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Wellness Centre

Screening Guidelines
Health Checks (for Men & Women) What It Entails Why You Need To Go When Should You Go Who Should Go
20s & 30s Body mass index – measurement of weight and height High BMI of >23kg/m2 is associated with risks of hypertension, diabetes, high cholesterol, heart disease, gallstones, certain cancers as well as joint problems Yearly All
Pre-marital screening for genetic diseases such as Thalassaemia, sexually transmitted diseases such as hepatitis, syphilis and HIV (blood test) Thalassaemia is a genetic disease that affects red blood cells. Thalasseamia minors (carriers) can pass the abnormal gene to the next generation. If both parents are thalassaemia minors, there is a 25% chance of giving birth to a child with thalassaemia major. Thalassaemia major patients have shorter life expectancy and require regular blood transfusions.
Prior to marriage/ conception All couples
Sexually transmitted diseases – common ones include hepatitis B, hepatitis C, syphilis, gonorrhoea, Chlamydia, HIV. These can be transmitted from 1 partner to another as well as to the baby. Most of these diseases are treatable. Some diseases such as hepatitis B and C will require lifelong surveillance for liver cancer and liver cirrhosis as Hepatitis B and C carriers are at higher risk of liver cancer and cirrhosis compared to the general population. Prior to marriage/ conception and after exposure All couples as well as for those with high risk behaviour such as multiple sexual partners, intravenous drug abusers, and family history of hepatitis
Clinical breast examination and ultrasound breasts (optional) To detect breast lumps Ultrasound of breasts detects breast cysts and nodules which are not palpable by the hands. Yearly All ladies, especially those with family history of breast disease
PAP smear To detect cervical cancer, pre-cancer of cervix, infections At least once in 3 years All sexually active ladies regardless of age
Health Checks (for Men & Women) What It Entails Why You Need To Go When Should You Go Who Should Go
40s & 50s Blood pressure monitoring To detect hypertension. Early treatment and good control of blood pressure prevents complications such as heart disease, stroke, kidney failure, hypertensive eye disease and erectile dysfunction Yearly All
Diabetes and high cholesterol screening via blood test To detect problems of diabetes and high cholesterol at earlier stage so that treatment can be initiated earlier to prevent complications.

Diabetes can lead to heart disease, stroke, diabetic eye disease (blindness), kidney failure as well as diabetic foot disease (associated with amputations).

High cholesterol is a silent time bomb for development of heart disease as well as stroke – via the clogging of arteries that supplies the heart and brain.
Yearly All
Heart Disease - ECG, treadmill stress test Heart disease is the number 2 killer in Singapore. Heart disease may have symptoms such as chest pain, difficulty breathing. But many early cases have no symptoms. Hence it is important to screen for heart disease. Yearly All – especially for those at risk of heart disease such as those with hypertension, diabetes, high cholesterol, family history of heart disease, poor lifestyle habits
Cancer screening

(a)
Colorectal
- Blood test for CEA
- Stool test for occult blood
- Colonoscopy

(b)
Lung
- Chest XR

(c)
Prostate
- Blood test for PSA
- Per rectal examination of
  prostate
- Ultrasound of prostate

(d)
Liver
- Blood test for AFP
- Ultrasound of liver

(e)
Stomach
- Gastroscopy

(f)
Nose
- Blood test for EBV
- Nasoendoscopy

(g)
Breast
- Mammogram &
  ultrasound of breasts

h) Womb and ovaries
- Blood test for CA125
- Ultrasound of pelvis

(i)
Cervix
- PAP smear
Top male cancers in Singapore

1) Colorectal
2) Lung
3) Prostate
4) Liver
5) Stomach
6) Nose


Top female cancers in Singapore

1) Breast
2) Colorectal
3) Lung
4) Ovary
5) Womb
6) Cervix

Yearly - important to do yearly mammogram, yearly stool occult blood test And 3 yearly PAP smear - gastroscopy and colonoscopy can be done every 5 years All, especially for those with risk factors such as family history of breast cancer, ovary cancer, colorectal cancer, prostate cancer and nose cancer
Health Checks (for Men & Women) What It Entails Why You Need To Go When Should You Go Who Should Go
50s Osteoporosis Via bone mineral density test Osteoporosis is a condition of ‘brittle bones’. 1 in 3 women over 50 develop osteoporotic fractures. 1 in 5 men over 50 develop osteoporotic fractures. Common sites of fracture due to osteoporosis include spine, hip, wrist. Hip fractures cause the most morbidity with loss of function and independence as well as mortality rates of up to 24% in the first year of the fracture. Regularly, depending on risk factors as well as BMD result Especially for those with risk factors – Past history of fracture, family history of osteoporosis, postmenopausal women, low body mass index, sedentary lifestyle, smoking, alcohol consumption, steroids intake, diet low in calcium. Especially for people with hypertension and diabetes as well as those with poor vision and eye complaints.
Visual acuity, tonometry and retinal photograph Common eye problems include cataracts, glaucoma and retinopathy (which can be due to hypertension and diabetes). Yearly
Health Checks (for Men & Women) What It Entails Why You Need To Go When Should You Go Who Should Go
At Any Age Kidney disease - blood test for kidney function, urine test for red blood cells and protein Kidney failure in Singapore usually occurs as a result of hypertension and diabetes. Early kidney disease is silent and can be detected through a urine test to pick up protein leakage. Treatment can be started earlier to retard the damage to the kidneys. Yearly Especially for those with hypertension, diabetes as well as family history of kidney diseases
Tuberculosis - Chest XR, Mantoux test Tuberculosis is highly contagious through droplet transmission. Upon exposure Especially for those with chronic cough as well as contact history
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