It has been reported that there is a rise in the number of individuals being diagnosed with autism spectrum disorder (ASD) in Singapore along with evolving changes in public awareness, attitudes, and levels of financial support occurring in the field in recent years. As such, this column presents the current status and issues related to the identification of individuals with ASD and the provision of early intervention services, education, and transition services for these people in Singapore. Additional needs and future recommendations are also included. © Hammill Institute on Disabilities 2021.

The economic impact of the Covid-19 pandemic on Singapore was more severe and protracted than the global financial crisis. Singapore responded with easing of the monetary policy stance, reinforcing financial stability, helping individuals to reduce debt obligations, easing business cashflow constraints, adjusting financial regulatory and supervisory protocols to cope with immediate challenges, and enabling the financial sectors to build long-term capabilities. Fiscal responses were unprecedented with four consecutive budgets and two ministerial statements, initially focusing on immediate assistance in respect of jobs, businesses, households, and later refined to providing more sector-specific assistance as the pandemic evolved with more detailed information available, and preparing for post-pandemic recovery and growth. Singapore has accumulated sufficient reserves over the years, which are a strategic asset, enabling it to tackle the negative impact of the pandemic without incurring national debt, thanks to the fiscal prudence and sustainability institutionalized in the constitution. Together with decisive public health measures to curb the spread of the virus, the monetary–fiscal policy mix has been appropriate so far, and the eventual long-term policy effectiveness and transformation of the small and highly open economy of Singapore depend hugely on the global containment of the pandemic, the effectiveness and allocation of the vaccine, and the pace of global economic recovery.

https://doi.org/10.1371/journal.pone.0248742

Background In dealing with community spread of COVID-19, two active interventions have been attempted or advocated-containment, and mitigation. Given the extensive impact of COVID-19 globally, there is international interest to learn from best practices that have been shown to work in controlling community spread to inform future outbreaks. This study explores the trajectory of COVID-19 infection in Singapore had the government intervention not focused on containment, but rather on mitigation. In addition, we estimate the actual COVID-19 infection cases in Singapore, given that confirmed cases are publicly available. Methods and findings We developed a COVID-19 infection model, which is a modified SIR model that differentiate between detected (diagnosed) and undetected (undiagnosed) individuals and segments total population into seven health states: Susceptible (S), infected asymptomatic undiagnosed (A), infected asymptomatic diagnosed (I), infected symptomatic undiagnosed (U), infected symptomatic diagnosed (E), recovered (R), and dead (D). To account for the infection stages of the asymptomatic and symptomatic infected individuals, the asymptomatic infected individuals were further disaggregated into three infection stages: (a) latent (b) infectious and (c) non-infectious; while the symptomatic infected were disaggregated into two stages: (a) infectious and (b) non-infectious. The simulation result shows that by the end of the current epidemic cycle without considering the possibility of a second wave, under the containment intervention implemented in Singapore, the confirmed number of Singaporeans infected with COVID-19 (diagnosed asymptomatic and symptomatic cases) is projected to be 52,053 (with 95% confidence range of 49,370-54,735) representing 0.87% (0.83%- 0.92%) of the total population; while the actual number of Singaporeans infected with COVID-19 (diagnosed and undiagnosed asymptomatic and symptomatic infected cases) is projected to be 86,041 (81,097-90,986), which is 1.65 times the confirmed cases and represents 1.45% (1.36%-1.53%) of the total population. A peak in infected cases is projected to have occurred on around day 125 (27/05/2020) for the confirmed infected cases and around day 115 (17/05/2020) for the actual infected cases. The number of deaths is estimated to be 37 (34-39) among those infected with COVID-19 by the end of the epidemic cycle; consequently, the perceived case fatality rate is projected to be 0.07%, while the actual case fatality rate is estimated to be 0.043%. Importantly, our simulation model results suggest that there about 65% more COVID-19 infection cases in Singapore that have not been captured in the official reported numbers which could be uncovered via a serological study. Compared to the containment intervention, a mitigation intervention would have resulted in early peak infection, and increase both the cumulative confirmed and actual infection cases and deaths. Conclusion Early public health measures in the context of targeted, aggressive containment including swift and effective contact tracing and quarantine, was likely responsible for suppressing the number of COVID-19 infections in Singapore.

This research purposes to examine the role of strategic communication, specifically the effectiveness of government's crisis communication messages at the onset of COVID-19 pandemic in Singapore, on disease preventive behaviors. It employed a mixed method research approach by first carrying out a content analysis of 7128 news headlines on COVID-19 to confirm our presupposition that the media may be communicating messages that the world order is being threatened. Informed by our findings that 90% of news reports were framed to suggest a dangerous world, we surveyed 453 respondents in the main study, and tested if people's beliefs in a dangerous world (BDW) were linked to their disease preventive behaviors (DPB), and whether such a link was modulated by how effective they perceived the government's pandemic communication. As predicted, results revealed that the perceived effectiveness of the government's pandemic communication trumped the effects of beliefs in a dangerous world such that the link between BDW and DPB was significant only when the perceived effectiveness was low. Further analysis of the effects of specific communication dimensions on disease preventive behaviors suggests that public health communication needs to be strategically calibrated to offer personally relevant messages that are informative and objective. (199 words). © 2022 Taylor & Francis Group, LLC.

In seeking ground-up understandings of heart health disparities facing low-income Malay women in Singapore, this paper locates their meanings of heart health. Their health narratives reveal the insidious communicative and structural barriers women face. The findings show how shame, conceptualized as malu, remains a barrier to accessing health and help structures. Everyday food insecurity and stress from caregiving while in impoverishment also undermine heart health equity. The intersections of gender and class reveal how caregiving can have a crippling effect on health outcomes in the low-income context. Low-income women face multiple burdens that impede heart health care and management. Women's heart health interventions should heed how a culture of shame and structural manifestations of stress and food insecurity prevent women in low-income settings from seeking equitable health opportunities. © 2022 National Communication Association.