By Ang Wei Qin

All she wanted was a maid to help take care of her grandchildren.
Instead, she ended up with a medical bill of more than $1,000 and a family of 12, including two infants, exposed to the risk of tuberculosis (TB).
The infants are now undergoing medication and regular reviews, although they have not been diagnosed with the illness.
It all started on Jan 22, when Ms Siti Rohama, 32, an Indonesian, joined Madam Loh Kham Hwa's family as a domestic helper.
The 56-year-old housewife, who was expecting a grandson in February, wanted an extra pair of hands to help her.
The director of Team-Up Resources, Ms Siti's foreign domestic worker (FDW) agency, Mr Ng Khim Hock, 56, told Madam Loh that Ms Siti had passed all the necessary checks and procedures, including the medical examination under the Ministry of Manpower's (MOM) guidelines for FDWs.
Ms Siti's pre-employment health screening test was done at a local lab specialising in check-ups for foreign workers, one that Mr Ng said his company has been working with for more than 10 years.
But Madam Loh claimed that Ms Siti was already coughing from the moment she stepped into her car at the agency.
"But since the medical check up showed nothing out of the ordinary, I thought that it was just a normal cough that would go away," she said.
So for four months until the end of May, Ms Siti helped to look after Madam Loh's first grandchild, a boy, who was five months old in January.
When Madam Loh's daughter-in-law, Dr Siti Aisha, 28, gave birth to a baby boy in February, Ms Siti started looking after the infant as well.
Throughout this period, she had been coughing continually.
Madam Loh said: "We gave her some Chinese medicine and also some leftover cough medicine we had at home, but nothing seemed to work."
"My daughter-in-law, who is a doctor, also prescribed some cough medication, but her cough would always come back."
It wasn't until May 26, when Ms Siti developed a high fever, that Madam Loh suspected something might be wrong.
Despite further medication from Madam Loh's daughter-in-law, the fever persisted.
On June 1, Madam Loh finally sent Ms Siti to her family clinic, Joy Clinic & Surgery at Yishun, for a check-up.
Ms Siti was then referred to Yishun Polyclinic for a chest X-ray and subsequently diagnosed as having contracted TB.
Madam Loh and her family were shocked.
Unwilling to expose her family's health to further risk, Madam Loh sent Ms Siti back to the agency that very evening.
Cancelled work permit
Team-Up Resources then cancelled Ms Siti's work permit on the same day, said Mr Ng.
The next morning, Madam Loh's entire family went to the Tuberculosis Control Unit (TBCU) at Tan Tock Seng Hospital (TTSH) to get themselves checked for tuberculosis.
The family comprises Madam Loh, her husband, her brother, her three children and their spouses, her two grandchildren and her other maid.
Ms Siti also had to go to the TBCU from Team-Up Resources for further tests and medication, Mr Ng said.
Following the check-up, Mr Ng's agency sent Ms Siti back to Indonesia on a ferry that afternoon.
Said Madam Loh: "My family's medical bills came up to more than $800. I also had to pay around $300 for Siti's medication and check-ups."
Her two grandsons, who are currently 11 months old and five months old, have to return to TBCU every month until December for reviews and medication.
They have to be on a course of antibiotics for up to six months to reduce their risk of contracting TB.
Madam Loh said: "The medicine they are taking may have side effects like jaundice and vomiting.
They have to suffer through injections and X-rays despite being so young.
"They were both perfectly healthy before, and this had to happen."
Mr Ng, said he was also shocked to find out that Siti had TB.
He said: "Her X-ray in her first check-up was clear. I didn't expect this to happen.
"I provided Madam Loh with a new maid for free since our contract stated that I had to provide her with a medically fit maid."
An average of 100 FDWs pass through the doors of Team-Up Resources yearly.
First case
More than 95 per cent pass their first medical check-up here, Mr Ng claimed.
He said Ms Siti was the first such case he had seen after working at Team-Up for more than 10 years.
"There have been cases where the maid gets sick here. But never have I seen a case where a maid's illness wasn't detected in the first place," he said.
Following the incident, Madam Loh wrote a letter to Chinese daily Lianhe Zaobao, which was published on June 22.
A joint response from MOM and the Ministry of Health (MOH) was published in both Lianhe Zaobao and the agencies' websites on July 7.
The response said that new FDWs have to undergo and pass a medical examination within 14 days of arriving in Singapore, before they are issued with a work permit.
It also stated: "The objective of the medical examination is to ensure that the FDW is generally fit to work and does not pose a public health threat.
"We are...investigating the pre-employment health screening test that was done for Madam Loh's FDW, and we will contact Madam Loh directly once the investigations are completed."
TNP understands that as of yesterday, MOM and MOH have yet to contact Madam Loh.
Madam Loh said: "Even if your maid is just slightly sick, you must still take her for a check-up no matter how busy you are.
"Don't regret it and end up causing your family more inconvenience later like I did."
Previous cases involving maids and TB
There have been two other cases involving maids and tuberculosis (TB) in Singapore.
In the first, a Filipino maid was found dead along River Valley Road on February 11, three hours before her appointment at the Tuberculosis Control Unit.
Ms Jennifer Pioquinto Dignos, 31, was found at 7am in the middle of the three-lane road outside the branch office of foreign worker help group Humanitarian Organisation of Migration Economics (Home), where she had stayed the previous two nights.
The Straits Times reported that she was believed to have died from TB.
Ms Dignos had been in Singapore for a year at the time of her death.
It is not known where she had contracted the illness from.
In the second case, a maid who joined a family here last January was suspected to have TB after her check-up.
Check-up
The maid, who was not named, had gone straight to the household upon arriving in Singapore on Jan 22 last year.
She had her medical check-up only on Jan 26. The check-up revealed a "vague opacity" in her right lung, which is an indicator of TB.
But the family claimed that the agent kept the results of the test from them.
The maid then requested to be sent back to the agent barely two weeks later as she was unhappy.
Shortly after, the Ministry of Manpower (MOM) launched an investigation as they suspected that the maid did not have a valid work permit.
It was during this investigation that MOM told them that the maid could have had TB, the family said.
Upon hearing the news, the family panicked as their only daughter, who was 21/2 years old then, had been coughing badly.
Fortunately, a hospital scan later showed that their daughter was free of tuberculosis.
The maid was repatriated in June last year after MOM completed its investigations.
Suspect TB? Get it diagnosed early
Tuberculosis (TB) presents itself in two forms, latent TB and active TB.
Dr Jim Teo, a respiratory and ICU physician at Nobel Chest and Internal Medicine Centre at Mount Alvernia Hospital and Gleneagles Medical Centre, said that one-third of the world's population have latent TB.
"This is when the TB germs are in the lungs, but...the symptoms don't show," he said.
A person with latent TB has a 10 per cent chance of it developing into the active form.
This is when the symptoms - which include chronic coughing, blood in the phlegm, fever, tiredness and night sweats - will start to show.
Active TB can be detected by a chest X-ray or a phlegm test.
Dr Teo said: "Most people get their active TB diagnosed too late, which is not good as they may already have infected other people.
Early diagnosis is very important because active tuberculosis is very contagious."
Treatment for active TB consists of four different drugs for six to nine months.
In more serious cases, the patient has to be hospitalised.
Dr Teo advised anyone who has been coughing for more than four weeks, or has phlegm in their blood, to consult their doctor immediately.
Latent TB which is typically what people are infected with, is much harder to diagnose because there are no symptoms.
It is diagnosed either through a skin test - called a Mantoux test - or a blood test.
Dr Teo advised anyone who has been in contact with a TB patient in the past to have themselves checked for latent TB immediately.
This article was first published in The New Paper.














