The average age of myopia onset in Singapore is 8.5 years, however, we have conducted a study showing that 10% of pre-school children are already myopic and 28% of children during the first year of school are myopic so we need interventions alrady at this age. It is much more serious if children during their pre-school years develop myopia compared to later in life as there is a direct link between age of onset and the severity of myopia.   Studies in Hong Kong show that education in regular schools involves significant amounts of near work whereas education in 'International schools', as we call them in Hong Kong, where there is less near work time also has a lower incidence rate of myopia.