When I Was Young

I REFER to the report, "Singapore ready to tackle swine flu" (my paper, April 28).

The World Health Organization has described the swine-flu outbreak as "a public-health emergency of international concern".

It is a stark reminder of the Sars epidemic in 2003.

A pandemic on top of the global recession would batter the Singapore economy and lead to even more unemployment.

The Government has a duty to educate Singaporeans on tackling disease threats.

We must never be complacent, especially with respiratory diseases such as human flu, Sars, bird flu, swine flu and tuberculosis.

A normal person can survive without food or water for some time. But if he cannot breathe because his lungs are infected, he will die.

While many know that washing one's hands and not coughing openly are good hygiene habits, few pause to think about the consequences of sharing food, when individuals use their utensils to eat from common dishes.

A 1994 Ministry of Health (MOH) publication confirmed that through sharing food, "we are likely to share saliva as well, (along) with any bacteria or viruses (that are) in it".

Saliva can transmit many micro-organisms.

Among them are the viruses that cause hand, foot and mouth disease (HFMD), human flu, Sars, bird flu and swine flu, and those that are linked to liver cancer (hepatitis B virus) and nose cancer (Epstein-Barr virus).

The micro-organisms also include bacteria that cause tuberculosis and meningitis, and a bacterium that is linked to stomach cancer (Helicobacter pylori).

Few Singaporeans know that adults can also contract HFMD through close contact or the sharing of food.

The disease is then passed on to their children in the same manner.

Health risks aside, stop and think: How can you possibly enjoy your food when it contains others' saliva?

The MOH publication also had a simple recommendation: It suggested that serving spoons, separate soup bowls and sauce dishes be used both at home and in public eating places.

Regrettably, this important piece of public-health advice was never widely publicised.

Thus, many Singaporeans remain unaware of the health risks of sharing food.

A 2004 report in The Straits Times quoted Health Minister Khaw Boon Wan as saying: "There is nothing wrong with communal eating... But I think we can make it hygienic just by using serving spoons."

For years, Chinese restaurants in Australia have been routinely providing customers with serving spoons.

This is not so with most restaurants here, where it is a constant hassle to ask waiters to provide serving spoons for each dish.

These actions are urgently needed:

Public campaign

The Health Promotion Board should mount an "Eat the Hygienic Way" campaign to inform Singaporeans about hygienic eating habits, such as using serving spoons, to complement its "Eat the Healthy Way" campaign.

Make serving spoons compulsory

The National Environment Agency could issue a compulsory directive to hawkers and restaurants, requesting that they provide serving spoons to customers.

Mr See Leong Kit

From myPaper, My Say – Wednesday, 29-April-2009