SARS or Not SARS: Outbreak of Fever in a State Mental Institute in Singapore. Chong, S. A., Subramaniam, M., Chua, H. C., & Lee, C. E. The Canadian Journal of Psychiatry / La Revue canadienne de psychiatrie, 49(3):216–217, 2004.
SARS or Not SARS: Outbreak of Fever in a State Mental Institute in Singapore [link]Paper  abstract   bibtex   
Letter to the editor discusses the outbreak of fever in a state mental institute in Singapore. In mid-March 2003, Singapore reported its first cases of severe acute respiratory syndrome (SARS). By mid-July, the disease had claimed 32 lives, 206 people had been diagnosed with SARS, and 722 suspect cases had been reported. Woodbridge Hospital is the only state mental institution in Singapore. On 8 May, 3 cases of fever were reported in 1 longstay psychogeriatric ward; by 13 May, 34 patients and 14 HCWs developed fever. After consulting with the Ministry of Health, hospital administrators decided that the prudent course was to assume a SARS outbreak until proven otherwise. Surveillance of nosocomial infections is the cornerstone of all infection-control programs; it provides facility-endemic infection rates that help with tracking the time and place of infection trends. Another effective strategy is vaccination against influenza. The vaccine is cheap, has few side effects, and is recommended for preventing influenza. In SARS-affected regions, vaccination against influenza would also lessen the 'background noise' in the crucial initial stages of deciding on the etiology of an outbreak of fever in long-stay facilities. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
@article{chong_sars_2004,
	title = {{SARS} or {Not} {SARS}: {Outbreak} of {Fever} in a {State} {Mental} {Institute} in {Singapore}},
	volume = {49},
	issn = {0706-7437 1497-0015},
	url = {http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-95190-013&site=ehost-live},
	abstract = {Letter to the editor discusses the outbreak of fever in a state mental institute in Singapore. In mid-March 2003, Singapore reported its first cases of severe acute respiratory syndrome (SARS). By mid-July, the disease had claimed 32 lives, 206 people had been diagnosed with SARS, and 722 suspect cases had been reported. Woodbridge Hospital is the only state mental institution in Singapore. On 8 May, 3 cases of fever were reported in 1 longstay psychogeriatric ward; by 13 May, 34 patients and 14 HCWs developed fever. After consulting with the Ministry of Health, hospital administrators decided that the prudent course was to assume a SARS outbreak until proven otherwise. Surveillance of nosocomial infections is the cornerstone of all infection-control programs; it provides facility-endemic infection rates that help with tracking the time and place of infection trends. Another effective strategy is vaccination against influenza. The vaccine is cheap, has few side effects, and is recommended for preventing influenza. In SARS-affected regions, vaccination against influenza would also lessen the 'background noise' in the crucial initial stages of deciding on the etiology of an outbreak of fever in long-stay facilities. (PsycINFO Database Record (c) 2016 APA, all rights reserved)},
	number = {3},
	journal = {The Canadian Journal of Psychiatry / La Revue canadienne de psychiatrie},
	author = {Chong, Siow Ann and Subramaniam, Mythily and Chua, Hong Choon and Lee, Chien Earn},
	year = {2004},
	keywords = {Cross Infection, Diagnosis, Differential, Disease Outbreaks, Fever of Unknown Origin, Hospital Mortality, Hospitals, Psychiatric, Hospitals, State, Humans, Hyperthermia, Immunization, Influenza, Monitoring, Occupational Diseases, Personnel, Hospital, Respiratory Tract Disorders, Singapore, Survival Rate, fever, medical surveillance, mental health institute, severe acute respiratory syndrome, vaccination},
	pages = {216--217},
}

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