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Abstract

In Singapore, first level prevention, aimed at reducing the occurrence of disabilities, has included neonatal screening for glucose-6-phosphate dehydrogenase deficiency, a programme of universal vaccination, screening for congenital hypothyroidism, and improvements in obstetric and neonatal care. Non-specific measures, such as improved housing, better nutrition and higher standards of education, have also contributed to the reduction in serious illnesses that can potentially cause disabilities.

Second level prevention, designed to limit or reverse a disability, has included a developmental screening programme carried out in the primary health care sector. Centralised multi-disciplinary developmental assessment clinics have been established to define better the disabilities and to advise on rehabilitation. An early intervention programme has been started, and special schools are being upgraded.

Third level prevention, aimed at preventing a disability from becoming a handicap, has included the setting up of comprehensive rehabilitation programmes, provision of aids and appliances, vocational training, and job opportunities. The integration of the handicapped back into society is currently being promoted.

Keywords

Prevention intellectual disability screening developmental assessment early intervention

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References

1. Tan TKY , Tay ES , Chan KY , et al. Opportunities for the Disabled: Report of the Advisory Council on the Disabled. Singapore: Singapore National Printers, 1988.

2. Wong HB . Singapore kernicterus. Singapore Med J 1980; 21: 556–567.

3. Yin Murphy M , Wong HB , Goh KT . Review of the poliomyelitis immunisation campaign and syndromes associated with poliovirus in Singapore. J Singapore Paed Soc 1987; 29: 99–107.

4. Wong HB . Health for all In Asia by the year 2000. J Singapore Paed Soc 1984; 26: 110–120.

5. Paul FM . A survey of intellectual disability in Singapore over a 24 year period. In Chen F , et al. eds., Intellectual Disability. Singapore 1988.

6. Ten Dam HG , Hitze KL . Does BCG vaccination protect the newborn and young infants? Bull WHO 1980; 58: 37–41.

7. Yeo P , Joseph R , Chua D , et al. Congenital hypothyroid screening programme in Singapore. Proc Malaysia-Singapore Congress 1982.

8. Chao TC . How to prevent home accidents. Federal Publications, Singapore 1986.

9. Wong HB . Preconception and genetic counselling. J Singapore Paed Soc 1987; 29: 75–83.

Prevention of Intellectual and Other Disabilities: The Singapore Experience

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