By popular demand, a second opportunity to discover the former CDC

5 08 2019

Update:

Registration is now closed as the event is over-subscribed.



Note:


This visit is a repeat of the one held on 3 Aug 2019 and as such, opened only to those who were not provided with a place for the earlier visit.

Places would be allocated only to the first 25 eligible registrants. Unsuccessful registrants would be placed on the waiting list.

Successful registrants will be notified by email by 9 Aug 2019.


Further information on the series, which is being organised with the support of the Singapore Land Authority (SLA), can be found at this link: Discovering Singapore’s Best Kept Secrets.


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Background to the former CDC and the visit

The move of Tan Tock Seng Hospital’s former Communicable Disease Centre to the National Centre for Infectious Diseases (NCID) in December 2018 and its handover to SLA, provides an opportunity to pay the sprawling grounds that it occupied a visit.

Formerly the Infectious Diseases Hospital and Middleton Hospital, the centre played a key role in the containment of highly contagious diseases. Many of the site’s original buildings from 1913, laid out in the distinct manner of the pavilion=style hospital wards, of old, can still be across its expansive 9.7 ha. site.

The visit, which provides the opportunity to learn more about the site through a guided walk, is supported by SLA.


When and where:

17 August 2019, 10 am to 11.30 am

2 Moulmein Road, Singapore 308076

Registration:

  • Participants must be of ages 18 and above.
  • The visit is opened only to those who did not obtain a place for the 3 Aug 2019 visit.
  • A unique registration is required for each participant. Duplicate registrations will count as one.
  • Places will be allocated to the first 25 eligible registrants.

Registration shall be made using the form at this link (registration closed).

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Discovering the former CDC

22 07 2019

Update:
Registration closed as of 7.05 pm,  22 July 2019 as all spaces have been taken up.

Further information on the series, which is being organised in with the support of the Singapore Land Authority (SLA), can be found at this link: Discovering Singapore’s Best Kept Secrets.


IMG_2276

The move made by Tan Tock Seng Hospital’s former Communicable Disease Centre or CDC to the National Centre for Infectious Diseases (NCID) in December 2018 and its handover to SLA, provides an opportunity to pay the sprawling grounds that it occupied a visit.

Formerly the Infectious Diseases Hospital and Middleton Hospital, the centre played a key role in the containment of and the fight against highly contagious diseases. Many of the site’s original buildings from 1913, laid out in the distinct manner of the pavilion style hospital wards of old, can still be found spread across its expansive 9.7 ha. site.

The visit, which provides the opportunity to learn more about the site through a guided walk, is supported by SLA.


When and where:

3 August 2019, 10 am to 11.30 am

2 Moulmein Road, Singapore 308076

Registration:

Participants must be of ages 18 and above.

A unique registration is required for each participant (do note that duplicate registrations will count as one).

Registration shall be made using the form at this link (now closed).

A confirmation will be sent to the email address used in registration to all successful registrants one week prior to the visit. This email will confirm your place and also include instructions pertaining to the visit. Please ensure that the address entered on the form is correct.

JeromeLim-3574

JeromeLim-3555

JeromeLim-3579

JeromeLim-3559

JeromeLim-3565


 





Parting Glances: old Singapore’s last place of healing

5 02 2019

Those familiar with Moulmein Road in the days of Moulmein Green would remember the old Middleton Hospital and its iconic gatehouse. The landmark entrance-way stood for over 70 years before “progress” swallowed it up in the 1980s. Progress, which came in the form of road realignment and widening as part of the construction of the Central Expressway (CTE), saw also to the demise of Moulmein Green – one of at least a couple of roundabouts that were named “Green” (the other was Finlayson Green).  

The gatehouse with the black lion crest on it and a bit of Moulmein Green in the foreground.

The gatehouse provided both the hospital and the area with an identity that went beyond being a physical presence. It was the hospital’s black lion crest, which was on prominent display on the house, that the area’s name in the Hokkien vernacular came from.

The black lion – seen at the entrance of the former CDC.

The structure’s disappearance came at about the same time that Middleton, a name that the infectious diseases hospital was known as for 75 years, was also lost. Morphing in Tan Tock Seng Hospital’s Department of Communicable Diseases in 1985 and in 1992 the Communicable Diseases Centre (CDC) however, did not stop the former hospital from being in the news. It was a key component in the health plan drawn up in early days of the AIDS epidemic that saw a dedicated AIDS ward set up in April 1986. The CDC, which for a period of 3 years until 1995 functioned independently of Tan Tock Seng Hospital,  has also been at the forefront in the battle against several other high-profile disease outbreaks, such as the 2003 SARS epidemic.

Structures belonging to the former Middleton Hospital.

The absence of the gatehouse has also allowed a much clearer view of the centre’s expansive grounds and the quaint old structures seen on it. The sight is one that is increasing rare in Singapore and provides a glimpse of what could be thought of as an old-fashioned bit of Singapore that we should be thankful to the continued operation of the CDC for.

The old laundry.

It was an old-fashioned and a very different Singapore into which the former hospital came into being. With many in the already overcrowded municipality’s rapidly increasing urban population living in quite insanitary conditions, the urban centre was rife with highly contagious and often deadly diseases. Containing the spread of them, especially among the largely ignorant townsfolk, posed a huge challenge. 

The wards of the new Tan Tock Seng Hospital. Overworked medical staff from the hospital, which was also in Balestier Road before moving to their new site at Moulmein, provided care for the poor also attended to patients at the smallpox hospital and quarantine camp.

The former hospital’s origins can be traced back to a smallpox hospital that was established in the early 1870s at Balestier Plain (where the Singapore Singapore Indian Association and its sports fields are now located). This was expanded with a quarantine camp to isolate and confine “natives” afflicted with other infectious diseases on an adjacent site. Overworked doctors from nearby Tan Tock Seng attended also to patients at the camp.

An 1893 Map showing the Smallpox Hospital and also a Leper Asylum in Balestier Plain (National Archives of Singapore).


A 1905 Map showing the smallpox hospital and the infectious diseases ward (National Archives of Singapore).

By the turn of the last century, it became apparent that the hospital/quarantine camp “was unfit to meet the requirements of a large population liable to epidemics of smallpox and cholera and, to a less extent, of plague”. In 1905, plans were put forward by the Municipal Commission to erect an Infectious Disease Hospital at Moulmein Road. This would also provide wards for Europeans (not without objection), as well as “better class natives”. It wasn’t however until 1911 that work on a scaled-down version of the new hospital began in earnest.

Commissioned on 1 June 1913, the $270,000/- 172-bedded Infectious Diseases Hospital was described as being a “little more than the bones of what was proposed”. It was an improvement however to the “ramshackle institution in Balestier Road” that it replaced. Spread over an 11.5 hectare site, the facility featured three camps for the isolation and confinement of patients infected with cholera, plague and smallpox.

There were originally three clusters of pavilion wards – all widely spaced from each other – “camps” encircled by a fence.

The gentle rising slope that the hospital was placed on, provided for drainage. A fence, a triple-fence on three sides and an iron fence along Moulmein Road, encircled the hospital. This was as much to keep the general public out as it was to keep patients in. The gatehouse provided the hospital with a “pre-processing gateway” with lodgings for the gatekeeper / caretaker on the upper level.

The “pre-processing gateway” – with caretaker’s lodgings above.

Going past the gatehouse one would have seen the doctors and nurses quarters on the right, with those for other staff on the left. An administrative building was positioned right up the road. Three six-bedded wards were placed some distance away to its left with another three on its right. These were for observation and discharge.

What probably were the nurses quarters.

The camps, each enclosed by a fence, were found further up the road past the administrative building. The plague camp was arranged on the left, the cholera camp on the right, and the smallpox camp at the back at the top of the slope. The camps featured a ward for “natives”  with extensions to accommodate “better class natives”.  “Europeans” were housed separately.

The administrative building.

The old-fashioned concept of infection control through separation and ample (natural) ventilation that resulted in the layout of the hospital and in the design of its wards is very much in evidence in the CDC’s pavilion-style wards, even if they may have been modified. Air-conditioning, for both comfort and infection control, is one modern day addition. Building materials and fittings containing asbestos must also have been replaced. These would have been found in the Eternit ceiling panels that were fitted for insulation, damp and vermin control, and fire resistance.

Features for natural light and ventilation are found on the older ward buildings.

With the CDC moving to its new home last December where it has taken on a new identity as the National Centre for Infectious Diseases or NCID, time is being called on the former hospital. The site is marked for residential development under the URA Master Plan and it would probably not be long before all evidence of the hospital and its buildings is erased. 

In the Master Plan.

Another former ward building.

Many of the former CDC’s buildings do actually go back to its days as the Infectious Diseases Hospital of 1913, including the administrative building, a stand-alone mortuary building, and the laundry in its southeastern corner. The laundry, which was expanded postwar with the addition of a new building, was designed such that dhobis would not have had to handle the items to be laundered until they were properly disinfected and cleaned. There are also some of the original wards – Singapore’s last pavilion wards to remain in use and former quarters.  

The mortuary.


Possibly one of the original observation or discharge wards.

With the old hospital having passed into history, it also is important not to forget those associated with its past. Prof. Ernest Steven Monteiro is one who comes to mind whose pioneering in preventive medicine Singapore must be thankful for. Dr. Monteiro is credited with initiating what turned out to be a very successful mass vaccination campaign against polio in the the late 1950s.

The front of the mortuary.

Dr. Monteiro connection with the hospital was during the Japanese Occupation. As the Japanese appointed director of the then Densen Byoin, which was teeming with sick people with infectious diseases such as typhoid and ailments brought about through malnutrition, the young director faced many challenges. One especially serious one was the shortage of anti-diphtheria serum, which he overcame through improvisation. His son, Dr. Edmund Monteiro, was to make significant contributions to Middleton Hospital and the CDC during his service there from 1965 to 1993. The younger Dr. Monteiro’s  oversaw the hospital’s transition to the CDC and co-ordinated the CDC’s response to  the HIV/AIDS epidemic. 

Ward 76, which was converted for use as a HIV/AIDS ward.

We should also remember the forgotten Dr. William Robert Colvin Middleton, after whom the hospital was named in 1920 upon his retirement. This was to recognise the many contributions he made as one of Singapore’s longest serving Municipal Health Officers to improving lives and the role he played in the setting the hospital at Moulmein Road up. A  short bio on Dr. Middleton can be found at the end of this post.

A visible part of the CDC today – former quarters.


The newer extension to the laundry.


Emergency wards set up for SARS.


An isolation room in the emergency wards.


A look inside one of the former wards.

A much more modern addition, a negative pressure ward.


(The forgotten) Dr. W. R. C. Middleton, Municipal Health Officer, 1894 to 1920

A painting of Dr. Middleton, one of three portraits painted by Anatole Shister for display in the Chief Committee Room of the new Municipal Building (later City Hall) in 1929 (National Collection as listed on roots.sg).

The son of a Church of Scotland Minister and a military chaplain in India, Dr. William Robert Colvin Middleton was born in Bombay in 1863. Having obtained his medical qualifications in 1888, he served as a resident physician in the Aberdeen Royal Infirmary before heading to Singapore in 1890 to work for Dr. Charles Llewellyn Howard Tripp in the Maynard and Co. Dispensary.

Dr. Middleton applied for the position of Municipal Health Officer in late 1893 when its became vacant due to the resignation of Dr. Charles Eardley Dumbleton. Dr. Middleton was given the appointment of Acting Health Officer in January 1894 with a view to the full post, on the condition that he obtain a Diploma in Public Health; the Municipal Commission had then determined that should be a prerequisite for the position. Dr. Middleton left for Aberdeen at the end of March that year,  returning with the required Diploma in October, all at his own expense!

Dr. Middleton held the appointment of Municipal Health Office upon his return until his retirement late in 1920, except for a spell back home in during the Great War in 1916. He survived the torpedo attack on the ill-fated RMS Arabia, which sunk in the Mediterranean in November 1916, on his passage back to Singapore from this.

Besides the numerous contributions he made improving the state of sanitation in Singapore, as well as in other aspects of public health including in maternal care, Dr. Middleton also served as the Deputy President of the Municipal Commission in 1904. He held the rank of Major in the Singapore Volunteer Corps and was credited with setting a medical aid post up on the P & O wharf during Singapore Mutiny for the transfer of casualties to the military hospital on Pulau Blakang Mati.

He passed away at the age of 58, on 8 December 1921, in Bexhill in Sussex. He was survived by his wife, the former Mrs. Ethel Hunt, whom he married at St. Andrew’s Cathedral in April 1909.

Read the rest of this entry »





Moulmein Road journeys

6 02 2016

Moulmein Road, a road that has come to be associated with Tan Tock Seng Hospital, has for me, been a road of many journeys. It was in the area where my journey in education began, as well as one which served as a focal point for bus journeys with my mother in my early childhood.

The entrance gate to Tan Tock Seng that once stood along Moulmein Road.

The entrance gate to Tan Tock Seng that once stood along Moulmein Road at Jalan Tan Tock Seng.

My earliest memories of Moulmein Road are of these bus journeys; journeys taken at the end of the 1960s in days when Moulmein Green was still where bus rides for many started and terminated. It was at Moulmein Road that a journey on the notoriously unreliable STC bus service number 1 to the city would begin and where the journey taken to accompany my mother to the hairdresser would have ended.

Corner of Moulmein Green and Rangoon Road (From the Lee Kip Lin Collection. All rights reserved. Lee Kip Lin and National Library Board, Singapore 2009).

Corner of Moulmein Green and Rangoon Road (From the Lee Kip Lin Collection. All rights reserved. Lee Kip Lin and National Library Board, Singapore 2009).

Sadly for me, little is left of the area to connect me with days now almost forgotten. The green has long since disappeared, as has the end of Rangoon Road that brought traffic out to the green. It was at the same stretch of Rangoon Road that the hairdresser’s shop would have been found, in a row of shophouses set in from the road. All that I now remember of the hairdresser is of the hours spent keeping myself entertained with only the multi-coloured strings of the string chairs, typical of the hair salons of the era, for company.

Moulmein Green was once a starting point or destination for many a bus journey (National Archives photograph).

Another structure that has since gone missing, one that I developed a fascination for, was the rather quaint looking gatehouse (if I may call it that) of Middleton Hospital. Standing prominently across the green from Rangoon Road, it had long been a landmark in the area. It was the hospital’s crest, a black lion displayed over the entrance archway, that lent the area its name in the Hokkien vernacular, “or-sai”, Hokkien for “black lion”.

The entrance to Middleton Hospital at Moulmein Green.

The entrance gatehouse to Middleton Hospital at Moulmein Green (source: https://www.ttsh.com.sg).

The hospital, sans the gatehouse, has since 1985, become Tan Tock Seng Hospital’s Communicable Disease Centre (CDC). For the time being, the cluster of buildings of the facility still serves its intended purpose having been set up as a hospital to isolate patients suffering from highly infectious diseases. The hospital, as the Infectious Disease Hospital, was established at Balestier Plain and was moved to the site in 1913. It acquired the name Middleton in September 1920 when the Municipal Council  thought it fit to recognise the contributions of Dr W.R.C. Middleton. Dr Middleton’s long years of service as the Municipality’s Health Officer from 1893 to 1920, 27 to be precise, was marked by the huge improvements made in living conditions within the Municipality in the effort to contain the spread of diseases such as cholera.

The black lion - still seen at the entrance of the CDC.

The black lion – still seen at the entrance of the CDC.

The hospital, laid out as hospitals in the days when natural ventilation and separation mattered most in preventing of the spread of infectious diseases, features widely spaced and generously airy wards set in calm and green surroundings. Very much a thing of the past in land scarce Singapore, the CDC is now the last such hospital facility still functioning in Singapore. This may not be for very much longer though. It does seem that the facility will soon fall victim to the modern world that Singapore finds hard to escape from. The site has been earmarked for future residential development and the CDC will have to move out by 2018, by which time its new site adjacent to Tan Tock Seng Hospital should be up. With that, the CDC will become the National Centre for Infectious Diseases and the little that is still left to remind us of the legacy of Dr. Middleton is at threat of being further diluted.

The view down Moulemin Road towards the area of the former Moulmein Green .

Two notable buildings that have thankfully escaped the wreckers’ ball, both of which are associated with the control of tuberculosis, are to be found up Moulmein Road from the CDC. The two rather gorgeous buildings are now used by the Tan Tock Seng Hospital’s Tuberculosis Control Unit. One is the grand looking turreted structure that recently found fame through a Straits Times article at 144 Moulmein Road.

144 Moulmein Road.

144 Moulmein Road.

The house had once been the home of a Chinese towkay, Mr Lim Soo Ban. Mr Lim was the proprietor of a goldsmith’s shop in Hill Street, maintained interests in a pawnshop and was on the board of Chung Khiaw Bank. He was also a prominent member of the Hakka community and contributed to the upkeep of the since exhumed Fong Yun Thai Hakka cemetery at Holland Plain. Mr Lim passed away in December 1952 as a bankrupt. Already ill with diabetes and tuberculosis, Mr Lim’s death came just two days after the bankruptcy adjudication order was delivered. Despite an order from the Official Assignee’s office to have funeral expenses capped at $5,000, Mr Lim was given a rather grand sendoff. The “grand funeral” is one which my mother, who then lived next door, well remembers. The funeral was reported to have cost $12,000 with a procession that was said to have stretched a mile long.

Lim Soo Ban, second from the right, photographed with Tan Kah Kee in May 1949 (National Archives of Singapore photograph).

The house, I am told, was to remain empty for several years. Attempts were made by the Official Assignee to dispose of it before it came into the possession of Tan Tock Seng Hospital. It apparently saw use as a chapel for hospital staff before housing the Department for Tuberculosis Control, later the Tuberculosis Control Unit.

144 and 142 Moulmein Road.

144 and 142 Moulmein Road, both gazetted for conservation in 2014.

The house next door, 142 Moulmein Road, used more recently by the Department of Clinical Epidemiology, has also a rather interesting past. A residence for the Government Pathologist prior to the war and later a convent, it does in fact have a longer connection with the control of TB as compared to no. 144. As the Mount Alvernia convent, it was where the journey in Singapore for the nuns of the Franciscan Missionaries of the Divine Motherhood was to begin. The order answering a call to serve at the TB wards at Tan Tock Seng, which was later run by the nuns as the Mandalay Road Hospital, arrived in 1949 and established their first dedicated residence and convent at No. 142.

142 Moulmein Road as Mount Alvernia in 1949.

Buildings of the former Mandalay Hospital.

Buildings of the former Mandalay Road Hospital at Mandalay Road.

The order of English nuns were also to be involved in the care of leprosy sufferers in Singapore. With the help of donations, the order would go on to establish Mount Alvernia Hospital in 1961.  My maternal grandmother had worked for the nuns at no. 142 and had accommodation for the family provided in the servants’ rooms behind the house and it was during this time that my mother witnessed the grand funeral next door.

Another view of 142 Moulmein Road today.

Another view of 142 Moulmein Road today.

Both 142 and 144 Moulmein Road have since been gazetted for conservation as part of the Urban Redevelopment Authority’s 2014 Master Plan. The 2014 Master Plan, a crystal ball into the future, does also predict a journey of transformation for Moulmein Road that may only have just begun.