Hepatitis B is a virus that infects the liver. It is very infectious, more so than the AIDS virus.

HOW SERIOUS IS THE PROBLEM?

It is very epidemic in some parts of the world and is now on the increase in the world.

Most people with hepatitis recover, although some have a long and serious illness. It may be fatal in people who get cirrhosis or cancer of the liver from it. 5- 10% of sufferers become carriers.

WHAT IS A HEPATITIS B CARRIER?

A carrier is a person who has not been able to get rid of the virus from his or her body. Carriers are a risk to other people and have a responsibility to tell dentists, doctors and other people about this. The doctor will advise on how to cope.

WHAT ARE THE SYMPTOMS OF HEPATITIS B?

This depends on whether the attack of hepatitis is acute or chronic. The acute attack produces a flu- like illness and yellow skin, jaundice. The chronic form comes on slowly and is more serious. It may take months from the time you get the virus until the illness develops. Some people may never have symptoms.

HOW IS HEPATITIS B SPREAD?

The virus is carried in all body fluids: blood, saliva, semen, and vaginal secretions, breast milk, tears and perspiration. It is usually picked up by absorption of infected blood through cuts and sores in the skin, by sexual intercourse or by sharing infected items such as razor blades, toothbrushes, needles, and syringes. Procedures such as ear piercing and tattooing can also spread it. The commonest ways are through intravenous drug use and sexual intercourse with carriers.

WHO ARE AT HIGHEST RISK OF HEPATITIS B?

• Intravenous drug users
• Male homosexuals
• Heterosexuals and bisexuals with multiple sex partners
• Prostitutes
• Prisoners and other institutionalised people
• Certain ethnic groups
• Healthcare workers
• Babies born to carrier mothers
• Children in kindergartens and schools, especially where exposed to a variety of people

IS THERE A HEPATITIS B CURE?

• There is no cure, but it can be prevented
• Prevention is the only cure
• This is done by good hygiene and vaccination

GOOD HYGIENE

• Do not share personal item
• Use a condom for sex
• Be careful not to get another’s blood on cuts or wounds
• Do not share needles

VACCINATIONS

This involves a course of 3 injections

Singapore is free from vaccine-preventable diseases like poliomyelitis, diphtheria, tetanus and pertussis (whooping cough) because of our successful immunisation progamme.

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).

National Adult Immunisation Schedule (NAIS) Singapore @ MD International Medical Centre. Make your vaccination appointment at Tel: 6694 1661.

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WHAT IS THE TREATMENT FOR HEPATITIS B?

Carriers should follow the ‘good hygiene’ guidelines. They should eat a normal healthy diet and reduce any alcohol to no more than one standard drink per day. If there is a liver damage, interferon may be prescribed.

REMEMBER:

1.      A BLOOD TEST CAN TELL WHETHER YOU HAVE IMMUNITY OR ARE A CARRIER

2.      TALK TO YOUR DOCTOR ABOUT THE PREVENTION OF HEPATITIS B

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Comparison of Hepatitis A, B, C, Delta & E

Please seek Medical attention as soon as possible if you are unsure of you or your family's health condition.

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Health Assessment & Screening Packages

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Pain Management

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Get Vaccinated!

• COVID Vaccine & Booster
  
• Flu Vaccine
• Childhood & Adult Vaccine schedule (Refer to NAIS & NCIS)

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).

Sinopharm COVID-19 Vaccine in Singapore

Sinopharm COVID-19 Vaccine is now available @ MD International Medical Centre. Make a Vaccination or Booster Appointment at Tel: 6694 1661. Learn more about Sinopharm here.

Sinopharm BBIBP-CorV vaccine has now been approved for use by private clinics in Singapore against the COVID-19 virus under the Special Access Route. It is the first China-made vaccine to be approved by the World Health Organisation (WHO).

To date, more than a billion doses of the Sinopharm BBIBP-CorV have been administered. The vaccine has also been approved for use in over 50 countries around the world.

Inactivated vaccines are a tried-and-tested form of vaccine technology which is used in other well-established vaccines, such as the Flu and Hepatitis B vaccines.

If you would like to receive the Sinopharm vaccine or booster, please make your appointment at MD Int'l Medical Centre at Tel: 6694 1661.

Effects of COVID-19 on the Brain

Ministry of Health Recommendation :

• For persons who have already completed their Primary series with mRNA vaccines and are recommended to get a booster, but are unable to take another dose of mRNA vaccines for medical reasons, they may boost using one dose of Sinopharm vaccine. The booster should be taken six months after mRNA dose 2 (M-M-S).

• For persons who are unable to take the the 2nd dose of mRNA vaccines for medical reasons, they may complete their vaccination with the Sinopharm vaccine. 2 doses of the Sinopharm vaccine is recommended to complete the Primary series. The 2nd Sinopharm dose  should be taken 28 days after the 1st Sinopharm dose (M-S-S).

For recovered persons who had not completed a primary series before infection:

• For persons who have recovered from a COVID-19 infection but received 1 dose or none of COVID-19 vaccination prior, they may receive 2 doses of the Sinopharm vaccine (28 days interval between doses), 3 months after the date of infection to complete a primary vaccination series (Recovered-S-S or S-Recovered-S-S or M-Recovered-S-S).

• For persons who have recovered from a COVID-19 infection and had received 2 doses of Sinovac or Sinopharm vaccines prior, they may receive 1 dose of Sinopharm after 3 months from the date of infection to complete a primary vaccination series (S-S-Recovered-S).
  

Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).

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Romina Libster: The power of herd immunity

How do vaccines prevent disease — even among people too young to get vaccinated? It's a concept called "herd immunity," and it relies on a critical mass of people getting their shots to break the chain of infection. Health researcher Romina Libster shows how herd immunity contained a deadly outbreak of H1N1 in her hometown. (In Spanish with subtitles.)

Healthy Diets for Optimal Health

Infectious Diseases

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Groups at Higher Risk for Severe Illness in a COVID-19 Infection

Comorbidities & Underlying Health Conditions in COVID-19 Patients with Complications

·       Hypertension

·       Diabetes mellitus

·       Cerebrovascular disease

·       Cardiovascular disease

·       Chronic lung diseases including COPD

·       Chronic Kidney disease

·       Asthma

·       Dementia

·       Chronic Neurological Disorders

·       Cancer

·       Rheumatological Disorder

·       Obesity

·       Smoking

·       Chronic Hematologic disease / Haemoglobin Blood Disorders

·       Liver disease / Hepatitis B Infection

·       Malnutrition

·       Immunodeficiency / Immunocompromised eg HIV AIDS

·       People aged 65 and older

(Ref: https://www.nature.com/articles/s41430-020-0642-3.pdf, Dailymail.co.uk, https://pubmed.ncbi.nlm.nih.gov/32320003/, Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis https://erj.ersjournals.com/content/early/2020/03/17/13993003.00547-2020

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Co-infection of COVID-19 with other infectious diseases is possible.

Reduce your risk of getting sick with COVID-19

• Make sure your vaccinations are up-to-date. People older than 65 years, and those with many underlying conditions, such as those who are immunocompromised or with significant liver disease, are recommended to receive vaccinations against influenza (Flu 2021/22) and pneumococcal disease (PCV). Click here for Vaccination schedules (NAIS/NCIS).
  
• Do not delay getting medical care for your underlying condition because of COVID-19. MD International Medical Centre has contingency MOH infection prevention protocols to protect you from getting COVID-19 if you need care for your underlying condition.
• Continue your medications and do not change your treatment plan without talking to your doctor.
• Make sure that you have at least a two-week supply of your chronic disease medications.
• Call MDIMC @ Tel: 6694 1661 for a medical appointment if you have any concerns about your underlying medical conditions or if you get sick. Our clinic is a PHPC-accredited medical clinic. Under the MOH Swab & Go Home programme, our doctors can do a COVID-19 PCR Swab test if you meet the MOH medical crtieria.

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COVID-19 SARS-CoV-2 Virus Information

Asymptomatic patients may not display no symptoms of illness. Vulnerable people should get vaccinated against Influenza as the stop gap until the COVID vaccine is found. The Flu vaccine would protect susceptible people from, as well as exclude the Flu and H1N1 viruses should they start to show URTI or ARI symptoms.

- Latest Influenza Vaccine

The latest Influenza Vaccine is now available. It protects against the Flu and H1N1 Viruses. In the event that a person displays flu-like symptoms after the Flu vaccination, both Flu and H1N1 may be excluded in his diagnosis, and treatment can be sought quickly should the patient have contracted COVID-19.

Ministry of Health Safety protocols are adhered to at all times for the safe vaccination of you and your family.

* Latest COVID-19 Updates & Health Tips

* Importance of Keeping your Vaccinations Up-to-date

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MD International Medical Centre

Medical Services available :

• General Medicine / General Practice
• Minor Surgical Procedures
  
• Dermatology - Skin Problems (Eczema, Acne, Rash, Boils, Dermatitis, Pigmented or Dry Skin, Mole/Skin Tag/Wart Removal)
  
• Dermoscopy - Non-invasive Detection of Skin Cancer, Pubic lice & Scabbies
• Treatment of Insect Bites & Stings
• Infectious diseases & Virology (COVID-19. Dengue, Flu, Hepatitis B)
• Respiratory Medicine - Cough, Wheezing, Shortness of breath
  
• Obesity / Weight control
• Stomach ache
  
• Respiratory Lung Diseases
• Liver Diseases
• Kidney disease / Kidney stones
  
• Eye Health / Opthalmology
  
• Ear Nose Throat / ENT -
  Nose Bleed-Epistaxis /Snoring & Sleep Apnoea /Verigo & Dizziness
• Removal of Ear Wax
• Personal Health
• Allergies Test & Management
• Treatment of Allergic Rhinitis
  
• Asthma Management
• Vaccinations / Immunization (eg Flu vaccination)
• Depression / Anxiety / Stress Management
• Management of Chronic Diseases (eg Diabetes / Hypertension)
• Treating Prediabetes, Diabetes & Insulin Resistance
  
• Heart Disease / High Cholesterol Management
• Health Management
• Men's Health
• Women's Health - Osteoporosis, Heavy Periods, Breast lumps, Urinary Tract Infection, Anaemia, Tremors
  
• Child Health & Nutrition / Pediatrics
• Elderly / Senior Health
• Dementia Screening
• Neurological Disorders
  
• Treatment of Gout
• Pain Management (eg Arthritis, Back Pain, Migraine)
• Sports Injuries
  
• Travel Health (eg Vaccinations / Travellers' Diarrhoea)
  
• Health Screening / Blood tests
• Pre-Employment check-up
• Work Permit / Employment Pass / Student Pass / Driving License Check-up
• Blood Disorders
  

Public Health Preparedness Clinic

National University Health System Primary Care Network

Singapore Ministry of Health Chronic Disease Management Programme (CDMP)

The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

MD International (Singapore) Pte Ltd

Follow us for COVID Updates & Health Tips!

MDIMC Medical Team

Together, Being here for you.

Doing Our Best in the COVID-19 Pandemic!

“Do all the good you can,
By all the means you can,
In all the ways you can,
In all the places you can,
At all the times you can,
To all the people you can,
As long as ever you can.”
― John Wesley

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Get your Sinopharm Vaccine / Booster or Latest Flu Vaccine - Make your appointment at Tel: 6694 1661.

Risk Factors of COVID-19 Complications

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COVID-19 Singapore Public places visited by cases in the community

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COVID-19 : Country cases, Deaths, Recovered & Vaccinated

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For Medical Professionals

Learn from the China Experience on COVID-19 Prevention and Treatment

9 Taman Serasi #01-11, Botanic Gardens View

Tel : 65-6694-1661  Fax : 65-6694 1771

Email : contact@mdimc.sg

Clinic hours:

Monday to Friday: 9am-12.30pm / 2pm-6.30pm    Saturday: 9.30am-1pm

*Last registration is 30mins before the closing time

Closed on Sundays & Public Holidays

- Cashless service with most International Insurance companies and Insurance Medical cards are accepted

- Japanese & Mandarin-speaking Doctors and Medical staff

Please contact us at Tel: 6694 1661 to make an appointment.

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Fujiwara Takanori DC

The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

YAMAGATA Chihiro 山懸千尋

Registered Psychologist

Dr Lee Sao Bing – Opthalmologist (in-house Specialist)

MBBS, MMed(Ophth), FRCSEd(Ophth), MD, FAMS

Dr Pang Yoke Teen – ENT (Visiting Consultant)

FRCS (ORL), FRCS(EDIN), (FRCSGLASG), FAMS, MBBS

MD International Medical Centre

Medical Services

• General Practice Family Medicine
• Minor Surgical Procedures / Laser Treatments
• Management of Chronic Diseases (Diabetes / Hypertension / Heart Disease / High Cholesterol Management)
• Pain Management (Joint pains, Knee Pain, Back Pain, Migraine, Sports Injuries)
• Shockwave Treatment / Deep Muscle Stimulator DMS Therapy
• Dermatology Treatments - Skin Problems (Eczema, Acne, Rash & Hives, Boils, Dermatitis, Pigmented or Dry Skin, Moles, Skin Tags, Corns & Calluses, Wart, Treatment of Insect Bites & Stings)
• Dermoscopy - Non-invasive Detection of Skin Cancer
• Allergies Test & Management / Treatment of Allergic Rhinitis / Asthma Management
• Vaccinations / Immunization (National Adult Immunisation Schedule / National Child Immunisation Schedule / Influenza)
• Infectious diseases & Virology (COVID-19, Dengue, Flu, Hepatitis B)
• Respiratory Medicine - Cough, Wheezing, Shortness of breath
• Eye Health / Ophthalmology (Conjunctivitis, Foreign body in the Eye)
  
• Ear Nose Throat / ENT Rhinoscopy (Nose Bleed-Epistaxis, Snoring & Sleep Apnoea, Vertigo & Dizziness, Removal of Ear Wax)
• Audiogram – Hearing test
• Personal Health (Stomach ache, Irritable Bowel Syndrome, Heartburn, Treatment of Gout)
• Elderly / Senior Health (Arthritis)
• Men's Health
• Women's Health (Osteoporosis, Heavy Periods, Breast lumps, Urinary Tract Infection, Anaemia, Tremors)
• Child Health & Nutrition / Paediatrics
• Travel Health (Vaccinations / Travellers' Diarrhoea)
• Health Assessment, Screening & Management / Blood tests
• Pre-Employment check-up / Work Permit / Employment Pass / Student Pass / Driving License Check-up
• Obesity / Weight control
• Neurological Disorders / Dementia Screening
• Depression / Anxiety Management
  
• Insomnia & Stress Management

Minor Surgical Procedures :

·       Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis

·       Tendon Sheath Injection

·       Excision of small Skin tumours / Lipomas / Nail bed / Ear lobe cysts / Meibomian cyst

·       Removal of Skin sutures / Skin tags / Sebaceous cysts / Various foreign bodies / Corneal foreign body

·       Liquid Nitrogen Therapy

·       Treatment of Plantar Warts / Calluses / Corns / Ganglions

·       Splinters under nails

·       Olecranon and Pre-patellar Bursitis

·       Ear syringing

·       Embedded earring stud

Medical Conditions Treatable with Therapy:  

• Head & Neck – Neckaches/ Spondylosis/ Wry Neck/ Whiplash/ Headaches/ Migraine/ Facial Palsy
• Back – Back Strain/ Slipped Disc/ Scoliosis/ Sciatica/ Spondylosis/ Spondylolisthesis/ Spondylolysis
• Shoulder – Frozen Shoulder/ Rotator Cuff Tear/ Impingement Syndrome
• Elbow – Tennis Elbow/ Golf Elbow
• Hip / Knee – Anterior Knee Pain/ Runner’s Knee/ Meniscus Injury/ Ligament Injury
• Foot – Plantar Fasciitis/ Heel Pain/ Metatarsalgia
• Joint – Arthritis/ Cartilage Wear & Tear/ Osteoarthritis
• Ligament – Sprains/ ACL Laxity/ Ankle Sprain
• Muscle – Strains/ ITB Tightness/ Hamstring Tear
• Tendons – Tendonitis/ Repetitive Strain Injury/ Tendinopathy
• Sports Injuries
• Obesity – Exercise & Meal Planning 
• Post Operation/ Hospitalization
• Fibromyalgia

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Fujiwara Takanori DC

The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

YAMAGATA Chihiro 山懸千尋

Registered Psychologist

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