卫生部确认为独立病例
2003-09-09　4:35 PM
　


　　(新加坡讯)昨日在中央医院被怀疑感染沙斯的华族男子，在经过进一步更准确的检验后，证实该名男子感染沙斯。

　　这名男子是新加坡华族，目前在新加坡国立大学的微生物实验室研究西尼罗河病毒。当局没有公布这名男子的姓名，并查明他不曾到过受沙斯肆虐过的地区。

　　昨天，中央医院是经过初步的聚合酶链式反应(polymerase chain reaction)技术测验，发现这名病人带有冠状病毒，才怀疑他感染沙斯病毒的。

不过有报道称，这名病人已经退烧，也没有肺部发炎，可能病毒不强。

病毒会变种哦。只能自己小心点了。

我不去“新加坡”了~

新加坡卫生部文告：



　　
Singapore Government Press Release：A new probable SARS case

　　The Singapore General Hospital (SGH) has picked up a new probable SARS case. It appears to be a single, isolated case. The patient is currently isolated at the Communicable Disease Centre. Investigations are on-going to establish the source of infection. His contacts have largely been followed up and all of them are well. As a precautionary measure, MOH has served HQOs on his close contacts.

　　Chronology of events

　　2. The patient is a 27-year-old Chinese Singaporean post-doctoral student working on West Nile virus at a microbiology laboratory in the National University of Singapore (NUS). He also does some work at the Environment Health Institute (EHI) laboratory of the National Environment Agency. He last visited the EHI laboratory on 23 August 03. He has no history of travel to previously SARS-affected areas and no known contact with SARS patients.

　　3. On 26 Aug 03, he went to work at the NUS lab and was well but he developed fever around midnight. On 27 Aug 03, he consulted a general practitioner and was given a course of antibiotics. The fever persisted and he sought treatment at the SGH A&E on 29 Aug 03. His chest X-ray was normal. He was diagnosed to have a viral fever and discharged from the A&E. As he did not feel better, he consulted a Chinese physician on 1 Sep 03. Two days later, on 3 Sep 03, he sought treatment again at the SGH A&E and was admitted.

　　4. From the time he became unwell on midnight of 26 Aug 03 till his admission to SGH on 3 Sep 03, he remained at home apart from his two visits to SGH A&E, the GP and Chinese physician.

　　5. When he was admitted to the SGH, he complained of fever, muscle aches and joint pains, but did not have any significant respiratory symptoms. He developed a dry cough after admission. Three serial chest X-rays at SGH were all normal. However, on 8 Sep 03, when his PCR and serology test results were returned positive, the patient was transferred to the CDC for further management. He remains well.

　　Diagnosis

　　6. A repeat of his PCR tests was done in NUH lab today and was confirmed positive. In view of his positive PCR and serology results, MOH is treating him as a probable SARS case.

　　Source of infection

　　7. Investigations are underway to identify the patient's source of infection.

　　Precautionary measures at the laboratories

　　8. Pending investigation, the two laboratories have suspended all their research activities. Meanwhile, the staff members of the laboratories have also been asked to stay at home until the all-clear is given. No staff member has fever or feels unwell.

　　Precautionary measures at the SGH

　　9. Although the patient was isolated throughout his stay in the SGH and the staff who had contact with him were in protective gear, the SGH is not taking any chances and has ramped up its precautionary measures to Orange Alert Level. These include restrictions to visitation of the affected wards and more intensive temperature surveillance of staff.

　　10. Home Quarantine Order Group 8 Family members of case 2 TCM Sinseh 8 Visitors 3 Discharged patients 4 Total 25 Conclusion 11. MOH has notified the WHO of the incident and the details of the case. WHO has informed us that the case does not fulfil the case definition for SARS as per the new WHO guideline in the post outbreak period. 12. MOH's assessment is that this case was a low public health risk as the patient was picked up and isolated early.

我文盲！

详细的中文报道出来了：


我国发现一沙斯新病例　病患病发经过

郑维／沈茂华／游润恬（7:10PM)
　　（联合早报网讯）我国卫生部今日下午4时30分召开记者会公布，中央医院怀疑有一名男性华族病人感染沙斯，经过再度确认，证实为新沙斯病例。但是卫生部说，该病例只是独立的个案。以下是卫生部今天发布声明中，有关病人病发经过：

　　“新加坡中央医院发现一宗新的沙斯病例。目前看来，这是一宗单独的病例。该病人目前被隔离在传染病中心。当局正在调查传染源。他所接触过的人群大部分都已经联络到，其中并没有任何人有发病征兆。卫生部对他的亲密接触对象发出居家隔离令作为预防措施。

　　病发经过

　　该名病人为27岁的新加坡华族男性。目前在进行博士后研究工作，任职于新加坡国立大学的微生物实验室，研究西尼罗河病毒。他也为国家环境局的环境卫生学院的实验室进行一些工作。他最后到访环境卫生学院的实验室的时间是今年的8月23日。他没有曾到过前沙斯疫区，或者接触过沙斯病患的历史。

　　在8月26日，他前往国大的实验室上班，但是并无异样，但在当天午夜他开始发烧。在8月27日他前往一家西医诊所求诊，医生开给他一个疗程的抗生素。他发烧不退，又在29日前往中央医院的急诊部门求诊，当时他的肺部Ｘ光显示正常。他被诊断为病毒感染引起发烧，在急诊部门出院。之后他的病情没有好转，于是在9月1日前往一家中医诊所求诊。两天后，9月3日，他又到中央医院急诊部门求诊，被送入院治疗。

　　从他自8月26日开始发烧到9月3日被送入中央医院的期间，他除了两次到中央医院的急诊部门、一次前往西医诊所、一次前往中医诊所外，均呆在家中。

　　当他被送入新加坡中央医院时，他申诉发烧、肌肉酸痛及关节疼痛，但他并没有任何显著的呼吸困难。他 入院后开始干咳。医院连续为他做了三次Ｘ光胸部检查，检查结果一切正常。但在2003年9月8日，他的聚合酶链式反应（PCR）技术测验和血清测验的结果都是阳性。病人被转到疾病控制中心(CDC)接受更多治疗。他的情况目前仍旧良好。”

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