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Although Mdm Zarinah Mahmood had asthma as a child, she did not suffer from it throughout most of her adult years. Mdm Zarinah’s experience highlights a little-known fact: People with asthma may appear to have outgrown it in adulthood, but must always be vigilant.
Asthma is a disease of the lungs that affects the airways which deliver oxygen to the body. One way of diagnosing asthma is through a lung-function test, in which the patient blows into a device called a spirometer, which allows medical staff to measure the flow of air from his lungs. For asthmatic patients managed at SingHealth Polyclinics, including the Pasir Ris branch where Dr Tan practises, nurses stationed at the entrance will look out for patients who show signs of breathlessness. Patients who are experiencing breathlessness, and are known to have a background of asthma, will be taken immediately to the polyclinic’s treatment room, where specially trained nurses will start rescue treatment. Before the programme was available, all patients had to queue for their turn to see a doctor before treatment was given. Once the immediate symptoms have subsided, doctors will review the patient’s asthma status and educate them on selfcare measures.
The SingHealth Group’s nine polyclinics see 2,300 to 2,500 asthma patients each month and compiles asthma data monthly. Fortunately, only 9.3 per cent of asthma patients who visited the polyclinics needed rescue therapy, where patients are given medication through a device called a spacer, which helps a patient inhale the medication that goes directly into his lungs. The Singapore National Asthma Programme was launched in 2001 by the Ministry of Health to address the high prevalence of asthma in Singapore. Child Safety and Injury PreventionThis is your chance to get answers to your questions on how to better childproof your home! Flu can be a nasty illness that can lead to a stay in hospital, especially for children with other medical conditions like heart disease and diabetes. This A2 poster for 7 - 11's shows how pupils can be physcially active in their break times at school. Children aged 2-4 are eligible for the simple free nasal spray vaccination, with no need for an injection. A poster with Change4Life branding but with a space for you to advertise your own healthy living event or club.

This Healthy Start guide has been created to assist health professionals in signposting the scheme and giving nutritional advice to applicants and beneficiaries. From 1st October 2015 it will be illegal to smoke in vehicles with someone under 18 present.
The new MenB vaccine (Bexsero®) will protect against meningococcal disease capsular group B (MenB).
The Take 2 scheme offers up to 15 hours of free early learning and childcare per week for eligible two-year-olds in Norfolk. This poster promotes the Take 2 scheme - offering up to 15 hours of free early learning and childcare per week for eligible two-year-olds in Norfolk. This poster encourages pregnant women or those with children under four who are claiming some benefits or tax credits to claim Healthy Start vouchers for free fruit, veg, milk and vitamins.
This leaflet explains who is eligible for Healthy Start, how to apply for the vouchers and includes an application form. If you're getting Healthy Start vouchers, did you know you can also get free vitamins?
From 1st October 2015, it will be illegal to smoke in a private vehicle when someone under the age of 18 is present. The Change4Life Fun Wheel is a spin-the-wheel game with lots of ideas for fun indoor and outdoor activities, ideal for kids' team challenges, parties or family trips to the park. We all know how important it is to keep active, especially for children and young people who are still growing and developing. While on a recent visit to the Middle East, a sudden sandstorm caused her asthma to flare up. Inflammation causes these airways in the lungs to narrow and produce phlegm, leading to further blockage. Only a little narrowing of a child’s airways will cause him discomfort, while adults must suffer significant narrowing before they experience severe symptoms.
The nurses will then check patients’ medical histories to see if they are suffering from asthma. This is the result of a new programme where nurses are trained to examine patients’ chests and proceed with acute treatment of an asthma attack once it is detected clinically.

Under the plan, she needs to adjust her dosage of medication for a short period of time to prevent attacks. When she is not feeling well, she knows how to increase her dosage or take oral steroids based on the plan.
It aims to teach patients ways to take better care of their condition on their own, and improve asthma control in the community by promoting preventive treatment. This is an online, telephone and face-to-face service providing free information and advice to families.
Encourage parents to have their children vaccinated by putting this message on your waiting room screen. It also summarises the core health advice for pregnant women and young children as agreed by the four UK Health Departments: England, Northern Ireland, Scotland and Wales. The vaccine will be added to the childhood immunisation programme as part of the routine schedule in England from 1 September 2015.
Children with asthma must be reviewed by a doctor periodically, every three to six months, even if they are not on any regular treatment. This allows those with acute asthma to be managed rapidly, as the disease is potentially life-threatening. That is why we want to start treatment as soon as possible to relieve the symptoms,” said Dr Tan. She also carries quick-relief medication that she can use to open up her airways and increase airflow to her lungs. If her symptoms do not subside after several days, she is instructed to see her doctor immediately.
There has been a rising trend of asthma in Singapore over the past few years, but “we are still trying to understand why this is happening”, said Dr Tan.

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