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Work It - Self-care tips when your job gets too stressful
Work It
Tight schedules, endless tasks and demanding expectations – these are the daily realities for many working professionals. Emergency medicine physicians and authors Dr Adaira Landry and Dr Resa Lewiss share practical strategies on how to stay well despite busy lives.
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Mandatory measles immunity for maids working in households with young children who are not fully vaccinated
SINGAPORE: From Sep 1, maids working in households with young children who are not fully vaccinated against measles must be immunised against the disease. This mandatory immunisation is aimed at protecting "unvaccinated young childen who are at higher risk of serious health complications from measles infections", said the Ministry of Manpower on Tuesday (Jun 6). The measure also comes amid a recent jump in infections in the US. Ten cases have also been recorded in Singapore this year as of the week ending May 10, according to the Ministry of Health's weekly infectious disease bulletin. That is just one short of the 11 cases logged throughout all of 2024. Employers with children below the age of seven must declare the following information at the point of work permit issuance for of migrant domestic workers or when renewing their work permit: Whether the domestic worker is already vaccinated or immune to measles Whether all children under seven are fully vaccinated If the domestic worker has not been vaccinated but a vaccination appointment has been booked A domestic worker does not need to be vaccinated if she is immune to measles or if all the children in the household aged under seven are fully vaccinated against measles, said MOM. 'As measles immunity can be acquired either through past infection or vaccination, the employer may provide documentary proof to MOM, such as a proof of completion of vaccination, serology test result or laboratory confirmation of past infection.' Employers with existing workers are advised to review the immunity status of their workers ahead of the permit renewal. To be fully vaccinated, two doses of the measles, mumps and rubella (MMR) vaccine are required, at an interval of at least 28 days between doses. The vaccine is available for domestic workers at private GP clinics and employers are to bear the costs incurred in meeting the measles immunity requirements for their domestic workers. Measles is a highly contagious viral disease that is transmitted through the air and its vaccination has been made compulsory in Singapore since 1985. According to the National Childhood Immunisation Schedule, two doses of MMR vaccine are recommended at 12 months and again at 15 months. 'Despite high vaccination coverage and population immunity in Singapore, sporadic cases and small clusters of measles are still expected among individuals who are not immune due to the highly transmissible nature of the disease,' said MOM. 'Given Singapore's position as a major travel hub, the surge in measles cases globally and regionally continues to pose public health risks, particularly for those without measles immunity.'
CNA
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Kennedy dismisses entire US CDC vaccine panel, replacing all 17 members
WASHINGTON: Health Secretary Robert F Kennedy Jr has fired all members sitting on a US Centers for Disease Control and Prevention panel of vaccine experts and is reconstituting the committee, his department said on Monday (Jun 9). Kennedy removed all 17 members of the Advisory Committee on Immunization Practices, the Department of Health and Human Services said in a statement, and is in the process of considering new members to replace them. "Today we are prioritising the restoration of public trust above any specific pro- or anti-vaccine agenda," Kennedy said. "The public must know that unbiased science - evaluated through a transparent process and insulated from conflicts of interest - guides the recommendations of our health agencies." Kennedy claimed that ACIP is rife with conflicts and has never turned down a vaccine, but the decision to approve vaccines rests with the US Food and Drug Administration. ACIP provides guidance to the CDC on which groups of people would most benefit from an already-approved vaccine, and when they should get it. "That's a tragedy," former FDA Chief Scientist Jesse Goodman said of the firings. "This is a highly professional group of scientists and physicians and others ... It's the kind of political meddling that will reduce confidence rather than increase confidence." Shares of vaccine makers Moderna and US-listed shares of BioNTech fell more than 1 per cent, while Pfizer was down marginally in extended trading on Monday. Kennedy, who for many years has questioned the safety and efficacy of vaccines, making claims contrary to scientific evidence, said most ACIP members receive funding from drugmakers. But ACIP members are required to declare any potential or perceived conflicts of interest that arise in the course of ACIP tenure and any relevant business interests, positions of authority or other connections with organisations relevant to the work of the ACIP. ACIP members are required to disclose everything as part of the application process, said one fired member who spoke on condition of anonymity, including investments and all sources of income. Kennedy and HHS provided no specific evidence of industry conflicts of interest among departing ACIP members. The CDC's web page for conflicts of interest, last updated in March, showed that one current member had recused herself from votes on a handful of vaccines because she had worked on clinical trials for their manufacturers. All 17 sitting ACIP members were appointed under former President Joe Biden's administration, including 13 in 2024, HHS said. Not removing them would have prevented President Donald Trump's administration from choosing a majority of the committee until 2028. "This is not a political committee, it's never been partisan," said Dorit Reiss, a vaccine law expert at UC Law San Francisco. "It's an expert committee. Presidents have never been involved in ACIP membership." The decision drew criticism from Democrats in Congress, and one key Republican expressed concern. "Of course, now the fear is that the ACIP will be filled up with people who know nothing about vaccines except suspicion," said Republican US Senator Bill Cassidy in a post on X. "I've just spoken with Secretary Kennedy, and I'll continue to talk with him to ensure this is not the case." Cassidy, a doctor from Louisiana who had expressed wariness about Kennedy's anti-vaccine views before clearing the path for him to become the nation's top health official, said at the time he had received assurances Kennedy would protect existing vaccination programs. ACIP will convene its next meeting Jun 25-27 at CDC headquarters in Atlanta, the department said. Once the FDA approves vaccines for sale to the public, ACIP's role is to review data in a public meeting and vote on vaccine recommendations, which are then sent to the CDC director to sign off. The Affordable Care Act generally requires insurers to cover vaccines that are listed on the CDC vaccine schedules for adults and children. The recommendations also determine which vaccines the CDC's Vaccines for Children program will provide free of charge to those without insurance.
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Money Talks - Navigating the financial costs of cancer
Money Talks Play 21 mins Beyond the physical and emotional toll that comes with having cancer, the financial burden can be just as daunting. So what are the key costs to consider if you or your loved one are faced with cancer? Group director for clinical services at the Singapore Cancer Society Dr Dennis Chia is our guest.
