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SARS Is Here to Stay, Hong Kong and Singapore Tell Citizens
The New York Times ^ | April 8, 2003 | Keith Bradsher

Posted on 04/08/2003 2:03:59 PM PDT by EternalHope

SARS Is Here to Stay, Hong Kong and Singapore Tell Citizens By KEITH BRADSHER

HONG KONG, April 8 — Health officials in Hong Kong and Singapore warned their citizens today that the SARS virus had spread so far that it would be hard to bring under control any time soon, if ever.

"Singaporeans must be psychologically prepared for the problem to stay with us for some time," said Lee Hsien Loong, Singapore's deputy prime minister.

Hong Kong and Singapore began emphasizing measures to slow the spread of the disease and reduce its severity, but backed away from suggestions that the disease could be eradicated.

Dr. Leung Pak-yin, Hong Kong's deputy director of health, said residents should be concerned about possible environmental contamination if many cases developed in their apartment buildings.

"We believe that every citizen could become a carrier of the virus," he said, especially if people do not take preventive measures like washing their hands and wearing face masks. Hong Kong University researchers have found evidence suggesting that many people come in contact with the virus without actually falling seriously ill.

Mr. Lee and Tung Chee-hwa, Hong Kong's chief executive, both warned of serious harm to their cities' economies because of the outbreak, which has particularly hurt the airline, hotel, retailing and restaurant industries. "This SARS has now a profound long-term impact on our economy and it is a very serious matter," Mr. Tung said at a news conference this evening.

Hong Kong reported 45 new cases today, including the infections of 18 health care workers, as well as the deaths of two elderly men who were infected with SARS but had other health problems as well. Figures for new cases over the last several days have included 30 cases at the Ngau Tau Kok apartment complex, which had not previously been affected, Dr. Leung said.

The disease has already infected close to 300 people in the nearby Amoy Gardens apartment complex, and it appears that people from the Ngau Tau Kok complex had been visiting Amoy Gardens, Dr. Leung added.

Until today, Hong Kong health officials had discouraged the everyday use of face masks, saying that regular hand washing was more important. But Dr. Leung endorsed the use of face masks tonight.

He did not draw a distinction between cloth surgical masks of the sort that doctors have worn for decades and the newer, cupped respirators that doctors wear in some of the most hazardous rooms.

Some doctors here have expressed concern that while the respirators filter more out of the air, they may be less effective for the lay user than a surgical mask because the respirators are so uncomfortable that they prompt wearers to touch their faces to adjust them. This can spread the virus to the eyes, nose or mouth and then into the body, causing an infection.

In one of the more unusual health tips here lately, government officials also said it might help if people were to close toilet lids when flushing, and to clean the underside of the lid and the toilet seat with a bleach solution later. Preliminary analyses of the outbreak at Amoy Gardens suggest that it was spread by sewage, partly from toilets that backed up into neighbors' apartments and partly from cockroaches that tracked tiny amounts of virus-tainted sewage through homes, they added.


TOPICS: Front Page News; News/Current Events
KEYWORDS: amoygardens; sars; singapore
"...spread so far that it would be hard to bring under control any time soon, if ever."

That's the official word from Hong Kong and Singapore.

1 posted on 04/08/2003 2:03:59 PM PDT by EternalHope
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To: All

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2 posted on 04/08/2003 2:05:20 PM PDT by Support Free Republic (Your support keeps Free Republic going strong!)
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To: EternalHope
Great. That means they've quit hoping that we won't catch it.

They're hoping we don't all catch it at the same time.

3 posted on 04/08/2003 2:09:14 PM PDT by Dog Gone
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To: EternalHope
Well, this is great news. If I wasn't depressed before, I certainly am now.

There is no way I will be able to get my two year old to wear one of those masks. Hmmmm...

4 posted on 04/08/2003 2:12:17 PM PDT by riri
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To: riri; CathyRyan; Mother Abigail; per loin; Petronski; Jim Noble; InShanghai; flutters
Hong Kong University researchers have found evidence suggesting that many people come in contact with the virus without actually falling seriously ill.

Highly significant, if true.

5 posted on 04/08/2003 2:16:48 PM PDT by aristeides
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To: EternalHope
Well, what is left to say?
6 posted on 04/08/2003 2:17:57 PM PDT by CathyRyan
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To: aristeides
It would be significantly easier if we could develop booster shots for people with compromised immune systems. The rest of us can ride it out it seems. Captain Trips it ain't yet.
7 posted on 04/08/2003 2:19:08 PM PDT by goldstategop (Lara Logan Doesn't Hold A Candle Next To BellyGirl :))
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To: riri
WHO cites limitations of SARS diagnostic tests.
8 posted on 04/08/2003 2:20:12 PM PDT by aristeides
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To: aristeides
Hong Kong University researchers have found evidence suggesting that many people come in contact with the virus without actually falling seriously ill

At this point, I think it is bu**shi*. Sure, some people probably are immune but my feeling is they are just saying this to give the people something to hang on to.

9 posted on 04/08/2003 2:20:24 PM PDT by riri
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To: aristeides
At this point lets just hope you can only get this once and not 2 to 3 times a year like a cold.
10 posted on 04/08/2003 2:20:24 PM PDT by CathyRyan
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To: CathyRyan
Third case of suspected SARS reported in N.J. .
11 posted on 04/08/2003 2:22:47 PM PDT by aristeides
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To: EternalHope
Bummer. I've got to go to China in a few weeks. I was hoping they'd have quarantined it out of business by then. Guess not.
12 posted on 04/08/2003 2:24:29 PM PDT by sphinx
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To: All
Officials probe 1st suspected SARS case in Indiana.
13 posted on 04/08/2003 2:26:03 PM PDT by aristeides
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To: CathyRyan; aristeides
There is more on the Internet this morning. Much more and it is looking pretty frightful. Rumors are spreading rapidly ....

Click Here

I saw the site earlier but did not want to post the report on FR. 'Nuff said.

14 posted on 04/08/2003 2:33:10 PM PDT by ex-Texan (primates capitulards toujours en quete de fromage!)
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To: CathyRyan
Well, what is left to say?

Even if it ultimately spreads worldwide, it is still worth trying to slow it down. If a vaccine can be found, lots of lives can be saved.

My wife has cancer (multiple myeloma), and is severely immunocompromised as a result. SARS would finish her off.

15 posted on 04/08/2003 2:33:17 PM PDT by EternalHope (Chirac is funny, France is a joke.)
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To: CathyRyan
"At this point lets just hope you can only get this once and not 2 to 3 times a year like a cold." Absolutely, one and done please!
16 posted on 04/08/2003 2:45:10 PM PDT by TBall
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To: EternalHope
Don't mind me this article just sorta knocked me for a loop. I was feeling a little upbeat about the whole situation there for a day or two.
17 posted on 04/08/2003 2:56:05 PM PDT by CathyRyan
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To: EternalHope
SARS will inevitably spread to the Middle east, and ultimately to Iraq. In the wake of war, its effects will be as devastating for poorly nourished Iraqi children as for the elderly with compromised immune systems. It is not unlikely we shall see a humanitarian catastrophe of the sort that the Spanish Flu epidemic caused in the wake of WWI when, after 10 million died in combat, another 20 million died of the flu -- at least partly because of the weakened condition of the troops who fought in WWI.

Let's hope CDC is working on this one 24 hr per day to learn why SARS is so highly infectious, and to decide, with certainty, what the causative agent is -- in the hope that a vaccine can be prepared, something that, alas, has never been especially effective against coronaviruses such as the one that causes the common cold.

18 posted on 04/08/2003 3:28:46 PM PDT by I. M. Trenchant
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To: aristeides
I would find it significant if it were a different University. China is so tainted by the delay in recognizing this crisis. Remember Singapore, which took an aggressive approach (chem warfare suits) right off the bat is still struggling and they think there is an environmental factor due to the medical staff clusters. This probably isn't just sewage related or cockroach related.
19 posted on 04/08/2003 3:28:59 PM PDT by Domestic Church (AMDG...)
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To: EternalHope
WHO Guangdong China team to issue its report
8 April 2003

Disease Outbreak Reported

The WHO expert team in Guangdong Province, China will be issuing its official interim report and recommendations on the local SARS situation early tomorrow. The four-person team, headed by John MacKenzie of Australia, has been in Guangdong since Thursday 3 April. The team was charged to assess the local situation and to support the strengthening of surveillance, clinical management, infection control, and laboratory evaluation of SARS cases.

The team has visited Foshan City, where the earliest case is thought to have occurred in mid-November 2002, and Guangzhou City, the provincial capital. In a wide ranging collaborative investigation, the team has met with authorities, health and veterinary professionals, and technical experts in the provincial Centers for Disease Control laboratories and the virology laboratories of Zongshan Medical University. The team has conferred with staff at all levels and been granted full access to all sites, institutes, and hospitals requested.

The team will be reporting on the provincial surveillance system, measures for community infection control, patient management and hospital infection control. It will also give a detailed review of microbiological findings.

The SARS outbreak in Guangdong Province is presently the largest and oldest known outbreak of SARS and may hold important clues about both the origins or the virus and measures for clinical management. In one of its earliest reports about cases of atypical pneumonia to WHO, the Chinese Ministry of Health reported 305 cases and 5 deaths, from mid-November to 9 February, in 6 municipalities: Foshan, Guangzhou, Heyuan, Jiangmen, Shenzhen, and Zhongshan.

Guangzhou was the home of a 64-year old professor of nephrology, at Zhongshan University, who is thought to be the index case who sparked the outbreak in Hong Kong. During late February, he stayed in room 911 on the ninth floor of the Metropole Hotel. Guests staying on the hotel’s ninth floor sparked outbreaks in other countries when they returned to their homes in Toronto and Singapore. A 48-year-old American businessman, who also stayed on the 9th floor, is believed to have originated the outbreaks in Hanoi and in Hong Kong’s Princess Margaret Hotel, where he was transferred. One local Hong Kong resident, who visited an acquaintance on the ninth floor, subsequently sparked an outbreak in a second Hong Kong hospital.

Elsewhere in China, Shanghai, which has reported its first SARS case, has requested a visit from the WHO team to discuss SARS and be advised on how best to deal with the disease.

In Beijing, the death on Sunday of a 53-year-old staff member of the International Labour Organization continued to cause considerable anxiety, particularly at embassies and among staff of international organizations. Epidemiologists at the WHO Office in Beijing have conducted contact tracing and other investigations to determine the source of the staff member’s exposure and to assess whether close contacts may have been exposed. To date, no SARS cases or suspicious symptoms related to this death have been observed. The investigations are continuing.

Update on cases and countries

As of today, 2671 SARS cases with 103 deaths have been reported from 17 countries. This represents an increase of 70 cases and 5 deaths when compared with yesterday. The new deaths were reported in Canada (1), Hong Kong SAR (2), and Singapore (2). The additional cases were reported in Canada (1), China (11), Hong Kong SAR (45), France (1), Singapore (7), and the United States (7). Taiwan, China removed 2 cases from the list.




20 posted on 04/08/2003 4:22:53 PM PDT by CathyRyan
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To: CathyRyan
Guangzhou was the home of a 64-year old professor of nephrology

The person said to have brought Sars to Amory Gardens was a kidney patient.

21 posted on 04/08/2003 4:27:05 PM PDT by CathyRyan
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To: All
No New CARS Canadian Deaths
22 posted on 04/08/2003 4:32:19 PM PDT by riri
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To: CathyRyan
At this point lets just hope you can only get this once and not 2 to 3 times a year like a cold.

Now that is a scary thought. Has anyone caught it twice?

23 posted on 04/08/2003 6:36:33 PM PDT by flutters (God Bless The USA)
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To: EternalHope
I'm sorry to hear that. I wish her the best. You'll both be in my prayers.
24 posted on 04/08/2003 6:38:32 PM PDT by flutters (God Bless The USA)
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To: aristeides
Ohio has 5 reported cases now. I heard it on the news tonight so I don't have a link.
25 posted on 04/08/2003 6:39:42 PM PDT by flutters (God Bless The USA)
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To: EternalHope
At least 45 new cases of severe acute respiratory syndrome (SARS) were reported in Hong Kong, the epicenter of the global spread. That brought the total in that international gateway to 928. At least 25 residents have died.

26 posted on 04/08/2003 7:26:46 PM PDT by CathyRyan
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To: flutters
In the case of the devastating Spanish Flu epidemic at the end of WWI, the first wave of disease in the Spring of the year had a relatively low mortality rate, but what is believed to have been the same virus seems to have mutated, and by the autumn of the year, initiated a second wave of infection that led to the massive loss of life. So, I guess the stats are lacking, but I'd suppose that many who survived the less virulent wave in the Spring may have had limited, but improved resistance to the second infection in the autumn -- and indeed, this may have been why the mortality of the second epidemic wasn't even worse than it was.
27 posted on 04/08/2003 7:41:34 PM PDT by I. M. Trenchant
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