NUH is world's first hospital to get recognition for greener practices
Singapore's National University Hospital has become the world's first hospital to receive an international certification for greener healthcare. It has been recognised for reducing plastic use, switching to materials safe for the environment and cutting energy use by 40 per cent in operating theatres. Rachel Teng looks at the efforts.
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CNA
5 hours ago
- CNA
Menopause in the workplace: Is your company doing enough to support you through this transition?
If you've been struggling with menopause symptoms while at work, you're not alone. A recent study found that, in Singapore, 74 per cent of female employees (aged 45 years and older) experiencing at least two menopause-related symptoms reported that it interfered with their ability to do their job and diminished their quality of life. The results of the study were released in a White Paper by the NUS Bia-Echo Asia Centre for Reproductive Longevity and Equality (ACRLE) at the National University of Singapore's Yong Loo Lin School of Medicine, and HeyVenus Integrated Healthscience, a women's health technology company. It is the first regional White Paper on menopause at work, with more than 1,700 participants from five countries – Japan, Australia, Vietnam, Indonesia and Singapore. The findings, presented in April, reveal the impact that menopause has on women's work and careers in the Asia-Pacific region. In Singapore, 66 per cent of women said that social stigma prevents them from openly discussing menopause symptoms – and seeking support in the workplace. One respondent said: 'I would like to talk about it. At the moment, it is not even acknowledged', while another hoped 'for managers to be understanding and considerate to those experiencing severe symptoms and help with timetable adjustments'. The White Paper also found that, locally, 71 per cent of female employees and 68 per cent of people managers say a menopause-friendly policy would benefit the organisation. However, only 31 per cent of companies have such policies in place. Christina Ang, founder and CEO of HeyVenus Integrated Healthscience, said that when unmanaged, menopause symptoms like fatigue, brain fog and anxiety can undermine performance, confidence and career progression. 'According to our APAC White Paper, over 50 per cent of women in Singapore who report that menopause symptoms affect their quality of life and work are in middle to senior leadership roles,' she told CNA Women. 'Yet most women don't speak up – 63 per cent report productivity loss due to symptoms but few seek support due to stigma or fear of being misunderstood.' This silent strain widens the gender gap in leadership by increasing absenteeism, contributing to talent attrition and disrupting succession planning, she added. In an ageing workforce, this is no longer just a women's issue – it's a structural leadership challenge. A SHIFT IN HEALTH CONVERSATIONS AT WORK In 2019, KK Women's and Children's Hospital (KKH) co-authored a local qualitative study involving perimenopausal women aged between 47 and 54 years, seen at the hospital, with the aim to increase the understanding of the experiences and needs of perimenopausal women with symptoms. 'Some women shared that they received good support from their employers, while others felt constricted by the nature of their work due to the gender bias placed against them,' said Associate Professor Rukshini Puvanendran, head and senior consultant, Family Medicine Service, KKH. 'While women hoped for better support, they did not expect it given the nature of Singapore's busy lifestyle.' Assoc Prof Rukshini, who is also co-director of KK Menopause Centre, said that, with more women in the workplace and rising retirement age, menopause-related health information in the workplace deserves more attention. Audrey Neo, senior partner at Page Executive, which specialises in human resources and consumer executive search, spoke with clients and industry leaders to gather views on the impact of menopause on the workplace. Menopause has long been a taboo subject in many cultures, including Singapore, and is not commonly discussed in the professional setting, she said. It can also be awkward to be singled out that one is going through menopause. 'However, as we move forward from the pandemic, there has been a noticeable shift in how we approach conversations around health and well-being at work,' said Neo. 'Singapore is becoming increasingly progressive in addressing topics once considered off-limits.' She cited the fact that Singapore's median age is rising. In 2000, the median age was around 34 years. In 2023, it was 42.7 years and is expected to hit 53years by 2050. 'Organisations will need to recognise the needs of employees in their forties and fifties, and hormonal shifts will be a health and wellness consideration and starting point,' said Neo. 'In the broader scheme of things, hormonal shifts affect men too, albeit differently, making this a conversation for everyone to empathise and participate in a safe environment. 'Additionally, framed within the broader context of diversity and inclusion, what kind of wellness practices that organisations incorporate to support employees going through hormonal shifts could be a good starting point to raise awareness on this front.' WORKPLACE MENOPAUSE SUPPPORT IS SMART BUSINESS Two women CNA Women spoke to shared how menopause symptoms affected them at work. Juanita Mega, 54, recalled two occasions in her previous job two years ago when she suddenly had heavy menstrual flow while in the office, resulting in her skirt being badly stained. Two of her colleagues saw what had happened and even though they were supportive, Mega felt embarrassed. 'Luckily, I had a shawl to cover up but I had to rush home to change, cancel face-to-face meetings and give an excuse about a family emergency,' she said. Mega also had other perimenopause symptoms – heart palpitations, night sweats and sleepless nights – and often had to rely on caffeine to perk her up in the mornings. Hazleen Ahmad, 53, experienced menopause symptoms such as brain fog, hot flashes and night sweats. It was while going through menopause that she was also diagnosed with attention deficit hyperactivity disorder (ADHD). Hazleen, who is deputy CEO of the Institute of Neurodiversity Global and president/chair of the Institute of Neurodiversity Singapore, said that 'the workplace of tomorrow must recognise that neuro developmental differences like ADHD and menopause aren't just medical issues – they're part of the rich tapestry of human experience'. Some companies in Singapore do offer menopause support. Standard Chartered expanded its medical coverage in 2023 to include treatment for menopause-related symptoms. It also has menopause toolkits, offers counselling support and organises talks for staff. HSBC Singapore also offers coverage for medical consultation and treatment of menopause. At S&P Global, a ratings and financial information provider, employees going through menopause can access an on-demand online education resource, a spokesperson told CNA Women. A Managing Menopause Toolkit is available to all employees and flexible work arrangements are on offer, including adjusted working hours and work-from-home options. There are also colleague-led support communities, to get together virtually or in person to share experiences and advice in a safe and supportive space. Dr Claudine Hyatt, a clinical psychologist and traumatologist, and a partner at mental wellbeing agency Cognitive Approach to Life Management (CALM) International, revealed that companies supporting women through menopause are not only compassionate – it's smart business. 'Midlife women are often at the peak of their professional expertise; failure to support them risks losing key institutional knowledge and leadership potential,' she said. 'Addressing menopause bridges a critical gap in gender-inclusive workplace policy – just as how maternity leave became standard, menopause support is the next frontier in fair workplace design,' she added. Dr Hyatt said that companies that prioritise women's health signal that they are forward-thinking and inclusive. And employees who feel seen and supported are more loyal, engaged and motivated. 'A workplace that supports women through menopause is a workplace that values longevity, equity and wellbeing. It's not just good ethics – it's good economics,' she said.
Straits Times
2 days ago
- Straits Times
Girl feels little pain as a result of genetic disorder
Mr Veerama Rao, 44, with his daughter Geethika, 7, and her doctor Dr Chin Hui-Lin from the Khoo Teck Puat - National University Children's Medical Institute. ST PHOTO: GAVIN FOO SINGAPORE - When Geethika Rao was six months old, her parents noticed she had not hit certain developmental milestones such as rolling over or sitting up. Her father, Mr Veerama Rao, noted that their son, who is three years older than Geethika, had not encountered such delays as an infant. 'That is when we had some suspicion that something is not right,' said the 44-year-old IT professional. On the advice of relatives, the family, who were still living in India at the time, brought Geethika to neurologists and other specialists for a diagnosis. Despite running a number of genetic tests, doctors were unable to determine what exactly her condition was. After the family moved to Singapore in 2018, when Geethika was eight months old, her parents continued their search for a diagnosis. Other symptoms emerged – Geethika experienced sleep disturbances, often waking up at night, and showed a reduced sensitivity to pain. Mr Rao recalled that once Geethika, who is now seven, showed little reaction when she lost a tooth after running into a wooden frame of a sofa at home. 'She only cried for about 10 to 15 minutes, and then she fell asleep,' he said. It was only in 2022, after a visit to the National University Hospital (NUH), that they discovered that Geethika has a developmental disorder known as Smith-Magenis syndrome (SMS) . Despite running a number of genetic tests, doctors were unable to determine what exactly Geethika's condition was when she was six months old. ST PHOTO: GAVIN FOO Also known as 17p-microdeletion syndrome, SMS is a genetic disorder that typically results from a chromosomal deletion – a type of genetic abnormality where a segment of a chromosome is missing or lost. It affects about one in 25,000 people worldwide. Dr Chin Hui-Lin, from the Khoo Teck Puat - National University Children's Medical Institute at NUH, said early signs of the syndrome in infants includes softer muscle tone and having difficulty sucking or swallowing. 'As the child grows a bit older, you may then start seeing some degree of development delay and or what we consider intellectual disability,' said Dr Chin, who is a senior consultant from the genetics and metabolism division at the institute's paediatrics department. They may also display unusual movements that are unique to them, she added. These include self-hugging as well as more injurious behaviours such as head banging and skin picking. Children with the syndrome may also have unique facial characteristics, different from those of their parents, she said. Some of these features – which genetic specialists are trained to look out for – include broader, more angular foreheads and deeper-set eyes, Dr Chin said. Sleep disturbances, a risk of seizures and behavioural issues such as hyperactivity and short attention spans are other possible tell-tale signs, she added. Children with the syndrome also have an increased risk of developing other health issues, including scoliosis, thyroid problems and sleep apnea, Dr Chin added. Doctors might not have been able to previously pinpoint Geethika's disorder as they may have been testing for other conditions, she noted. While she had been through a number of genetic tests – including exome sequencing, which can capture some 85 per cent of known disease-causing genetic variants – all such tests have limitations, Dr Chin said. 'No one test can see every single thing,' she said. The nature of the chromosomal deletion in Geethika's case was between the coding and non-coding regions in one part of the gene, said Dr Chin, adding that the exome sequencing that was conducted previously did not look at non-coding regions. Coding regions contain instructions for building proteins while non-coding regions do not. Mutations in coding regions are known to cause genetic diseases. A process known as whole genome sequencing – where an individual's entire genome is sequenced, including both coding and non-coding regions – was able to more comprehensively cover Geethika's genes, Dr Chin said, allowing doctors to diagnose her with SMS. There is no drug that can cure SMS , she said, with treatment dependent on how the condition manifests itself. For example, developmental delays would require early intervention, while behavioural issues may require consulting occupational therapists, she suggested. The diagnosis has allowed Geethika's family to gain a clearer understanding of her condition, Mr Rao said, while noting that Geethika is still not fully verbal and faces challenges with executive functioning . The Raos have since joined the Rare Disorders Society (Singapore), an organisation supporting patients and families with rare conditions. Mr Rao also recently stepped forward to be the volunteer regional representative for the Parents and Researchers Interested In Smith-Magenis Syndrome (Prisms) group, a US-based organisation that supports families and individuals with the condition. Dr Chin urged parents facing similar circumstances as the Rao family to seek prompt diagnosis for their children, emphasising that genetic testing – including whole genome sequencing – is far more accessible now. A Smith-Magenis syndrome diagnosis should not lead to distress for parents but instead motivate them to explore the most effective ways to manage the condition, she added. It was not easy at first to accept his daughter's diagnosis, Mr Rao said. 'We took some time to digest the fact, but then we adopted a mindset of looking forward, of thinking what else we can do to support her?' Zhaki Abdullah is a correspondent at The Straits Times. He is on the health beat, in addition to occasionally covering science, environmental, tech and Muslim affairs issues. Join ST's WhatsApp Channel and get the latest news and must-reads.
CNA
3 days ago
- CNA
Weak muscles may increase risk of diabetes among midlife women: NUH study
Weak muscles and high levels of internal fats can significantly raise the risk of diabetes among middle-aged Singapore women, even if they are slim. This is according to a long-term study by NUH, which also recommends a simple blood test to gauge muscle strength. The study hopes the findings can eventually be accepted as a form of muscle strength management for midlife women. Professor Yong Eu Leong, Head and Emeritus Consultant of the Division of Benign Gynaecology at NUH's Department of Obstetrics and Gynaecology and lead of the Integrated Women's Health Programme, discusses women's health. He talks about how muscle strength, visceral fat, diabetes and menopause all correlate with one another.
