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Viewing cable 09SINGAPORE676, SINGAPORE ENDS H1N1 TEMPERATURE SCREENING AT BORDER

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Reference ID Created Released Classification Origin
09SINGAPORE676 2009-07-15 06:25 2011-08-26 00:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Singapore
VZCZCXRO7553
RR RUEHAST RUEHCHI RUEHDH RUEHDT RUEHHM RUEHLN RUEHMA RUEHNH RUEHPB
RUEHPOD RUEHSL RUEHTM RUEHTRO
DE RUEHGP #0676 1960625
ZNR UUUUU ZZH
R 150625Z JUL 09
FM AMEMBASSY SINGAPORE
TO RUEHC/SECSTATE WASHDC 6961
INFO RUCNASE/ASEAN MEMBER COLLECTIVE
RUEHZN/ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE
RUEHPH/CDC ATLANTA GA
RUSICWP/COMLOG WESTPAC
RUEAUSA/DEPT OF HHS WASHDC
RHMFIUU/DEPT OF HOMELAND SECURITY WASHINGTON DC
RHMCSUU/FAA NATIONAL HQ WASHINGTON DC
UNCLAS SINGAPORE 000676 
 
SENSITIVE 
SIPDIS 
 
STATE FOR OES/IHB 
DHHS FOR OGHA 
EAP/MTS - MCOPPOLA 
BANGKOK FOR REO HOWARD 
 
E.O. 12958: N/A 
TAGS: TBIO KFLU EAGR CASC ETRD ECON SN
 
SUBJECT:  SINGAPORE ENDS H1N1 TEMPERATURE SCREENING AT BORDER 
 
REF:  A) SINGAPORE 603; B) SINGAPORE 581 
 
1. (U) SUMMARY:  There have been at least 1,200 cases of H1N1 
influenza reported in Singapore.  The GOS ceased temperature 
screening at border checkpoints on July 11 and has stopped reporting 
individual confirmed cases of H1N1.  Instead, the Ministry of Health 
will only report hospitalized cases, in line with World Health 
Organization (WHO) guidelines.  The GOS also ended the specialized 
ambulance service dedicated to suspected H1N1 cases.  Such steps 
indicate that the GOS has nearly completed its move from containment 
policies to a mitigation strategy, acknowledging that the H1N1 virus 
is now endemic around the world and in Singapore.  MOH is now 
focusing on: high-risk groups prone to more serious infections; 
conducting a review of lessons learned from the H1N1 outbreak; and 
preparing for another wave of outbreaks with the coming northern 
hemisphere flu season.   End Summary. 
 
GOS Continues to Ease Containment Measures 
------------------------------------------ 
 
2.  (SBU) The Ministry of Health (MOH) announced that effective July 
11 all temperature screening would cease at air, land and sea border 
checkpoints.  The GOS has stopped quarantining people seated on 
flights in close proximity to confirmed H1N1 cases.  The last known 
American citizen quarantined in Singapore was released on June 27. 
MOH has removed travel advisories and the list of H1N1 "affected" 
countries from its Web site (Ref A).  Following World Health 
Organization (WHO) guidance, MOH stopped reporting individual H1N1 
cases on July 8, but the latest reports available indicated there 
were at least 1,200 cases in Singapore.  MOH now only reports the 
numbers of hospitalized cases, which were 49 on July 13.  MOH also 
ended the special ambulance service that was dedicated to 
transporting suspected H1N1 cases to the Communicable Diseases 
Center at Tan Tock Seng Hospital.  Only the most severe cases will 
be referred to hospitals, while MOH recommends that most people 
visit designated Pandemic Preparedness Clinics across Singapore (Ref 
A). 
 
Some Inconsistencies in Implementation Persist 
--------------------------------------------- - 
 
3.  (SBU) Press reports stated that businesses, schools and other 
public venues no longer need to conduct their own temperature 
screening or contact tracing.  However, there is anecdotal evidence 
that several locations, such as local gyms and offices, continue to 
screen for H1N1 symptoms like fever.  Some GOS agencies have 
cancelled upcoming meetings with USG visitors because of concerns 
about the spread of H1N1.  Officers from the communications 
department of the Immigration and Checkpoints Authority (ICA) 
initially turned down a meeting with visitors from Customs and 
Border Protection (CBP) due to H1N1.  CBP later rescheduled through 
different GOS contacts.  Emboffs have been warned that Ministry of 
Home Affairs officials would be unlikely to meet with USG visitors 
due to H1N1 concerns.  MFA has stated that there is no official GOS 
policy in place prohibiting meetings with visitors from H1N1 
affected countries (Ref B).  It remains to be seen how the lifting 
of more containment measures, such as screening at the border, will 
affect specific agencies' concerns about the spread of the virus. 
 
New Areas of Focus for MOH 
-------------------------- 
 
4.  (U) Health Minister KHAW Boon Wan, speaking at a local health 
conference, outlined three areas where MOH will focus its efforts in 
coming weeks: care for high-risk groups of people more prone to 
serious illness from H1N1 (e.g., people with underlying medical 
problems); reviewing lessons learned from the outbreak of H1N1; and 
preparing for the next wave of infections which could come with the 
winter flu season in the northern hemisphere.  Khaw did not provide 
details regarding MOH's review of lessons learned or how MOH intends 
to prepare for the winter flu season. 
 
SHIELDS