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Health

Zika outbreak: Singapore steps up prevention as cases rise to 56

Singapore, a major regional financial centre and busy transit hub, maintains a constant vigil against the mosquito-borne dengue virus

All cases were in or near the Aljunied area in the southeast of the city-state, and most were foreign workers

An Aedes aegypti mosquito that transmits Zika and other viruses is photographed in a laboratory in San Salvador. Singapore confirmed 15 new cases of locally-transmitted Zika infections. (Marvin Recinos/AFP/Getty)
Singapore confirmed 15 new cases of locally-transmitted Zika infections on Monday, takingthe tally to 56 as authorities step up efforts to contain theoutbreak.

All the cases were in or near the Aljunied area in thesoutheast of the city-state, and most were foreign workers froma nearby construction site owned by GuocoLand, wheretesting for the virus is now complete, the health ministry saidin a statement.

The National Environment Agency (NEA) has inspected foreignworkers' dormitories as well as thousands of other premises inthe area and in six other parts of the island.

Singapore, a major regional financial centre and busytransit hub, which maintains a constant vigil against themosquito-borne dengue virus, reported its first Zika case inMay, imported by a middle-aged man who had been to Brazil.

On Saturday, the health ministry confirmed a firstlocally-transmitted case, with the tally jumping to 41 a daylater amid warnings of more likely positive cases.

One of the cases discovered on Sunday involved a Singaporeanman who works at the GuocoLand site but who lives outside theAljunied area. The NEA inspected more than 900 premises aroundhis home on Monday.

"The NEA went to every house, checked the kitchen andbathroom. They gave us a small bottle of insect repellent, butwe just went to get a big bottle today," said 36-year-old localresident Tommy Fan. "I'm a little worried since my wife istrying to conceive. Zika seems to[spread]faster thandengue."

One local pharmacy worker said she ran out of mosquitorepellent, and was concerned about delays in getting freshsupplies.

Workers wearing fumigation masks moved methodically throughhigh-rise public housing estates, inspecting plant pots andspraying insecticide via thermal fogging machines.

'I feel afraid'

The Zika virus, carried by mosquitoes, was detected inBrazil last year and has since spread across the Americas.

Zikacauses only a mildillness in most people. But infection during pregnancy can lead tosevere brain-related birth defects.It has been linked in Brazil to more than1,600 cases of microcephaly, where babies are born withabnormally small heads and brains.

The World Health Organization said on Sunday it did not know"which lineage of Zika is circulating" in Singapore or "what thelevel of population immunity is to this lineage in Asia."

Singapore's health ministry said around three dozen mosquitobreeding habitats had been destroyed so far in the main Aljuniedcluster.

"I feel afraid," said Ng Kai Yee, an 18-year-old femalestudent who lives near the outbreak area. "I heard quite a lotabout how harmful Zika virus is to girls, especially pregnantwomen."

Authorities have urged those living and working in the riskareas, especially pregnant women, to monitor their health andseek medical attention if they are unwell.

Of the 41 people confirmed on Sunday to have been infected,34 have fully recovered. Only the first case reported was awoman.

Regional health experts said the Zika virus is likely to besignificantly under-reported across tropical Southeast Asia aslocal health authorities fail to conduct adequate screening.

Malaysia and Indonesia have stepped up protective measuresfollowing the Singapore outbreak, intensifying checks on peoplearriving from Singapore and introducing thermal scanners atairports and border checkpoints.

With files from CBC News