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Lifewise WINNER / GRAND AWARD, APEX 2020 ISSUE NO89 J U L– S E P 2021 HEROES OF OUR TIME A Tr i bu te to al l Fr o n ntt llii n ner er s
@nhg_shbc #SHBC2021 Over 60 thought leaders. 2 days & beyond. 1 virtual congress. O F H E A L T H C A R E 7 & 8 October 2021, Thu & Fri A Re-Imagined Virtual Experience >Ì iÀ Ã} Ìà vÀ Ì i Þ i>Ì V>Ài E i`V> VÛiÀÃ>Ì Ì >Ì >ÌÌiÀð `ÕÃÌÀÞ iÝ«iÀÌà REGISTER NOW `ÃVÕÃÃÃi4GKPXGPVKPIVJG*GCNVJECTG%QPVKPWWO i>`i\Ó-i«ÓäÓ£]/ Õ &KIKVCN 2U[EJKCVT[ /GVCDQNKE *GCNVJ >` Ài Ì >Ì Ü Ài`iviÌ i i>Ì V>Ài>`ÃV>«iÌ ivÀiÃii>LivÕÌÕÀi° 6ÃÌ www.shbc.com.sg N >SHBC_secretariat@nhg.com.sg vÀµÕiÀiÃ
Lifewise N H G I S A R E G I O N A L H E A LT H S Y S T E M F O R S I N G A P O R E CONTENTS ISSUE NO89J U L– S E P 2021 “We might not recognise their faces or know their names, but they (frontliners) take on the most important job of 08 looking after patients.” Professor Benjamin Seet, Deputy Group Chief Executive Officer (Education & Research), National Healthcare Group 01 FEATURES COVER STORY 08 HEROES OF OUR TIME Capturing the indomitable spirit of COVID-19 frontliners through art. reasons for receiving the and practices towards this 12 THE CONVERGING OF COVID-19 vaccination. chronic condition. INNOVATIVE MINDS Collaborations are key to 20 THE GAME PLAN 24 COLLABORATING FOR delivering quality care and Japan takes utmost BETTER HEALTH improving the health of precautions to keep the The first collaborative our population. 2020 Tokyo Olympics safe. prescribing pharmacist in NHG Pharmacy. 18 WHY I DECIDED TO 22 DELVING DEEPER BE VACCINATED INTO DIABETES 26 TAKING YOUNG The Vice-Chairman of Findings from a local MINDS TO HEART Medical Board (Research) study to examine the The rise of mental health at IMH reflects on his knowledge, attitudes, issues in Singapore youths.
Lifewise ISSUE NO89 J U L– S E P 2021 CONTENTS LifewiseFOLQFKHGWKHIROORZLQJDZDUGVDW$3(; GRAND AWARD Magazine, Journals & Tabloids AWARD OF EXCELLENCE Magazine, Journals & Tabloids – Magazine Series AWARD OF EXCELLENCE Magazines, Journals & Tabloids – Design and Layout REGULARS (',725è6127( 03 7+(%,*3,&785( 04 6327/,*+7 36 1+*',5(&725< 40 30 32 THE PSYCHOLOGICAL HEALTH 360 IMPACT OF STAYING IN 30 BE A SPORT SMALL SPACES. Helping your young child enjoy sports. 31 ON HER OWN TERMS MS Singapore’s most stylish ylish çJUDQGćXHQFHUè 04 32 HOW SMALL CAN FEEL BIG /LYLQJZHOOLQWLQ\VSDFHV A new 34 MEAT OF THE MATTER kind of 3ODQWEDVHGDOWHUQDWLYHV travel that look, smell, and taste passport. like real animal products. 2 Lifewise N O V- D E C 2 0 1 8
Lifewise WINNER / GRAND AWARD, APEX 2020 ISSUE NO89 J U L– S E P 2021 Everyone has a HEROES OF OUR TIME part to play IF A Tr i bu te to al l Fro Fr o n tl i n ers er s ON COVER PAINTINGS FROM HEROES OF OUR TIME THE COVID-19 PANDEMIC HAS TAUGHT US ANYTHING, LWLVWKHLPSRUWDQFHRI FROODERUDWLRQ7UDQVFHQGLQJ WUDGLWLRQDOVHFWRUERXQGDULHVDQGLQWHUQDWLRQDO ERUGHUVPDQ\RIWKHVROXWLRQVDQGLQWHUYHQWLRQV WRFRPSOH[LVVXHVFDXVHGE\WKHJOREDOFULVLV NATIONAL HEALTHCARE GROUP ZHUHGHYHORSHGWKURXJKLQWHUGLVFLSOLQDU\DQG EDIT ORIAL FURVVLQGXVWU\SDUWQHUVKLSV Wong Fong Tze, Lydia Soh, Benetta Lim, ,QGHHGV\QHUJLVWLFFROODERUDWLRQVDUHNH\WR 'DQLHOOHb/\QQ*RK6DEULQD1J.HYLQ6HDN-HUHPLDK .RR-DFLQWD2QJ-DVPLQH&KLD(XJHQH6HQJ GHOLYHULQJTXDOLW\FDUHDQGLPSURYLQJWKHKHDOWK RIRXUSRSXODWLRQThe &RQYHUJLQJRI,QQRYDWLYH L IFEWIS E ADVIS ORY PANEL Minds SDJH ORRNVDWKRZ1+*LVZRUNLQJLQ Prof Benjamin Seet, A/Prof Thomas Lew, V\QFKURQLFLW\ZLWKERWKORFDODQGJOREDOSDUWQHUV 3URI&KXD+RQJ&KRRQ$3URI&KRQJ3KXL1DK 3URI5R\&KDQ WRDFKLHYHLWVYLVLRQRIê$GGLQJ\HDUVRIKHDOWK\ OLIHëWRWKHSHRSOHRI6LQJDSRUH 7KHVSLULWRIFDPDUDGHULHFRQWLQXHVWREH FULWLFDOGXULQJWKHVHFKDOOHQJLQJWLPHV$UWLVWV FKLOGUHQDQGPLJUDQWZRUNHUVSDLGWULEXWHWR EDIT ORIAL & DES IG N IURQWOLQHUVWKURXJKDQDUWH[KLELWLRQHeroes Senior Editor Ronald Rajan of Our Time SDJH ZKLFKHQFDSVXODWHG 03 &RQWULEXWLQJ6HQLRU(GLWRU Agatha Koh Brazil Editor Dennis Yin WKHLULQGLYLGXDOH[SHULHQFHVDQGSHUVSHFWLYHV Assistant Editor Wanda Tan RIWKHFULVLV)LWWLQJO\WKHFHQWUHSLHFHQRZ $UW'LUHFWRU Neo Aik Sing SHUPDQHQWO\VKRZFDVHGDWWKH1DWLRQDO&HQWUH Senior Designer Patricia Fong IRU,QIHFWLRXV'LVHDVHV 1&,' ZDVWKHUHVXOW &KLHI3KRWRJUDSKHU Aik Chen 3KRWRJUDSKHUV Kelvin Chia RIDUHPDUNDEOHFROODERUDWLRQLQLWVHOID Alvin Teo PE\PPDVWHUSLHFHSDLQWHGDQGFRFUHDWHG E\DUWLVWV ZLWKVDIHGLVWDQFLQJ IURPWKH CON T RIBUTORS 6LQJDSRUH$UW6RFLHW\ .HHQDQ3HUHLUD-R\FH/LP.RK
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H AV E VAC C I N E PA S S P O RT, WILL TRAVEL? BY JOYCE LIM // MAIN ILLUSTRATIONS ANNGEE NEO A HEALTH CERTIFICATE THAT BEARS PROOF OF COVID-19 VACCINATION MAY OFFER SAFE PASSAGE AND PROTECTION TO SOME MEASURE, BUT ADOPTING SUCH A PRACTICE HAS ITS CHALLENGES. hen the launch date for the deferred Singapore-Hong Kong travel bubble was announced in late April this year, air tickets were quickly snapped up. However, arrangements were postponed for the second time when cases in Singapore spiked in May — a stark reminder that it will take time before leisure travel returns to pre-pandemic days, if it ever will. With virus mutations, recurring waves of infection, and unmet vaccination targets, restrictions on travel are unlikely to ease up any time soon. Countries, however, need to UHRSHQWKHLUERUGHUVIRUDPXOWLWXGHRIUHDVRQVZLWKHFRQRPLFUHFRYHU\EHLQJDSULPHMXVWLĆFDWLRQ(QWHUWKHYDFFLQHSDVVSRUWVHHQ DVDVDIHW\PHDVXUHWKDWFDQKHOSSURWHFWDKRVWFRXQWU\èVSRSXODWLRQE\PLWLJDWLQJWKHULVNRIWUDQVPLVVLRQDQGPDQDJLQJWKHćRZRISHRSOHDFURVVERUGHUV έ W N E X T PAG E > > 05
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N H G I S A R E G I O N A L H E A LT H S Y S T E M F O R S I N G A P O R E · Lifewise PROTECTION VS EXCLUSION 9DFFLQHSDVVSRUWVPD\H[DFHUEDWH WKHbJXOIEHWZHHQWKHKDYHVDQG the have-nots. People who are QRWYDFFLQDWHGPD\EHSUHYHQWHG IURPFURVVLQJERUGHUVDQGGHQLHG DFFHVVWRHVVHQWLDOVHUYLFHVOLNH healthcare. Vaccine passports could DOVRZRUVHQGLVFULPLQDWLRQEDVHGRQ UDFHQDWLRQDOLW\LQFRPHRUDFFHVV WRVPDUWSKRQHVVLQFHWKHPDMRULW\ of proposed solutions are digital applications. ,QVSLWHRIWKHVHFRQFHUQVPDQ\ JRYHUQPHQWVDQGEXVLQHVVHVDUH A VACCINATED developing their own version of vaccine PERSON IS LESS LIKELY TO SDVVSRUWVRUKHDOWKFHUWLĆFDWHVLQWKH BE INFECTED KRSHRIUHVWDUWLQJWKHLUHFRQRP\DQG OR SPREAD THE VIRUS UHVWRULQJVRPHQRUPDOF\ Countries will need to establish VACCINATION DRIVE UHFLSURFDODJUHHPHQWVWRKDYHWKHLU vaccine passports recognised for 30 Jun: Registration begins for the rest international travel. This has proven to ULTIMATE DESTINATION RIWKHSRSXODWLRQLQFOXGLQJ3HUPDQHQW EHWULFN\WHUULWRU\WRPDQRHXYUH7KH Singapore’s COVID-19 5HVLGHQWVDQGORQJWHUPUHVLGHQWVDJHG ODFNRIJOREDODOLJQPHQWRUXQLYHUVDOO\ vaccination programme 12 to 39 DFFHSWHGVWDQGDUGVLQWHUPVRIYDFFLQH started in February 2021 and Number of people vaccinated: UHFRJQLWLRQRUGRFXPHQWDWLRQDOVR is on track to have all eligible About 3.3 million individuals FRPSOLFDWHVPDWWHUV individuals vaccinated by the 07 )RUH[DPSOHEHIRUH$SULO have received at least one dose of end of the year. the vaccine &KLQDèVYDFFLQHSDVVSRUWRQO\ recognised those who had received Vaccination schedule: $PRQJWKHP2.1 million have &KLQHVHYDFFLQHVGUDZLQJFULWLFLVPIURP 22 Feb: Vaccination for seniors FRPSOHWHGERWKYDFFLQHGRVHV nations that did not have access to these DJHGDQGDERYHFRPPHQFHV * As of 28 June 2021 vaccines. It now accepts those who had Mid-Mar: Vaccination starts for 3Ć]HU%LR17HFK&RPLUQDW\0RGHUQD those aged 60 to 69 Number of vaccination locations: or Johnson & Johnson vaccinations as 24 Mar: Vaccination registration 37 vaccination centres: 26 centres offer ZHOO7KH(XURSHDQ8QLRQ (8 èV'LJLWDO opens for those aged 45 to 59 WKH3Ć]HU%LR17HFK&RPLUQDW\YDFFLQH *UHHQ&HUWLĆFDWHDYDLODEOHWRDOO(8 19 May: Those aged 40 to 44 can 11 centres offer the Moderna vaccine PHPEHUVWDWHVIURP-XO\RQO\DOORZV ERRNVORWVIRUWKHLUYDFFLQDWLRQ 20 polyclinics and 22 Public Health vaccinated EU citizens to travel freely 11 Jun: Registration starts for Preparedness Clinics (PHPCs) offer ZLWKLQWKHEORFEXWQRWRXWVLGHRIWKH those aged 12 to 39 (children under WKH3Ć]HU%LR17HFK&RPLUQDW\ EU except for certain nearby countries 18 require parental consent) vaccine. * As of June 2021 such as Norway. It recognises only the four vaccines that are approved for use LQWKHEORFEXWLQGLYLGXDO(8PHPEHU year and see this as a way to speed been accepting the IATA Travel Pass states have the option to accept XSWKHFKHFNLQSURFHVVDQGUHGXFH as valid presentation of COVID-19 RWKHUbYDFFLQHV queues and congestion in airports. pre-departure test results for entry. 6LQJDSRUHLVH[SORULQJWKHPXWXDO )RUH[DPSOHWKH,QWHUQDWLRQDO Sceptics point out that vaccine UHFRJQLWLRQRIYDFFLQDWLRQFHUWLĆFDWHV $LU7UDQVSRUW$VVRFLDWLRQ ,$7$ èV SDVVSRUWVPD\OXOOSHRSOHLQWRDIDOVH ZLWKVHYHUDOFRXQWULHVDQGUHJLRQV IUHH7UDYHO3DVVPRELOHDSSVWRUHV VHQVHRIVHFXULW\,WPDNHVWKHPOHW LQFOXGLQJ$XVWUDOLDVDLG+HDOWK0LQLVWHU COVID-19 test results and vaccine GRZQWKHLUJXDUGOHDGLQJWRODSVHVLQ 2QJ
A RT I N A PA N D E M I C 08 HEROES OUR TIME OF JUL SEP 2021 Professionall artists, ƈáΟņ¾×łăƄ×áņΟоÝáΟÖŮΟöłĦğŎĘăğáΟ¾ğÝΟ children, and d migrant áņņáğŎă¾ĘΟŨĦłĔáłņΟ¾ņΟŎÿáŮΟÖ¾ŎŎĘáÝΟŎĦΟĔááĿΟ workers inteerpreted ŎÿáΟ×ĦœğŎłŮΟ÷Ħăğ÷Ο¾ĞăÝΟŎÿáΟd¥E ͱ̙̑Ο Ŀ¾ğÝáĞă×͒ΟƈáΟöá¾ł͓Ο¾ğŭăáŎŮ͓Ο¾ğÝΟ the COVID-119 ĘĦğáĘăğáņņΟŎÿ¾ŎΟÖáņáŎΟŎÿĦņáΟăğΟŁœ¾ł¾ğŎăğá͒Ο ƈáΟņŎăĘĘğáņņΟŎÿ¾ŎΟņÿłĦœÝáÝΟŎÿáΟ×ăŎŮΟ pandemic Ýœłăğ÷ΟŎÿáΟăł×œăŎΠłá¾Ĕáł͒Ο őĂŅĩŖúĂέÁŅő͠ These vignettes of daily life during the BY ROY SIM pandemic — especially at its peak in 2020 — are forever etched into our memories. These scenes will live on, encapsulated by artists with their diverse perspectives and lived experiences of this unprecedented crisis. This poignant showcase, titled +HURHVbRI Our Time, comprised 200 pieces by artists from all walks of life. The event was co-organised by the National Healthcare Group (NHG) and the Singapore Art Society (SAS), with partners HealthServe and the Asian Scientist Magazine; and supported by 7HPDVHN7UXVWèVRVFDU#VJIXQGDQG3Ć]HU Singapore, as well as ION Art Gallery.
1 + * , 6 $ 5 ( * , 2 1 $ / + ( $ /7 + 6 < 6 7 ( 0 ) 2 5 6 , 1 * $ 3 2 5 ( · Lifewise We may not know the name of every person on the frontlines, but through this painting (DäŅĩäʼnέĩù 09 Our Time, top, far left), ūäέĂĩłäőĩÚÁłőŖŅäőĂä indomitable spirit of all ĂäÁěőĂÚÁŅäūĩŅėäŅʼnÁĢà őĂÁĢėőĂäġùĩŅÚĩĢőĆĢŖĆĢú őĩʼnäŅŪäūĆőĂÚĩġġĆőġäĢő ÁĢààäàĆÚÁőĆĩĢőĩėääł ĆĢúÁłĩŅäέʼnÁùä͠ Mr Terence Teo, President, Singapore Art Society 6LPLODUO\PLJUDQWZRUNHUVUHćHFWHGWKHLU fears and feelings, their longing for home, and their appreciation of Singapore through their FUHDWLRQV7KHVHbDUWZRUNVZHUHFXUDWHGE\ +HDOWK6HUYHDQRQSURĆWRUJDQLVDWLRQZKLFK has been organising weekly outreach events WRLQYROYHbPLJUDQWZRUNHUVLQDUWDQGGLDORJXH Some of the Besides artworks by SAS artists, IRUbVHYHUDO\HDUV featured artworks young talents were also invited to share displayed at their perspectives on the pandemic AN ARTISTIC TRIBUTE the exhibtion, including the through ‘Celebrating Our Healthcare The centrepiece of the exhibition, aptly titled centrepiece Heroes Heroes’, a national art competition for Heroes of Our Time, was created by 18 artists of Our Time FKLOGUHQDQG\RXWKVDJHGĆYHWR from SAS and took six months to complete. (top, far left). 2YHUbbVXEPLVVLRQVZHUHUHFHLYHG The 1.8m-by-3m acrylic painting depicts VRPHbRIZKLFKZHUHGLVSOD\HGDWWKH various scenes of Singapore’s battle against exhibition. Their works were judged by COVID-19 — from healthcare workers donning a panel of judges from NHG, SAS, Asian Personal Protective Equipment (PPE) across Scientist MagazineDQG7HPDVHNb)RXQGDWLRQ NHG Institutions to NHG Senior Management
A RT I N A PA N D E M I C Above: (From left) Prof Eugene Fidelis Soh, CEO, TTSH & Central Health; Prof Benjamin Seet, Deputy Group CEO (Education & Research), NHG; Senior Minister of State for Health Dr Janil Puthucheary; Mr Terence Teo, President, SAS; and Prof Leo Yee Sin, Executive Director, NCID, unveiling the Heroes of Our Time tribute painting. Below: Prime Minister Lee Hsien Loong posing with a painting of himself receiving the vaccination (MCI photo by Lim Sin Thai). walking the ground at dormitories and quarantine facilities. “We may not know the name of every person on the frontlines, but through this painting, we hope to capture the indomitable spirit of all healthcare workers and thank them for continuing to serve with commitment and dedication to keep Singapore safe,” 10 said Mr Terence Teo, President of SAS. Praising the piece, NHG Deputy JUL SEP *URXS&KLHI([HFXWLYH2IĆFHU 2021 (Education & Research) Professor Benjamin Seet, said, “During the pandemic, it is the frontliners such as nurses who make the most difference. :HbPLJKWQRWUHFRJQLVHWKHLUIDFHVRU know their names, but they take on the most important job of looking after patients. This painting celebrates their FRQWULEXWLRQVDQGbVDFULĆFHVë Heroes of Our Time was presented to the National Centre for Infectious Diseases (NCID) after the exhibition, and is now on permanent display at LWVbSUHPLVHV MEMORIES FROM ))~¤Ƥ):`)b Mr Tamil, a migrant worker from India in his twenties, discovered art to be an avenue for therapy when he was quarantined aboard a cruise ship in 2020. He began sketching portraits of his friends and of the furniture in his cabin, as well as abstract artworks inspired by the scenery around him. His works were spotted by a HealthServe staff, who went on WRFRDFKKLPRQĆQHDUWWHFKQLTXHV and provide him with different tools to help improve his drawing VNLOOV7ZHQW\bPLJUDQWZRUNHUV
1 + * , 6 $ 5 ( * , 2 1 $ / + ( $ /7 + 6 < 6 7 ( 0 ) 2 5 6 , 1 * $ 3 2 5 ( · Lifewise “During the pandemic, it is the frontliners such as nurses who QEOIXLIQSWXHMǺIVIRGI;IcQMKLX not recognise their faces or know their names, FYXcXLI]XEOISRXLI QSWXMQTSVXERXNSFSJPSSOMRKEJXIV TEXMIRXW8LMWcTEMRXMRKGIPIFVEXIWXLIMV GSRXVMFYXMSRWERHcWEGVMǻGI Professor Benjamin Seet, Deputy Group Chief Executive Officer, (Education & Research), National Healthcare Group 11 Some of the entries on display at the exhibition, including pieces from the ‘Celebrating Our Healthcare Heroes’ art competition. LQFOXGLQJ0Ub7DPLObFRQWULEXWHG WRbWKHbH[KLELWLRQ VFHQH)LWWLQJZLWKWKHUHFHQW One of the many paintings that YDFFLQHbQHZVë stood out was Against All Odds Walking through the E\/DL6HQ)RQJ,WGHSLFWHG3ULPH exhibition deeply impacted Minister Lee Hsien Loong receiving YLVLWRU0U1LJHOb/LP7KH his COVID-19 vaccination at the 30-year-old tech manager shared start of Singapore’s inoculation with Lifewise, “Throughout the drive. PM Lee, who visited the pandemic, most of us have been exhibition on 16 March, wrote focused on ourselves. But seeing DERXWLWRQKLV)DFHERRNSDJH the experiences of others made “Paid a visit to the Heroes of Our me think about what they were Time exhibition at ION Orchard going through and empathise WKLVHYHQLQJ)RXQGDIDPLOLDU with their situation.”b
H E A LT H C A R E & I N N O V A T I O N BY WANDA TAN AND LYDIA SOH IN CONSULTATION WITH PROFESSOR BENJAMIN SEET DEPUTY GROUP CHIEF EXECUTIVE OFFICER ASSOCIATE PROFESSOR STEVEN THNG (EDUCATION & RESEARCH) // CHIEF DERMATOLOGIST // SKIN RESEARCH NATIONAL HEALTHCARE GROUP INSTITUTE OF SINGAPORE // DIRECTOR // PROFESSOR // LEE KONG CHIAN // TRANSLATIONAL RESEARCH OFFICE SCHOOL OF MEDICINE // NATIONAL HEALTHCARE GROUP // ASSOCIATE PROFESSOR // LEE KONG CHIAN SCHOOL OF MEDICINE THE 12 JUL CONVERGING OF INNOVATIVE SEP 2021 IF THE COVID-19 PANDEMIC HAS National Healthcare Group (NHG) looks at how NHG is working in TAUGHT US ANYTHING, IT IS THE — was a co-winner (Infrastructure) synchronicity with its partners IMPORTANCE OF COLLABORATION. with the Agency for Science, to achieve its vision of “Adding Transcending traditional Technology and Research (A*STAR) years of healthy life” to the people sector boundaries for their joint development of RIb6LQJDSRUH and international 5DGL/RJLFDQDUWLĆFLDOLQWHOOLJHQFH borders, many of the solutions and (AI)-powered tool that can rapidly WORKING IN CONCERT interventions to complex issues detect COVID-19 pneumonia Our research works towards three caused by the global crisis were (lung infection) on chest X-rays. global health outcomes, says Professor developed through cross-discipline The innovation was driven by both %HQMDPLQb6HHW'HSXW\*URXS and cross-industry approaches. RUJDQLVDWLRQVèFRPPRQJRDOWRĆJKW &KLHI([HFXWLYH2IĆFHU (GXFDWLRQ 6LQJDSRUHWRRKDVEHQHĆWWHGIURP the disease more effectively and 5HVHDUFK 1+*7KHĆUVWLVWR such strategic partnerships. provide timely, appropriate care to raise research intensity, largely by At the IT Leader Awards 2021, infected patients. orchestrating research activities the longest-running local tech awards Indeed, strategic and timely across NHG institutions “so that the organised by the Singapore Computer collaborations are key to delivering collective effort comes across as a Society, held in March, Tan Tock Seng quality care and improving the symphony, rather than as a compilation Hospital (TTSH) — a member of the health of our population. Lifewise RIVRORLVWVëDVb3URIb6HHWbSXWVLW
N H G I S A R E G I O N A L H E A LT H S Y S T E M F O R S I N G A P O R E · Lifewise ASSOCIATE PROFESSOR TAN CHER HENG population health strategy and programmes,” DEPUTY CLINICAL DIRECTOR // CENTRE FOR HEALTHCARE INNOVATION // TAN TOCK SENG 3URIb6HHWDGYRFDWHV HOSPITAL // COMMITTEE MEMBER // Collaboration is fundamental to achieving all CENTRE FOR MEDICAL TECHNOLOGIES AND three goals. In today’s world, it is not possible to do INNOVATIONS // NATIONAL HEALTHCARE GROUP // ASSISTANT DEAN (CLINICAL RESEARCH) // everything by ourselves, says Prof Seet, “Diverse LEE KONG CHIAN SCHOOL OF MEDICINE resources are needed to turn the best research LQWRQHZGUXJVGHYLFHVRUFOLQLFDObSURWRFROVë “Research at the cluster level will take on major health challenges where there are unmet needs or big gaps in knowledge. This often remains XQGHUIXQGHGEHFDXVHRIWKHGLIĆFXOW\LQVWULQJLQJ together a coherent programme,” he elaborates. ([DPSOHVRIKHDOWKFDUHDUHDVWKDWKDYHVLJQLĆFDQW JDSVWRĆOOLQFOXGHIUDLOW\DQGGHSUHVVLRQLQWKH elderly, multi-morbidity and polypharmacy (or the use of multiple medications by an individual), and the primary prevention of chronic diseases. The success of a collaboration largely hinges on having the right partner. In the area of research, 1+*IUHTXHQWO\ZRUNVZLWKWKH/HHb.RQJ&KLDQ 6FKRRORI0HGLFLQH /.&0HGLFLQH DW1DQ\DQJ Technological University (NTU) and A*STAR. (DUOLHUWKLV\HDU1+*/.&0HGLFLQHDQG A*STAR signed a tripartite Memorandum of Understanding (MOU) to jointly establish a 13 healthtech accelerator — Co11ab @ Mandalay — to facilitate clinical adoption of new MINDS WHFKQRORJLHVWKDWZLOOFUHDWHYDOXHIRUbSDWLHQWV BUILDING BRIDGES 8j~ƤFbbjFjbƉ Associate Professor Tan Cher Heng likens his job as a radiologist to being a detective, “Radiologists The fruits of pick up clues from medical images and combine our understanding of anatomy, pathology, and collaboration. physics to solve diagnostic puzzles that would be useful for helping clinicians better manage patients.” He adds that research and innovation are natural extensions of his passion for the £ science behind the subject. His spirit of curiosity Second, NHG seeks to build DQGHQWHUSULVHĆWVKLVWKUHHFRQFXUUHQWUROHVDV international peaks of excellence in areas What Deputy Clinical Director of TTSH’s Centre for where it has clinical strengths, such as CMTi Healthcare Innovation (CHI), Committee Member infectious diseases, dermatology, and has done of NHG’s Centre for Medical Technologies and mental health, which centres on research Supported NHG Innovations (CMTi), and Assistant Dean (Clinical at the National Centre for Infectious clinicians in over 5HVHDUFK RI/.&0HGLFLQH$3URIb7DQVHHVKLPVHOI Diseases (NCID), National Skin Centre 100 projects (NSC), and the Institute of Mental Health ,0+ bUHVSHFWLYHO\ Secured more Third, NHG’s research aims to than $28 provide real-world evidence to transform million in industry funding population health. “We don’t plan for research to end with only papers or Filed over patents. There has to be a strong push 87 patents to translate research and development Created (R&D) to better patient outcomes, better 20 healthcare, and a healthier population. commercialisable R&D will be an integral part of NHG’s products
H E A LT H C A R E & I N N O V A T I O N We don’t plan for research to end with only papers or patents. There has to be a strong push to translate research and development to better patient outcomes, better healthcare, and a Fourier Intelligence’s RehabHub™. ĂäÁěőĂĆäŅέłĩłŖěÁőĆĩĢ͠Ό Professor Benjamin Seet, DVDçKXPDQbEULGJHèFRQQHFWLQJWKHVH &07LZKLFKZDVVHWXSLQb Deputy Group Chief Executive institutions to collectively achieve and is a close alliance of CHI, serves Officer (Education & Research), GHVLUHGKHDOWKbRXWFRPHV a complementary role of matching National Healthcare Group “I enjoy bringing like-minded NHG clinicians with local and global clinicians and scientists together technical experts from industry and into a community where ideas are academia, facilitated by Singapore translated into projects so that government agencies, to co-develop 14 technology can enable healthcare innovative medtech solutions to transformation,” he explains. address unmet healthcare needs. JUL SEP “Clinicians are best positioned to CMTi provides administrative 2021 GHĆQHDQGDUWLFXODWHWKHSUREOHP support to help turn prototypes into statement, while scientists and market-ready and commercially-viable engineers are best suited to develop products. “Even if the cross-disciplinary relevant solutions. Without a teams function well together, the collaborative approach, the process lack of funding opportunities or of a will likely fail.” business mindset may hinder them 2IĆFLDOO\RSHQHGLQ&+, from taking their projects beyond the is a co-learning platform that drives LQLWLDOSURWRW\SLQJRUbSURRIRIFRQFHSW thought leadership in healthcare SKDVHëVD\V$3URI7DQê7KHVH innovation through technology challenges are addressed by our and workforce transformation. administration team, who advises our 7RJHWKHUbZLWKGLYHUVHSDUWQHUV clinicians on appropriate partnerships &+,bFRFUHDWHVKHDOWKFDUH and funding agencies, intellectual innovations and seeks to redesign property protection, and business ZD\VRIZRUNLQJDQGbOHDUQLQJ contract negotiations.” The close partnership between NHG and Trendlines Medical has led to the NEXT STOP: formation of nine new companies in just three years. Out of these, three are THE CLINIC commencing clinical trials at NHG institutions, in the hope that these would solve some of today’s most acute clinical challenges. £ £ £ Medulla Pro is developing an Szone is developing an easy-to-use, interVaal is developing a ultrasound-guided, real-time accurate, real-time, and non-invasive uniquely-designed urinary imaging system to increase hydration monitoring device, catheter to reduce the risk of the safety and accuracy of LQbFROODERUDWLRQZLWK776+WR catheter-associated urinary lumbar puncture (spinal tap) EHQHĆWSDWLHQWVZLWKNLGQH\IDLOXUH tract infections, one of the procedures. Clinicians from or cardiovascular heart disease. most commonly reported .KRR7HFN3XDW+RVSLWDO 7KHbGHYLFHZLOOHQDEOHWKHPWRPDQDJH hospital-acquired conditions. .73+ DQG776+DUHDGDSWLQJ HDQGDYRLG WKHLUGDLO\ćXLGLQWDNHDQGDYRLG Clin Clinical trials will be carried the system for clinical use to complications from under- nder- RXWDW.73+DQG:RRGODQGV RXW better meet patient needs. or over-hydration. Hea Campus (WHC). Health
N H G I S A R E G I O N A L H E A LT H S Y S T E M F O R S I N G A P O R E · Lifewise $3URI7DQKLPVHOILVSDUWRI the TTSH–A*STAR team behind UNITED the AI tool, RadiLogic. Their AGAINST collaboration began when they COVID-19 participated in CMTi’s Open A brief look at Innovation Challenge, a platform how everyone is to catalyse the co-development coming together of novel healthtech products. to beat a global “Since then, we have developed pandemic. an AI model ready for licensing to a commercialisation partner,” BETWEEN LOCAL INSTITUTIONS KHbGLVFORVHV PLAYERS INVOLVED: A*STAR, TTSH, MiRXES Two other notable Š±ƤÆĜŅƋåÏĘÏŅĵޱĹƼ) PreSAGE, a bed-fall surveillance WHAT THEY DID: %åƴåĬŅŞåÚ±ÚĜ±čĹŅŸƋĜÏƋåŸƋĩĜƋØ collaborations facilitated by and prevention prediction system. ϱĬĬåÚƋĘåFortitude KitØƋŅÚåƋåÏƋƋĘåeě CMTi in the past year are with ŅěƖƴĜųƚŸŠƵĘĜÏĘϱƚŸåŸkF%ěŎĿšŧƚĜÏĩĬƼ 7UHQGOLQHV0HGLFDO6LQJDSRUHDbPHGWHFKLQFXEDWRUDQG ±ĹÚ±ÏÏƚų±ƋåĬƼţeĹåƵåųƴåųŸĜŅĹĜŸĹŅƵ±ÆĬå Fourier Intelligence, a Shanghai-based robotics company. In ƋŅÚĜüüåųåĹƋĜ±ƋåÆåƋƵååĹeěŅěƖ±ĹÚƋĘå November 2020, NHG and Trendlines Medical renewed their Ÿå±ŸŅűĬüĬƚØƵĘĜÏĘåƻĘĜÆĜƋŸĜĵĜĬ±ųŸƼĵŞƋŅĵŸţ existing MOU to continue co-developing innovative healthcare aŅųåƋʱĹüĜƴåĵĜĬĬĜŅĹĩĜƋŸĘ±ƴåÆååĹŸŅĬÚ VROXWLRQV7KHbSDUWQHUVKLSZLOOOHYHUDJHRQ1+*èVFOLQLFDO ĬŅϱĬĬƼ±ĹÚčĬŅƱĬĬƼţ strengths as well as Trendlines Medical’s market knowledge PLAYERS INVOLVED: FĹƋåčų±ƋåÚBå±ĬƋĘFĹüŅųĵ±ƋĜŅĹ and technological expertise. ƼŸƋåĵŸŠFBĜšØBØ)ĹčĜĹååųĜĹč In March, NHG and Fourier Intelligence signed an MOU WHAT THEY DID: X±ƚĹÏĘåÚƋĘåCommand, to build on NHG’s clinical strengths in rehabilitation medicine Control and Communications (C3)ŸƼŸƋåĵØ and the latter’s RehabHub™ concept to co-develop cutting- ÆåĬĜåƴåÚƋŅÆåƋĘåüĜųŸƋŸĵ±ųƋĘŅŸŞĜƋ±ĬŸƼŸƋåĵ edge rehabilitation technologies and robotics solutions. Such ĜĹƋĘåƵŅųĬÚţƐŞųŅƴĜÚåŸųå±ĬěƋĜĵå±Ĺ±ĬƼƋĜÏŸ innovations will be designed to prevent falls and preserve ŸŅƋʱƋB±ĹÚcF%ϱĹŅŞƋĜĵĜŸå 15 mobility in frail older adults, an area of growing concern among ŅŞåų±ƋĜŅĹŸ±ĹÚųåŸŅƚųÏåüĬŅƵĜĹųåŸŞŅĹŸåƋŅ ageing populations in Singapore, and globally. ƋĘåŞ±ĹÚåĵĜÏţ Elsewhere, some medtech products backed by CMTi are BETWEEN GOVERNMENT AND COMMUNITY already in the market. For example, TTSH nurses worked PLAYERS INVOLVED: )ĵåųčĜĹčƋųŅĹčåų±ŸĩüŅųÏåØ with local start-up CoNEX Healthcare to develop PreSAGE, ĜĹÚƚŸƋųƼØÏĜƴĜĬŸŅÏĜåƋƼ a smart bed-exit prediction and falls prevention system WHAT THEY DID: 8ŅųĵåÚ Alliances for Action currently deployed in TTSH’s general wards for safer patient (AfAs)رĹåƵĵŅÚåĬŅüŞųĜƴ±ƋåěŞƚÆĬĜÏ care. It alerts nurses whenever a patient tries to get out of ޱųƋĹåųŸĘĜŞƋŅ±ÚÚų域Şų域ĜĹčåÏŅĹŅĵĜÏ bed, giving nurses more time to reach the bedside. There ±ĹÚŸŅÏĜ±ĬĜŸŸƚ埱ŸĜĹ豪ŅųååĹƋåųŸƋĘå is also the attractive Suu Balm range of products, which ųåÏŅƴåųƼŞĘ±ŸåţeŸŅüa±ųÏĘƤƖLjƖŎØƋĘåųåƵåųå provides rapid itch relief for atopic dermatitis (eczema) and ŎĿeüeŸÏŅƴåųĜĹč±ų屟ŸƚÏʱŸųŅÆŅƋĜÏŸØƋĘå ÆƚĜĬƋåĹƴĜųŅĹĵåĹƋØÚĜčĜƋ±ĬĬĜƋåų±ÏƼ±ĹÚ±ÏÏåŸŸØ other skin problems. Formulated by NSC and commercialised ±ĹÚƵŅųĩěĬĜüåʱųĵŅĹƼţ in collaboration with homegrown company Good Pharma 'HUPDWRORJ\WKHbSURGXFWVDUHQRZDYDLODEOHLQWHUQDWLRQDOO\ BETWEEN COUNTRIES PLAYERS INVOLVED: :±ƴĜØƋĘå±ÏÏĜĹåeĬĬĜ±ĹÏåſ Ņ±ĬĜƋĜŅĹüŅų)ŞĜÚåĵĜÏ{ųåŞ±ųåÚĹ域 “As science and FĹĹŅƴ±ƋĜŅĹŸŠ){FšØŅųĬÚBå±ĬƋĘ technology continue kųč±ĹĜDŽ±ƋĜŅĹƤŠBkš WHAT THEY DID: ųå±ƋåÚƋĘåCOVID-19 Vaccine to deepen, the need Global Access (COVAX)ŞĬ±ƋüŅųĵţke£ for multi-faceted ƵŅųĩŸƵĜƋĘčŅƴåųĹĵåĹƋŸ±ĹÚĵ±Ĺƚü±ÏƋƚųåųŸ interdisciplinary ƋŅåĹŸƚųåčĬŅƱĬåŧƚĜƋ±ÆĬå±ÏÏ域ƋŅ kF%ěŎĿƴ±ÏÏĜĹåŸØåŸŞåÏĜ±ĬĬƼüŅųĬŅƵåųě collaborations will ĜĹÏŅĵåÏŅƚĹƋųĜåŸţ become greater. PLAYERS INVOLVED: ÏĜåĹƋĜŸƋŸ±ĬĬŅƴåųƋĘåƵŅųĬÚ ĂĆʼnέÚÁěěʼnùĩŅÁĢ WHAT THEY DID: ŞĬŅ±ÚåÚeěŅěƖčåĹŅĵå ŸåŧƚåĹÏåŸŅĹƋĘåGlobal Initiative on accelerated pace at Sharing All Influenza Data (GISAID)ŞĬ±ƋüŅųĵØ which we develop ƵĘĜÏĘʱÚĵŅųåƋʱĹŎţƖĵĜĬĬĜŅĹŸƚÆĵĜŸŸĜŅĹŸ üųŅĵŎƀƖƤÏŅƚĹƋųĜåŸÆåƋƵååĹI±Ĺƚ±ųƼƖLjƖLj ʼnĩěŖőĆĩĢʼnőĩĆàäÁʼn͠Ό ±ĹÚeŞųĜĬƤƖLjƖŎţFƋƤʱŸåűÆĬåÚƋĘåų±ŞĜÚ Associate Professor Tan Cher Heng, ÚåƴåĬŅŞĵåĹƋŅüÚĜ±čĹŅŸƋĜÏƋåŸƋŸ±ĹÚ Deputy Clinical Director, ƴ±ÏÏĜĹåŸØ±ĹÚƋĘåƋų±ÏĩĜĹčƤŅüƤĹåƵƴ±ųĜ±ĹƋŸţ Centre for Healthcare Innovation, Tan Tock Seng Hospital
H E A LT H C A R E & I N N O V A T I O N IN WITH SKIN The success of Suu Balm points to dermatology, where NHG intends to build an international peak of excellence. A milestone was established in 2013 with the launch of the Skin Research Institute of Singapore (SRIS), a collaboration between A*STAR, NHG, and NTU that links scientists with clinicians and engineers to improve skin health and reduce the burden of skin diseases IRU$VLDQSRSXODWLRQVDQGbJOREDOO\ “Gone are the days when one can just focus on an area of science, like skin biology, and be able WRPDNHDVLJQLĆFDQWLPSDFWZLWKWKDWUHVHDUFK, am a strong believer that great outcomes will only come with the convergence of many disciplines in science,” says Associate Professor Steven Thng, Chief Dermatologist of SRIS. “That is why SRIS brings skin biologists, biomedical engineers, clinicians, and digital scientists into each of our research programmes — to ensure that clinical problems are tackled holistically.” As one of SRIS’ founding partners, NHG brings to the table its clinical expertise and large patient base. “We provide clinical insights, While research is time-consuming, problems, and questions to help focus and direct the scientists’ research. When a new technology stressful, and frustrating at times, the joy 16 or drug is developed, our patients are key for of making a new discovery or innovation WHVWLQJDQGYDOLGDWLRQë$3URI7KQJH[SODLQV+H JUL SEP often represents SRIS whenever a commercial that advances the care of patients 2021 enterprise expresses interest in working with the äŪäĢέÙűÁěĆőőěäÙĆőġĩŅäέőĂÁĢ Institute. He also runs all of SRIS’ clinical trials at the P.H. Feng Research Centre, located at NCID. ÚĩġłäĢʼnÁőäʼnέùĩŅőĂäʼnÁÚŅĆƈÚäʼnūäġÁėä͠Ό Two areas of research hold great potential. Associate Professor Steven Thng, Chief Dermatologist, One is clinical bedside, non-invasive imaging. Skin Research Institute of Singapore While skin imaging tools can now diagnose skin cancer without the need for a biopsy, SRIS is in two new drug development projects with working with A*STAR’s Singapore Bioimaging C&C Research Laboratories based in South Consortium (SBIC) to develop a machine capable .RUHDDVZHOODV$6/$13KDUPDFHXWLFDOV of generating 3D images of tumours. This will EDVHGLQ6LQJDSRUH$3URI7KQJLVRSWLPLVWLF allow surgeons to examine tumours virtually SRIS runs clinical that both projects will result in novel so that they can perform precise, personalised research trials therapeutics for atopic dermatitis, which at the P.H. Feng VXUJHU\7KHbVHFRQGLVDWRSLFGHUPDWLWLVD Research Centre, for a long time received little innovation common condition in Singapore. SRIS is involved located at NCID. LQbWUHDWPHQW Better treatment options will go a long way towards improving the quality of life and self-esteem of people suffering from skin problems, in addition to saving them money they would otherwise spend (in vain) WRPDQDJHWKHLUFRQGLWLRQ+RZHYHUEHQHĆWV go further. “The new knowledge generated Photo: Skin Research Institute of Singapore (SRIS) will be crucial in capturing value for the Singapore economy, in terms of attracting LQYHVWPHQWIURPb01&VDQGFUHDWLQJMREVë VD\V$3URI7KQJ+HDGGVWKDWDELJUHDVRQ Procter & Gamble (P&G) has set up its regional lab in Singapore is because the company recognises the country’s ventures into skin UHVHDUFKUHVXOWVRIZKLFKPLJKWLQćXHQFH 3 *èVbGHYHORSPHQWRIFRQVXPHUFDUHSURGXFWV VXFKDVbVRDSVDQGIDFLDObFOHDQVHUV
N H G I S A R E G I O N A L H E A LT H S Y S T E M F O R S I N G A P O R E · Lifewise bjƉXjƉFbƉ~bXFjbƉ $3URI7KQJDOVRSXOOVGRXEOHGXW\DVWKH Director of NHG’s Translational Research 2IĆFH 752 ê752ZDVHVWDEOLVKHGWR chart the direction and strategy of NHG’s research activities and align them with our translational research foci, namely skin, infectious diseases, mental health, ageing, and population health,” he explains. “I work with the various translational research project leads to unlock internal funds to seed those initiatives, as well as obtain extramural grants such as from the National Medical 5HVHDUFK&RXQFLOb 105& ë TRO facilitated the establishment of the Wounds iCare Collaborative (WiCC) Research and Clinical Workgroup. It brings together representatives from various LQWHUYHQWLRQVLQbWKHJURXSVZKLFK NHG institutions to consolidate efforts and BESIDES SRIS, OTHER ZLOOEHQHĆWPRVWDQGZKHUHLWPDNHV resources in wound care management, and COLLABORATIONS economic sense at the systems level,” also serves as a coordinating platform for FACILITATED BY TRO IN RECENT VD\V3URIb6HHW collaborations with academia and industry. YEARS INCLUDE: For this to happen, close “One important area to look at is Diabetic Rehabilitation Research partnerships between scientists, Foot Ulcers (DFUs), given the high prevalence Institute of Singapore (RRIS), clinicians, administrators, and patients of diabetes in our population. DFUs jointly established by NTU, — across primary, institutional, and contribute to Singapore having one of the A*STAR, and NHG community care — are essential. highest rates of lower-extremity amputation Health for Life in Singapore ê:HbQHHGWRGHYHORSDQHZOHYHO 17 LQWKHZRUOGëVD\V$3URI7KQJ (HELIOS) Study, a population of partnership with patients. It is He adds, “Over the years, we have cohort study led by LKCMedicine, critical to elevate medical literacy in established many partnerships with the in partnership with NHG and Singapore, and equip patients with the aim of translating research outcomes into Imperial College London right knowledge and tools to better evidence-based disease management, gAmes for heaLth InnoVations manage their medical conditions,” especially in areas with high disease burden cEntre (ALIVE), launched by DGGVb3URIb6HHW in Singapore that collectively coincide with LKCMedicine and NHG With the COVID-19 crisis still NHG’s and partners’ strengths.” Palliative Care Centre for disrupting the global ecosystem, Excellence in Research and 3URIb6HHWVD\VFROODERUDWLRQVQRZDQG BƉB)Ɖ8~)ƉBjX% Education (PalC), set up by into the future should be, “Targeted, Healthcare collaborations look set to gather Dover Park Hospice, LKCMedicine, Multiplier, Outcomes-driven.” Wise pace. “As science and technology continue and NHG words indeed as all sectors, including to deepen, the need for multi-faceted Brain Bank Singapore (BBS), healthcare, will have to be dynamic interdisciplinary collaborations will become initiated by LKCMedicine, the and strategic to keep pace with the greater. This calls for an accelerated pace at National Neuroscience Institute UDSLGO\bHYROYLQJFKDQJHVLQD which we develop solutions to ideas,” says (NNI), and NHG SRVW&29,'HQGHPLFbZRUOG $3URI7DQ1RWHYHQDSDQGHPLFFDQVORZ things down, he notes. “Technology provides opportunities for us to increase productivity and enhance care beyond the hospital THE CASE FOR and into the community through remote CLINICIAN-SCIENTISTS means and patient activation. Virtual cross- boundary discussions also allow us to engage To grow translational research activities, symptoms, and is not JOREDOSDUWQHUVIRUUHVHDUFKDQGbLQQRYDWLRQë not only must NHG collaborate with curative. The only way multiple partners; it also needs to do better for our One imagines that digital technologies clinician-scientists to helm such projects. patients is through will stretch the possibilities of what can be Many clinicians may feel apprehensive research,” he stresses. achieved in the future. For example, with the about performing this dual role, due to “While it is time-consuming, stressful, ability to analyse big datasets and machine the demanding training requirements and frustrating at times, the joy of learning, doctors can radically improve and significant time commitment. But making a new discovery or innovation their understanding of health and diseases A/Prof Thng appeals to their altruistic that advances the care of patients and make better treatment decisions with nature. “Most of the time, medicine — even by a little bit — more than patients. “The way ahead is to stratify as it is practised today just alleviates compensates for the sacrifices we make.” populations such that we can target early
K E E P I N G T H E V I RU S AT B AY WHY I DECIDED TO BE VACCINATED łĂűʼnĆÚĆÁĢŅäƉäÚőʼnĩĢ őĂäġĩŅÁě͡äőĂĆÚÁě͡ÁĢà łäŅʼnĩĢÁěŅäÁʼnĩĢʼnùĩŅ úäőőĆĢúőĂäg¨H#Ϳ̧̟ ĔÁÙ͡äŪäĢÁʼnÁĢà WʼnŖŅŪäűʼnƈĢàʼnĩġä 18 ĂäÁěőĂÚÁŅäūĩŅėäŅʼnÁŅä BY PROFESSOR CHONG SIOW ANN PSYCHIATRIST // VICE-CHAIRMAN JUL ŅäěŖÚőÁĢőŪÁŰŰäŅʼn͠ MEDICAL BOARD (RESEARCH) // SEP INSTITUTE OF MENTAL HEALTH IT 2021 FINALLY ARRIVED. 2Qb-DQXDU\bDIWHU ZRUN6FLHQWLVWVDQGFOLQLFLDQVKDYH ZLWKVFLHQFHWKDQZLWKRXUGHVLUHV EHLQJVFUHHQHGDQGKDYLQJ OHDUQWPXFKDERXWWKHWUDQVPLVVLRQ IUXVWUDWLRQGHVSHUDWLRQDQJHU JLYHQP\LQIRUPHGFRQVHQW DQGVSUHDGRIWKHGLVHDVHWKH\ LUUDWLRQDOLW\DQGbVXVSLFLRQ ,bUHFHLYHGP\ĆUVWGRVHRI KDYHVHTXHQFHGWKHJHQRPHRIWKH 7KHUHLVWKHYLHZWKDWKHDOWK WKH3Ć]HU%LR17HFKYDFFLQH 6$56&R9YLUXVDQGGHYHORSHG DORQHVKRXOGQRWEHæFDQQRWEH DWWKH,QVWLWXWHRI0HQWDO VFUHHQLQJWRROVDQGWKH\KDYH æWKHRQO\SULRULW\7KHUHLVWKH +HDOWKZKHUH,ZRUNDQG ZRUNHGIUHQHWLFDOO\IRUWKDWKRO\ HFRQRP\DQGHYHU\RQH VOLYHOLKRRG H[DFWO\WKUHHZHHNVODWHUWRWKHKRXU JUDLOæDVDIHbYDFFLQHWKDWZRXOG DQGWKHHGXFDWLRQRIRXUFKLOGUHQ ,bKDGWKHVHFRQGbGRVH FRQIHUXVORQJODVWLQJLPPXQLW\ WRWKLQNRIVRLWLVQRWSRVVLEOHWR ,NQHZWKDWWKHYDFFLQHLV 8QWLOWKHQDQGEDVHGRQ VKHOWHULQSODFHDQGVWD\DWKRPH UHDFWRJHQLFPHDQLQJWKDWLWZRXOG VFLHQWLĆFHYLGHQFHZHKDYHEHHQ ZKLOHZDLWLQJLQWHUPLQDEO\IRUWKH VWLPXODWHDVWURQJLPPXQHUHVSRQVHWKDW DGYLVHGWRPDVNXSDQGWDNHVDIH VFLHQWLVWVWRIUHHbXV FRXOGUHVXOWLQVRUHQHVVRIWKHDUPERG\ GLVWDQFLQJPHDVXUHVWRUHGXFHWKH 7KHOLEHUWDULDQVDPRQJWKH DFKHIHYHUFKLOOVKHDGDFKHVDQGIDWLJXH VSUHDGRILQIHFWLRQVVRDVQRWWR SRSXODWLRQVHHLWDVWKHLULQGLYLGXDO æV\PSWRPVZKLFKRFFXUUHGLQRQHWKLUG RYHUZKHOPKHDOWKFDUHV\VWHPV ULJKWWRPDNHWKHLURZQFKRLFHV RIWKHFOLQLFDOWULDObSDUWLFLSDQWV %XWDVZHKDYHVHHQHOVHZKHUH DERXWKRZWROLYHZRUNSOD\DQG 2WKHUWKDQFKLOOV,KDGDOOWKHVH LQWKHZRUOGVFLHQFHFDQVRPHWLPHV ZRUVKLSLQWKHIDFHRIWKHVHULVNV LQYDU\LQJVHYHULW\,QDZD\,IHOW EHVKRYHGDVLGHE\DFODPRURXV DQGLWLVXSWRWKHPWRDFFHSW DVVXUHGæDIWHUDOOWKHVHWLUHVRPHEXW PL[RISROLWLFVHFRQRPLFVUHOLJLRQ WKHbFRQVHTXHQFHV VKRUWOLYHGV\PSWRPVZHUHDQLQGLFDWLRQ FRQVSLUDF\WKHRULHVDQGPDQ\ 7KHFRQVSLUDFLVWVKDYHWURWWHG WKDWP\LPPXQHV\VWHPLVPRXQWLQJD RWKHUWKLQJVWKDWKDYHOHVVWRGR RXWP\ULDGGLIIHUHQWWKHRULHV UHVSRQVHWRWKHP51$WKDWHQFRGHVD YHUVLRQRIWKHFRURQDYLUXV VSLNHSURWHLQ As healthcare workers, deciding whether to ,DOVRIHOWSULYLOHJHGDQGDELWJXLOW\æ inoculate is not just a matter of exercising our DIWHUDOO,bUHFHLYHGWKHYDFFLQDWLRQZD\ EYXSRSQ]MXMWcEPWSEQEXXIVSJSYVGSRWGMIRGI DKHDGRIPDQ\RWKHUSHRSOHLQFOXGLQJ P\IDPLO\DQGbIULHQGV since the freedom to exempt oneself also %XWLWLVDQRFFDVLRQRIWULXPSKIRU negates a responsibility not only to our patients, VFLHQFHDQGDFXOPLQDWLRQRIXQUHOHQWOHVV but also to the rest of society.
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