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Journal Article
Review
Epidemiology of diarrhoeal diseases in Singapore.
Asian Journal of Infectious Diseases 1979 June
Diarrhoeal diseases in the form of bacterial food poisoning are prevalent in Singapore. Common food poisoning organisms implicated were Staphylococcus aureus, non-thypoid Salmonellae and Vibrio parahaemolyticus. El tor cholera, believed to be introduced through intra-regional trade and travel, occurred sporadically with a common source outbreak, probably food-borne, in September 1978. Shigellosis and amoebiasis were mainly confined to areas where poor personal hygiene was prevalent. The incidence of enteric favers (typhoid and paratyphoid) continued to decline with 39.1% of the cases imported in 1978. Non-bacterial diarrhoeal diseases, including rotavirus, constituted 8--90% of the cases. The emergence of multiple antibiotic resistance enterobacteria which gave rise to occasional outbreaks in institutions, is a matter of concern. Control of diarrhoel diseases is directed mainly at food control and legislation and health education, backed by a high standard of environmental sanitation and a well-established system of epidemiological survelliance. The use of oral rehydration solution for the treatment of diarrhoea is being promoted.
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