Meeting healthcare costs: the case of childhood cancer in Singapore
Social security in Singapore is met by a compulsory personal savings scheme under the Central Provident Fund. Part of these savings go towards the individual's healthcare needs which are met through a spectrum of three schemes – Medisave, Medishield and Medifund, or the ‘3Ms’. This study examines the effectiveness of the ‘3Ms’ in making healthcare services affordable to families with cancer-stricken children. The extent to which the ‘3Ms’ support costly cancer treatment is an indication of the healthcare financing system's ability to meet diverse healthcare needs. Literature research and interviews with medical social workers and families with cancer-stricken children indicate that the ‘3Ms’ are unable to support these families’ medical needs without the help of voluntary welfare organisations. This suggests that there is a need to question a rigid adherence to financial prudence and consider a more flexible healthcare system that is responsive to varied needs.
Singapore: social development, housing and the Central Provident Fund
The high rates of economic growth and significant improvements in standards of living recorded in East-Asian nations such as Singapore in recent decades has attracted increasing attention from social policy scholars in the industrial countries. Many believe that the experiences of these countries offer useful lessons for the Western welfare states. This article examines social security and housing policies in Singapore and shows how both were an integral part of a wider commitment to promote economic development. The article suggests that Singapore provides a good example of a developmentalist approach to social welfare that successfully harmonises economic and social objectives.
Coexistence of Virulence and Antibiotic Resistance Genes in Pasteurella multocida Isolated from Diseased Rabbits
Pasteurella multocida (P. multocida)is considered a predominant pathogenic bacterial agent causing respiratory manifestations (snuffles) in rabbits with considerable economic losses and unfavorable prognosis in Egypt. A few recent P. multocida strains exhibit resistance to the most commonly used antibiotics in the veterinary field. Therefore, the present study was carried out to investigate the prevalence of both virulence and antibiotic resistance genes among P. multocida isolated from diseased rabbits in Sharkia Governorate, Egypt. Only 10 out of 100 tested rabbits` nasal swabs were finally confirmed positive for P. multocida of serogroup A by polymerase chain reaction (PCR). Antibiotic susceptibility testing of the recovered isolates revealed that they were all multidrug resistant (MDR) with a predominance of resistance to amoxicillin, ampicillin, amoxicillin/clavulanic acid, neomycin and tetracycline (100% each), followed by kanamycin and streptomycin (90% each). All the recovered isolates were further subjected to PCR screening of some common virulence and antibiotic resistance genes of interest . With the exception of toxA gene, the other virulence associated genes (ptfA, Omp87 and nanB) were found among all the examined isolates. Totally, all MDR P. multocida isolates contained at least one antibiotic resistance gene with aphA1 being the most prevalent (100%), followed by ermX gene (40%). Antibiotic resistance genotyping demonstrated the presence of multiple antibiotic resistance genes among majority of the isolates (40%) with only one isolate harboring 4 genes encoding identical resistance phenotypes. Evidentially, all MDR P. multocida isolates possessed at least 3 virulence genes accompanied by the attendance of antibiotic resistance genes. These findings evidenced that rabbits are potential sources of pathogenic P. multocida strains harboring virulence and antibiotic resistance genes. Therefore, it is evident that there is an urgent need for the judicious use of antibiotics in rabbits` treatment systems to successfully mitigate the propagation of drug resistance across P. multocida species.