Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-24T01:06:33.988Z Has data issue: false hasContentIssue false

Public Hospital Preparations for SARS Outbreak: Experience of Alexandra Hospital

Published online by Cambridge University Press:  28 June 2012

Francis Chun Yue Lee*
Affiliation:
Head Consultant, Department of Emergency Medicine, Alexandra Hospital, Singapore
Wei Keong Wee
Affiliation:
Deputy Director, Clinical Services and Director, Health for Life Centre, Alexandra Hospital, Singapore
Azman Johan
Affiliation:
Consultant and Director, Medical Intensive Care Unit, Alexandra Hospital, Singapore
*
Department of Emergency Medicine, Alexandra Hospital, 378 Alexandra Road, Singapore 159964 E-mail: [email protected]

Extract

Alexandra Hospital (AH) was one of the public hospitals in Singapore that responded to the severe acute respiratory syndrome (SARS) crisis. Being the only public hospital that remained “SARS-free”, i.e., with no documented intra-institutional spread of disease, AH had to tackle a sudden, two-fold surge in hospital attendances and patient volume. Being the oldest hospital with a traditional open ward design and lack of proper isolation facilities, tough command and control policies had to be implemented to reduce the risk of a SARS outbreak. Stringent infection control measures, screening and triage, clinical procedures, and administrative policies all were important factors in helping the hospital balance the need to run routine operations while “fighting” SARS. Staff and people management also were crucial in keeping the workforce healthy and maintaining their morale and confidence during this difficult period.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Patridge, J: Alexandra Hospital: From British Military to civilian institution, 19381998. Singapore: An Alexandra Hospital and Singapore Polytechnic Publication; 1998.Google Scholar
2.Alexandra Hospital Website. Available at www.alexhosp.com.sg. Accessed 09 July 2004.Google Scholar
3.Hsu, L-Y, Lee, C-C, Green, JA et al. : Severe acute respiratory syndrome (Severe Acute Respiratory Syndrome) in Singapore: Clinical features of index patient and initial contacts. Emerg Infect Dis [serial online] 2003 Jun. Available at http://www.cdc.gov/ncidod/EID/vol9no6/03-0264.htm.CrossRefGoogle Scholar
4.Singh, K, Hsu, L-Y, Villacian, JS et al. : Severe acute respiratory syndrome: lessons from Singapore. Emerg Infect Dis [serial online] 2003 Oct. Available at http://www.cdc.gov/ncidod/EID/vol9no10/03-0388.htm.CrossRefGoogle Scholar
5.Wong, RS, Wu, A, To, KF et al. : Haematological manifestations in patients with severe acute respiratory syndrome: Retrospective analysis. BMJ 2003;326(7403):13581362.CrossRefGoogle ScholarPubMed
6.Seto, WH, Tsang, D, Yung, RW et al. : Advisors of expert Severe Acute Respiratory Syndrome group of Hospital Authority. Effectiveness of precautions against droplets and contact in prevention of nosocomial transmission of severe acute respiratory syndrome (Severe Acute Respiratory Syndrome). Lancet 2003;362(9377):76.CrossRefGoogle Scholar
7.Weber, A, Willeke, K, Marchioni, R et al. : Aerosol penetration and leakage characteristics of masks used in the health care industry. American Journal of Infection Control 1993;21(4):167173.CrossRefGoogle ScholarPubMed
8.RFID Journal: Singapore Fight Severe Acute Respiratory Syndrome with RFID. Available at http://www. rfidjournal.com/article/articleview/446/1/1/. Accessed 25 November 2004.Google Scholar
9.World Health Organization: Communicable Disease Surveillance and Report (CSR). Available at http://www.who.int/csr/sars/country/2003_07_ 08/en/. Accessed 09 July 2004.Google Scholar
10.World Health Organization: Communicable Disease Surveillance and Report (CSR). Available at http://www.who.int/csr/sarsareas/2003_03_20/en/. Accessed 25 November 2004.Google Scholar