logo
Then and now: No country for old habits in Singapore

Then and now: No country for old habits in Singapore

Straits Times14-07-2025
Whether 1845 or 2025, some things in Singapore never change. Snippets on how we reported them then and now.
A poster put up in 1948 in New Bridge Road to warn people against spitting and spreading tuberculosis.
'No spitting campaign gets a big start,' declared a Page 1 article on Aug 2, 1958, the year before Singapore achieved self-governance.
Anti-spitting posters were put up, including at the City Council building, a rally was held to spread the message, and thousands of letters passing through post offices in Singapore were stamped with the words 'Don't Spit'.
Spitting – and its potential to spread disease – was a public health menace, and it had plagued Singapore for a long time.
Beyond reporting, The Straits Times has served as a platform for civic frustration and concern, with readers writing in regularly to express alarm at the poor hygiene of their fellow men. Reports over the decades also show that while the tools to fight bad habits have changed – from posters to urine detectors – the message has remained constant.
In 1925, a century ago, a reader wrote in to suggest that anti-spitting notices be displayed in government offices, trams, eating houses and other public places. 'The spitting that goes on in our trams is positively dangerous,' said the reader, adding that a crackdown on spitting might help prevent the spread of tuberculosis.
The problem of keeping public places clean persisted beyond World War II, alongside worries about malnutrition in the population.
In 1947, a doctor wrote to the paper to note that spitting in the street and buses was far too common: 'I have even shared a taxi with a man who occupied his time expectorating on the floor.'
Top stories
Swipe. Select. Stay informed.
Singapore HSA intensifies crackdown on vapes; young suspected Kpod peddlers nabbed in Bishan, Yishun
Singapore Man charged over distributing nearly 3 tonnes of vapes in one day in Bishan, Ubi Avenue 3
Singapore Public healthcare institutions to record all Kpod cases, confiscate vapes: MOH, HSA
Singapore Man allegedly attacks woman with knife at Kallang Wave Mall, to be charged with attempted murder
Singapore Singapore boosts support for Timor-Leste as it prepares to join Asean
Singapore UN aviation and maritime agencies pledge to collaborate to boost safety, tackle challenges
Singapore High Court dismisses appeal of drink driver who killed one after treating Tampines road like racetrack
Singapore 18 years' jail for woman who hacked adoptive father to death after tussle over Sengkang flat
A worker clearing up rubbish at the Padang after an anti-spitting rally and concert in 1958.
PHOTO: ST FILE
In 1949, the municipal commission of Singapore was reportedly considering imposing a stiff fine and even jail for those caught spitting. A reader wrote in to argue against such penalties, questioning if these would even make a dent in the problem, 'when half of Singapore spits'.
Complaints about public cleanliness and disgusting habits like spitting and peeing in public cropped up from time to time even after Singapore gained independence in 1965 and became more developed.
In 1981, a reader wrote in after witnessing a bus driver, who had stopped at a traffic light, clearing his throat to spit out the window 'nonchalantly' on the road.
Noting that it was a common habit, the writer added: 'It is a disgusting and appalling habit and most unhygienic, to say the least. What if the spitter happens to be a carrier of tuberculosis or flu germs or who knows what other contagious diseases?'
In May 1984, another 'Stop Spitting Campaign' was mounted by the Government to educate the public on the evils of spitting in public places.
As part of the campaign, the Registry of Vehicles took the no-spitting message to 40,000 public transport workers, with stickers, posters and advertising panels spreading the campaign slogan: 'Stop That Spitting Habit – It's Dirty. It Spreads Disease.'
A giant poster on the marble columns of the Singapore City Council on Aug 1, 1958, proclaiming the start of the council's anti-spitting campaign. The poster is designed to convey, without words, the message 'Do not spit'.
PHOTO: ST FILE
The act of spitting took on greater menace during the severe acute respiratory syndrome (Sars) epidemic and later the Covid-19 pandemic.
The authorities cracked down on spitting during the Sars epidemic in 2003.
In May that year, the National Environment Agency nabbed 31 people for spitting in public and made an example of 11 by charging them in court. Each offender was named and made to pay a fine of $300.
In June 2020, during the Covid-19 pandemic, a woman was charged over hurling abuse and
spitting at an employee in a KFC outlet. In April the same year, a man was jailed
for spitting on the floor of a hotel lobby and shouting 'corona, corona'.
Besides spitting, another nuisance in the 1970s and 1980s was urinating in lifts, when more Singaporeans started moving into high-rise public housing.
A resident of Block 18 Marine Terrace wrote to The Straits Times in 1977 to complain about how the three lifts in the block 'are always full of urine'; in 1987, grassroots leaders in Telok Blangah launched a campaign against urinating in lifts by putting up posters and giving out pamphlets, after complaints about smelly lifts.
In January 1988, the Housing Board started installing urine detectors in some estates, the paper reported in a Feb 28, 1988, article headlined 'More caught on film with their pants down'. A 79-year-old man in Tampines and two boys aged seven and nine in Ang Mo Kio were among those who were arrested.
The urine detectors could pick up on the salt content in urine, which would activate a video recording and stop the lift. The culprit would be freed by a lift rescue team and handed over to the police.
By 1997, the problem looked to be under control in HDB estates with the greater introduction of urine detectors, The Straits Times reported.
It was harder to eradicate it from other public places.
In 2008, a stink was raised about the stench of urine that hung over a walkway to the Esplanade; also causing olfactory offence were suspicious puddles in the stairwells of buildings like Lucky Plaza or Hong Lim Complex.
Urinating in public remains a nuisance.
In January 2025, three men were separately caught urinating at Outram Park, Potong Pasir and Tanah Merah MRT stations. The paper reported in the same month that an astonishing average of 600 people were fined each year for urinating or defecating in public from 2020 to 2024.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

TTSH initiative aims to address osteoporosis in older patients with wrist fractures
TTSH initiative aims to address osteoporosis in older patients with wrist fractures

Straits Times

time8 hours ago

  • Straits Times

TTSH initiative aims to address osteoporosis in older patients with wrist fractures

Sign up now: Get ST's newsletters delivered to your inbox SINGAPORE - In 2020, Mr Chong Kee Kong was on an escalator with his grandson when the boy bent down to pick up his pacifier and lost his footing. While trying to stop his grandson from falling, Mr Chong, now 79, tumbled down the escalator himself, earning an abrasion and a fractured left wrist. After undergoing surgery to repair the fracture, Mr Chong found out that he had osteoporosis – a bone disease characterised by an increased fracture risk due to the deterioration of bone tissue. To help people like him, Tan Tock Seng Hospital (TTSH) has started a service aimed at proactively diagnosing osteoporosis in patients aged 50 and above who have had wrist fractures, and managing their conditions. TTSH hand and reconstructive microsurgery department senior consultant Mala Satku said the hospital sees about 600 people aged 50 and above with distal radius fractures, or broken wrists, each year. In 2022, the hospital reviewed more than 2,500 patients aged 50 and above who had suffered low-impact wrist fractures between 2013 and 2016. It found that of the 1,034 patients who had undergone subsequent screening, 56 per cent were found to have osteoporosis, while 37.4 per cent were found to have osteopenia, a less severe condition which can eventually lead to osteoporosis. Top stories Swipe. Select. Stay informed. Singapore Water supply issues during Toa Payoh blaze affected firefighting operations; SCDF investigating Singapore MHA to support HSA's crackdown on Kpod abusers and help in treatment of offenders: Shanmugam Singapore Tampines, Toa Payoh BTO flats most popular among first-time home buyers in July HDB launch Sport Leon Marchand sets first world record at World Aquatics C'ships in Singapore Singapore Jail, fine for man linked to case involving 3 bank accounts that received over $680m in total Singapore Provision shop owner who raped 11-year-old gets more than 14 years' jail Singapore School, parents on alert after vape peddlers approach primary school pupil Singapore Escape, discover, connect: Where new memories are made The findings of the study were published in The Journal Of Hand Surgery (Asian-Pacific Volume) in 2022. As Singapore's population ages – with a quarter of the country's population expected to be aged 65 and above by 2030 – wrist fractures are increasingly becoming a concern, Dr Mala said, noting the average age of patients with such fractures to be about 68. While osteoporosis is sometimes thought of as a women's disease, it also affects men, she said, noting that one in five men have osteoporosis, compared with one in three women. She said that while older patients with hip and spine fractures are often screened for osteoporosis, this is not the case for those with wrist fractures. However, wrist fractures can be an indicator of a greater risk of hip and spine fractures, she added. 'Studies have shown that anyone with a wrist fracture has a 5.6 times higher risk of a hip fracture compared with someone who doesn't have a wrist fracture,' she said. Addressing osteoporosis in patients with wrist fracture can help reduce this risk, said Dr Mala . She said studies have shown that active osteoporosis care after a patient suffers a wrist fracture can lead to an 86 per cent reduction in hip fractures, as well as a 65 per cent reduction in all other subsequent fractures. The new initiative, said Dr Mala who is leading it, involves first treating the wrist fracture, either through surgery or the use of a cast. A bone mineral density scan, typically done using a low-radiation X-ray to measure the presence of minerals such as calcium in bone, is conducted to diagnose osteoporosis. During follow-up visits, patients undergo rehabilitation and monitoring of the fracture. 'At the same time, there is also evaluation and treatment of osteoporosis by our panel nurses,' she said, noting that this is often done during the same appointment to save patients' time. Even after their fractures heal, patients whose bone densities remain low are referred to polyclinics or their general practitioners for ongoing management. Osteoporosis treatment is typically a long-term affair, conducted across three to five years, with regular reviews and scans done at the TTSH Hand Surgery Clinic. Treatment can include shots of the drug denosumab, to strengthen bone, in addition to exercise and adjusting a patient's diet to include more calcium. The programme has seen a 60 per cent increase in the number of wrist fracture patients screened for osteoporosis at TTSH after a pilot, which ran between 2021 and 2023, Dr Mala said. Meanwhile, the number of patients seen for osteoporosis care after wrist fractures tripled between 2022 and 2025 under the programme, which won merit awards at the NHG Quality Day Awards in 2022 and 2023. TTSH aims to expand the service to other institutions under the NHG Health cluster. 'We would like as many patients as possible to benefit from this programme and discussions are in place,' said Dr Mala, noting however, that a timeline for such an expansion had not yet been set. Mr Chong has since recovered from the fracture, and said the interventions have helped him get stronger, in addition to addressing his osteoporosis. 'I can now carry up to 5kg,' he said.

On Gaza malnutrition ward, a child's arm is as wide as mother's thumb
On Gaza malnutrition ward, a child's arm is as wide as mother's thumb

Straits Times

time11 hours ago

  • Straits Times

On Gaza malnutrition ward, a child's arm is as wide as mother's thumb

Sign up now: Get ST's newsletters delivered to your inbox KHAN YOUNIS, Gaza Strip - On the pink walls of Nasser hospital's child malnutrition ward, cartoon drawings show children running, smiling, and playing with flowers and balloons. Beneath the pictures, a handful of Gazan mothers watch over their babies who lie still and largely silent, mostly too exhausted by severe hunger to cry. The quiet is common in places treating the most acutely malnourished, doctors told Reuters, a sign of bodies shutting down. "She is always lethargic, lying down, like this… you do not find her responsive," said Zeina Radwan, mother of 10-month-old Maria Suhaib Radwan. She has not been able to find milk or enough food for her baby, and cannot breastfeed as she herself is underfed, surviving on one meal a day. "My children and I cannot live without nutrition." Over the last week, Reuters journalists spent five days in Nasser Medical Complex, one of only four centres left in Gaza able to treat the most dangerously hungry children. Gaza's food stocks have been running out since Israel, at war with Palestinian militant group Hamas since October 2023, cut off all supplies to the territory in March. That blockade was lifted in May but with restrictions that Israel says are needed to prevent aid being diverted to militant groups. Top stories Swipe. Select. Stay informed. Singapore Water supply issues during Toa Payoh blaze affected firefighting operations; SCDF investigating Singapore MHA to support HSA's crackdown on Kpod abusers and help in treatment of offenders: Shanmugam Singapore Tampines, Toa Payoh BTO flats most popular among first-time home buyers in July HDB launch Singapore Bukit Panjang LRT to shut on 2 Sundays to facilitate tests; some upgrading work nearing completion Singapore Jail, fine for man linked to case involving 3 bank accounts that received over $680m in total Singapore Provision shop owner who raped 11-year-old gets more than 14 years' jail Singapore School, parents on alert after vape peddlers approach primary school pupil Business S'pore's economic resilience will face headwinds in second half of 2025 from tariffs, trade conflicts: MAS As stocks ran out, the situation escalated in June and July, with the World Health Organization warning of mass starvation and images of emaciated children shocking the world. The Gaza health ministry says 151 people, including 89 children, have died of malnutrition, most in recent weeks. A global hunger monitor said on Tuesday that a famine scenario is unfolding. Israel says it has no aim to starve Gaza. This week it announced steps to allow more aid in, including pausing fighting in some locations, air dropping food and offering more secure routes. The United Nations said the scale of what is needed is vast in order to stave off famine and avert a health crisis. "We need milk for babies. We need medical supplies. We need some food, special food for nutritional department," said Dr Ahmed al-Farra, head of the paediatric and maternity department in Nasser Medical Complex. "We need everything for the hospitals." Israeli officials say many of those who died while malnourished in Gaza were suffering from pre-existing illnesses. Famine experts say this is typical in the early stages of a hunger crisis. "Children with underlying conditions are more vulnerable. They get affected earlier," said Marko Kerac, clinical associate professor at the London School of Hygiene and Tropical Medicine, who helped draw up the WHO's treatment guidelines for severe acute malnutrition. Farra said his hospital was now dealing with malnourished children with no previous health problems, like baby Wateen Abu Amounah, born healthy nearly three months ago and now weighing 100 grams less than she weighed at birth. "During the past three months she did not gain one gram. On the contrary the child's weight decreased," the doctor said. "There is total loss of muscles. It's only skin on top of bones, which is an indication that the child has entered a severe malnutrition phase," said Farra. "Even the face of the child: she has lost fat tissues from her cheeks." The baby's mother, Yasmin Abu Sultan, gestures at the child's limbs, her arms about as wide as her mother's thumb. "Can you see? These are her legs... Look at her arms," she said. SUPPLIES RUNNING OUT, FEW SPACES IN HOSPITAL The youngest babies in particular need special therapeutic formulas made with clean water, and supplies are running low, Farra and the WHO told Reuters. "All the key supplies for the treatment of severe acute malnutrition, including medical complications, are really running out," said Marina Adrianopoli, WHO nutrition lead for the Gaza response. "It's really a critical situation." The treatment centres are also operating beyond capacity, she said. In the first two weeks of July, more than 5,000 children under five received outpatient treatment for malnutrition, with 18% suffering from the severest form. That was a surge from 6,500 in the whole of June, already the highest of the war and almost certainly an underestimate, said the WHO. Seventy-three children with malnutrition and complications were hospitalised in July, up from 39 in June. Hospital places are scarce. Baby Wateen's mother said she tried to get the girl admitted last month, but the centre was full. After ten days with no milk available and barely a meal a day for the rest of the family, she returned last week because her daughter's condition was deteriorating. Like several of the infants at Nasser, Wateen also has a recurring fever and diarrhoea, illnesses that malnourished children are more vulnerable to and which make their condition more dangerous. "If she stays like this, I'm going to lose her," her mother said. Wateen remains in hospital getting treatment, where her mother encourages her to take tiny sips from a bottle of formula milk. A side-effect of severe malnutrition is, counter-intuitively, loss of appetite, doctors told Reuters. Yasmin herself lives on the one meal a day provided by the hospital. Some of the other babies Reuters met, like 10-month-old Maria, were discharged over the weekend after gaining weight, and given formula milk to take home with them. But others, like five-month-old Zainab Abu Haleeb, did not make it. Vulnerable to infection because of her severely malnourished state, she died on Saturday of sepsis. Her parents carried her tiny body out of the hospital for burial, wrapped in a white shroud. REUTERS

AI chatbot will help SGH save money, time with pre-surgery assessments
AI chatbot will help SGH save money, time with pre-surgery assessments

Straits Times

time13 hours ago

  • Straits Times

AI chatbot will help SGH save money, time with pre-surgery assessments

Sign up now: Get ST's newsletters delivered to your inbox The AI chatbot was soft-launched in December 2024 for the benefit of doctors at SGH's Preoperative Assessment Clinic. SINGAPORE – An AI chatbot that helps doctors comprehensively assess a patient's health before an operation will save the Singapore General Hospital (SGH) up to 660 hours of doctors' time, which is equivalent to $200,000 in costs annually. Peach – short for Perioperative AI Chatbot – was soft-launched in December 2024 for the benefit of doctors at SGH's Preoperative Assessment Clinic. The large language model was developed by the hospital, making use of available resources by Open Government Products – an independent division of the Government Technology Agency (GovTech). The clinic sees about 120 patients a day, who all have to undergo medical evaluation of their past and current illnesses, medications and allergies, and previous anaesthesia reactions before being scheduled for surgery. According to a study published earlier in July in the medical journal npj Digital Medicine, which analysed 270 patient assessments done by the AI chatbot between January and February, it reduced documentation time by nearly 6 minutes per patient. In a media briefing held on July 30 at SGH, Dr Ke Yuhe, associate consultant at SGH's department of anaesthesiology, explained that prior to the roll-out of Peach, doctors had to pore over more than 400 pages of guidelines before coming up with a perioperative plan. This includes the care a patient will receive before, during, and after a procedure. Top stories Swipe. Select. Stay informed. Singapore MHA to support HSA's crackdown on Kpod abusers and help in treatment of offenders: Shanmugam Singapore Bukit Panjang LRT to shut on 2 Sundays to facilitate tests; some upgrading work nearing completion Singapore Jail, fine for man linked to case involving 3 bank accounts that received over $680m in total Singapore Provision shop owner who raped 11-year-old gets more than 14 years' jail Business S'pore's economic resilience will face headwinds in second half of 2025 from tariffs, trade conflicts: MAS Business S'pore's Q2 total employment rises but infocomm, professional services see more job cuts Singapore Fewer than 1 in 5 people noticed suspicious items during MHA's social experiments Asia Powerful 8.8-magnitude quake in Russia's far east causes tsunami; Japan, Hawaii order evacuations 'This can be very overwhelming, especially for new junior doctors. So we wanted to develop this chatbot to reduce their workload in the clinic, so they can focus more on actual clinical interactions with patients,' said Dr Ke, who led the development of Peach. Dr Ke and the team spent about a month in late 2024 integrating SGH's perioperative guidelines into an AI assistant created by Open Government Products. Peach is only accessible on hospital-issued encrypted laptops. With the chatbot, doctors can simply input relevant patient information from electronic health records, and Peach will be able to make suggestions as to what the patient's risk profile is, and what kind of anaesthetic to use in the operating theatre and for how long. In a study done on the AI chatbot in November 2024, 240 interactions were examined, and it was found that Peach demonstrated about 98 per cent accuracy in making pre-surgery recommendations. The chatbot can also assist with instructions for patients prior to a surgery, like the fasting time needed and medication instructions. It can also help with the drafting of referra l letters if needed. Associate Professor Hairil Rizal, senior consultant and clinician scientist at SGH'S department of anaesthesiology, said: 'When you're seeing thousands of pre-surgery patients annually, every minute saved on administrative tasks is a minute gained for patient care.' As Singapore's population ages, patients will increasingly come with multiple chronic conditions. Prof Hairil also pointed out that the chatbot is particularly useful in helping junior doctors make sense of more difficult and complex cases. When the chatbot gives its recommendations, it will also include justifications for its answers, as well as cite the protocols and guidelines it has referenced. 'It's like having a consultant at their fingertips guiding them,' said Prof Hairil, also stressing that doctors are still ultimately responsible for the clinical recommendations made to patients. SGH is in conversation with other hospitals in the SingHealth cluster – Sengkang General Hospital and KK Women's and Children's Hospital – to roll out the AI chatbot.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store