Sunday, July 24, 2022

REACH 377 - How do you feel about the monkeypox situation in Singapore? Do you think Singapore is able to manage in the event of a widespread outbreak? What more can be done to ensure that Singaporeans are safe from monkeypox?

(SK)

25 Jul 2022 (10am - 7pm)


REACH

[9:42 am, 25/07/2022] +REACH: Dear Contributors,

Welcome back! 😊

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Megan 😊

[10:00 am, 25/07/2022] +REACH: πŸ“’ Topic πŸ“’ 

As of 23 July, the World Health Organisation (WHO) has declared monkeypox as a global health emergency, the WHO’s highest level of alert. There currently has been more than 16k cases across 75 countries this year, a sharp increase from 3000 cases in June. In Singapore, there have only been six cases as of 24 July. It is also noted that there are effective treatments and vaccines for monkeypox, but there are in short supply. 

Experts have differentiated the disease from the COVID-19 pandemic, highlighting that monkeypox transmission requires close and prolonged contact with the infected person. Meanwhile, COVID-19 could be transmitted through droplets in the air. Some experts also opined that large scale restrictions are unnecessary in SG at the moment. Instead, some advised that Singapore should focus on targeted testing, better education and surveillance, to curb the spread of the disease. 

πŸ’¬ How do you feel about the monkeypox situation in Singapore? Do you think Singapore is able to manage in the event of a widespread outbreak? What more can be done to ensure that Singaporeans are safe from monkeypox?

Dr Khoo Yoong Khean, scientific officer at the Centre for Outbreak Preparedness in Duke-NUS Medical School, said that for now, targeted measures such as early testing, isolation of people when infectious, and contact tracing among high-risk populations and close contacts will be the main measures to stop the spread. Those with a travel history from countries with high numbers of cases should also be encouraged to monitor themselves for any symptoms.

Dr Rayner Tan, visiting research fellow at the Saw Swee Hock School of Public Health, said members of the public can protect themselves by limiting close contact with those who are symptomatic, and exercising caution in settings that are conducive for skin-to-skin or close face-to-face contact, such as venues with sex on premises or large gatherings like dance parties. He added that those experiencing symptoms of monkeypox, including fever, lesions and blisters, enlarged lymph nodes and exhaustion, should seek immediate medical help.

πŸ‘‰πŸΌ https://www.straitstimes.com/singapore/health/large-scale-restrictions-here-unnecessary-despite-who-declaring-monkeypox-global-emergency-experts

πŸ‘‰πŸΌ https://www.straitstimes.com/world/who-calls-monkeypox-a-global-health-emergency-following-surge-in-cases

πŸ‘‰πŸΌ https://www.straitstimes.com/world/monkeypox-from-beginnings-in-africa-to-global-spread

πŸ‘‰πŸΌ https://www.moh.gov.sg/diseases-updates/monkeypox

------


[10:27 am, 25/07/2022] +SL: https://www.cdc.gov/poxvirus/monkeypox/clinicians/infection-control-home.html

[10:30 am, 25/07/2022] +SL: Some advice from CDC that worth sharing with friends. According to cdc website @ 25/7/2022. Monkeypox spread via the following way in USA. 

Monkeypox spreads in different ways. The virus can spread from person-to-person through:

direct contact with the infectious rash, scabs, or body fluids

respiratory secretions during prolonged, face-to-face contact, or during intimate physical contact, such as kissing, cuddling, or sex

touching items (such as clothing or linens) that previously touched the infectious rash or body fluids

pregnant people can spread the virus to their fetus through the placenta

It’s also possible for people to get monkeypox from infected animals, either by being scratched or bitten by the animal or by preparing or eating meat or using products from an infected animal.

Monkeypox can spread from the time symptoms start until the rash has fully healed and a fresh layer of skin has formed. The illness typically lasts 2-4 weeks. People who do not have monkeypox symptoms cannot spread the virus to others. At this time, it is not known if monkeypox can spread through semen or vaginal fluids.

[10:35 am, 25/07/2022] +SL: Additional Awareness among residents and visitors on medical contact details maybe help.

[10:42 am, 25/07/2022] +SL: https://www.gov.uk/guidance/monkeypox

UK HSA updates on monkeypox

[10:55 am, 25/07/2022] +REACH: Mass vaccination against monkeypox not recommended by MOH after WHO declares it a global health emergency

πŸ‘‰πŸΌ https://www.channelnewsasia.com/singapore/monkeypox-singapore-mass-vaccination-not-recommended-moh-ong-ye-kung-2833131

[11:48 am, 25/07/2022] +REACH: Dear Contributors

We’d love to HEAR MORE from you on today's topic 😊

We have had good feedback and hope that we can keep the discussion robust and active!

Megan

[11:50 am, 25/07/2022] +Rama: Will multiple vaccination of COVID-19 along with possible monkey pox result in weakness of our body natural immune system!.?


[0:16 pm, 25/07/2022] ☸️  Danny εΏƒ: 

Monkeypox declared global emergency: Large-scale restrictions in S'pore unnecessary, say experts.

https://www.straitstimes.com/singapore/health/large-scale-restrictions-here-unnecessary-despite-who-declaring-monkeypox-global-emergency-experts


[0:17 pm, 25/07/2022] +Noraini: πŸ‘


[0:18 pm, 25/07/2022] ☸️  Danny εΏƒ: 

1. Since vaccination are in short supply, vaccination against monkeypox should be focused on this group of people - rather than adopting mass vaccination for the whole Singapore population.


[0:19 pm, 25/07/2022] ☸️  Danny εΏƒ: https://www.aidsmap.com/news/jul-2022/study-shows-spectrum-monkeypox-symptoms

Predominantly among gay groups.


[0:33 pm, 25/07/2022] ☸️  Danny εΏƒ: 

2. Also if indeed smallpox vaccination are to be focus on the say group, it must be on a voluntary basis - as the vaccination carry with it side effects.


[0:42 pm, 25/07/2022] ☸️  Danny εΏƒ: 

3. Since monkeypox transmission are mainly based on sexual activities, close contact and touches on contaminated surfaces - rather than transmitted through the air like covid - mass transmission resulting in pandemic is unlikely to arise.

Hence mass vaccination is not necessary for the entire population.

4. The worried transmission mode is the medical frontline staff.

Hence PPE is important for the frontline staff - if vaccination is not the intended mode of protection in the current situation.


[0:50 pm, 25/07/2022] ☸️  Danny εΏƒ: 

5. Wonder is there a need to bring back tracetogether apps or tracetogether dongle - since monkeypox transmission is based on close contact - to trace close contact with the infected πŸ€”.

6. Hmm... Unless the monkey pox infected cases rises phenomenally - and transmission mode is identified as touching contaminated surfaces rather than through sexual activities - than tracetogether will be useful and serve its purposes for contact tracing - to prevent monkeypox spread.


[1:02 pm, 25/07/2022] +Smiley face: 25 July, 2022 

To: Our Distinguished MTF and All Honorable Members 

"Today, if there is a handful of cases, be very well prepared for more than 500 cases by December?" - - annoymous 

Monkeypox, Society and Medical:

What are the symptoms of monkeypox? Its seems pretty similar to any viral attacks or covid! What's the preventions? 

What's the incubating period prior to discovery of symptoms and the surfacing of pox? Will SURPRESSING of fever helps to relieve and reduce the pox from flaring up too much? 

Quarantine at medical facility will be a prudent protocol as SHN will only increase the chances of transmission of this disease to family members or loved ones. 

Public awareness of incubation period and thereafter symptoms must be clearly define to avoid misinformation that leads to panic or the larger public behaviors to discriminate people and so on...

Let's plan for it as though it is another disease and NOT branding it as a disease of concern - let it be a disease of awareness and not turning into a big concern!

[1:32 pm, 25/07/2022] ☸️  Danny εΏƒ: 
"Why it feels like the world is falling apart".
Because 小三灾 are converging in this 贀劫 - which happens once in each generation.
The last one is during WW2.
 https://sg.yahoo.com/style/why-feels-world-falling-apart-112239761.html#:~:text=Reuters-,Why%20it%20feels%20like%20the%20world%20is%20falling%20apart,-Ben%20Farmer

[1:33 pm, 25/07/2022] +Smiley face: The coming brutal winter, watch it!
[1:35 pm, 25/07/2022] +Rama: It is!

[1:35 pm, 25/07/2022] ☸️  Danny εΏƒ: 
Incidentally, why the world is falling apart is human made.

[1:36 pm, 25/07/2022] +Rama: Yes

[1:52 pm, 25/07/2022] ☸️  Danny εΏƒ: 
The 3 minor catastrophe (小三灾)that "rock our World" are :-
a. Pandemic
b. Global Climate
c. Human trigger crisis
due to Humanity Greed, Hatred and Ignorance (θ΄ͺ,ε—”,η—΄).

1. Humanity are inherently Ignorant - by bringing pandemic to ourselves in wrong behavior, destroying forest, carbonising the atmosphere, mass killing of wild lives, animals, invading lands and indulge in land grabs, power struggle etc --- and as human population grows, the destruction to envrionment around us intensify and extensify - triggering crisis of unprecendeted scales ----- pandemic as virus jump hosts from animals to human, human-to-human; drought, flood, catstropic global climate due to mass damage of our living environment and pollution; politicians with ambition trigger war, invading lands, threaten weapons of mass destruction.

2. Humanity are consume by Greed - self-indulgence on wrong behavior, over consumption of materials that resulting in destruction of living environment to keep human lives sustainable.

3. Humanity are inherently kind - but overwhelm by hatred and anger - that when fuel by greed for power and ignorance -- trigger war, killing one another.

This is how in every generation - it is a vicious cycle that degenerate into 3 minor catastrophe (小三灾) at the end of each cycle ---- as Humanity 3 inherent flaws (Ignorance, Greed and Hatred) manifest.
The last being World War 2 - our previous generation - roughly about a century ago.

Now, the next 3 minor catastrophe (小三灾) is converging - as World Population grows into a level (near the end of another vicious cycle) - whereby world resources come under tremendous strain.

[1:55 pm, 25/07/2022] ☸️  Danny εΏƒ: 
1. To be precise, 1930 the Deep Depression that trigger World War 2.
2. Now is 2022, 2022 - 1930 = 92 years ago - is coming to 100 years - exactly One Century.
3. Hmm..... about time - the 3 3 minor catastrophe (小三灾) converge......

[2:01 pm, 25/07/2022] +REACH: πŸ“’ Topic πŸ“’ 
As of 23 July, the World Health Organisation (WHO) has declared monkeypox as a global health emergency, the WHO’s highest level of alert. There currently has been more than 16k cases across 75 countries this year, a sharp increase from 3000 cases in June. In Singapore, there have only been six cases as of 24 July. It is also noted that there are effective treatments and vaccines for monkeypox, but there are in short supply. 
Experts have differentiated the disease from the COVID-19 pandemic, highlighting that monkeypox transmission requires close and prolonged contact with the infected person. Meanwhile, COVID-19 could be transmitted through droplets in the air. Some experts also opined that large scale restrictions are unnecessary in SG at the moment. Instead, some advised that Singapore should focus on targeted testing, better education and surveillance, to curb the spread of the disease. 
πŸ’¬ How do you feel about the monkeypox situation in Singapore? Do you think Singapore is able to manage in the event of a widespread outbreak? What more can be done to ensure that Singaporeans are safe from monkeypox?
Dr Khoo Yoong Khean, scientific officer at the Centre for Outbreak Preparedness in Duke-NUS Medical School, said that for now, targeted measures such as early testing, isolation of people when infectious, and contact tracing among high-risk populations and close contacts will be the main measures to stop the spread. Those with a travel history from countries with high numbers of cases should also be encouraged to monitor themselves for any symptoms.
Dr Rayner Tan, visiting research fellow at the Saw Swee Hock School of Public Health, said members of the public can protect themselves by limiting close contact with those who are symptomatic, and exercising caution in settings that are conducive for skin-to-skin or close face-to-face contact, such as venues with sex on premises or large gatherings like dance parties. He added that those experiencing symptoms of monkeypox, including fever, lesions and blisters, enlarged lymph nodes and exhaustion, should seek immediate medical help.
πŸ‘‰πŸΌ https://www.straitstimes.com/singapore/health/large-scale-restrictions-here-unnecessary-despite-who-declaring-monkeypox-global-emergency-experts
πŸ‘‰πŸΌ https://www.straitstimes.com/world/who-calls-monkeypox-a-global-health-emergency-following-surge-in-cases
πŸ‘‰πŸΌ https://www.straitstimes.com/world/monkeypox-from-beginnings-in-africa-to-global-spread
πŸ‘‰πŸΌ https://www.moh.gov.sg/diseases-updates/monkeypox
[2:04 pm, 25/07/2022] +Smiley face: Destined For War by Graham Allison
[2:05 pm, 25/07/2022] +Ken Loh: The problem comes when it can be infected by recovered person via sex 🀦🏻‍♂️
https://www.nbcnews.com/news/amp/rcna39564
In new guidance released Monday, the U.K. Health Security Agency also recommended that previously infected persons continue to use condoms for a period of eight weeks after the virus has passed, as a precautionary measure.
https://www.cnbc.com/amp/2022/05/31/britain-urges-people-with-monkeypox-to-abstain-from-sex-as-cases-rise.html
[2:08 pm, 25/07/2022] +Ken Loh: If caught via sex… then people are less likely to report πŸ˜…
Due to the stigma that is attached to it now 
Like a new form of STD πŸ˜₯

[2:09 pm, 25/07/2022] ☸️  Danny εΏƒ: 
Hence tracetogether maybe needed if the reported cases increase phenomenonally.

[2:10 pm, 25/07/2022] +Ken Loh: Errr this gets very personal πŸ˜…

[2:11 pm, 25/07/2022] ☸️  Danny εΏƒ: 
Well covid needs tracetogether because it is pandemic.
Whether monkeypox is pandemic - we don't know - unless it warrant.

[2:12 pm, 25/07/2022] +Ken Loh: I maybe wrong… but there is a chance it can be pandemic level. Due to the underlying stigma and the secrecy. 
πŸ˜… hope no round 2 🫠
[2:12 pm, 25/07/2022] +Ken Loh: Just recovered from covid 🫠

[2:12 pm, 25/07/2022] ☸️  Danny εΏƒ: 
Oh dear.

[2:12 pm, 25/07/2022] +Ken Loh: 11 days positive πŸ₯²πŸ₯²

[2:13 pm, 25/07/2022] ☸️  Danny εΏƒ: 
Thought 10 days will turn negative.

[2:13 pm, 25/07/2022] +Ken Loh: Haha…. For me nope.. haven’t check recently… since 7 day discharge
[2:13 pm, 25/07/2022] +Ken Loh: I test cause need to be negative to go back office

[2:13 pm, 25/07/2022] ☸️  Danny εΏƒ: 
I see take care.

[2:13 pm, 25/07/2022] +BL: If you are using ART, then wash out the nose very well. Dead virus cells still show as positive.
[2:14 pm, 25/07/2022] +Ken Loh: Having long covid symptoms… πŸ˜‘ still tasteless
[2:14 pm, 25/07/2022] +Ken Loh: I did still refuse to go away lol
[2:17 pm, 25/07/2022] +Ken Loh: Refuse to go away πŸ₯Ή
[2:17 pm, 25/07/2022] +REACH: Dear contributors, please be reminded to post content relevant to the topic.
[2:19 pm, 25/07/2022] +Ken Loh: Very expensive to test… 
If monkey pox comes in do we need to have another test kit at home 😰
[2:20 pm, 25/07/2022] +Ken Loh: Becomes a burden on people… 
$4 to 5 a test… 
It becomes very expensive when 3 to 4 members have to test at once…
[2:21 pm, 25/07/2022] +Smiley face: Hi Ken,
Don't worry, it may takes up to 10-14 days... Body to body reaction, that's a broad guide line.
[2:21 pm, 25/07/2022] +Ken Loh: https://www.channelnewsasia.com/singapore/covid-19-breath-test-breathonix-nus-singapore-lung-cancer-1840826
This one no more news?
[2:21 pm, 25/07/2022] +Ken Loh: Hmmm…
[2:22 pm, 25/07/2022] +Smiley face: Sometimes it will recover within a few weeks, don't worry!
These are MILD symptoms.
[2:22 pm, 25/07/2022] +Ken Loh: Fever for 1 week πŸ₯΅
[2:22 pm, 25/07/2022] +Smiley face: Will monkeypox transit through SNEEZING?
[2:22 pm, 25/07/2022] +Ken Loh: With 3 shots… I still like that without can’t imagine πŸ˜₯
[2:22 pm, 25/07/2022] +Ken Loh: Err like chicken pox
[2:23 pm, 25/07/2022] +Ken Loh: Similar in transmission method
[2:23 pm, 25/07/2022] +Ken Loh: The problem comes with the sex transmission after recovery πŸ₯΅

[2:24 pm, 25/07/2022] ☸️  Danny εΏƒ: 
Did you see doctor for treatment on the symptoms?
It can help to relieve.

[2:24 pm, 25/07/2022] +Smiley face: Pls SURPRESS IT.....
so long the fever range 37.5 to 38 is ok...
39 and above, do you have ibuprofen 400mg, which is only available through doctor's prescription.
Ibuprofen is a strong suppressor of fever, pain or ache.... Cannot overdose as it msy6 caused kidney problem....
Seek medical experts, that's the best!
[2:24 pm, 25/07/2022] +Ken Loh: Err nope.. since company don’t required it for MC. Just home recovery..

[2:24 pm, 25/07/2022] ☸️  Danny εΏƒ: 
I see.

[2:25 pm, 25/07/2022] +Ken Loh: But need to keep testing πŸ₯΅ hence I test so many times
[2:25 pm, 25/07/2022] +Ken Loh: If go back office need to test negative before entering office
[2:26 pm, 25/07/2022] +Ken Loh: Yes I do WFH. πŸ™„
[2:26 pm, 25/07/2022] +Smiley face: Suppressing fever is the first step in relieve symptoms as well as stopping further escalating into other issues...
Seek medical help, that's the best opinion!
[2:26 pm, 25/07/2022] +Smiley face: No point testing ART, get the fever down, perhaps is the first step.... Hi Ken!
[2:27 pm, 25/07/2022] +Ken Loh: Down already… 
ART is required to WFH. For my company
[2:27 pm, 25/07/2022] +Ken Loh: Not by choice
[2:28 pm, 25/07/2022] +Smiley face: That's GOOD!
[2:28 pm, 25/07/2022] +Ken Loh: Thanks for the concern.
[2:28 pm, 25/07/2022] +Smiley face: Have we not receive thr 10 ART via postman?
[2:28 pm, 25/07/2022] +Smiley face: Always welcome!
[2:29 pm, 25/07/2022] +KL: Why I suggest vaccinated whole sg as on top of monkey pox it also vaccinated against smallpox :) . The world is not not happy with one another
[2:29 pm, 25/07/2022] +Ken Loh: When everyone at home test used up very fast… 
And random pockets of people got it… 
So need to test also when exposure πŸ₯΅
I have 70 test kit also finish
[2:30 pm, 25/07/2022] +Ken Loh: Think for now they are ramping up the vaccination
[2:30 pm, 25/07/2022] +KL: I think those born ard 1980 not require
[2:30 pm, 25/07/2022] +Ken Loh: Production I mean
[2:30 pm, 25/07/2022] +KL: I also not sure if that cowpox vaccine are lifetime immune
[2:30 pm, 25/07/2022] +KL: I remember it is so it worth it
[2:30 pm, 25/07/2022] +Ken Loh: Err it is if didn’t remember wrongly
[2:31 pm, 25/07/2022] +Ken Loh: Hence the small pox was completely eliminated
[2:31 pm, 25/07/2022] +KL: Only Swiss have 30 millions and other country like usa
[2:31 pm, 25/07/2022] +KL: It worth it but 10% may have sever reaction
[2:32 pm, 25/07/2022] +Smiley face: This tricky Omicron BA5, such that or takes 48 hours to pass onto the next of close kin, csn be colleague or family members...
ART perhaps should be used every other day...
Symptom like body ache, dry and itchy throat or 37.5c are the coming of infection... Prior is incubating period...
This tricky O!
[2:32 pm, 25/07/2022] +KL: It up to the nation decision
[2:33 pm, 25/07/2022] +Smiley face: Likewise, BA5 early signs can also be monkeypox like !
[2:34 pm, 25/07/2022] +KL: Of course it costly maybe they want to think who should get for free .
[2:34 pm, 25/07/2022] +Smiley face: When the first pox out, usually it means fever happened one or two days back...
Pls and pls seek immediate medical interventions....
[2:35 pm, 25/07/2022] +Smiley face: Don't let these pox FLAR up!
Internal organs at stake!
[2:36 pm, 25/07/2022] +Smiley face: Shingles too!

[3:05 pm, 25/07/2022] ☸️  Danny εΏƒ: 
1. According to the medical experts - there is no hurry to give vaccination to those without smallpox vaccination especially younger people born after 1985 - when smallpox vaccination is called off after WHO declare smallpox eradicated.
2. People who get infected by monkey pox can get smallpox vaccination within 4 days to 2 weeks of infection.
3. As the smallpox vaccination have side effects.
And unlike covid when after infection, smallpox vaccination will still be effective - I suggest smallpox vaccination be given as and when needed.
Mass vaccination of the public is not needed - as we don't have sufficient vaccination stock, there are side effects and vaccination can be administered once infection is detected.

[3:07 pm, 25/07/2022] ☸️  Danny εΏƒ: 
Sorry amendment - "infected" to be replaced with "exposure".

[3:10 pm, 25/07/2022] ☸️  Danny εΏƒ: 
1. According to the medical experts - there is no hurry to give vaccination to those without smallpox vaccination especially younger people born after 1985 - when smallpox vaccination is called off after WHO declare smallpox eradicated.

2. People who get "exposure" to monkey pox can get smallpox vaccination within 4 days to 2 weeks of "exposure".

3. As the smallpox vaccination have side effects.
And unlike covid when after "exposure", smallpox vaccination will still be effective - I suggest smallpox vaccination be given as and when needed.

Mass vaccination of the public is not needed - as we don't have sufficient vaccination stock, there are side effects and vaccination can be administered once "exposure" is detected.

[3:50 pm, 25/07/2022] +danielhl chua: I am more concerned about the heatwave in Singapore. I hoped more can be done for our workers working outdoors, like legislating mandatory breaks under a shelter, sufficient rest and hydration before more of them sustain heat injury.
[3:51 pm, 25/07/2022] +Noraini: Pls eat more papaya, watermelon, drink barley coconut
[4:02 pm, 25/07/2022] +REACH: πŸ“’ Topic πŸ“’ 
As of 23 July, the World Health Organisation (WHO) has declared monkeypox as a global health emergency, the WHO’s highest level of alert. There currently has been more than 16k cases across 75 countries this year, a sharp increase from 3000 cases in June. In Singapore, there have only been six cases as of 24 July. It is also noted that there are effective treatments and vaccines for monkeypox, but there are in short supply. 
Experts have differentiated the disease from the COVID-19 pandemic, highlighting that monkeypox transmission requires close and prolonged contact with the infected person. Meanwhile, COVID-19 could be transmitted through droplets in the air. Some experts also opined that large scale restrictions are unnecessary in SG at the moment. Instead, some advised that Singapore should focus on targeted testing, better education and surveillance, to curb the spread of the disease. 
πŸ’¬ How do you feel about the monkeypox situation in Singapore? Do you think Singapore is able to manage in the event of a widespread outbreak? What more can be done to ensure that Singaporeans are safe from monkeypox?
Dr Khoo Yoong Khean, scientific officer at the Centre for Outbreak Preparedness in Duke-NUS Medical School, said that for now, targeted measures such as early testing, isolation of people when infectious, and contact tracing among high-risk populations and close contacts will be the main measures to stop the spread. Those with a travel history from countries with high numbers of cases should also be encouraged to monitor themselves for any symptoms.
Dr Rayner Tan, visiting research fellow at the Saw Swee Hock School of Public Health, said members of the public can protect themselves by limiting close contact with those who are symptomatic, and exercising caution in settings that are conducive for skin-to-skin or close face-to-face contact, such as venues with sex on premises or large gatherings like dance parties. He added that those experiencing symptoms of monkeypox, including fever, lesions and blisters, enlarged lymph nodes and exhaustion, should seek immediate medical help.
πŸ‘‰πŸΌ https://www.straitstimes.com/singapore/health/large-scale-restrictions-here-unnecessary-despite-who-declaring-monkeypox-global-emergency-experts
πŸ‘‰πŸΌ https://www.straitstimes.com/world/who-calls-monkeypox-a-global-health-emergency-following-surge-in-cases
πŸ‘‰πŸΌ https://www.straitstimes.com/world/monkeypox-from-beginnings-in-africa-to-global-spread
πŸ‘‰πŸΌ https://www.moh.gov.sg/diseases-updates/monkeypox

[4:07 pm, 25/07/2022] ☸️  Danny εΏƒ: 
People ask what is "exposure" means?
My interpretation of "exposure" could be 2 scenarios:-
1. Expose to monkey pox but not infected.
2. Expose to monkey pox and infected.
Under both circumstances, smallpox vaccination within 4 to 2 weeks will help - if I interpret correctly what the medical experts say.

[4:47 pm, 25/07/2022] ☸️  Danny εΏƒ: 
4 days to 2 weeks.

[5:12 pm, 25/07/2022] +REACH: Dear Contributors
We understand your concerns about the impact particular individuals are having on the discussion in our REACH chatgroups, and appreciate your concern for your fellow contributors.
We understand that dialogue on social issues can often get heated, and so warnings are first employed to defuse such situations. In recognition of this, we seek your understanding that expulsion is preferred to be kept as a last resort, as we strive to strike a balance between keeping our chats safe and allowing for open discussion.
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It is our utmost priority to ensure that our chatgroups remain a civil and conducive space for discussion. We thank you for your contributions and hope you will continue to share your feedback moving forward.
Megan
[5:13 pm, 25/07/2022] +Rama: Finally clarity
[5:13 pm, 25/07/2022] +Ken Loh: At least now we found that REACH is more present here 🀣
[5:14 pm, 25/07/2022] +REACH: Dear @BL,
It is everyone’s responsibility to make this online space a safe and conducive one for all contributors to share your views and feedback on national issues.
You have breached our Terms of Use (TOU) and are hereby given an official warning. This is your first warning.
πŸ‘‰πŸΌ Reminder to adhere to our Terms of Use whilst sharing and discussing your views:
"You shall not use the Group to, or when accessing or participating in the Group, shall not:
do anything which may be disruptive of other users’ engagement in the discussion, dialogue or other exchange in the Group, or otherwise act in a manner that negatively affects other participants' user experience and/or ability to engage in real time exchanges;"
Full set of Terms of Use: https://go.gov.sg/reach-whatsapp-terms
Please be reminded to be respectful and considerate to others in this WhatsApp chat group.
Megan
[5:16 pm, 25/07/2022] +BL: Thanks for the message. In order to understand what terms I breached, please can you post to me privately what I said. Or here if it helps others understand what terms are not to be broken.
[5:18 pm, 25/07/2022] +BL: It's ok I found it. I was called Stupid and responded by highlighting that was Bullying behaviour. I recognised I should have left the response to Reach to deal with, but I noted when they asked people to stop such language, the person said he would continue to say what he liked to who he liked.
[5:18 pm, 25/07/2022] +REACH: Dear @Joseph,
It is everyone’s responsibility to make this online space a safe and conducive one for all contributors to share your views and feedback on national issues.
You have breached our Terms of Use (TOU) as listed below, and despite our multiple reminders and warnings, you have repeatedly breached our Terms of Use. We will be removing you from our chat group.
πŸ‘‰πŸΌ Terms of Use (TOU) breached:
"You shall not use the Group to, or when accessing or participating in the Group, shall not:
upload, post, transmit or otherwise make available any Content that:
is or may be unlawful, harmful, threatening, abusive, harassing, tortious, defamatory, vulgar, obscene, libelous, invasive of another's privacy, hateful, or racially, religiously, ethnically or otherwise objectionable, irrelevant to REACH's purposes or irrelevant to the existing/ ongoing discussion(s). REACH has the sole discretion to decide if any Content falls within these said categories.
do anything which may be disruptive of other users’ engagement in the discussion, dialogue or other exchange in the Group, or otherwise act in a manner that negatively affects other participants' user experience and/or ability to engage in real time exchanges;”
Full set of Terms of Use: https://go.gov.sg/reach-whatsapp-terms
REACH
[5:20 pm, 25/07/2022] +Rama: Megan, this should have been mentioned much earlier!
[5:20 pm, 25/07/2022] +BL: I believe this is the third time he has been asked to stop inciting others on this thread. I will not engage with this person any longer because he has many times become quite offensive. You don't need to worry about me reacting to him any more.
[5:21 pm, 25/07/2022] +Rama: 😲😯😞🀷‍♂️🀦‍♂️
[5:22 pm, 25/07/2022] +Ken Loh: 🀷🏻‍♂️ I also don’t know… 
Lol end up the rest kena πŸ˜‘
[5:22 pm, 25/07/2022] +Rama: πŸ˜²πŸ˜―πŸ€£πŸ˜‚πŸ˜…
[5:34 pm, 25/07/2022] +Ken Loh: You might want to send your part that you said. Screen cap and send to them. 
Cause they can’t comb everything in the chat that has happen. If you want to fight your case. 
If not just move on. When anyone gets emotional will lose your case. 
If the negative affected you better to leave, sometimes letting go also happier for yourself. 
For me being here just to see what’s going on in the community. And contribute or see what we can share on our part and views. 
This is like a active forum for people to share their views in hope that is gets reflected back up the chain.
[5:36 pm, 25/07/2022] +Ken Loh: I may or may not agree with REACH decision, but someone have to be admin and do something about the it.
[5:40 pm, 25/07/2022] +BL: Yes, I accept the warning and understand my response was not appropriate, despite the provocation. I'm not here to argue, but to learn and contribute to the topics.
[5:42 pm, 25/07/2022] +Rama: Move on
[5:59 pm, 25/07/2022] +Rama: Not surprising at all!
An NUS Business School visiting professor made the news recently after fact-checking from the public revealed that her doctorate degree is from a fake university in Europe. 
The trouble started when Peking University professor Chen Chunhua claimed to be a “military adviser” for Huawei, but the company issued a public statement denying this.
https://theindependent.sg/nus-removes-profile-of-visiting-professor-in-hot-water-over-fake-degree-and-after-huawei-denies-shes-a-military-adviser-for-the-company/
[5:59 pm, 25/07/2022] +BL: Yes, that is what I said! I have moved on.
[6:06 pm, 25/07/2022] +REACH: πŸ“’ Topic πŸ“’ 
As of 23 July, the World Health Organisation (WHO) has declared monkeypox as a global health emergency, the WHO’s highest level of alert. There currently has been more than 16k cases across 75 countries this year, a sharp increase from 3000 cases in June. In Singapore, there have only been six cases as of 24 July. It is also noted that there are effective treatments and vaccines for monkeypox, but there are in short supply. 
Experts have differentiated the disease from the COVID-19 pandemic, highlighting that monkeypox transmission requires close and prolonged contact with the infected person. Meanwhile, COVID-19 could be transmitted through droplets in the air. Some experts also opined that large scale restrictions are unnecessary in SG at the moment. Instead, some advised that Singapore should focus on targeted testing, better education and surveillance, to curb the spread of the disease. 
πŸ’¬ How do you feel about the monkeypox situation in Singapore? Do you think Singapore is able to manage in the event of a widespread outbreak? What more can be done to ensure that Singaporeans are safe from monkeypox?
Dr Khoo Yoong Khean, scientific officer at the Centre for Outbreak Preparedness in Duke-NUS Medical School, said that for now, targeted measures such as early testing, isolation of people when infectious, and contact tracing among high-risk populations and close contacts will be the main measures to stop the spread. Those with a travel history from countries with high numbers of cases should also be encouraged to monitor themselves for any symptoms.
Dr Rayner Tan, visiting research fellow at the Saw Swee Hock School of Public Health, said members of the public can protect themselves by limiting close contact with those who are symptomatic, and exercising caution in settings that are conducive for skin-to-skin or close face-to-face contact, such as venues with sex on premises or large gatherings like dance parties. He added that those experiencing symptoms of monkeypox, including fever, lesions and blisters, enlarged lymph nodes and exhaustion, should seek immediate medical help.
πŸ‘‰πŸΌ https://www.straitstimes.com/singapore/health/large-scale-restrictions-here-unnecessary-despite-who-declaring-monkeypox-global-emergency-experts
πŸ‘‰πŸΌ https://www.straitstimes.com/world/who-calls-monkeypox-a-global-health-emergency-following-surge-in-cases
πŸ‘‰πŸΌ https://www.straitstimes.com/world/monkeypox-from-beginnings-in-africa-to-global-spread
πŸ‘‰πŸΌ https://www.moh.gov.sg/diseases-updates/monkeypox
[6:10 pm, 25/07/2022] +REACH: Monkeypox: MOH reaching out to ‘at-risk population’, including those engaging in high-risk sexual activities
πŸ‘‰πŸΌ https://www.channelnewsasia.com/singapore/monkeypox-moh-reaching-out-risk-population-including-those-engaging-high-risk-sexual-activities-2833721

[6:11 pm, 25/07/2022] ☸️  Danny εΏƒ: 
This should be the right approach.
Focus on the at risk group.

[6:11 pm, 25/07/2022] +Umar M: I sincerely think REACH should adopt a Zero Tolerance approach to cyber bullying, insults and derogatory or coarse and vulgar language in this group.
We have more than 200 members who contribute positively to every topic put forth.
It's a sickening pattern that a minority start cursing the Government, its Policies or some random organisation or individual (with no context) which pollutes the intellectual discourse taking place. 
It's very distracting and frankly, turns off many of us from engaging in an honest discussion.
[6:11 pm, 25/07/2022] +Rama: Can aids test centres assist!?

[6:15 pm, 25/07/2022] ☸️  Danny εΏƒ: 
Not sure AIDS centres or the ncid who are experts in pandemic is the right agencies to tackle the monkeypox.
Probably MOH will be the best avenue to advise.

[6:16 pm, 25/07/2022] +Rama: Agree

[6:23 pm, 25/07/2022] ☸️  Danny εΏƒ: 
Because AIDS are mainly transmitted through sexual activities and blood transfusion and even through mother passing to foetal.
But monkeypox in addition to sexual activities and close contact, can also be transmitted via contaminated surfaces or through probably coughing or sneezing (suspected, not confirmed yet) - through prolong exposure.
Hence ncid maybe more experience in handling monkey pox as opposed to AIDS centres - due to the possibilities of transmission through contamination and not purely sexual activities or blood transfusion.

[6:24 pm, 25/07/2022] +SL: This seems appropriate and informative to the relevant stakeholders. It will be helpful
[6:24 pm, 25/07/2022] +Rama: Awaiting update

[6:24 pm, 25/07/2022] ☸️  Danny εΏƒ: 
But still MOH is best agency to advise.

[6:29 pm, 25/07/2022] +SL: Medical contact detail and emergency contact available for Transit Visitors from high outbreak areas for self-reading before or after entering Singapore may also be helpful.
[6:34 pm, 25/07/2022] +SL: Glad to hear govt have taken preemptive action to create awareness among stakeholders to manage this potential risk with foresight. Our govt is the best πŸ‘
[6:35 pm, 25/07/2022] +Rama: Agree
[6:45 pm, 25/07/2022] +REACH: Dear Contributors,
⏰ We will be closing the chat in 15 minutes ⏰
Thank you very much for being part of our WhatsApp chat and participating actively.
Goodnight!
Megan 😊
[6:59 pm, 25/07/2022] +REACH: Dear Contributors,
We will be closing the chat for today.
Thank you very much for being part of our WhatsApp chat and participating actively.
Goodnight!
Megan 😊

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