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S'poreans can test for genetic condition causing high cholesterol levels under new programme

S'poreans can test for genetic condition causing high cholesterol levels under new programme

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SINGAPORE - Eligible Singapore residents will be able to screen for a genetic condition which causes high cholesterol levels at a subsidised rate as part of a nationwide programme launching on June 30.
In a statement on June 19, the Ministry of Health (MOH) said that the new genetic testing programme for familial hypercholesterolaemia (FH) comes amid broader efforts to enhance preventive care in Singapore.
The initiative aims to identify individuals with FH early and reduce the risk of premature heart disease with timely interventions.
FH is a hereditary condition that impacts the body's ability to process cholesterol, affecting roughly 20,000 people in Singapore.
People with the condition are up to 20 times more likely to experience heart attacks at a younger age compared with the general population.
In a Facebook post on June 19, Health Minister Ong Ye Kung said that the Government is looking to expand preventive care based on genetic testing to more diseases beyond FH.
'It is part of our longer term effort to develop predictive preventive care under Healthier SG,' he said.
As part of this effort, the ministry aims to open three genomic assessment centres (GACs) to ensure effective, efficient and sustainable delivery of genetic testing services within each healthcare cluster.
Genetics testing for FH at these centres will be subsidised for eligible Singapore citizens and permanent residents (PRs). They can also tap on MediSave to offset the cost.
Those referred to GACs will undergo:
Pre-test genetic counselling to understand potential outcomes and benefits before consenting to the test
Blood drawing and the genetic test
Post-test genetic counselling, to understand the implications of the results
The first GAC will be operated by SingHealth and located at the National Heart Centre. It will start accepting referrals from June 30.
This centre will serve all Singapore residents until additional centres open. GACs operated by National Healthcare Group and National University Health System will subsequently open to cater to residents' needs.
Immediate family members of those found with the condition are at risk and encouraged to undergo genetic testing, MOH said.
Known as cascade screening, this process enables early detection of FH within families.
It also allows for timelier intervention and treatment, such as advising them to adopt healthier lifestyles or starting on cholesterol-lowering therapies.
Under the programme, Singapore citizens and PRs with abnormally high cholesterol levels may be referred by their doctors for genetic testing.
Eligible Singaporeans and PRs can receive subsidies of up to 70 per cent for the costs, which include the genetic tests, pre-test and post-test counselling, and phlebotomy services.
Seniors from the Pioneer Generation and Merdeka Generation are also eligible for additional subsidies.
After subsidies, referred patients can expect to pay between $117 and $575. Those eligible for cascade screening can expect to pay between $53 and $253 after subsidies.
The MediSave500 and MediSave700 scheme can be used to further offset the cost of the genetic test after subsidies.
Patients who are 60 years old and above may also use Flexi-MediSave to further defray out of pocket costs.
Under a moratorium on genetic testing and insurance introduced by MOH and the Life Insurance Association Singapore (LIA) in 2021, life insurers here are banned from using predictive genetic test results in assessing the outcome of insurance applications, unless certain criteria are satisfied.
Insurers are also not allowed to use genetic test results from biomedical research or direct-to-consumer genetic test results.
MOH said it has worked with the LIA to amend the moratorium to disallow life insurers in Singapore to use the results of all genetic tests conducted under the national FH genetic testing programme.
They may, however, continue to request for individuals to disclose existing diagnosed conditions and family history.
The amended moratorium will take effect from June 30.
Source: The Straits Times © SPH Media Limited. Permission required for reproduction
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Federal agencies Prescription drugs Astronomy IndiaFacebookTweetLink Follow This story was originally published by ProPublica, is a nonprofit newsroom that investigates abuses of power. Sign up to receive its biggest stories as soon as they're published. On a sweltering morning in western India in 2022, three U.S. inspectors showed up unannounced at a massive pharmaceutical plant surrounded by barricades and barbed wire and demanded to be let inside. For two weeks, they scrutinized humming production lines and laboratories spread across the dense industrial campus, peering over the shoulders of workers at the tablet presses, mixers and filling machines that produce dozens of generic drugs for Americans. Much of the factory was supposed to be as sterile as an operating room. But the inspectors discovered what appeared to be metal shavings on drugmaking equipment, and records that showed vials of medication that were 'blackish' from contamination had been sent to the United States. 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ProPublica limited its count to reports that linked problems to a single drug. However, the total number of complaints to the FDA that mention exempted drugs is in the thousands. 'Abdominal pain … stomach was acting very crazy,' one report said about a woman using a seizure drug from Sun Pharma. The FDA received the complaint in 2023, nine months after it excluded the medication from the import ban. 'Feeling really hot, breaking out with hives, hard to breathe, had confusion, glucose level was high, heart rate went up and head, arms and hands got numb,' noted another report about a patient taking a sedative from Intas. The complaint was sent to the FDA in June 2023, the same month the agency exempted the medication. The outcomes described in the complaints may have no connection to the drug or could be unexpected side effects. In some cases, the FDA received complaints about the same drugs made by other manufacturers. Still, the seriousness of the reports involving exempted drugs did not galvanize the agency to investigate, leaving the public and the government with no way of knowing whether people were being harmed and, if so, how many. Those unknowns have done little to slow the exemptions. In 2022, FDA inspectors described a 'cascade of failure' at one of the Intas plants, finding workers had destroyed testing records, in one case pouring acid on some that had been stuffed in a trash bag. At the second Intas factory, inspectors said in their report that records were 'routinely manipulated' to cover up the presence of particulate matter — which could include glass, fiber or other contaminants — in the company's drugs. The FDA barred both plants in 2023 from shipping drugs to the U.S. Then the agency simultaneously granted more than 50 exemptions to those banned factories — the broadest use of exclusions in ProPublica's analysis. Intas, whose U.S. subsidiary is Accord Healthcare, said in a statement that the company has invested millions of dollars in upgrades and new hires and launched a companywide program focused on quality. Exempted drugs were sent to the United States in a 'phased manner,' the company said, with third-party oversight and safety testing. Intas also said that some exempted drugs were never shipped to the United States because the FDA found other suppliers. The company would not provide details. 'Intas is well on its way towards full remediation of all manufacturing sites,' the company said. Sun did not respond to multiple requests for comment. When the FDA imposed the ban, the company said it would 'undertake all necessary steps to resolve these issues and to ensure that the regulator is completely satisfied with the company's remedial action. Sun Pharma remains committed to being … compliant and in supplying high-quality products to its customers and patients globally.' Both companies' factories are still under import bans. 'We're supposed to have the best medicine in the world,' said Joe DeMayo, a kidney transplant patient in Philadelphia who took an immunosuppression medication made by Intas until December 2023, unaware that a month earlier the FDA had excused the drug from an import ban. 'Why are we buying from people who aren't making it right?' Game of chance How the United States wound up here — playing a game of chance with risky drugs made thousands of miles away — is the story of an agency that has relentlessly pressed to keep the supply of low-cost generics flowing even as its own inspectors warned that some of those drugs posed a potentially lethal threat to the American public. The vast majority of the prescriptions filled in the country are for generic drugs, from penicillin to blood thinners to emergency contraception, and many of those come from overseas, including India and China. 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Earlier this month, the FDA went back to the Sun Pharma factory for a surprise inspection and found ongoing problems, according to a Sun filing with the Indian stock exchange and Indian media reports. The concerns focused on the way sterile drugs were made, including some of the exempted drugs still being sent to the United States, according to a person familiar with the situation who did not want to be named because they were not authorized to speak publicly. The FDA said it put protections in place for exempted drugs: Manufacturers are required to conduct additional quality checks before they are sent to the United States. That has included extra drug-safety testing, in some cases at an independent lab, and bringing on third-party consultants to verify the results. The agency did not provide ProPublica with the names of the third-party consultants hired by Sun and Intas. Intas declined to name its consultants. 'The odds of these drugs actually not being safe or effective is tiny because of the safeguards,' said one former FDA official involved in the exemptions who declined to be named because he still works in the industry and fears professional retribution. 'Even though the facility sucks, it's getting tested more often and it's having independent eyes on it.' But current and former FDA inspectors said those safety measures require trusting the vigilance of companies that were banned, at least in part, for providing unreliable or deceptive test results to the government or failing to investigate reports about drugs with contaminants or other quality concerns. The FDA could have done its own routine testing of the exempted drugs but chose not to. The agency said in an email that it tests the drugs using a 'risk-based approach' but would not provide ProPublica with any information about which drugs have been tested and what the results were. Woodcock said testing was expensive and budgets were tight. She acknowledged that regularly assessing the exempted drugs for quality or safety concerns 'would have enhanced our confidence … and made everyone more comfortable.' The European Union, by contrast, requires drugs made in India and China to be checked for quality on EU soil. And the U.S. Department of Defense is conducting its own testing of more than three dozen generic medications and has already identified potency and other quality issues. 'If you don't know about the quality of the product, why are you letting it in?' said Murray Lumpkin, the FDA's former deputy commissioner for international programs, who left the agency in 2014 before most of the exemptions were granted. Beyond the lack of testing, the FDA didn't actively look for patterns of harm among the exempted drugs in its adverse event database, Woodcock and others said. ProPublica's analysis of that data found thousands of reports both before and after the factories were given a pass to sidestep import bans. The reports described unexpected cases of cardiac arrest, blurred vision, choking, vertigo and kidney injuries, among other issues — and in some instances identified specific concerns about how the drugs were made. One person who took Intas' clonazepam, a sedative and epilepsy drug, reported getting 'brain zaps' and bright blue teeth from the coating of dye on the drug. The FDA received the complaint the same month the agency exempted the drug from the import ban. Even before the FDA exempted Intas' antidepressant bupropion, consumers reported that it made them sick, wasn't always effective and had an abnormal odor, which pharmacists and others say can happen when an inactive ingredient breaks down. 'It was rotten eggs,' Nari Miller, a geologist in California who took the pills in 2022 and had severe stomach pain, told ProPublica. 'I opened it and smelled it when I got home and it was awful.' Intas said it could not respond to specific complaints and that all drugs have side effects. 'Intas and Accord pay attention to each and every adverse event report,' the company said, adding, 'Accord and Intas are committed to continuing to bring safe and effective medicines to patients.' In its statement, the FDA said the database is monitored weekly for new reports in general. Woodcock, however, acknowledged the reports about exempted drugs, ideally, 'would be under much more scrutiny.' Too big to fail Decisions made by the FDA decades ago gave rise to the use of exemptions and the risks that now confront the American public. When new brand-name drugs come to market, they are protected by patents and exclusive sales rights that make them generally expensive. When patents expire, generic drug companies rush in to make their own versions, which are supposed to be equivalent to the brand. Generics are often far cheaper, and insurance companies typically insist that patients use them. In the 2000s, as the cost of brand-name drugs soared, the FDA began to approve large numbers of generics. The agency, however, gave hundreds of those approvals to foreign manufacturers that had been in trouble before, companies well known to the inspectors working to stamp out safety and quality breakdowns at overseas factories, ProPublica found. The FDA granted Sun Pharma alone more than 250 approvals for generic drugs since the late 2000s, when the company started amassing violations, records show. The agency's decisions helped to transform the company from a local provider in India to one of the leading exporters of medications to the United States, with nearly $2 billion in annual U.S. sales. The approvals kept coming as inspectors continued to raise concerns about manufacturing practices at the company's factories in India, government records show. More problems were found at a factory that Sun had acquired in Detroit, where the diabetes drug metformin was contaminated with metal scrapings. The violations were so significant that federal marshals in 2009 raided the plant and seized drugs. The company eventually shuttered the factory. The rapid expansion of Sun and other foreign drugmakers set off new alarms among inspectors, their supervisors and advisers to Woodcock. 'In a rational system, you would have said, 'This company is not producing properly, so let's not approve any more of their drugs,' said William Hubbard, former FDA deputy commissioner for policy, planning and legislation. 'The agency in a sense kind of let this happen.' Ajaz Hussain, the former deputy director of an FDA office that oversaw pharmaceutical science, said that after leaving the agency and becoming a consultant, he made his concerns known in meetings with Woodcock and others. 'They can't manufacture it. Why do you keep approving it?' Hussain recalled in an interview with ProPublica. 'I said, 'Wake up.' … But they didn't listen.' Hussain in 2012 went to work for Wockhardt, one of the largest pharmaceutical companies in India, but quit eight months later after he said he told his superiors about manufacturing failures in the company's factories. Although FDA inspectors had reported lapses after multiple visits to Wockhardt plants between 2004 and 2012, the agency cleared the way for the company to export sedatives, antibiotics, beta blockers, painkillers and other generics to the United States, records show. Wockhardt received exemptions from import bans in 2013. The company did not respond to repeated requests for comment, but at the time, the company said it was going to quickly address the FDA's concerns. The FDA could have denied generic drug applications — nothing in the law prohibits the agency from saying no to companies with spotty track records. In an email, the FDA said it considers a company's history and conducts inspections in some cases before issuing approvals. Woodcock said the agency knew which factories were poor performers but feared being sued by companies blocked from introducing new drugs based on past behavior. Instead, she said that she tried to convince drugmakers to invest in equipment and practices that would turn out higher-quality drugs. 'We had many meetings about this, and we agonized about all these problems,' she said. But little changed. Shortages vs. quality In 2008, dozens of Americans were killed by contaminated blood thinner from China. So when Margaret Hamburg was appointed commissioner of the FDA in the aftermath of the crisis, she pressed the agency to crack down on overseas drugmakers. Her efforts ran headlong into what would become the worst drug shortage in modern history. By 2010, cancer drugs were scarce. So were the drugs on hospital crash carts. In all, more than 200 critical medications were in short supply. Razor-thin profit margins had limited the number of companies that were willing to make generic drugs. And the FDA's enforcement overseas had forced some manufacturing lines to temporarily shut down, which exacerbated the problem. Congress lambasted the FDA for the shortages and started requiring the agency to prove every year how it was combatting the problem. At the time, the FDA had a small team focused on shortages that operated on the edges of Woodcock's 4,000-person Center for Drug Evaluation and Research. With the pressure on, Woodcock elevated the team in 2010 to report directly to her deputy, a move that gave those staff members a commanding voice at the highest levels of the agency, several former staffers told ProPublica. After 16 years in top leadership roles, Woodcock was formidable enough to force a culture change. Standing 5'2' in FDA conference rooms where she had often been disregarded as the lone woman, Woodcock had fought for her status — sometimes, she said, pushed nearly to tears with frustration. The board-certified internist asserted her authority by wielding data, what she called 'brute force' and the soft persuasion of an occasional gift of an orchid, picked from her garden in suburban Maryland. By 2010, Woodcock had marshalled the center into a powerhouse with great independence — in many ways, outside the reach of the political whims of the commissioners who came and went. Those who worked with her over the years said despite her approachable manner, she fiercely guarded her territory. In the conference room next to Woodcock's office, the drug shortage staff began to weigh in whenever the FDA's compliance team moved to penalize wayward drugmakers because of bad inspections, according to several former FDA officials involved in the deliberations. Sometimes the small group would decide that a factory could no longer ship drugs to the United States and would try to get other manufacturers to make more. And other times, the group determined that exemptions from import bans were the only course. Discussions could be tense and often lasted for weeks. A former employee on the compliance team told ProPublica that they repeatedly argued to impose a total import ban on a foreign factory because they feared the drugs couldn't be trusted. They were left feeling uncomfortable about an exemption granted anyway — for a product that they would not use themselves. Without exemptions, Woodcock told ProPublica, the FDA might have been forced to source the drugs from a 'totally unknown manufacturer, say, from China or somewhere.' Current and former FDA officials said the concessions became a yearslong practice rather than a stopgap measure and that the protections put in place by the agency were not sufficient. They question why Woodcock and her successor didn't do more to raise alarms with Congress or the public about the decision to rely on inadequate factories for critical drugs. Woodcock said she thought the exemptions were a symptom of larger issues involving the drug supply that the FDA had no control over — the agency, for example, can't force companies concerned about slim profit margins to produce generic drugs. Two former FDA commissioners told ProPublica they knew about the practice but were not included in the decision-making. Hamburg, who spent six years at the agency under the Obama administration, said the extent of the practice surprised her. 'Had I known that it was sort of an open-ended policy, I would have been disturbed,' she said. One of her successors, Stephen Hahn, appointed during President Donald Trump's first term, said more people should have been involved in the decisions. 'You're talking about a drug of questionable quality being brought into the country,' he said. Woodcock said she did not believe she needed their input. 'I didn't think in the individual circumstances it was necessary to elevate,' she said, 'because what could they do?' 'We know what was found' In 2020, the billionaire founder of Sun Pharma joined a pivotal conference call with FDA compliance and investigative staff. Dilip Shanghvi, whose father had run a wholesale drug business in Kolkata, India, started the company in the 1980s and ultimately turned Sun Pharma into one of the largest suppliers of generic drugs in the United States. On the call, Shanghvi spoke about improvements at Sun's enormous plant in the Indian city of Halol, according to an FDA official who attended the meeting. Among other drugs, the plant produced at least 16 sterile injectables for the U.S. market, according to a Sun email to the FDA obtained by ProPublica. Injectables are particularly dangerous if contaminated because the medication is injected directly into the body, unlike a pill that goes through the filtering of the digestive tract. In 2018 and 2019, inspectors had reported a series of violations at the factory, and Sun had received more than 700 complaints about what appeared to be crystals or spider webs forming in one of its injectable medications, records show. The company also had to recall more than 135,000 vials of vecuronium bromide, a muscle relaxer used during surgery, after reports that the medication contained glass particles. Sun said the defect could cause life-threatening blood clots. On the call with the FDA, according to the agency official, Shanghvi assured the government that the Halol plant was turning out high-quality products. Yet, when the three investigators went back to the factory that scorching morning in 2022 for the surprise inspection, it was clear within days that the FDA would have to take swift action. Splitting up to check different parts of the plant, the inspectors quizzed workers about cleaning procedures and looked at disassembled equipment to see if it was contaminated with residue from old drugs. At one point, they spotted water leaking near areas where sterile drugs were made, an alarming observation because water can introduce contaminants capable of causing infections or even death. Digging through company records and test results, they found more evidence of quality problems, including how managers hadn't properly investigated a series of complaints about foreign material, specks, spots and stains in tablets. Several FDA employees familiar with the inspection report — 23 pages of detailed violations — said they had no idea why the agency went on to exclude so many of Sun's drugs from the subsequent import ban. 'We know what was found,' said the FDA official who attended the meeting with Shanghvi. 'How could you trust [those] drugs?' Sun did not respond to questions about the recalls or its regulatory history with the FDA. In its 2023-24 annual report, the company said, 'We have a relentless focus on 24x7 compliance to ensure continuity of supplies to our customers and patients worldwide.' The specific findings of the FDA's latest inspection of the Sun plant conducted this month have not yet been made public, and the company did not respond to a request for comment. To some current and former FDA officials and other experts, plugging a supply shortage with drugs that may be contaminated or ineffective is no solution at all. 'That might be helping a shortage but might be creating a new problem,' said Lumpkin, the former deputy commissioner. Last summer, a pair of FDA investigators arrived at another manufacturing plant in India that had a bustling production line. After more than a week at the Viatris factory, they left with a familiar list of safety and quality violations. The inspectors found that equipment wasn't clean and managers failed to thoroughly investigate unexplained discrepancies in test results. In a statement to ProPublica, Viatris said it immediately worked to resolve the FDA's concerns. 'Patient safety remains our primary and unwavering focus,' the company said. Just before Christmas, the FDA banned the facility from exporting drugs. Then the agency gave the factory a pass, and four of its drugs are still bound for the United States. Patricia Callahan and Vidya Krishnan contributed reporting, and Alice Crites contributed research. Medill Investigative Lab students Haajrah Gilani, Emma McNamee, Julian Andreone, Isabela Lisco, Aidan Johnstone, Megija Medne, Yiqing Wang, Phillip Powell, Gideon Pardo, Casey He, Lindsey Byman, Josh Sukoff, Kunjal Bastola, Shae Lake, Alyce Brown, Zhiyu Solstice Luo, Jessie Nguyen, Sinyi Au, Kate McQuarrie and Katherine Dailey contributed reporting.

US woman sues SIA for allergic reaction caused by meal containing shrimp; 'Basic necessity': More than 2,000 sign petition calling for free tap water at F&B outlets: Singapore live news
US woman sues SIA for allergic reaction caused by meal containing shrimp; 'Basic necessity': More than 2,000 sign petition calling for free tap water at F&B outlets: Singapore live news

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US woman sues SIA for allergic reaction caused by meal containing shrimp; 'Basic necessity': More than 2,000 sign petition calling for free tap water at F&B outlets: Singapore live news

A woman is suing Singapore Airlines after she suffered a severe allergic reaction mid-flight, allegedly caused by a meal containing shrimp that was mistakenly served to her despite advance warnings. In her legal complaint, 41-year-old Manhattan resident Doreen Benary said she had informed the cabin crew of her shrimp allergy upon boarding flight SQ026 from Frankfurt to New York on 8 October 2024. But during the business class meal service, she claimed a crew member served her a meal containing shrimp, which she unknowingly ate. She only realised it after she "began to feel ill". A petition calling on the Government to mandate free tap water at food and beverage (F&B) outlets that already impose a 10 per cent service charge has gained traction. There are over 2,000 signatures as of 20 June. Launched on by Dr Yee Yucai, a consultant at Singapore General Hospital's Internal Medicine department, the petition argues that water is a "basic necessity". Read more in our live blog below, including the latest local and international news and updates. A petition calling on the Government to mandate free tap water at food and beverage (F&B) outlets that already impose a 10 per cent service charge has gained traction. There are over 2,000 signatures as of 20 June. Launched on by Dr Yee Yucai, a consultant at Singapore General Hospital's Internal Medicine department, the petition argues that water is a "basic necessity". Dr Yee told AsiaOne that the petition came about he observed how food and beverage outlets seem to be "encouraging" diners to buy drinks to "boost profit margins". Dr Yee said: "The last straw that broke the camel's back for me was when I recently brought my family to an expensive buffet, about $60 per person. "And they had the audacity not to serve water and instead requiring us to pay an extra $5 for free-flow beverages. I thought it was going too far." This is not the first time the issue has surfaced, though. Members of Parliament from both sides of the aisle, have previously urged the Government to explore making free table water standard practice. In 2021, Christopher de Souza questioned "whether table water can be mandatorily made free-of-charge at F&B establishments" since Singapore's tap water is safe to drink. During the Budget debate in March, Workers' Party MP Gerald Giam urged the ministry to work with eateries, coffee shops and shopping malls to provide free or low-cost drinking water as a best practice. However, Minister for Sustainability and the Environment Grace Fu has pushed back, stating that while Singapore's tap water is safe, providing it still incurs costs, and thus cannot be mandated under the Environmental Public Health Act. For more on the free tap water petition, read here. A performance by local theatre company Wild Rice has been banned by the Infocomm Media Development Authority (IMDA). The IMDA cited concerns that the revised script undermined Singapore's anti-drug policies and public trust in the Central Narcotics Bureau (CNB). The show, titled Homepar, was initially approved under an R18 rating, but IMDA said the final script submitted on 5 June contained substantial changes from the original version cleared on 21 April. They said, "The new material depicts and glamorises drug abuse and portrays an undercover CNB officer shielding abusers from detection." In a statement on Friday (June 20), IMDA said the new material was found to be in breach of the Arts Entertainment Classification Code (AECC). This was done in consultation with the Ministry of Home Affairs. For more on the banned Wild Rice performance, read here. A woman is suing Singapore Airlines after she suffered a severe allergic reaction mid-flight, allegedly caused by a meal containing shrimp that was mistakenly served to her despite advance warnings. In her legal complaint, 41-year-old Manhattan resident Doreen Benary said she had informed the cabin crew of her shrimp allergy upon boarding flight SQ026 from Frankfurt to New York on 8 October 2024. But during the business class meal service, she claimed a crew member served her a meal containing shrimp, which she unknowingly ate. She only realised it after she "began to feel ill". "Despite the aforesaid warnings, during the course of the subject flight's meal service, a member of [the] cabin crew served [Benary] a meal containing shrimp," the complaint read. Benary questioned the cabin crew member who admitted to the error and apologised. By then, her situation worsened and Benary was 'violently ill', prompting an emergency diversion to Paris. She was rushed to a hospital in France, then a second facility, where she reportedly underwent "painful emergency medical treatment". For more on the lawsuit against SIA, read here. A Chinese student, who had been studying at University College London, has been jailed for life after being found guilty of drugging and raping 10 women. Zhenhao Zou, 28, a PhD student was convicted of 11 counts of rape, including offences committed in both London and China between September 2019 and May 2023. Only two of his victims have so far been identified, and the other eight have yet to be traced. Zou filmed the assaults, which took place while the women were unconscious, and kept their belongings – including earrings, hair accessories, and lipstick – in what prosecutors called a 'trophy box'. Zou is sentenced to life with a minimum term of 24 years, and was labelled a "sexual predator" by Judge Rosina Cottage. She said that Zou 'planned and executed a campaign of rape', treating the women "callously" and as "sex toys" for his own pleasure, which had "devastating and long-term effects". For more on the Zhenhao Zou's sentence, read here. Thailand Prime Minister Paetongtarn Shinawatra is set to visit Lieutenant General Boonsin Padklang on Friday (20 June), in an attempt to repair ties with the military following a leaked phone call that has thrown her administration into crisis. In the call with former Cambodian leader Hun Sen, Paetongtarn referred to Boonsin – commander of forces in northeast Thailand – as her 'opponent' while discussing an ongoing border dispute. The remarks, which surfaced online earlier this week, triggered political backlash, prompting the withdrawal of key coalition partner Bhumjaithai and fuelling speculation about the government's future. Paetongtarn, who has been in office for less than a year, issued a formal apology on Thursday while flanked by army and police chiefs. For more on Thai PM Paetongtarn Shinawatra's leaked phone call, read here. The Ministry of Health (MOH) is in discussions with insurer Great Eastern (GE) following the latter's decision to suspend the issuance of pre-authorisation certificates for Mount Elizabeth hospitals. In response to media queries, MOH stated that Integrated Shield Plan (IP) insurers "would have to ensure that policyholders continue to be able to access the full benefits of their policies in accordance with the terms and conditions for claims, as stated in their policy contracts". GE had notified its panel doctors earlier this week that it would temporarily halt the issuance of pre-authorisation certificates for Mount Elizabeth and Mount Elizabeth Novena hospitals from 17 June. The insurer high costs from the two hospitals, compared with other private hospitals, were the reason for the decision. GE clarified that the decision does not reflect on the quality of clinical care at Mount Elizabeth hospitals but that they were "prioritising facilities that deliver the same high-quality care with greater cost transparency and cost-effectiveness" A GE spokesperson told The Straits Times that the insurer "continues to be in active discussions with the hospital group involved and also the Ministry of Health on this topic". On the issue of IPs and additional coverage, MOH said in an email, "As these are commercial products, while MOH regulates the key parameters of IPs for financial sustainability, individual insurers' changes to administrative processes such as pre-authorisation framework and partnerships with private providers are based on their commercial and actuarial considerations." For more on the GE suspension of pre-authorisation certificates, read here. A cyclist who suffered a gunshot wound while riding in a gazetted area on 15 June may have taken steps to conceal his tracks from authorities. The 42-year-old man, identified as L, did not tell the police and National University Hospital (NUH) that he had been cycling near the Nee Soon live-firing range when he was hit by a projectile. According to checks by The Straits Times (ST) of the data on the Strava app, L entered the cycling trail from Chestnut Nature Park at about 9.50am on 15 June 15. He was with a group of about 10 cyclists at the time, and a regular riding partner identified as W. ST reported that W deleted details on Strava of his ride on 15 June 15. But, the route he took was mapped out on Garmin account, which is accessible to the public. After leaving Chestnut Nature Park, the pair entered the Woodcutter's Trail in the Central Catchment Nature Reserve (CCNR) at about 11am. The Ministry of Defence said in an earlier statement that the man was hit by a bullet slug at about 11.40am. The police said NUH alerted them at 11.55pm of the gunshot wound. In his initial interview with police investigators, L denied being anywhere near the restricted areas when he was injured. He only admitted to it the next day. W has privatised his Strava and Garmin accounts after the morning of 19 June. The cyclist is under investigation for wilful trespass. For more on the cyclist and the gazetted area, read here. Singapore Pools Toto draw for 19 June saw one lucky ticket take home the Group 1 prize of over $12.3 million. The single winning share amount of over $12.3 million is the third highest recorded by Singapore Pools behind $13.1 million in May 2024 and $13 million in October 2023. The winning numbers for Thursday's draw (19 June) are 1, 10, 37, 40, 47 and 45, with the additional number being 19. The winning ticket was bought from an NTUC FairPrice at Yew Tee Point (1 QuickPick System 7 Entry). For more on the Group 2 winning tickets, read here. Two Singaporean men were arrested in Thailand on 17 June, along with a Thai national, for their alleged roles in running a transnational vice syndicate, the Singapore Police Force (SPF) said on Wednesday (19 June). The Singaporean suspects, aged 36 and 38, and the 50-year-old Thai man, were arrested in a joint cross-border operation between the SPF and the Royal Thai Police (RTP). The operation saw assets worth over 20 million baht (S$790,600) seized, including luxury condos, cash, mobile devices and SIM cards. The SPF also froze over S$1.26 million in suspected criminal proceeds held in a Singapore bank account belonging to the 38-year-old man. According to Thai media outlet Khaosod English, one of the Singaporean suspects was arrested upon arrival at Bangkok's Suvarnabhumi Airport, while the other arrested at his residence in Thailand. Investigations started in 2023 and revealed that the syndicate allegedly recruited foreign women and deployed them to Singapore as vice workers. From April 2023 to May 2025, at least 76 such women linked to the operation have been arrested, and the SPF said the resulting investigations "established useful information" against the syndicate. Singapore's Senior Assistant Commissioner of Police (SAC) Yeo Yee Chuan said, "The SPF is committed to working closely with our regional partners, and we thank the RTP for their invaluable collaboration in dismantling this criminal network to prevent the exploitation of women, stem the scourge of transnational crimes and take affirmative actions against the laundering of criminal proceeds." For more on the arrests, read here. A petition calling on the Government to mandate free tap water at food and beverage (F&B) outlets that already impose a 10 per cent service charge has gained traction. There are over 2,000 signatures as of 20 June. Launched on by Dr Yee Yucai, a consultant at Singapore General Hospital's Internal Medicine department, the petition argues that water is a "basic necessity". Dr Yee told AsiaOne that the petition came about he observed how food and beverage outlets seem to be "encouraging" diners to buy drinks to "boost profit margins". Dr Yee said: "The last straw that broke the camel's back for me was when I recently brought my family to an expensive buffet, about $60 per person. "And they had the audacity not to serve water and instead requiring us to pay an extra $5 for free-flow beverages. I thought it was going too far." This is not the first time the issue has surfaced, though. Members of Parliament from both sides of the aisle, have previously urged the Government to explore making free table water standard practice. In 2021, Christopher de Souza questioned "whether table water can be mandatorily made free-of-charge at F&B establishments" since Singapore's tap water is safe to drink. During the Budget debate in March, Workers' Party MP Gerald Giam urged the ministry to work with eateries, coffee shops and shopping malls to provide free or low-cost drinking water as a best practice. However, Minister for Sustainability and the Environment Grace Fu has pushed back, stating that while Singapore's tap water is safe, providing it still incurs costs, and thus cannot be mandated under the Environmental Public Health Act. For more on the free tap water petition, read here. A performance by local theatre company Wild Rice has been banned by the Infocomm Media Development Authority (IMDA). The IMDA cited concerns that the revised script undermined Singapore's anti-drug policies and public trust in the Central Narcotics Bureau (CNB). The show, titled Homepar, was initially approved under an R18 rating, but IMDA said the final script submitted on 5 June contained substantial changes from the original version cleared on 21 April. They said, "The new material depicts and glamorises drug abuse and portrays an undercover CNB officer shielding abusers from detection." In a statement on Friday (June 20), IMDA said the new material was found to be in breach of the Arts Entertainment Classification Code (AECC). This was done in consultation with the Ministry of Home Affairs. For more on the banned Wild Rice performance, read here. A woman is suing Singapore Airlines after she suffered a severe allergic reaction mid-flight, allegedly caused by a meal containing shrimp that was mistakenly served to her despite advance warnings. In her legal complaint, 41-year-old Manhattan resident Doreen Benary said she had informed the cabin crew of her shrimp allergy upon boarding flight SQ026 from Frankfurt to New York on 8 October 2024. But during the business class meal service, she claimed a crew member served her a meal containing shrimp, which she unknowingly ate. She only realised it after she "began to feel ill". "Despite the aforesaid warnings, during the course of the subject flight's meal service, a member of [the] cabin crew served [Benary] a meal containing shrimp," the complaint read. Benary questioned the cabin crew member who admitted to the error and apologised. By then, her situation worsened and Benary was 'violently ill', prompting an emergency diversion to Paris. She was rushed to a hospital in France, then a second facility, where she reportedly underwent "painful emergency medical treatment". For more on the lawsuit against SIA, read here. A Chinese student, who had been studying at University College London, has been jailed for life after being found guilty of drugging and raping 10 women. Zhenhao Zou, 28, a PhD student was convicted of 11 counts of rape, including offences committed in both London and China between September 2019 and May 2023. Only two of his victims have so far been identified, and the other eight have yet to be traced. Zou filmed the assaults, which took place while the women were unconscious, and kept their belongings – including earrings, hair accessories, and lipstick – in what prosecutors called a 'trophy box'. Zou is sentenced to life with a minimum term of 24 years, and was labelled a "sexual predator" by Judge Rosina Cottage. She said that Zou 'planned and executed a campaign of rape', treating the women "callously" and as "sex toys" for his own pleasure, which had "devastating and long-term effects". For more on the Zhenhao Zou's sentence, read here. Thailand Prime Minister Paetongtarn Shinawatra is set to visit Lieutenant General Boonsin Padklang on Friday (20 June), in an attempt to repair ties with the military following a leaked phone call that has thrown her administration into crisis. In the call with former Cambodian leader Hun Sen, Paetongtarn referred to Boonsin – commander of forces in northeast Thailand – as her 'opponent' while discussing an ongoing border dispute. The remarks, which surfaced online earlier this week, triggered political backlash, prompting the withdrawal of key coalition partner Bhumjaithai and fuelling speculation about the government's future. Paetongtarn, who has been in office for less than a year, issued a formal apology on Thursday while flanked by army and police chiefs. For more on Thai PM Paetongtarn Shinawatra's leaked phone call, read here. The Ministry of Health (MOH) is in discussions with insurer Great Eastern (GE) following the latter's decision to suspend the issuance of pre-authorisation certificates for Mount Elizabeth hospitals. In response to media queries, MOH stated that Integrated Shield Plan (IP) insurers "would have to ensure that policyholders continue to be able to access the full benefits of their policies in accordance with the terms and conditions for claims, as stated in their policy contracts". GE had notified its panel doctors earlier this week that it would temporarily halt the issuance of pre-authorisation certificates for Mount Elizabeth and Mount Elizabeth Novena hospitals from 17 June. The insurer high costs from the two hospitals, compared with other private hospitals, were the reason for the decision. GE clarified that the decision does not reflect on the quality of clinical care at Mount Elizabeth hospitals but that they were "prioritising facilities that deliver the same high-quality care with greater cost transparency and cost-effectiveness" A GE spokesperson told The Straits Times that the insurer "continues to be in active discussions with the hospital group involved and also the Ministry of Health on this topic". On the issue of IPs and additional coverage, MOH said in an email, "As these are commercial products, while MOH regulates the key parameters of IPs for financial sustainability, individual insurers' changes to administrative processes such as pre-authorisation framework and partnerships with private providers are based on their commercial and actuarial considerations." For more on the GE suspension of pre-authorisation certificates, read here. A cyclist who suffered a gunshot wound while riding in a gazetted area on 15 June may have taken steps to conceal his tracks from authorities. The 42-year-old man, identified as L, did not tell the police and National University Hospital (NUH) that he had been cycling near the Nee Soon live-firing range when he was hit by a projectile. According to checks by The Straits Times (ST) of the data on the Strava app, L entered the cycling trail from Chestnut Nature Park at about 9.50am on 15 June 15. He was with a group of about 10 cyclists at the time, and a regular riding partner identified as W. ST reported that W deleted details on Strava of his ride on 15 June 15. But, the route he took was mapped out on Garmin account, which is accessible to the public. After leaving Chestnut Nature Park, the pair entered the Woodcutter's Trail in the Central Catchment Nature Reserve (CCNR) at about 11am. The Ministry of Defence said in an earlier statement that the man was hit by a bullet slug at about 11.40am. The police said NUH alerted them at 11.55pm of the gunshot wound. In his initial interview with police investigators, L denied being anywhere near the restricted areas when he was injured. He only admitted to it the next day. W has privatised his Strava and Garmin accounts after the morning of 19 June. The cyclist is under investigation for wilful trespass. For more on the cyclist and the gazetted area, read here. Singapore Pools Toto draw for 19 June saw one lucky ticket take home the Group 1 prize of over $12.3 million. The single winning share amount of over $12.3 million is the third highest recorded by Singapore Pools behind $13.1 million in May 2024 and $13 million in October 2023. The winning numbers for Thursday's draw (19 June) are 1, 10, 37, 40, 47 and 45, with the additional number being 19. The winning ticket was bought from an NTUC FairPrice at Yew Tee Point (1 QuickPick System 7 Entry). For more on the Group 2 winning tickets, read here. Two Singaporean men were arrested in Thailand on 17 June, along with a Thai national, for their alleged roles in running a transnational vice syndicate, the Singapore Police Force (SPF) said on Wednesday (19 June). The Singaporean suspects, aged 36 and 38, and the 50-year-old Thai man, were arrested in a joint cross-border operation between the SPF and the Royal Thai Police (RTP). The operation saw assets worth over 20 million baht (S$790,600) seized, including luxury condos, cash, mobile devices and SIM cards. The SPF also froze over S$1.26 million in suspected criminal proceeds held in a Singapore bank account belonging to the 38-year-old man. According to Thai media outlet Khaosod English, one of the Singaporean suspects was arrested upon arrival at Bangkok's Suvarnabhumi Airport, while the other arrested at his residence in Thailand. Investigations started in 2023 and revealed that the syndicate allegedly recruited foreign women and deployed them to Singapore as vice workers. From April 2023 to May 2025, at least 76 such women linked to the operation have been arrested, and the SPF said the resulting investigations "established useful information" against the syndicate. Singapore's Senior Assistant Commissioner of Police (SAC) Yeo Yee Chuan said, "The SPF is committed to working closely with our regional partners, and we thank the RTP for their invaluable collaboration in dismantling this criminal network to prevent the exploitation of women, stem the scourge of transnational crimes and take affirmative actions against the laundering of criminal proceeds." For more on the arrests, read here.

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