Forum: Polyclinics follow international guidelines for treating influenza-like illnesses

We thank Lee Huang Siong for sharing his feedback on influenza testing and antiviral medication availability (Make flu testing and treatment more accessible, Aug 21). Most patients presenting with acute respiratory symptoms or influenza-like illness have minor illness with a self-limiting course. Outcomes are generally good, with or without treatment provided. Treatment is mainly supportive for most patients. A definitive diagnosis is not required for most patients with minor respiratory symptoms given this treatment approach. Where there is a concern about a more severe clinical illness, particularly in the setting of a vulnerable, immunocompromised patient, such patients will be assessed further with blood and imaging investigations to exclude pneumonia. Given the above, the polyclinics are able to test for more severe illness but do not presently stock nor subsidise antigen tests for Influenza A/B or respiratory syncytial virus. We will continue to review the scientific evidence on the use of influenza rapid test kits and antivirals, and will adjust our subsidy policies and guidelines should the evidence warrant it. We encourage vulnerable individuals to keep up to date with recommended vaccinations under the National Adult Immunisation Schedule (NAIS), which includes the annual influenza vaccination. The influenza vaccine is fully subsidised for eligible Healthier SG enrollees at their enrolled clinic. Singaporeans who have not enrolled in Healthier SG yet can receive subsidies of between 50 per cent and 87.5 per cent on NAIS vaccinations. MediSave may also be used to offset out-of-pocket costs at Community Health Assist Scheme general practitioner clinics and polyclinics. We thank the writer for his feedback and wish his family a speedy recovery. David Tan Director (Primary and Community Care Division) Ministry of Health