Differing symptom patterns in early pandemic vs seasonal influenza infectionsJulian Wei Tze Tang
Molecular Diagnosis Centre, Department of Laboratory Medicine, National University Hospital, Singapore
Arch Intern Med 170:861-7. 2010
..Influenza incidence peaks in June through July and November through January, though influenza cases can be detected throughout the year...
Airflow dynamics of coughing in healthy human volunteers by shadowgraph imaging: an aid to aerosol infection controlJulian W Tang
Department of Laboratory Medicine, National University Hospital, Queenstown, Singapore
PLoS ONE 7:e34818. 2012
..The effectiveness of this intervention depends on optimum positioning of the arm over the nose and mouth during coughing, though unsightly stains on sleeves may make it unacceptable to some...
Incidence of common respiratory viral infections related to climate factors in hospitalized children in Hong KongJ W Tang
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR, China
Epidemiol Infect 138:226-35. 2010
..Data from this study further reinforces the concept that the relationship between climate factors and respiratory virus incidence differ between subtropical/tropical and temperate countries...
The effect of environmental parameters on the survival of airborne infectious agentsJulian W Tang
Department of Laboratory Medicine, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074, Republic of Singapore
J R Soc Interface 6:S737-46. 2009
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Tracking the emergence of pandemic Influenza A/H1N1/2009 and its interaction with seasonal influenza viruses in SingaporeJulian W T Tang
Department of Laboratory Medicine, Molecular Diagnosis Centre, National University Hospital, Singapore
Ann Acad Med Singapore 39:291-4. 2010
..Since the emergence of the pandemic influenza A/H1N1/2009 virus in April 2009, diagnostic testing in many countries has revealed the rapid displacement and then replacement of circulating seasonal influenza viruses by this novel virus...
Viral loads of herpes simplex virus in clinical samples--a 5-year retrospective analysisJulian W Tang
Molecular Diagnosis Centre, Department of Laboratory Medicine, National University Hospital, Singapore
J Med Virol 82:1911-6. 2010
..These findings may therefore limit the usefulness of monitoring HSV loads in everyday clinical practice...
Comparison of the incidence of influenza in relation to climate factors during 2000-2007 in five countriesJulian W Tang
Department of Laboratory Medicine, National University Hospital, Singapore, Singapore
J Med Virol 82:1958-65. 2010
..Rainfall was not significantly correlated with the incidence of influenza A or B in any of these cities...
Observing and quantifying airflows in the infection control of aerosol- and airborne-transmitted diseases: an overview of approachesJ W Tang
Department of Laboratory Medicine, National University Hospital, Singapore, Singapore
J Hosp Infect 77:213-22. 2011
..This article outlines each of these techniques in a non-technical manner, suitable for a clinical readership without specialist airflow or engineering knowledge...
Qualitative real-time schlieren and shadowgraph imaging of human exhaled airflows: an aid to aerosol infection controlJulian W Tang
Department of Laboratory Medicine, National University Hospital, Singapore, Singapore
PLoS ONE 6:e21392. 2011
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Factors involved in the aerosol transmission of infection and control of ventilation in healthcare premisesJ W Tang
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR, China
J Hosp Infect 64:100-14. 2006
..On this basis, recommendations are made to improve the control of aerosol-transmitted infections in hospitals as well as in the design and construction of future isolation facilities...
Seasonality of influenza A(H3N2) virus: a Hong Kong perspective (1997-2006)Julian W Tang
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong Special Administrative Region, China
PLoS ONE 3:e2768. 2008
..The underlying basis for the seasonality of influenza A viruses is still uncertain. Phylogenetic studies investigated this phenomenon but have lacked sequences from more subtropical and tropical regions, particularly from Southeast Asia...
A universal influenza A and B duplex real-time RT-PCR assayHong Kai Lee
Molecular Diagnosis Centre, Department of Laboratory Medicine, National University Hospital, Singapore, Singapore
J Med Virol 84:1646-51. 2012
..This in-house assay offers a highly sensitive and specific option for laboratories seeking to expand their influenza testing capacity...
High-resolution melting approach to efficient identification and quantification of H275Y mutant influenza H1N1/2009 virus in mixed-virus-population samplesHong Kai Lee
Molecular Diagnosis Center, National University of Singapore, Singapore, Republic of Singapore
J Clin Microbiol 49:3555-9. 2011
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Diagnostic testing for pandemic influenza in Singapore: a novel dual-gene quantitative real-time RT-PCR for the detection of influenza A/H1N1/2009Hong Kai Lee
Molecular Diagnosis Centre, Department of Laboratory Medicine, National University Hospital, 5 Lower Kent Ridge Road, Singapore
J Mol Diagn 12:636-43. 2010
..It was first applied to 3512 patients with influenza-like illnesses at a tertiary hospital in Singapore, during the containment phase of the pandemic (May to July 2009)...
Targeting both rs12979860 and rs8099917 polymorphisms with a single-tube high-resolution melting assay for IL28b genotypingKok Siong Poon
Molecular Diagnosis Centre, Department of Laboratory Medicine, National University Health System, Singapore
J Clin Microbiol 50:3353-5. 2012
..A linkage study on 300 healthy Singaporeans showed variable haplotypes. When the assay was applied to plasma DNA from 50 hepatitis C virus genotype-1 (HCV-1)-infected patients, five compound heterozygous types were detected...
An in-house HIV genotyping assay for the detection of drug resistance mutations in Southeast Asian patients infected with HIV-1Chun Kiat Lee
Molecular Diagnosis Centre, Department of Laboratory Medicine, National University Hospital, Singapore, Singapore
J Med Virol 84:394-401. 2012
..Therefore this assay enables further study of these C-terminal mutations in Southeast Asian populations, where there is a high prevalence of CRF01_AE and other non-subtype B HIV infections...
A schlieren optical study of the human cough with and without wearing masks for aerosol infection controlJulian W Tang
Department of Laboratory Medicine, National University of Singapore, Singapore
J R Soc Interface 6:S727-36. 2009
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Prevalence of diarrhea viruses in hospitalized children in Hong Kong in 2008Cheryl S Y Li
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong Special Administrative Region, China
J Med Virol 81:1903-11. 2009
..The results support the importance of norovirus as a causative agent of diarrhea in children, which may be underestimated by the current routine diagnostic testing...
Molecular epidemiology of hepatitis C genotype 6a from patients with chronic hepatitis C from Hong KongCheryl S Y Li
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR, China
J Med Virol 81:628-33. 2009
..Larger studies are required to confirm these findings...
Emergence of adamantane-resistant influenza A(H3N2) viruses in Hong Kong between 1997 and 2006Julian W Tang
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong Special Administrative Region, China
J Med Virol 80:895-901. 2008
..The underlying reasons for these findings are unclear and similar studies are required elsewhere to elucidate these and prevent this spread of drug-resistance happening again in future...
Hepatitis C virus genotype distribution among intravenous drug user and the general population in Hong KongDaniel X M Zhou
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China
J Med Virol 78:574-81. 2006
..The co-circulation of a common (1b) and a rare (6a) HCV genotype in Hong Kong provides a unique opportunity for future studies to compare their transmission efficiency, clinical course, and response to treatment...
The large 386-nt deletion in SARS-associated coronavirus: evidence for quasispecies?Julian W Tang
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR, China
J Infect Dis 194:808-13. 2006
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Airflows around oxygen masks: A potential source of infection?David S Hui
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, Peoples Republic of China
Chest 130:822-6. 2006
..An analysis of captured digital images showed that the exhaled air at the peak of simulated exhalation reached a distance of approximately 0.40 m...
Viral load, E2 gene disruption status, and lineage of human papillomavirus type 16 infection in cervical neoplasiaJo L K Cheung
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong Special Administrative Region, People's Republic of China
J Infect Dis 194:1706-12. 2006
..The link between viral lineage, integration pattern, and oncogenesis deserves further study...
Characterizing 56 complete SARS-CoV S-gene sequences from Hong KongJulian W Tang
Department of Microbiology, School of Public Health, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, China
J Clin Virol 38:19-26. 2007
..The spike glycoprotein (S) gene of the severe acute respiratory syndrome-associated coronavirus (SARS-CoV) has been useful in analyzing the molecular epidemiology of the 2003 SARS outbreaks...
Airflow and droplet spreading around oxygen masks: a simulation model for infection control researchMargaret Ip
Centre for Emerging Infectious Diseases, School of Public Health, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China
Am J Infect Control 35:684-9. 2007
..Respiratory assist devices, such as oxygen masks, may enhance the potential to spread infectious aerosols from patients with respiratory infections...
Association between HLA-DRB1 polymorphism, high-risk HPV infection and cervical neoplasia in southern ChinesePaul K S Chan
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong Special Administrative Region, Hong Kong, China
J Med Virol 79:970-6. 2007
..The current study shows that, among southern Chinese, the outcome of HPV-infected cervical lesions is associated with HLA-DRB1 polymorphism. These associations often vary with the type of HPV infection...
Viral etiology of acute exacerbations of COPD in Hong KongFanny W S Ko
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, 30 32 Ngan Shing St, Shatin, New Territories, Hong Kong
Chest 132:900-8. 2007
..Viral respiratory infections may precipitate acute exacerbations of COPD (AECOPD). However, little is known about viral etiology related to AECOPD in Asia. We aimed to study the viral etiology of AECOPD in Hong Kong...
Features of the new pandemic influenza A/H1N1/2009 virus: virology, epidemiology, clinical and public health aspectsJulian W Tang
Department of Laboratory Medicine, National University of Singapore, Singapore
Curr Opin Pulm Med 16:235-41. 2010
..The emergence of the pandemic A/H1N1/2009 influenza virus has enabled preexisting pandemic influenza plans to be put into action. This review examines the clinical and public health impact of this new virus...
Use of phylogenetics in the molecular epidemiology and evolutionary studies of viral infectionsTommy Tsan Yuk Lam
School of Biological Sciences, The University of Hong Kong, Hong Kong Special Administrative Region, China
Crit Rev Clin Lab Sci 47:5-49. 2010
..It aims to provide, with minimal mathematics and statistics, a practical overview of how phylogenetic methods can be incorporated into virological studies by clinical and laboratory specialists...
Factors associated with early hospital discharge of adult influenza patientsNelson Lee
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Antivir Ther 12:501-8. 2007
..Understanding factors affecting length of hospital stay (LOS) in patients with severe influenza may improve their management...
Profile of viral load, integration, and E2 gene disruption of HPV58 in normal cervix and cervical neoplasiaPaul K S Chan
Department of Microbiology, School of Public Health, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong Special Administrative Region, People s Republic of China
J Infect Dis 196:868-75. 2007
..Routinely collected cervical samples contain a heterogeneous population of viruses, hampering the application of viral load and integration testing in clinical settings...
First reported outbreak of diarrhea due to adenovirus infection in a hematology unit for adultsHamid Jalal
Clinical Microbiology and Public Health Laboratory, Addenbrooke s Hospital, Cambridge, Hills Road, Cambridge CB2 2QW, United Kingdom
J Clin Microbiol 43:2575-80. 2005
..The outbreak strain was also detected in plasma of four of these patients, suggesting systemic infection. The outbreak strain was identified as type 12. Standard infection control measures were effective to control this outbreak...
Pandemic influenza forecasting: does past performance indicate future performance?Julian W Tang
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR
Am J Infect Control 36:466-7. 2008
High prevalence of the CD14-159CC genotype in patients infected with severe acute respiratory syndrome-associated coronavirusFang F Yuan
Cell Biology Laboratory, ARCBS Endeavour, 153 Clarence Street, Sydney, NSW 2000, Australia
Clin Vaccine Immunol 14:1644-5. 2007
..029; odds ratio, 2.74; 95% confidence interval, 1.15 to 6.57; controls, P = 0.04; odds ratio, 2.41; 95% confidence interval, 1.05 to 5.54), and both CD14-159CC and FcgammaRIIA-RR131 are risk genotypes for severe SARS-CoV infection...