12 | SARS Singapore Case Database 3 | 4

#

Reported Name Death Age Gender Contact Comment
101 4-Apr Dr Ong Hok Su's Mother 15-Apr 40s F 30 also a doctor   I don't have details of her reporting date so this is a guestimate.
case on this date reported as "close contact of a SARS patient"
102 5-Apr mid-wife at KK     F 66 CAUGHT FROM NURSE WITH LOWGRADE FEVER A mid-wife at KK Women?s and Children?s Hospital has been diagnosed with SARS. This mid-wife came down with fever on the 24 Mar 03. She was on medical leave from 25 to 26 Mar 03, and returned to work on 27 Mar 03. She was given another two days medical leave from 28 - 29 Mar 03 as she was still unwell. On 30 Mar 03, she saw a GP who referred her to Mt Elizabeth Hospital. As her chest x-ray showed some changes she was referred to TTSH as a suspected SARS case on 31 Mar 03. She was discharged on 4 Apr. Her contact was a TTSH staff nurse who had low grade fever but still visited the Antenatal Clinic on 17 Mar. This TTSH staff nurse was later admitted to TTSH for suspected SARS. She was upgraded to probable SARS on 25 Mar and discharged on 29 Mar
103 5-Apr the famous quarantine buster   40s F   Another patient who is the mother of a SARS case (who was discharged on 31 March 03) was transferred from NUH ICU to Tan Tock Seng Hospital on 5 April 03 at 5.30pm. She is now in intensive care as a SARS case. She and three other family members were on home quarantine till 5 April 03. A home visit by a nurse was done on 2 April 03. Following which phone calls were made twice a day to determine their well being. She informed the nurse who called that she was well. When the nurse called this morning, her daughter-in-law informed the nurse that she was not at home.
104 6-Apr Doctor who operated while sick     F   Doctor who operated while sick. A Singapore General Hospital doctor might have infected her 69-year-old patient with Sars when she operated on him on March 31, . The doctor had continued with the operation, despite feeling unwell on that day. It was only two days later that she reported she had fever. She was then listed as a probable Sars case.
105 6-Apr TTSH nurse          
106 6-Apr TTSH visitor     M   a man who had visited his mother when she was admitted to TTSH from mid January till the end of March 03. It is believed that he had come into contact with a SARS patient, who had not yet been recognised as a SARS patient then
107 7-Apr TTSH nurse          
108 7-Apr SGH Nurse          
109 7-Apr SGH Nurse          
110 7-Apr CGH Nurse          
111 7-Apr CGH Nurse          
112 7-Apr Nurse 30-Apr 25 M 151 Filipino nurse from Orange Valley nursing home
113 7-Apr SGH Radiographer       129 Index case visited radiology on 1 April
114 8-Apr SGH Nurse         Wards 57 and 58
115 8-Apr SGH Nurse         Wards 57 and 58
116 8-Apr SGH patient 26-Apr 63 M   The 3 additional probable SARS cases are two nurses and an inpatient. All are stable except for the inpatient who is in serious condition in intensive care.... a 63 year old man who was an inpatient of SGH in ward 57; he was transferred to TTSH on 15 April 2003 and passed away in the evening of 25 April 2003;... This patient collapsed on 6 April 03 when he was supposed to be transferred to TTSH. In view of the patient's critical condition, he was therefore isolated in the SGH Neurology ICU until his condition was stable for transfer on 14 April 03. He was subsequently classified as a probable SARS case at TTSH and passed away on 25 April 03.
117 8-Apr TTSH therapist         TTSH occupational therapist attached to the TTSH Rehabilitation Department at the Ang Mo Kio Community Hospital. At this point in time, the source of infection of the TTSH occupational therapist is yet to be determined. Investigations are still on-going.
118 8-Apr Mediacorp Staff       151 visitor to Orange Valley Nursing Home; She is a MediaCorp staff who become unwell on 2 April and was admitted to TTSH on 7 April 03 as a SARS.
119 9-Apr SGH staff          
120 9-Apr SGH staff          
121 9-Apr SGH staff          
122 9-Apr SGH staff          
123 9-Apr SGH staff          
124 9-Apr Operated on by sick doctor 12-Apr 69 M 104 SGH Cluster: inPatient

A Singapore General Hospital doctor might have infected her 69-year-old patient with Sars when she operated on him on March 31, it was revealed at a press conference last night. The man died on Saturday. His was one of two deaths recorded over the weekend, bringing the Sars-related toll to 12.
125 9-Apr SGH Visitor          
126 9-Apr Friend of Mediacorp staff       118 a friend of the MediaCorp staff who was reported yesterday. He was in contact with the MediaCorp staff when she was unwell.
127 10-Apr SGH staff          
128 10-Apr SGH patient 23-Apr 74 M   He was a 74-year old inpatient of SGH Ward 58.
129 10-Apr Source of SGH Cluster   60s M   SUPER-INFECTOR: Source of SGH cluster Epidemiological investigations have traced the source of this cluster of infections to a Chinese man in his 60s who had been admitted to TTSH from 5 to 20 March 03 for chronic kidney disease and diabetes. He was admitted to SGH Ward 57 Intermediate Care Area on 24 March 03 for gastrointestinal bleeding. He had a diabetic foot ulcer and was noted to have a low grade fever since admission. A chest X-ray on 24 March was clear. He was treated for his medical conditions and was started on antibiotics.

On 28 March, he developed high fever. A repeat chest X-ray on that day was normal. He was treated with antibiotics and on 29 March 03, he was transferred to Ward 58 B2. Tests showed that he had an infection of the blood by a bacteria, E.Coli. Chest X-ray on 30 March was again normal. He was given a stronger antibiotic and on 3 April 02, he no longer had fever. However, his chest x-ray on 4 April 03 showed signs of pneumonia and he has been diagnosed as a SARS case by the doctors in TTSH.

Although the clinical picture of this patient is not typical of SARS, it is likely that the typical symptoms of SARS were masked by his other underlying medical conditions. It is believed that he had come in contact with a SARS patient who had not yet been diagnosed during the time that he was admitted to TTSH.
130 10-Apr Pasir Panjang Source 12-Apr 64 M 129 SUPER-INFECTOR SGH Cluster: Visitor; Source of Pasir Panjang Cluster & NUH; 64 year old man who works at the PPWM. He had visited his brother (130) at SGH Ward 58 on 31 March 03. He became unwell on 5 April 03, was admitted to NUH on 8 April 03 and died at TTSH on 12 April 03.

The patient, who was admitted to NUH on 8 April, had been a visitor at SGH Ward 57 in end March. He had multiple medical conditions and did not have fever at that time. When he was reviewed in the ward, the possibility of concurrent pneumonia was recognised as his condition had deteriorated. The patient was unstable and required transfer to the NUH Intensive Care Unit where he was intubated. The transfer to TTSH took place later on the same day when the patient's condition stabilised. The patient had since passed away on 12 April 2003
131 10-Apr SGH Visitor          
132 10-Apr TTSH nurse          
133 10-Apr husband of quarantine buster     M   the husband of the woman SARS patient who broke quarantine and was transferred from NUH to TTSH on 5 April 03. She is in intensive care.
134 11-Apr SGH staff          
135 11-Apr SGH staff          
136 11-Apr SGH staff          
137 11-Apr SGH Visitor          
138 11-Apr Visitor to SGH Radiology 28-Apr 77 M 129 News cases [...] and a visitor who was at the SGH Diagnostic Radiology Barium Investigation corridor were admitted to TTSH over the weekend. These two areas are adjacent and connected to each other. The visitor and a staff are probable cases. The visitor to the Radiology Department was at the Department when the 'index' case was there for a procedure. He became ill on 9 April 03.... had visited the Radiology Department at SGH on 1 Apr 03 and later developed clinical signs consistent with SARS.

There was one SARS death today involved a 77-year-old man who had accompanied his wife to the SGH Radiology Centre on 1 April 03. He became unwell on 9 April 03, was admitted as a suspect case on the same day and was diagnosed a probable case on 11 April 03. At the Radiology Centre he had contact with the index case of the SGH Ward 57/58 cluster. His wife was the SARS death reported on 24 April 03.
139 11-Apr na 14-Apr na na   guestimating reporting date
140 11-Apr unknown       99 The seventh case is linked with the fifth SARS fatality who passed away on 2 April 3.
141 12-Apr SGH patient          
142 12-Apr SGH patient          
143 12-Apr SGH family contact          
144 12-Apr TTSH Staff         healthcare worker
145 12-Apr TTSH Staff         healthcare worker
146 12-Apr CGH health attendant   57 F 151 healthcare worker; A 57 year old CGH health attendant who had attended to the old Chinese lady was admitted to CGH on 10 April 03 and transferred to TTSH on 11 April 03 as a probable SARS case.
147 12-Apr Mediacorp Staff Son       118  
148 13-Apr SGH staff          
149 13-Apr SGH Visitor          
150 13-Apr SGH Visitor