Policy recommendations in response to the resurgence of COVID-19 cases for institutional medical practice from an ophthalmic perspective
Abstract
Objectives: The COVID-19 pandemic has been declared a public health emergency of international concern. Singapore was one of the first countries to identify imported cases and also experience a second wave of outbreaks. A slew of measures enacted by the government to ‘flatten the curve’ has directly impacted upon the way we practice.
Study design/Methods: This article describes steps enacted by our department to ensure sustainability of our ophthalmic practice.
Results: We share considerations at various time points and policies implemented in a stepwise approach in response to the worsening community situation. We further discuss our phased approach towards reinstating our services safely and effectively for patients and staff in a markedly different practice climate.
Conclusions: The COVID-19 pandemic has markedly upended the way we practice medicine. Reflecting on the ideal measures required for such occurrences in the future will empower practices with the ability to respond effectively to future outbreaks.
References
Teo J. Coronavirus: WHO praises Singapore’s containment of Covid-19 outbreak. Straits Times. 2020.
Bowie N. Cracks show in Singapore’s model Covid-19 response. Asia Times. 2020.
Han K. Covid forces Singapore to confront conditions for its migrant workers. The Interpreter. 2020.
Ministry of Health Singapore. Reorganisation of healthcare system into three integrated clusters to better meet future healthcare needs [Internet]. 2017. Available from: https://www.moh.gov.sg/news-highlights/details/reorganisation-of-healthcare-system-into-three-integrated-clustersto-better-meet-future-healthcare-needs.
Ministry of Health Singapore. MOH Pandemic Readiness and Response Plan for Influenza and other Acute Respiratory Diseases2014. Available from: https://www.moh.gov.sg/docs/librariesprovider5/diseases-updates/interim-pandemic-plan-public-ver-_april-2014.pdf.
Singapore Government. Circuit Breaker extension and tighter measures: What you need to know. Available from: https://www.gov.sg/article/circuit-breaker-extension-and-tighter-measures-what-you-need-to-know.
Chua A. Current model of Internet separation unsustainable in longer run: MOH chief data advisor. Today. 2018.
Lau J. Malaysians with work permits can continue working in Singapore, says MFA. Straits Times. 2020.Available from: https://www.straitstimes.com/singapore/health/malaysians-with-work-permits-can-continue-working-in-singapore-says-mfa.
Breazzano MP, Shen J, Abdelhakim AH, et al. Resident physician exposure to novel coronavirus (2019-nCoV, SARS-CoV-2) within New York City during exponential phase of COVID-19 pandemic: Report of the New York City Residency Program Directors COVID-19 Research Group. medRxiv. 2020.
Kuo IC, O’Brien TP. COVID-19 and ophthalmology: an underappreciated occupational hazard. Infect Control Hosp Epidemiol. 2020:1-9.
Xia J, Tong J, Liu M, Shen Y, Guo D. Evaluation of coronavirus in tears and conjunctival secretions of patients with SARS‐CoV‐2 infection. J Med Virol. 2020;92(6):589-594.
Naveed H, Scantling-Birch Y, Lee H, Nanavaty MA. Controversies regarding mask usage in ophthalmic units in the United Kingdom during the COVID-19 pandemic. Eye. 2020:1-3.
Britt JM, Clifton BC, Barnebey HS, Mills RP. Microaerosol formation in noncontact air-puff tonometry. Arch Ophthalmol. 1991;109(2):225-228.
Wong DH, Mak ST, Yip NK, Li KK. Protective shields for ophthalmic equipment to minimise droplet transmission of COVID-19. Graefes Arch Clin Exp Ophthalmol. 2020:1-3.
Qiao C, Zhang H, He M, et al. Symptomatic COVID-19 Infection in Eye Professionals in Wuhan China. Ophthalmology. 2020;127(9):1268–1270.
Copyright (c) 2020 Blanche X.H. Lim, Chris H.L. Lim, Aaron Q.Y. Goh, Dawn K.A. Lim, Clement W.T. Tan
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