug Tamiflu.

The 22-year-old undergraduate who was first found to have H1N1 on Tuesday after returning from New York is also doing well and her fever is going down, The Straits Times understands.

Because the virus is likely mild, the cases here have so far been isolated, and there has been no spread within the community, Singapore's alert level has not been raised.

Health Minister Khaw Boon Wan had said on Wednesday that even if there were people who contracted the flu here and the World Health Organisation raised its alert level to six, which signals a pandemic, Singapore would still remain on yellow alert if the virus remained mild.

The H1N1 bug, first discovered in Mexico last month, has since spread to more than 13,000 people in 48 countries. Mexico, the US and Canada have been hardest hit.

From Straits Times, "H1N1 flu strikes 3 others".



Singapore on Thursday confirmed three more cases of Influenza A (H1N1), bringing the number of infected persons in the country to four.

A day earlier, Singapore confirmed its first case of A(H1N1) flu, in a 22-year-old female Singapore Management University (SMU) student who recently returned to the city-state from New York.

The second confirmed case is a 43-year-old Singapore Permanent Resident who returned to Singapore from San Francisco via Manila on Tuesday (May 26) at 1750 hours.

She was on Singapore Airlines flight SQ 917 and was seated at 33H. She became unwell while on board.

The third confirmed case is a 28-year-old American woman working in Singapore. She returned to Singapore from Honolulu via Tokyo on Tuesday (May 26) at 2353 hours, on United Airlines flight UA 803. She was seated at 33C and became unwell on May 26.

The fourth confirmed case is a 28-year-old Singaporean man who returned to Singapore from Chicago via Hong Kong on May 25 at 0036 hours. He was on United Airlines flight UA 895 and was seated at 55H. He became unwell on May 25.

The patients are currently being treated at the Communicable Disease Centre at Tan Tock Seng Hospital (TTSH).

In a statement, the Health Ministry said their symptoms are relatively mild and all the patients are in stable condition.

Contact tracing of their close contacts, including passengers on the same flights, is ongoing. They will be quarantined and provided with antiviral prophylaxis.

The Ministry of Health (MOH) said that passengers within three rows in front and behind the cases who have not been contacted by the ministry yet should call the MOH hotline at 1800-333-9999.

The affected rows for SQ 917 are 30-36; for UA 803 are rows 30-36 and for UA 895 are rows 52-58.

The Health Ministry has reminded those who have travelled in the preceding 7 days to affected countries to seek immediate medical attention once they develop influenza-like symptoms, and call 993 for an ambulance. This, it said, will help minimise the risk of infecting those around them.

Meanwhile, the MOH has also reminded all medical practitioners and healthcare institutions to continue to be vigilant for suspect cases.

From Channel NewsAsia, "Singapore confirms three more H1N1 flu cases".



Of all the people who were in close contact with Patient Zero, probably no one came closer that Miss Theresa Wee's boyfriend.

He had picked her up from Changi Airport early Tuesday morning, carried her luggage, and got into the same car with her.

And he knew something was wrong when she said she was not feeling well.

After a short stopover at her home, Mr Chris Goh, 24, drove Miss Wee to see a General Practitioner (GP).

When the GP, Dr Koh Chong Cheng, called for the ambulance to send her to Tan Tock Seng Hospital (TTSH), he followed in his car.

He stayed at TTSH for almost the whole day, even though he could not be with her.

Said Mr Goh, a third-year business management student at the Singapore Management University: 'I just stayed around so I could be near her.'

In the evening, when she was sent to Communicable Disease Centre 2, he was not surprised.

'She'd just come back from an area where there's H1N1 transmission,' he told The New Paper on the phone from his CDC 2 ward where he is being quarantined.

After Miss Wee was sent to CDC 2, he sat in his car thinking what to do next.

He knew he'd been exposed to her.

He has elderly grandparents at home and he knew the elderly may be more susceptible to infections. He did not wish to expose his friends and family to any danger.

So on his own accord - even though he did not know then that his girlfriend was suffering from H1N1 and doctors had not told him what to do - he checked into a hotel.

'I wanted to isolate myself,' he said.

Yesterday, doctors called him and asked him to go to TTSH.

That was when he knew that his girlfriend was Singapore's first H1N1 case, and that he, too, needed to be quarantined in CDC 2.

'I already suspected that she might have H1N1. This is not a remarkable experience. I am quite neutral to it. The doctors are nice, the food that I'm being served is quite nice.'

He is feeling 'very well' at the moment. He does not have a fever.

Associate Professor Leo Yee Sin, clinical director of the CDC, said that Mr Goh could go home after four or five days if he continues to be well. The incubation period for H1N1 is three to four days.

'If he shows any signs and symptoms, we will treat him,' said Assoc Prof Leo.

From The New Paper, "The boyfriend who isolated himself".



Dumb. Ignorant. Irresponsible.

These were some of the stinging words netizens used to describe Singapore's first Influenza A (H1N1) patient, Singapore Management University (SMU) undergraduate Theresa Wee.

The third-year business management student fell ill after returning from a 10-day business study trip in New York, and became Singapore's unfortunate Patient Zero.

She had travelled with 19 other students and a lecturer.

She's a 'troublemaker', netizen deritz said on The Straits Times interactive website Stomp.

'Should sue her for bringing in the virus!' he added.

Many compared Miss Wee, 22, to Singapore's first Sars patient, Ms Esther Mok.

During a five-day holiday in Hong Kong in late February 2003 with two friends, Ms Mok, then 23, caught the then-unknown disease from an infected China national staying on the same floor of her hotel.

She fell ill and passed the virus to 22 others here, including her parents, uncle and pastor. She became known as the super spreader.

Her father died, becoming the first person here to be killed by Sars. Her mother died two weeks later.

Some people had called her 'selfish' and questioned how she lived with the guilt.

Why come back?

Of Miss Wee, shadou said on The Straits Times online forum: 'She shouldn't have come back to Singapore if she was feeling unwell.

'Remember the woman who came back from China and spread Sars here? She was the first and it killed many, including her family.

'Now this student does the same and puts us all at risk, especially those that came into contact with her during the long flight back. Totally ignorant if you ask me.'

Fellow netizen antiwisefc said Miss Wee and her schoolmates should not have travelled to the US since it has the second highest number of confirmed and suspected cases - over 6,000 to date. Ten people in the US have died from the virus.

'Can't imagine people here are so dumb...,' antiwisefc said.

'Similar to Sars six years ago, three people here went to Hong Kong for shopping during the prime stage of (the) pandemic, thus (they) got infected and started to spread the virus islandwide.

'People here don't seem to learn any lesson at all.'

antiwisefc added that the Ministry of Health (MOH) should advise Singaporeans not to travel to affected countries instead of saying that 'it is a matter of time we will be infected'.

Others slammed her and SMU for making the trip.

Stomper slowhandle said: 'If she (was) very careful and aware, she (wouldn't) be making the trip to New York at all and save (Singapore) all the trouble.'

zilchster81 wrote on online forum website soft.com.sg: 'It might have been an unfortunate oversight on her part to proceed with her trip given all the travel advisories issued.

'More unfortunate would be the people who have been inconvenienced by her. Which is why it's up to individuals to exercise discretion in postponing non-essential travel to severely affected areas.'

MOH had advised people to avoid non-essential travel to affected areas. If they had to travel, they should stay vigilant and maintain a high standard of personal hygiene at all times.

But some netizens were more sympathetic.

wyldeboon said on soft.com.sg: 'Can't blame her what... if she had to go then she had to go... it was all up to her. She just 'suay' (unlucky) that she 'kena' (got) the disease.'

Stomper smallrocher agreed.

'(The) virus is unpredictable and spreads without warning... hope that it will stay at (one case). Life moves on though.'

In a press statement, an SMU spokesman defended the decision to make the trip.

'When (we) proceeded with the trip, MOH had already lowered the alert level from orange to yellow and that the flu appeared to be mild,' she said.

'The spread of H1N1 cases in New York then was also contained and localised in the borough of Queens. This area was not part of their itinerary, neither did the students intend to visit Queens.'

The spokesman added that each student was given N95 masks and thermometers. They took their temperature daily.

Health Minister Khaw Boon Wan, asked for his views on SMU decision's to make the trip, said: 'I do not know exactly what the study trip was about. If it was something that was very essential and time-sensitive, it had to be done - maybe that was the reason...

'So it is very hard for me to judge. But if you ask me as a friend who is planning a holiday to New York next week, I would say, 'Why don't you consider some other place as (it) would be an unnecessary risk?'

From The New Paper, "Netizens flame first H1N1 victim".



Update on 31/05: The 5th case is confirmed! Darn.

A 22-year-old Singaporean female has been confirmed as the fifth case of the H1N1 flu in Singapore, the Ministry of Health said in a statement on Sunday.

The patient was in the United States from 13 to 28 May and returned to Singapore from New York via Tokyo on an All Nippon Airways flight. She passed the thermal scanners at Changi Airport as she did not have a fever then.

However, the patient developed a fever the next morning and her mother drove her to Tan Tock Seng hospital. She was admitted to the Communicable Disease Centre (CDC) and laboratory tests confirmed her infection the same day.

According the MOH, the patient is in stable condition and her symptoms are mild. Contact tracing has also been initiated, including passengers on the same NH901 flight.

The patient was seated at row 36 on the plane, and based on MOH's risk assessment, passengers within rows 34 to 38 on the NH901 flight on 29 May should call the MOH hotline at 1800-333 9999.

From Straits Times, "S'pore confirms 5th case".



Update on 01/06: The 6th & 7th cases are confirmed.

The Ministry of Health has said in an update on the H1N1 flu that there are two more confirmed cases in Singapore as of 5pm today.

According to the Ministry, both cases have relatively mild symptoms and are in stable condition.

The addition of two new cases brings the total number of H1N1 cases in Singapore to seven.

The 6th case is a 36-year-old Singaporean male who was in Manila on a business trip from 18 - 29 May.

He returned to Singapore from Manila on Friday 29 May on Singapore Airlines SQ917 at 1750 hours. He was seated at row 17.

The 7th case is a 30-year-old Australian male tourist who had travelled to Chicago from 14 - 21 May, Detroit from 21 - 25 May, and New York from 25 - 30 May.

He developed symptoms on 26 May while he was in New York. He arrived in Singapore from New York via Frankfurt on SQ25 at 0618 hours on 1 June.

From Asiaone, "S'pore confirms two more cases".



Update on 02/06: It's now the 8th case! And thanks to the thermal scanner at Changi Airport which managed to detect his fever. Why the sophisticated detector failed to recognize the first 7 cases is not really that clear to me.

Singapore has confirmed its 8th H1N1 case today.

According to an announcement from the Ministry of Health, the latest case is a 15-year-old male student who is studying in India.

He travelled from India to Orlando and Atlanta on a school trip from 17 to 31 May 09.

He returned to Singapore from Atlanta via Mumbai on Singapore Airlines SQ421 (Seat 39K) on 1 Jun 09 at 7.36pm.

The patient felt feverish during the flight, and his fever was picked up by the thermal scanner at Changi Airport. He was sent to Tan Tock Seng Hospital via 993 ambulance, and subsequently warded at KK Hospital in the early hours of 2 Jun 09.

The Ministry also said in its statement that contact tracing of all previous cases, except the seventh case involving a 30-year-old Australian male tourist, and the most recent case, have been accounted for.

Contact tracing is ongoing for the passengers seated within the following seats on the corresponding flights:

- Within rows 37 to 41 on SQ421 on 1 Jun 09
- Within rows 52 to 56 on SQ25 on 1 Jun 09

Affected passengers who have not yet been contacted by MOH should call the MOH hotline at 1800-333 9999.

Of the 62 cases investigated thus far, 8 cases have tested positive for the H1N1 virus, 43 cases tested negative, 10 tested positive for the usual circulating seasonal flu strains, and 1 is pending laboratory investigations

There are now 17,563 confirmed cases of H1N1, including 116 deaths in 65 countries as of 1 Jun 09.

From Asiaone, "8th H1N1 case confirmed".

A 15-year-old Singaporean student, studying in India, became the island's eighth case of novel H1N1 influenza, or A (H1N1).

He was also the first to be picked up by the thermal scanner at Changi Airport. The boy had been in Orlando and Atlanta in the United States on a school trip from May 17 to last Sunday.

His fever was detected by the airport scanners when he arrived Monday in Singapore from Atlanta via Mumbai. He had been feverish during the flight and was seated at 39K on Singapore Airlines SQ421.

A Health Ministry (MOH) statement said the boy was brought by a 993 ambulance to Tan Tock Seng Hospital (TTSH) but has been hospitalised at KK Women's and Children's Hospital (KKH).

He was sent there early Tuesday morning. Laboratory results at 2.40 pm on the same day confirmed he was infected by A (H1N1).

MOH said contact tracing is ongoing. Passengers within rows 37 to 41 on the same flight and have not been contacted by health authorities, should call its hotline at 1800-333 9999.

Contact tracing of all previous cases, except that of a 30-year-old Australian male tourist, have been accounted for.

Contact tracing for passengers on the same flight as the Australian tourist is still on going. Passengers within rows 52 to 56 on SQ25 arriving on Monday (Jun1) need to get in touch with MOH.

From Straits Times, "8th H1N1 flu case".



Update on 03/06: The 9th case!

Singapore has confirmed its ninth Influenza A(H1N1) case.

The patient is a 19-year-old Singaporean studying in the United States, who returned for the summer holidays.

She arrived in Singapore from New York via Tokyo on All Nippon Airways NH901 at 11:40pm local time on May 28.

She developed symptoms on Monday morning (June 1), and a 993 ambulance was called to send her to the Communicable Disease Centre (CDC) at Tan Tock Seng Hospital.

She was admitted to the CDC on the afternoon of the same day.

Laboratory results confirmed her infection at 9pm on Tuesday.

Singapore's Health Ministry (MOH) has assessed that no flight passengers needed to be quarantined as the case only developed onset of symptoms more than 24 hours after disembarkation, hence she was assessed to be non-infectious during the flight.

MOH added on Wednesday that tracing for the local contacts has been initiated.

So far, two close contacts involving the case's family members have been identified.

They are currently well and home quarantine orders will be served to them.

Tracing for other local contacts is on-going.

The Ministry said that so far, all the nine cases are imported and have a travel history.

There is currently no evidence of community spread.

MOH said it is monitoring the situation closely and will update the public on any new developments.

For more information on Influenza A(H1N1), please access MOH's website at www.moh.gov.sg, call the hotline at 1800-333 9999, or visit www.flu.gov.sg.

From Channel NewsAsia, "Singapore confirms ninth H1N1 case".



Update on 03/06 (again): Two more cases of Influenza A(H1N1) reported in Singapore: Case no. 10 & 11...

Singapore confirmed two more cases of Influenza A (H1N1-2009) on Wednesday evening, bringing the number of reported cases so far to 11.

Both patients were on the same flight - Singapore Airlines SQ25 from New York via Frankfurt on Monday - as the 7th confirmed case, a 30-year-old Australian male tourist who was seated at Row 54. The flight arrived in Singapore at 6.18am that day, said a statement from the Ministry of Health on Wednesday night.

The 10th patient is a 33-year-old Singaporean female who was in New York from May 23 to 30. She was seated at row 19 on SQ25.

She went home by taxi from the airport and developed symptoms later the same morning. She remained at home for the rest of the day.

On Tuesday, she stayed at home the whole day and in the evening, took a taxi to Tan Tock Seng Hospital, where she was admitted to the Communicable Diseases Centre 2, before midnight.

The 11th case is an 18-year old American female visitor. She was seated at row 57.

She was met by her relative at the airport and they took a taxi to the relative's residence. She developed symptoms on Tuesday afternoon and took a taxi with her relative to seek medical attention at Raffles Hospital's Emergency Department in the evening. She was later sent to CDC, via a 993 ambulance. She was admitted to CDC2 in the early hours on Wednesday.

Laboratory results confirmed their infection at 3pm on Wednesday.

MOH said contact tracing has been initiated for the latest two cases.

Based on MOH's risk assessment, passengers within rows 17 to 21 and rows 57 to 59 on SQ 25 on Monday who have not been contacted by the ministry should call the MOH hotline at 1800-333 9999 to enable the authorities to check on their health condition expeditiously.

As for the 9th case, a 19-year-old Singaporean female who arrived in Singapore from New York on May 28, MOH has identified two household contacts for home quarantine orders.

'They are currently well. Contact tracing is still on-going for any other close contacts,' said MOH.

So far in Singapore, all the 11 cases are imported and have a travel history. There is currently no evidence of community spread, said MOH.

From Straits Times, "S'pore reports 2 more cases".



Update on 04/06: Case no.12 is reported!

Singapore confirmed its 12th case of Influenza A (H1N1-2009) on Thursday.

The patient is an 18-year-old Singaporean male. He went to Melbourne on May 16 and returned to Singapore on Emirates EK405 on Monday at 11.50 pm, said a Ministry of Health statement on Thursday night.

He was seated at row 18.

He was sent to Tan Tock Seng Hospital emergency department on Thursday noon by ambulance via 993.

Laboratory results copnfirmed his infection at 7.25 pm on Thursday and he was admitted to the Communicable Disease Centre.

Contact tracing is ongoing for the latest case, said MOH.

From Straits Times, "S'pore has 12th H1N1 case".



Update on 05/06: And Case no. 13 & 14 are also confirmed!

The Ministry of Health has confirmed another two H1N1 flu cases, bringing to 14 the total number of cases so far. Both patients have relatively mild symptoms and are in stable condition.

The 13th case is a 23-year-old Singaporean man who went to Melbourne on May 27 and developed symptoms in the early hours of June 3 while he was still there. He returned on Singapore Airlines SQ 238 (Row 40) on June 4.

His fever was detected by the thermal scanner at Changi Airport and he was sent to Tan Tock Seng Hospital (TTSH). He was subsequently admitted to the Communicable Disease Centre (CDC) for further assessment on the same night.

Laboratory results confirmed his infection on June 5. Contact tracing has begun for passengers within rows 38 to 42.

The 14th patient is a 22-year-old Singaporean woman who is a cabin crew with Singapore Airlines. She was on the same SQ 25 flight from New York to Frankfurt as three earlier confirmed cases.

The seventh confirmed case involved a 30-year-old Australian male tourist who was seated at row 54. The tenth confirmed case was a 33-year-old Singapore female who was seated at row 19 and the 11th confirmed case involved an 18-year-old American female visitor who was seated at row 57.

While these three earlier confirmed cases arrived in Singapore on June 1, she had stopped over at Frankfurt and returned to Singapore one day later on June 2 at 06:30 hours.

Upon arrival, she went home by taxi from the airport. She developed symptoms in the afternoon of June 3. The next day, she consulted a GP in the evening.

She was referred to TTSH via a 993 ambulance and admitted to the CDC for further assessment that night. Laboratory results confirmed her infection at 15:30 hours on June 5.

Malaysia's Health Ministry has also informed Singapore of two confirmed cases arising from SQ 25. The two were foreign passengers who arrived in Singapore on June 1 and left for Kuala Lumpur on June 3.

Passengers on board that flight are advised to monitor their health closely. If they are unwell, they should go to the CDC immediately, using the 993 ambulance.

Separately, 40 people who were in contact with the 12th case involving an 18-year-old Singaporean man have been accounted for. Three others remain uncontactable and the Immigrations and Checkpoints Authority have been provided with their details.

From Channel NewsAsia, "2 new H1N1 flu cases confirmed on Friday, bringing total to 14".



Update on 06/06: And Case no.15 is here...

The Ministry of Health (MOH )has confirmed another H1N1 case, bringing the total to 15 cases so far. The latest case is a 39-year-old Indonesian woman who is the aunt of an earlier case.

She went to Changi Airport to fetch her niece who returned from New York via Frankfurt on Monday. When the niece developed symptoms on Tuesday, the aunt brought her to Raffles Hospital by taxi.

The aunt had been on home quarantine and was given medication, but laboratory results confirmed on Saturday that she has been infected with the H1N1 virus. She has mild symptoms and is in stable condition.

Three of her family members have already been placed on Home Quarantine Order (HQO).

The Health Ministry said although the 15th case was started on chemoprophylaxis when she was served the home quarantine order, it should be noted that she could already have been infected through close contact with her niece prior to taking the medicine.

While chemoprophylaxis can significantly reduce the risk of infection, it does not completely eliminate it.

As such, MOH reiterates its advice to avoid non-essential travel affected areas such as Melbourne and the State of Victoria in Australia, Kobe and Osaka in Japan and Chile, USA, Canada and Mexico.

For those returning from the affected areas, they should seek medical attention promptly and call 993 for an ambulance if they become unwell within seven days of their return.

They should avoid taking public transport or taxi to minimise exposure.

MOH said to date, six patients have been discharged and nine are still in hospital. The 12th patient involved an 18-year-old Singaporean man who took the MRT in the morning of June 3 to see his GP.

MOH said its risk assessment showed that there is limited exposure to the public as it was only a two-minute train ride from Serangoon to Kovan.

The Health Ministry said Singaporeans need not be unduly alarmed as the virus remains mild and all patients are stable. However, the ministry added that this is an example that should not be followed by others.

MOH said that contact tracing for the 13th and 14th cases have been completed.

The 13th case involved a 23-year-old Singaporean man who travelled to Melbourne from May 27 to June 3. MOH has identified 44 close contacts on the flight.

It managed to contact 18 out of the 19 passengers with entry records into Singapore. They comprise 11 Singaporeans and seven foreigners, and they have been placed under HQOs. Their period of quarantine ends on June 11. One foreigner is uncontactable.

MOH has alerted the Immigration and Checkpoints Authority to inform the ministry if he should turn up at Singapore's checkpoints.

The ministry has also informed WHO and its IHR counterparts of the 25 passengers who are out of Singapore.

For the 14th case that involved a 22-year-old Singapore Airlines air-stewardess, MOH said it did not conduct contact tracing of flight passengers on SQ25 flight travelling from New York to Frankfurt on the basis that the confirmed case is unlikely to have been infectious while onboard the plane.

She had developed symptoms more than 24 hours after disembarkation. Her quarantine period is from June 5 to June 11.

MOH has identified four close local contacts and they have been placed under HQOs. Her quarantine period is from June 5 to June 11.

From Channel NewsAsia, "Aunt of H1N1 patient becomes 15th case".



Update on 09/06: 3 more H1N1 cases confirmed again involving travellers--Case 16, 17, 18...

Singapore confirmed three more cases of Influenza A (H1N1) on Tuesday, bringing the reported cases so far to 18.


The first two cases had returned from Melbourne, while the third was back from Manila. All three have relatively mild symptoms and their conditions are stable.

The 16th case is a 40-year-old man from India who is working in Singapore. He went to Melbourne on May 31 on a business trip and returned to Singapore on Singapore Airlines SQ238 at 4.05pm last Saturday. He was seated at row 45.

On Sunday morning, he developed symptoms and sought medical attention on Tuesday noon at a private hospital. He was sent to Tan Tock Seng Hospital's (TTSH) emergency department via a 993 ambulance, and was admitted to the Communicable Disease Centre (CDC) in the afternoon. Laboratory results confirmed his infection on Monday night.

The 17th case is a 25-year-old Malaysian woman who went to Melbourne for a holiday on May 21. She developed symptoms on June 5 while she was there. She returned to Singapore on Emirates EK405 on Sunday night and was not picked up by the thermal scanner as she did not have fever then.

She was seated at row 32. She went home by taxi from the airport.

On Monday, she consulted a GP in the late morning for a non-flu related medical condition. She was then referred to TTSH via a 993 ambulance and admitted to CDC. Laboratory results confirmed her infection on Monday night.

The 18th case is a 36-year-old Filipino female who works in Singapore. She returned to Singapore from Manila on Philippine Airlines PR501 at 6.35pm on June 8.

She was seated at row 6.

She was admitted to CDC for further assessment the next day, and laboratory results subsequently confirmed her infection.

Passengers within rows 43 to 47 on SQ238 on June 6, rows 30 to 34 on EK405 on June 7, and rows 4 to 8 on PR501 on June 8, who have not been contacted by MOH yet should call its hotline at 1800-333 9999.

All close contacts identified will be quarantined and given antivirals.

From Straits Times, "3 more H1N1 cases".



Update on 11/06: Another 3 cases confirmed--Case 19, 20, 21...

Singapore has three more confirmed cases of Influenza A (H1N1-2009), bringing the total number of reported cases to 21.

But 13 of the patients have been discharged. The remaining eight patients are still in hospital and their conditions remain stable, said the Ministry of Health in the latest update on Thursday night.

The 19th case is a 21-year-old female Singapore Permanent Resident who is studying in Melbourne.

She returned to Singapore from Melbourne on Singapore Airlines SQ238 on Tuesday at 14.15 pm. She was seated at row 46.

She developed symptoms while on the plane, but was not picked up by the thermal scanner as she did not have fever then. She went home from the airport by taxi and stayed at home for the rest of the day.

On Wednesday, she was sent to the Communicable Diseases Centre (CDC) for assessment via 993 ambulance. Laboratory results confirmed her infection shortly after midnight on Thursday.

The 20th case is a 17-year-old Singaporean youth. He returned to Singapore from Los Angeles via Hong Kong on Cathay Pacific Airways CX717 on June 7 at 12.30 pm. He was seated at row 38.

He was fetched by a family member from the airport. Since his return, he had stayed largely at home. On Wednesday morning, he developed symptoms, and a 993 ambulance was called to send him to CDC for assessment. Laboratory results confirmed his infection on Thursday.

The 21st case is a 21-year-old Indonesian man studying in Australia. He came to Singapore from Melbourne on Singapore Airlines SQ228 on June 9 at 10 pm. He was seated at row 47.

On Tuesday morning, he developed symptoms and sought medical attention at a GP clinic. He then returned to his home did not go out. On Thursday morning, a 993 ambulance was called to send him to CDC for assessment. Laboratory results confirmed his infection on Thursday afternoon.

MOH said contact tracing has been initiated for the three new confirmed cases.

From Straits Times, "3 more H1N1 cases".



Update on 13/06: 6 more cases--Case 22, 23, 24, 25, 26, 27...(when the figure will ever stop???)

Six more people are down with the H1N1 virus, including a three-year-old Singaporean boy - the youngest patient here so far - and his 39-year-old mother, who had gone to Melbourne for a holiday.

Also ill are two Australian siblings, aged six and seven, who were travelling to Singapore for a holiday with their family and were picked up by the thermal scanner at the airport.

he other patients are a 12-year-old and 15-year-old returning from Melbourne and the United States respectively. Both are Singaporean boys studying in those countries.

All are in stable condition, the Ministry of Health said yesterday. The six new cases bring the total number of cases here to 27, of whom 15 have been discharged.

The cases here fall within an age range of three to 50, with the largest group in their 20s.

The old are not weaker when it comes to keeping the new flu bug at bay, in contrast to seasonal flu, which is more likely to hit the elderly more severely, said the director of the Health Ministry's communicable diseases division, Dr Lyn James.

Like the seasonal flu, cases here have been relatively mild, but complications could develop in certain groups, such as those who already have underlying illnesses, she said. The profiles mirror those of H1N1 patients in the United States, said Dr James yesterday.

About 70 per cent of those in the US, Canada and Mexico who developed complications severe enough to warrant hospitalisation had pre-existing medical conditions such as a weakened immune system, asthma or heart disease, she said.

'The risk groups for H1N1 are similar to seasonal flu, except for the notable absence of the older age group of 65 and above.'

In Singapore, of the cases before yesterday's six, half are aged below 23 and the other half, above 23. In New York City, the median age is 19. In California, it is 27.5 and in Canada, 17.

From Straits Times, "6 more cases here".



Update on 14/06: 7 more cases! Case 28, 29, 30, 31, 32, 33, and 34. What I'm interested about is this statement: "All of the 34 cases, except one who was a close contact of a confirmed case, are imported cases with a travel history". I can't identify which one is that in 'one who was a close contact of a confirmed case'. Hmmm...

Singapore has confirmed seven more cases of H1N1, bringing the total number of confirmed cases here to 34, the Ministry of Health (MOH) said on Sunday.

All of the 34 cases, except one who was a close contact of a confirmed case, are imported cases with a travel history. So far, 17 patients have been discharged. The remaining 17 patients are still in the hospital and their conditions remain stable.

The 28th to 31st cases are related to two earlier cases - the 26th and 27th cases and are mother and son - who had returned to Singapore on 9th June after attending a wedding in Melbourne. The latest cases had all attended the same wedding in Melbourne but had returned to Singapore on separate flights.

The 28th case, a 52-year-old Singaporean male and the 29th case, a 42-year-old female and the wife of the 52-year-old man had returned to Singapore from Melbourne on Singapore Airlines SQ228 at 9.40pm on June 9. The couple were seated at row 37. The father had symptoms before he boarded the plane and the mother developed symptoms while on the plane.

The 30th case, a 16-year-old Singaporean female, who also is the daughter of the couple, also had symptoms on 9 June before she boarded the plane, and returned to Singapore from Melbourne on Emirates EK405 at 2350 hours on 9 June. She was seated at row 49.

All three were not picked up by the thermal scanner as they did not have fever then. They were fetched home by another daughter of the family who did not go to Melbourne.

On 10th and 11th June, the 16-year-old daughter went to her secondary school, Bedok North Secondary School, to attend some activities. On 11 June, the father went out for work almost the whole day while the mother remained largely at home. On 12 June night, they called the 993 ambulance and all three were admitted to CDC.

The 31st case is a 17-year-old Singaporean female who had returned to Singapore from Melbourne on Singapore Airlines SQ228 at 2140 hours on 9 June. She had attended the same wedding in Melbourne. She was seated at row 62, and developed symptoms while on the plane. She was not picked up by the thermal scanner as she did not have fever then.

On 10th June, she stayed at home for the whole day. The next day, she was out with some friends. On 12th June morning, she went to her Junior College, Raffles Junior College, to attend lessons. That night, a 993 ambulance was called and she was admitted to CDC.

Laboratory results confirmed infection of H1N1 of the 28th to 31st cases at 1200 hours on 13 June.

The 32nd case is a 28-year-old Singaporean male who returned to Singapore from Montreal via New York and Tokyo on Japanese Airlines JL711 at 12.30am on June 11. He was on the same flight as the 25th case. His parents fetched him home from the airport by taxi. He developed symptoms on June 13 morning, and went to a polyclinic with his mother by bus. He was then referred to CDC via a 993 ambulance.

Laboratory results confirmed his infection at 3.45pm on June 13. No contact tracing for flight passengers is needed as case developed symptoms more than 24 hours after disembarkation.

The 33rd case is a 32-year-old Singaporean female who returned to Singapore from Phuket on Tiger Airways TR155 at 11pm on June 5. On the morning of June 9, she developed symptoms, and went out for work.

The next morning, she sought medical attention at a GP clinic and was given medical leave for 2 days - from June 10 to June 11. She returned home and did not go out for the rest of the day and on June 11. The following day, she went to TTSH ED where she was given treatment. A throat swab was taken from her for testing. She was discharged from ED on June 12 afternoon with 4 days of medical leave - from 12 June - 15 June - as Thailand is not on the list of affected countries.

Laboratory results confirmed her infection at 10pm on 13 June, and she was admitted to CDC2 at night. No contact tracing for flight passengers is needed as case developed symptoms more than 24 hours after disembarkation.

The 34th case is a 6-year-old Australian female who came to Singapore from Melbourne with her mother on Emirates EK405 at 1150pm on June 12 for a holiday. She was seated at row 28. She developed symptoms on June 11 while in Melbourne. She was brought to see a GP by her uncle on June 13 morning. She was referred to KKH via a 993 ambulance. Laboratory results confirmed her infection at 9.15pm on June 13.

Contact tracing has been initiated for the seven new confirmed cases. All close contacts identified will be quarantined and provided with antivirals.

From Straits Times, "7 new cases in S'pore".



Update on 14/06 again: Total of 6 more cases reported! Case 35, 36, 37, 38, 39, and 40!

Singapore has confirmed another six cases of the H1N1 flu, bringing the total to 40.

Three of them are children, aged seven to nine.

One of them, a nine-year-old Malaysian boy, had gone to Sydney and Melbourne before coming here for a holiday.

He had developed symptoms while onboard a Jetstar flight (JQ61) from Melbourne (via Darwin) on June 13. He was seated at row 17.

Another child, a seven-year-old girl from Australia, also flew in from Melbourne on Saturday, on Singapore Airlines SQ228 at 21:32 hours. She was seated at row 60.

The third child, an eight-year-old Singapore permanent resident, had gone to the Philippines for a family visit on May 30, and returned on Saturday. Her mother, who was with her, has also been admitted.

Both had boarded Singapore Airlines flight SQ915 on June 13 and were seated at row 38 and 39. The mother had developed symptoms before boarding, while the girl became ill during the flight. All four cases were picked up by airport thermal scanners and were sent to the Communicable Disease Centre on 993 ambulances.

The fifth case is a 24-year-old Singaporean off-duty air stewardess who had flown in from Frankfurt on Singapore Airlines SQ25 on June 12, sitting in row 38.

She had developed symptoms while in Frankfurt, but was given the all-clear to fly by a German doctor. Upon arrival in Singapore, she went to a clinic at Changi Airport and was sent to the Communicable Disease Centre via 993 ambulance on the morning of June 14.

The final case is a 19-year-old Singaporean, returning from his holiday in Melbourne on June 12.

He had arrived in Melbourne on June 7 and developed symptoms the next day. Upon return to Singapore on SQ238, row 43, he was not detected by airport thermal scanners as he was not feverish then and stayed at home. He was later sent to the CDC via 993 ambulance on the night of June 12

Of the 40 cases so far, 19 had travelled to Melbourne, and another 14 had come from the US.

The Health Ministry (MOH) has initiated contact tracing for all six patients.

It reminds travellers to refrain from travelling should they have symptoms within 24 hours of their planned departure and to consult a doctor.

From Channel NewsAsia, "Singapore confirms 6 more H1N1 flu cases, bringing total to 40".



Update on 15/06: 7 more cases reported make it total of 47 cases of H1N1 in Singapore--Case 41, 42, 43, 44, 45, 46 & 47...

41st Confirmed Case

The 41st case is a 39-year-old male Singapore PR. He went to the Philippines for a holiday and developed symptoms on 10 June while he was there. He returned to Singapore from Manila on Philippines Airlines PR505 at 2300 hours on 13 June. He was seated at row 17. He was not picked up by the thermal scanner at the airport as he was not feverish then. Since his return, he stayed largely at home. On 14 June, he sought medical attention at Raffles Hospital in the late afternoon and was sent to CDC via a 993 ambulance. Laboratory results confirmed his infection at 2240 hours on 14 June.

42nd - 47th Confirmed Cases

The 42nd case is a 10-year-old Singaporean girl. She went to Melbourne with her family on 6 June for a holiday. She developed symptoms before she boarded the plane on 13 June, and wore a mask during the flight. She returned to Singapore from Melbourne on Singapore Airlines SQ228 at 2132 hours on 13 June. She was seated at row 46, and was on the same flight as the 39th case who was seated at row 60. She was not picked up by the thermal scanner at the airport as she was not feverish then. Since her return, she had stayed at home. On 14 June, a 993 ambulance was called to send her to KKH and she was admitted for further assessment in the early hours of 15 June.

The 43rd to 45th cases are Singaporean siblings who went to Melbourne with their family for a holiday. They include two boys aged 8 and 6 and a 4-year-old girl. All three children developed symptoms on 13 June before they boarded the plane. They returned to Singapore from Melbourne on Singapore Airlines SQ228 at 2133 hours on 14 June. They were seated at row 43. As they had fever, they were picked up by the thermal scanner at the airport and sent to KKH via 993 ambulance. They were admitted for further assessment in early hours of 15 June.

The 46th case is a 10-year-old Australian girl who came to Singapore with her family for a holiday. She developed symptoms on 14 June while she was on the plane. She came from Melbourne on Qantas QF9 at 2108 hours on 14 June. She was seated at row 68. Her fever was detected by the thermal scanner at the airport and she was sent to KKH via a 993 ambulance. She was admitted for further assessment in the early hours of 15 June.

The 47th case is a 22-year-old Singaporean female cabin crew with Japanese Airlines. She travelled as a cabin crew to New York on 6 June. She left New York for Tokyo on 7 June and was there from 9-10 June. On her return journey, she felt unwell while working on the plane. She returned to Singapore from Tokyo on Japanese Airlines JL711 at 0025 hours on 12 June. She was not picked up by the thermal scanner as she did not have fever then. She sought medical attention at a GP clinic in early hours of 12 June and was advised to call 993 if she developed fever later. She did not go out on 13 June. On 14 June early morning, she went to a cinema with her friend. Her symptoms worsened later and she was sent to CGH ED in a private car. She was admitted for further assessment in the early morning of 14 June.

Laboratory results confirmed the infections of the 42nd to 47th cases at 1800 hours on 15 June.

From Channel NewsAsia, "Seven New Confirmed Cases of Influenza A (H1N1-2009)".



Update on 16/06: 2 new cases of H1N1 bring total to 49 & what we need to be cautious about is this part--"Unlike the earlier imported cases, a number of the recent imported cases have engaged in extensive community activities such as working, shopping and participating in mass activities since their arrival here.

Some have even travelled to Singapore even though they were already unwell prior to departure." Bloody irresponsible, I'd say.

Singapore has confirmed two more cases of Influenza A (H1N1-2009), bringing the total number of confirmed cases here to 49.

Unlike the earlier imported cases, a number of the recent imported cases have engaged in extensive community activities such as working, shopping and participating in mass activities since their arrival here.

Some have even travelled to Singapore even though they were already unwell prior to departure.

Such behaviour has considerably increased the difficulty of contact tracing and significantly heightened the risk of community spread here in Singapore.

48th confirmed case

The 48th case is a 56-year-old German man who works in Singapore as a researcher at Biopolis.

He went to Philadelphia, USA on 28 May to attend a conference.

He developed symptoms on 4 June while he was there.

He returned to Singapore on SQ15 via Seoul at 0100 hours on 8 June. He was seated at row 52. He was not picked up by the thermal scanner at the airport as he did not have a fever then.

He took a taxi home from the airport, and stayed at home for the rest of the day.

He went to work from 9 to 12 June. On 11 June evening, he went to a function at the French Ambassador's Residence attended by about 70 persons. On 13 June, he went to a shopping mall and had social activities at Clarke Quay. On 14 June, he attended a concert and did more shopping.On 15 June, he did not go to work in the morning and called a 993 ambulance to send him to CDC2 around noon time.

Laboratory results confirmed his infection at 2140 hours on 15 June.

49th confirmed case

The 49th case is a 26-year-old Indonesian man who works in Singapore.

He went to Melbourne with friends for a holiday on 5 June.

He developed symptoms on 11 June while he was there. He returned to Singapore together with his companions on SQ228 at 2133 hours on 14 June. He was seated at row 61, and was on the same flight as the 43rd, 44th and 45th cases who were seated at row 43.

He was not picked up by the thermal scanner at the airport as he did not have a fever then.He and his friend took a taxi home from the airport.

On 15 June morning, he sought medical attention at a GP clinic, and was given 2 days of medical leave. Before he took a taxi to TTSH ED, he did some shopping first.

Laboratory results confirmed his infection at 2140 hours on 15 June.

Contact tracing

Contact tracing is ongoing for the two cases. Passengers seated within rows rows 59-63 on SQ228 on 14 June who have not been contacted by MOH yet should call the MOH hotline at 1800-333 9999 to enable us to check on their health condition expeditiously.

All close contacts identified will be quarantined and provided with antiviral prophylaxis. No contact tracing will be done for the close contacts on SQ15 on 8 June as the seven day quarantine period from the last day of contact with the 48th case has passed.

From Asiaone, "2 new cases of H1N1 bring total to 49".



Update on 17/06: 17 H1N1 flu cases reported. Total H1N1 cases in Singapore is 66. Details of the 17 cases can be found here.

Singapore on Wednesday confirmed 17 new cases of H1N1 flu infections.

All 17 cases involve travellers returning from countries with known community transmission of H1N1. Some of these cases proceeded with their travel and/or meetings and social activities despite having developed symptoms.

Contact tracing is ongoing for the 17 cases. Passengers seated within two row (from the front and back) on the respective flights who have not been contacted by MOH yet should call the MOH hotline at 1800-333 9999.

In a statement sent to media late on Wednesday, the Ministry of Health (MOH) said: 'With many Singaporeans returning from their June holidays or coming home for their summer vacation from countries such as the US, UK and Australia, we can expect an increase in the number of imported cases of H1N1.

'This by itself is manageable provided every traveller closely follows the MOH travel advisory and personal hygiene advice. This includes not boarding the plane if feeling unwell.

'Should any traveller develop flu-like symptoms when onboard the plane, they are advised to seek immediate treatment upon arrival.'

MOH once again reminded travellers who have recently been to countries that have been considered by WHO to have sustained community transmission or to be in transition towards community transmission, as well as countries that have been reported to have exported cases, not to engage in extensive community activities such as working, shopping and participating in mass activities until they are well.

This will help mitigate the risk of community spread in Singapore and make containment efforts more effective.

From Straits Times, "17 H1N1 flu cases reported".



Update on 18/06: 11 new cases of H1N1 reported. Total no of confirmed cases in Singapore: 77! (One of the latest 11 cases is said to be infected in Singapore?)

Singapore on Thursday confirmed another 11 new cases of Influenza A (H1N1), bringing the total number of confirmed cases here to 77.

Of the new cases, one (Case 73) appeared to have acquired his infection in Singapore.

Said the Ministry of Health (MOH) in a statement sent late on Thursday: 'Our tentative assessment is that he may be our first unlinked local case as he has no travel history to a known infected area'.

The remaining 10 infected cases involve travellers returning from countries with known community transmission of H1N1.

Case 73 is a 26-year-old Malaysian male who is a Singaporean PR.

He departed from Singapore to Kuala Lumpur for work on SQ108 at 10am on June 14. Later that evening, he developed symptoms while he was having dinner at a restaurant. The next day, he attended a conference in the morning and went out in the evening.

On June 16, he sought medical attention at a GP clinic in the early hours and was prescribed antibiotics and paracetamol. He then went back to the hotel and remained there for the rest of the day.

He returned to Singapore from Kuala Lumpur on SilkAir MI335 at 3.14pm on June 17. He was seated at row 19.

When he arrived at ChangiAirport, he immediately approached the airport staff and a 993 ambulance was called to send him to TTSH. Prior to his travel to KL, his last travel out of Singapore was to Hong Kong from May 28 to June 1. He remained well after his trip to Hong Kong.

MOH believes that case 73 'could have come into contact with one of the earlier confirmed cases here, since the virus is not native here.

'Unless further investigations turn up evidence otherwise, and if more such unlinked cases emerge over the next few days, this would signal the beginning of community spread in Singapore.

'We have not reached such a stage yet. We must press on with our containment efforts and everyone must play his part.

'This is especially so for recent travellers from infected areas. They must not engage in community activities and come forward immediately for screening and isolation as soon as flu-like symptoms develop.'

MOH added that Malaysia has been informed about case 73 and his activities in Kuala Lumpur.

Contact tracing is now ongoing for all new cases. Passengers who have not been contacted by MOH yet should call the MOH hotline at 1800-333 9999.

From Straits Times, "Possible 1st local case".



Update on 19/06: WTH...26 more cases confirmed? And 3 'appear' to be infected locally?! (Total cases: 103)

Singapore has confirmed 26 new cases of H1N1 including three who appear to have acquired their infections in Singapore.

22 cases involve travellers returning from other countries while another case is a close contact of an earlier confirmed case.

The new cases bring the total number of infected people in Singapore to 103.

The Ministry of Health (MOH) says the three unlinked cases have no travel history or known contact with confirmed cases.

One of them is a 27-year-old Filipino who works in Singapore. His six-member family from the Philippines came to Singapore from Manila on 11 June.

From 12-14 June, he took his family to several places of interest. His family returned to Manila on 14 June. His six family members appeared well during their stay in Singapore.

He went to work from 15-17 June. He developed symptoms while he was in the office on 16 June evening. On 18 June morning, he sought medical attention at a GP clinic for fever and cough. A 993 ambulance was called to send him to the Communicable Disease Centre 2 (CDC2) at Tan Tock Seng Hospital.

Swabs were taken from him for influenza testing under MOH's influenza surveillance programme, and he was discharged with three days of medical leave and medication. He went back and stayed at home for the rest of the day. Laboratory results confirmed his infection on the same day and he was admitted to CDC2 via a 993 ambulance at night.

Another new unlinked case is a 16-year-old Singaporean student. He was at home all day on 12 June. From 13 to 15 June, he was out for social activities. He remained at home on 16 June and went out again on 17 June. He developed symptoms on 17 June night while he was at home.

On 18 June morning, he went to the polyclinic where swabs were taken under MOH's influenza surveillance programme, and he was prescribed some medication. He returned home thereafter and remained at home. On 19 June, he received a call from the polyclinic informing him that he had tested positive for Influenza A (H1N1-2009). He was admitted to CDC2 via a 993 ambulance.

The third new unlinked case is a 14-year-old Singaporean student. He stayed home from 10 to 12 June. On 13 and 14 June, he attended church functions in the morning and returned home thereafter. He went to Sentosa with his friends on 15 June. While at home, he developed a fever on 16 June afternoon.

He sought medical attention at a polyclinic on 17 June morning where swabs were taken for influenza testing under MOH's influenza surveillance programme. He stayed at home for the rest of that day and the following day. On 19 June afternoon, he received a call from the polyclinic informing him that he had tested positive for Influenza A (H1N1-2009). He was admitted to the KK Women's and Children's Hospital via a 993 ambulance.

From Channel NewsAsia, "26 new H1N1 cases, 3 appear to have been infected locally".



Update on 21/06: Singapore has confirmed another 23 cases of the H1N1 flu ( total: 126 cases). Also reported about was the two clusters of H1N1 local transmission.

Singapore has confirmed another 23 cases of the H1N1 flu, bringing to 126 the total so far.

Of the 23 new cases, eight are local cases from two clusters of local transmission.

The first is the Riverlife Church, which saw five students fall ill after attending its services on June 13 and 14.

One of them, a student at Chung Cheng High School (Main) was reported on Friday.

Four are new cases, including the student’s younger brother. Another three are also students at Chung Cheng High School.

A second cluster was found at the National University of Singapore (NUS), which saw three students fall ill.

One of them was reported on Friday, while the other two had their infection confirmed on Saturday.

The two new cases are a 24—year—old Columbian woman and a 22—year—old American woman.

All three are foreign exchange students who had met up on June 13. They were with a group of other NUS schoolmates on an educational trip to Thailand from June 5 to 8.

There are also two new cases that have no confirmed links with previous patients.

One of them is the father of a boy who is a close contact of an earlier case.

The Ministry of Health is investigating if both infections are related.

The remaining 15 are all imported cases, including a 14—year—old Asian Youth Games participant from the Philippines.

He has been admitted to the Communicable Disease Centre, while his team—mates and two coaches are quarantined at the Aloha Resort at Loyang.

Singapore’s total number of confirmed H1N1 cases now stands at 126, with 94 still in hospital. They are in stable condition.

Contact tracing is underway for all the cases.

From Yahoo! News, "Singapore confirms two clusters of H1N1 local transmission".



Update on 22/06: 16 more cases reported. Total H1N1 confirmed case in Singapore: 142!

Singapore has confirmed another 16 new cases of H1N1 flu, made up of seven local cases and nine cases with travel history, according to the latest statement released from the Ministry of Health on Sunday night.

This brings the total number of confirmed cases in Singapore to 142.

The seven new local cases include two additional ones from the Riverlife Church cluster, one new cluster linked to Butter Factory at One Fullerton, one case who had contact with an earlier confirmed case, and three unlinked cases who did not have any travel history or known contact with confirmed cases.

Riverlife Church cluster

Six of these cases attended the church's function on June 13 or/and June 14, while one patient is a contact of a confirmed case who also came to the function.

The 130th case is a 20-year-old Singaporean female student who developed a fever on June 17. She too attended the church's event. She went out for wakeboarding on June 18 and sought medical attention at a GP clinic the day after.

On June 20, she consulted the same GP and was sent to CDC where swabs were taken from her. She was prescribed medication and was discharged. She was re-admitted when she tested positive for H1N1 flu.

The 127th case is a 12-year-old Singaporean boy who lives in Australia. He and his mother arrived in Singapore on May 30 for a family visit and stayed with his aunt's family, including his cousin - the 115th case -from the Riverlife Church cluster reported on June 20.

The 12-year-old boy developed symptoms on June 19. He and his family members were driven to the CDC for screening after his cousin was found to have the H1N1 flu. The 12-year-old boy also tested positive.

New cluster
A new, third cluster has been found with one case possibly linked to Butter Factory at One Fullerton.

The 140th case is a 19-year-old Singaporean female student who had gone out to the nightclub, where the 96th, 117th and 118th cases were also at. She developed symptoms on June 19 while she was out shopping.

She went to NUH for a follow-up treatment for an unrelated medical condition where swabs were taken. She was then admitted to NUH after her test indicated positive for the flu.

There is also a local case who is a contact of a confirmed case. He is a 22-year-old Malaysian man, who is a colleague of the 121st case.

Also discovered were another three unlinked cases with no travel history and no known contact with confirmed cases. The patient is a 39-year-old Singaporean man who developed symptoms on June 19.

He had gone out to have lunch with his wife and returned home, where he stayed for the rest of the day. He called his GP the day after and was advised to call a 993 ambulance. He was sent to the CDC ED around noon and admitted at night after testing positive for the flu.

The other two cases are a 22-year-old Singaporean female student who had taken part in a church camp at Prince George's Park from Monday to Thursday last week (June 15 - June 18) and a 21-year-old Singaporean national serviceman based at the Clementi Police Station.

MOH advises all Butter Factory patrons who visited the nightspot on June 17 to monitor their health closely. They are advised to seek medical attention if they should begin to feel unwell.

Imported cases

There are nine cases with history of travel, one of whom is a 14-year-old Singaporean female student who had been to Bandung and Punchak in Indonesia.

The nationalities of the nine imported cases are:
# 3 Singaporeans

# 2 Singapore PRs (1 from Malaysia and 1 from Philippines)

# 4 foreigners (1 Filipino, 1 Malaysian, 1 Australian and 1 from Indonesia)

They had travelled to Australia, Philippines, UK and Indonesia.

From Straits Times, "16 new cases confirmed".



Update on 23/06: 26 more cases which make the total no of H1N1 confirmed cases in Singapore to be 168.

Community transmission of H1N1 virus is on the rise in Singapore with 17 local cases confirmed on Monday.

The Health Ministry also reported another nine new cases with travel history.

The 17 new local cases include two additional cases from the Riverlife Church cluster, one additional case from the cluster at Butter Factory at One Fullerton, nine cases who attended the Fishermen of Christ Church camp together with the 136th case, one case who is linked to two earlier confirmed cases, two cases with transmission from imported cases, and two unlinked cases.

The Ministry says when Singapore moves into the mitigation phase, members of the public public who develop flu-like symptoms should go to the nearest polyclinic or pandemic preparedness clinic (PPC) for initial assessment and treatment.

PPCs can be identified by an "H1N1-ready" decal. Depending on the severity of their illness and other risk factors, patients may be referred to the hospital for further management.

However, those who are pregnant, on active cancer treatment or on kidney dialysis and who experience flu-like symptoms should contact their regular specialists as the illness may complicate their underlying conditions.

Of the nine imported cases, all had travelled to affected areas in Australia, the Philippines, United Kingdom, United States and Canada.

The latest cases bring the total of confirmed cases in Singapore to 168.

So far, 56 have been discharged while the remaining 112 patients are still in hospital in stable conditions.

From Channel NewsAsia, "Singapore confirms 26 more new H1N1 cases".



Update on 23/06: 26 more cases confirmed & total no of H1N1 cases in Singapore is now 194.

Singapore has confirmed another 26 new H1N1 cases, bringing the total number of infections to 194.

Ten of the new cases are local transmissions. Of these, four are from the Butter Factory cluster, a popular night spot.

One is from River Life Church and another is from the Singapore Armed Forces Maju Camp. The rest are unlinked cases, infected from those who had travelled overseas.

The Health Ministry said those who are planning to travel should check its website for the latest update on the list of countries with confirmed cases and/or exported H1N1 cases so that they can make considered decisions on whether to proceed with their travel plans.

For more information on Influenza A (H1N1-2009), please access MOH's website at www.moh.gov.sg, call the hotline at 1800-333-9999, or visit www.flu.gov.sg.

Meanwhile, more than 400 family clinics are H1N1-ready. The Health Ministry said supplies of Personal Protection Equipment and Tamiflu have been sent to these Pandemic Preparedness Clinics.

These clinics are located islandwide to ensure that Singaporeans have ready access to medical assessment and prompt treatment for mild cases of H1N1.

From Channel NewsAsia, "26 new H1N1 cases in Singapore, bringing total to 194".



Update on 24/06: 26 new H1N1 cases in Singapore, bringing total to 220...

Singapore has confirmed another 26 new H1N1 cases, comprising 11 local cases and 15 cases with travel history.

This brings the total number of confirmed cases in Singapore to 220.

The Health Ministry said Wednesday the 11 new local cases comprise two Butter Factory patrons, two who attended a church camp at the Fishermen of Christ Church, two full-time national servicemen at Maju Camp and five unlinked cases.

The five unlinked cases comprise four women and one man - between 18 and 22 years of age.

Of the 15 imported cases, four had a travel history to the Philippines, four to Australia, three to Hong Kong, two to the United States, one to the United Kingdom and one to New Zealand.

From Channel NewsAsia, "26 new H1N1 cases in Singapore, bringing total to 220".



Update on 25/06: 95 new H1N1 cases raise total infected in Singapore to 315.

The H1N1 virus continues its spread in Singapore. The Health Ministry confirmed 95 new cases on Thursday, raising the total infected to 315.

About half of the new cases have been investigated and they comprise 25 local infections and 22 imported ones.

Of the 25 new local infections, 10 were Butter Factory nightspot patrons and staff, four were from the Maju Camp cluster and two caught the virus from close contact with imported cases.

Nine were linked to a new Republic Polytechnic cluster, which had three previous cases.

The remaining 48 new cases are still being investigated.

Meanwhile, a trainee working in MediaCorp who contracted the H1N1 virus has been cleared and discharged from hospital.

The Health Ministry said those who develop flu symptoms and have a recent travel history to affected countries should call 993 for an ambulance and should avoid taking public transport.

Those who have symptoms but no travel history should put on a mask, visit a general practitioner and avoid crowded areas.

From Channel NewsAsia, "95 new H1N1 cases raise total infected in S'pore to 315".



Update on 26/06: 50 more cases has just been confirmed & the total number of confirmed H1N1 cases now stands at 365.

Singapore has confirmed 50 new cases of Influenza A (H1N1) infections.

This includes a new cluster of three cases at Pulau Tekong Camp, all of whom are full-time national servicemen.

Five more new cases came from nightspot Butter Factory, while Republic Polytechnic reported eight new cases. Maju Camp also reported four new H1N1 cases.

The total number of confirmed cases now stands at 365.

In addition to the 50 new cases, 48 other cases were pending investigation on Thursday.

Of these 98 cases, 45 have been investigated. They comprise 32 local cases and 13 imported cases. The remaining 53 cases are still being investigated.

From Channel NewsAsia, "Singapore confirms 50 new H1N1 cases".



Update on 27/06: Singapore confirms 89 new H1N1 cases, bringing total number to 454.

Singapore has confirmed 89 new cases of H1N1, bringing the total tally to 454 confirmed cases.

The Health Ministry said in addition to these 89 new cases, 53 other cases were pending investigation on Friday.

Of these 142 cases, 65 have been investigated. They comprise 34 local cases, 31 imported cases, while the remaining 77 cases are still being investigated.

The 34 new local cases include 10 new cases in the Republic Polytechnic cluster and seven new cases in the Maju Camp cluster.

There are also two new cases in the Tekong cluster and both are full-time national servicemen.

In addition, there is a new cluster from an NUS Orientation Camp comprising three new cases and one previously unlinked case.

From Channel NewsAsia, "S'pore confirms 89 new H1N1 cases, bringing total number to 454".



Update on 28/06: 145 new H1N1 cases raise total infected in Singapore to 599!

Singapore confirmed 145 new cases of H1N1 on Sunday, bringing the tally to 599.

The Ministry of Health said that though the number of infected cases has increased, the severity of the disease remains relatively mild.

It has advised Singaporeans to carry on with their usual activities whilst observing good personal hygiene at all times.

In addition to these 145 new cases, 77 other cases were pending investigation on Saturday.

Of these 222 cases, 117 have been investigated. They comprise 94 local cases and 23 imported cases. The remaining 105 cases are still being investigated.

The 94 new local cases comprise 19 new cases in the Republic Polytechnic cluster, eight new cases in the Butter Factory cluster, two new cases in the Pulau Tekong cluster and one new case in the Maju Camp cluster.

In addition, there are three new clusters - one from Clementi Camp comprising 43 new cases and two previously unlinked case - one from Police Coast Guard (Brani Base) comprising three new cases and one previously unlinked case, and one from social party comprising one new case and three previously unlinked cases.

From Channel NewsAsia, "145 new H1N1 cases raise total infected in Singapore to 599".



Update on 29/06: 30 new H1N1 cases raise total in Singapore to 629.

Singapore has confirmed 30 new cases of H1N1 flu, bringing the total to 629 so far. According to the Health Ministry, 246 patients have fully recovered while the rest are in stable condition.

Together with 105 cases pending investigation on Sunday, 71 have been investigated - comprising 58 local cases and 13 imported ones.

A new cluster has surfaced, comprising three Raffles Institution Boarding School students who have just returned from affected countries.

The greatest number of new cases registered on Monday, however, came from the Republic Polytechnic. It has 17 new cases, bringing the total in the cluster to 66.

There were eight new cases at Clementi Camp, which now has 53 cases. Maju Camp has three new ones, bringing the total there to 22.

At the Police Coast Guard's Brani Base, one new case brings the total there to five. There were two new cases from the Butter Factory nightspot.

These latest cases mean locally acquired ones now make up 54 per cent of all confirmed H1N1 cases in Singapore.

From Channel NewsAsia, "30 new H1N1 cases raise total in Singapore to 629".



Update on 30/06: 72 more infection & H1N1 cases rise to 701 in Singapore!

Singapore has confirmed 72 new H1N1 flu cases, bringing the tally to 701 so far.

The Health Ministry says most cases are mild and to date, 281 patients have fully recovered and the rest are recuperating.

Singaporeans should carry on with their usual activities whilst observing good personal hygiene at all times.

If unwell, they should see a doctor, stay away from work, school or crowded places, and rest at home.

Investigations are on-going for the 72 new cases. Of the 64 cases investigated on Tuesday, there were 42 local cases and 22 were imported ones.

From Channel NewsAsia, "H1N1 cases rise to 701 in Singapore".



Update on 01/07: 82 new H1N1 cases confirmed, total: 783.

Singapore has confirmed 82 new cases of H1N1 flu, bringing the total to 783 so far. Most are local cases.

Three hundred patients have fully recovered, while the rest are in stable condition.

The Ministry of Health (MOH) said it is making the transition to the mitigation phase, so those with flu-like symptoms may see polyclinic or pandemic preparedness clinic doctors, who will make a preliminary assessment. They need not call 993 for the special ambulance.

Only severely ill or high-risk patients will be tested for the H1N1 flu virus, and hospitalised if needed. Those with mild symptoms may be sent home and if necessary, prescribed anti-viral drugs.

The ministry said doctors will take into account patients' risk of developing influenza-related complications, prevalence of H1N1 flu in the community and weigh the risks and benefits of treatment.

Depending on the severity of patients' illness and other risk factors, they may be referred to the hospital for further management. Hospitals will increasingly focus on managing more complex cases.

In this transition stage, MOH said hospitals have used their clinical discretion to selectively test patients for H1N1 flu only when required for clinical management (eg. severely ill patients) and/or in situations where it will be of significant public health importance.

Cases that are assessed to be very mild are not hospitalised but placed on home quarantine orders.

The ministry said H1N1 flu testing is not necessary before treatment is starts and there is no need for GPs to send all suspected cases to hospital for testing.

From Channel NewsAsia, "S'pore confirms 82 new H1N1 cases, makes transition to mitigation phase".



Update on 02/07: Singapore confirms 95 new cases of H1N1 flu, bringing total to 878.

Singapore confirmed another 95 cases of H1N1 flu on Thursday, bringing the total to 878 so far.

The Health Ministry said 329 patients have been discharged and the rest are recuperating.

Five new cases are from the cluster at Republic Polytechnic, where 4,500 first-year students who had been on a one-week precautionary suspension of classes went back to school on Thursday.

Those who think they have contracted the H1N1 flu are advised to visit polyclinics or pandemic preparedness clinics instead of calling 993 or going to the hospitals if the symptoms are not too serious.

The polyclinics have set up separate queues for suspect H1N1 flu cases. There are also separate waiting areas and pharmacies for flu and fever patients to minimise the spread.

With Singapore transiting into the mitigation phase, only some suspect H1N1 flu cases will be sent for lab testing.

Ruth Lim, assistant director of clinical services, SingHealth Polyclinics, said: "These will be patients who are severely ill, or special groups of patients who are at higher risk of developing complications - for example, pregnant women, patients with immuno-suppression... those receiving active cancer treatments, or patients who are at the extreme of ages - like if you are a child less than one year old."

Doctors said in many cases, patients do not necessarily have to be treated with Tamiflu, as symptomatic treatment - such as the prescription of antihistamines and cough syrup - works as well.

Dr Lim said: "H1N1 flu so far has been mild. Complications have only been seen in patients with underlying medical conditions. If the patients are in the low-risk group, chances are they will recover after a period of rest, even if it is just with symptomatic treatment."

The Health Ministry said doctors should prescribe Tamiflu judiciously, even though Singapore has no shortage of the drug. Doctors said like antibiotics, the course of Tamiflu should be completed for it to be effective.

From Friday, Singapore's courtesy mascot, the Singa (lion), will don a giant mask to spread the social responsibility message to fight the H1N1 flu.

Twenty life-sized Singas, located at 17 strategic areas in town, will also have a sticker urging the public to wear a mask if they are coughing, and to see a doctor and rest at home if they have a cold.

From Channel NewsAsia, "Singapore confirms 95 new cases of H1N1 flu, bringing total to 878".



Update on 03/07: Singapore confirms 91 new H1N1 cases, bringing total to 969.

Singapore has confirmed 91 new cases of H1N1 flu, bringing the total to 969 so far.

The Health Ministry (MOH) says it plans to stop listing affected countries on its website soon, as more countries stop reporting their cases.

It also says travel advisories are becoming less useful, as the risk of picking up the virus at home or overseas has evened.

It adds that the virus strain remains mild, except for high-risk individuals with underlying medical conditions where complications and even deaths can occur.

That is why MOH says its focus is on caring for those with more severe illness.

But it also says that managing the virus should be largely based on personal hygiene and those unwell with flu-like symptoms should seek immediate medical attention.

From Channel NewsAsia, "Singapore confirms 91 new H1N1 cases, bringing total to 969".



Update on 04/07: S'pore confirms 34 new cases of H1N1, total tally now at 1,003!!

Singapore has confirmed 34 new cases of H1N1 flu, bringing the total to 1,003 so far.

According to Singapore's Health Ministry, investigations are ongoing for 69 cases.

Of the 62 cases investigated on Saturday, there were 39 local cases and 23 imported cases.

Of the cumulative number of 934 cases investigated thus far, there have been 541 local cases and 393 imported cases.

The Health Ministry said the current strain remains mild, except for high-risk individuals with underlying medical conditions where complications and even deaths may occur.

It added that the approach in managing this virus should be largely based on personal responsibility.

All Singaporeans should observe good personal hygiene at all times.

If they are unwell with flu-like symptoms, they should promptly seek medical attention.

The doctors at the nearest Pandemic Preparedness Clinic or polyclinics or their usual GPs would be able to manage them.

Based on the severity of the illness and other risk factors, the doctors at these clinics may refer patients to hospitals for further management.

The ministry added that Singapore's hospitals are now positioned to manage the more severe cases.

From Channel NewsAsia, "S'pore confirms 34 new cases of H1N1, total tally now at 1,003".



Update on 05/07: 52 new H1N1 cases bring total infected in Singapore to 1,055!

Singapore has confirmed 52 new cases of H1N1 flu, bringing the total to 1,055 so far. Investigations are ongoing for these 52 cases.

Of the 69 cases investigated on Sunday, 50 were local cases while 19 were imported ones.

Of the cumulative number of 1,003 cases investigated thus far, 591 were local cases and 412 were imported ones.

The Health Ministry says that the current strain remains mild, except for high-risk individuals with underlying medical conditions where complications and even deaths may occur.

The ministry urges members of the public who feel unwell with flu-like symptoms (fever, cough, sore throat, runny nose) to promptly seek medical attention.

If the symptoms are mild, their usual GPs, the nearest Pandemic Preparedness Clinic or polyclinics, would be able to assess them.

From Channel NewsAsia, "52 new H1N1 cases bring total infected in Singapore to 1,055".



Update on 06/07: H1N1 cases up 56 to 1,111 in Singapore.

Singapore has confirmed 56 new cases of H1N1 flu, bringing the total tally to 1,111 confirmed cases.

The Ministry of Health (MOH) said in a statement that investigations are ongoing for 31 cases. Of the 77 cases investigated on Monday, there were 59 local cases and 18 imported ones.

Of the total 1,080 cases investigated so far, 650 were local cases and 430 were imported ones.

Of the 56 new confirmed cases, almost all were mild, although there were two notable cases.

A 63-year-old man sought emergency treatment at Tan Tock Seng Hospital's Emergency Department on Sunday, after three days of flu-like symptoms. He was immediately admitted and isolated for treatment of several complications, including pneumonia and heart disease.

Laboratory diagnosis confirmed that he was also infected with H1N1 and he was started on Tamiflu that night.

As he has multiple co-morbidities (coronary heart disease, hypertension, hyperlipideamia), he was transferred to ICU on Monday morning. He remains ill, and is being monitored closely.

The other case involves a 40-year-old Indonesian man from the Asian Youth Games (AYG) Indonesian contingent, who developed flu-like symptoms on July 2. He was treated symptomatically by the Indonesian team's doctor.

He sought medical attention again on July 5 at the AYG Medical Centre and laboratory diagnosis confirmed that he was infected with H1N1. The MOH said he is in stable condition.

Two close contacts of this case will be issued home quarantine orders, but are currently well.

MOH said it conducts routine bio-surveillance on samples of patients presented with influenza-like illness in its clinics and hospitals. Latest data showed that 13 per cent of samples taken from patients with such illnesses are positive for H1N1.

This means that 13 in 100 patients with influenza-like illness have H1N1. MOH said that this proportion will grow as the virus spreads further in the community, and displaces other influenza strains.

The ministry also said the current strain remains mild, except for high-risk individuals with underlying medical conditions where complications and even deaths may occur.

At-risk individuals are advised to seek prompt medical attention if unwell.

From Channel NewsAsia, "H1N1 cases up 56 to 1,111 in Singapore".

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