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Sars victim who infected 133 will remain in quarantine exile (Super-spreader)
The Independent ^ | April 11, 2003 | Jeremy Laurance

Posted on 04/10/2003 2:03:06 PM PDT by Dog Gone

As the death toll from severe acute respiratory syndrome (Sars) rose to 111 yesterday, with five more fatalities in China and Hong Kong, the authorities in Singapore were considering what to do with one of the disease's earliest and most medically extraordinary victims.

Esther Mok, a 26-year-old former flight attendant, is believed to have carried the disease from Hong Kong's Metropole hotel, source of the global outbreak, to Singapore on 1 March. Doctors at first did not know what was wrong with her and she was visited by members of her family and church. She was very sick and highly contagious – and passed the disease to scores of people.

Her father, mother and pastor have since died of Sars, her uncle is battling with the illness and her grandmother and brother are ill but stable. Most of Singapore's 133 cases of the illness and nine deaths can be traced to her. Yet, somehow, Ms Mok herself has survived.

Specialists call her a "super spreader", one of a handful of highly infectious individuals who have played a key role in transmitting the infection through local communities and round the world. Two other young Singaporean women who travelled to Hong Kong with Ms Mok also developed Sars after contact with the Chinese doctor at the Metropole hotel believed to have brought the infection from China. But they did not transmit the disease to others.

"Esther Mok infected the whole lot of us," the Health Minister, Lim Hng Kiang, said at a press conference.

Just why some people spread the disease so easily while others don't is not understood. American specialists from the Centres for Disease Control in Atlanta are due in Singapore to study the super-spreader phenomenon.

Two other super spreaders, a Canadian, Kwan Siu-Chiu, and an American Chinese businessman, Johnny Chen, fell ill after a stay at the Metropole and have helped spread the illness around the world. Unlike Ms Mok, they both died.

Chew Suok Kai, director of epidemiology and disease control in Singapore, said: "There are so many things we want to know about this disease but don't know yet. One of the key things we are working on is how the super spreader spreads." .

Meanwhile, Ms Mok, who has recovered, remains quarantined in hospital by the authorities who are reluctant to let her go, fearing the media frenzy expected to greet her release. Like "Typhoid" Mary Mallon, who famously infected dozens of people in the New York area in the early 1900s and was forced by the government to live alone on an island, Ms Mok is living her own exile in a hospital room networked with televisions and telephones.

Her quarantine prevented her from attending the memorial services of her parents, Joseph and Helen. Her sister, Rebekah, has taken a leave of absence to be with her. "We are all praying for her and for everyone involved," said Pastor Humphrey Choe of the family's church, the Faith Assemblies of God. He said the church had rallied round her.

She may have a difficult time when finally released. Since her admission a month ago, Singapore has quarantined about 1,000 people, ordering them to stay at home for 10 days or risk prosecution, and imposed strict travel restrictions. Gary Sival-ingam, a deliveryman, spoke for many when he said: "I feel sorry for her but you might wonder whether Singapore would be so badly affected had she not been in the wrong place at the wrong time."

An American specialist warned that the Sars virus was now unlikely to be eradicated from Asia. "I think we have to assume it is here to stay," said Dr Jim Hughes from the Centres for Disease Control.


TOPICS: News/Current Events
KEYWORDS: metropolehotel; sars; superspreader

1 posted on 04/10/2003 2:03:06 PM PDT by Dog Gone
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To: Dog Gone
Man, she is going to have some time getting a date in the future.
2 posted on 04/10/2003 2:16:23 PM PDT by doodad
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To: All
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3 posted on 04/10/2003 2:17:23 PM PDT by Support Free Republic (Your support keeps Free Republic going strong!)
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To: Dog Gone
Specialists call her a "super spreader"

Got mine at Agway.

4 posted on 04/10/2003 2:28:55 PM PDT by billorites
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To: Dog Gone
Two other young Singaporean women who travelled to Hong Kong with Ms Mok also developed Sars after contact with the Chinese doctor at the Metropole hotel believed to have brought the infection from China.

So, was the Chinese doctor was ill from it or did he intentionally infect them?

5 posted on 04/10/2003 2:41:21 PM PDT by mtbopfuyn
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To: Dog Gone
The merest possibility that someone could be quarantined for a contagious disease is the surest sign that a people has ceased to be free. Jackbooted thugs rely on such "emergencies" to put down the true patriots.

Life is a risk, and every day you go out in public, you should realize you expose yourself to possible disease, and are responsible only to yourself to not do the things necessary to get those diseases.

6 posted on 04/10/2003 2:45:35 PM PDT by Chancellor Palpatine (It's a sarcastic sendup on paleocon/paleolibs - no flames!)
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To: Dog Gone
Bet she took lots of aspirin or some related NSAID.
7 posted on 04/10/2003 2:52:56 PM PDT by Domestic Church (AMDG...)
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To: Chancellor Palpatine
The merest possibility that someone could be quarantined for a contagious disease is the surest sign that a people has ceased to be free

Maybe you've never taken a glance at someone with smallpox and seen what it can do. I recommend that you do so.

We should have quarantined AIDS patients long ago.

8 posted on 04/10/2003 2:56:47 PM PDT by Centurion2000 (We are crushing our enemies, seeing him driven before us and hearing the lamentations of the liberal)
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To: Domestic Church; CathyRyan; Mother Abigail; per loin; InShanghai; flutters; EternalHope; ...
Bet she took lots of aspirin or some related NSAID.

To survive, or to have been so contagious?

9 posted on 04/10/2003 2:57:52 PM PDT by aristeides
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To: Chancellor Palpatine; riri
Life is a risk, and every day you go out in public, you should realize you expose yourself to possible disease, and are responsible only to yourself to not do the things necessary to get those diseases.

You think that, for every disease, there are things you can do that will guarantee you will not get it?

10 posted on 04/10/2003 3:00:17 PM PDT by aristeides
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To: Chancellor Palpatine
Life is a risk, and every day you go out in public, you should realize you expose yourself to possible disease, and are responsible only to yourself to not do the things necessary to get those diseases

Thanks, I'll find great comfort in those words of wisdom when I am watching my kids gasping for breath. And I'll know they were sacrificed on the altar of uninterupted global commerce...

11 posted on 04/10/2003 3:03:27 PM PDT by riri
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To: Centurion2000
Pssst - you shoulda read my tagline above.

;)

12 posted on 04/10/2003 3:03:56 PM PDT by Chancellor Palpatine (Springtime for Saddam and Iraqis, Winter for Germans and France.......)
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To: aristeides
Taglines tell a lot - read mine above....
13 posted on 04/10/2003 3:04:31 PM PDT by Chancellor Palpatine (Springtime for Saddam and Iraqis, Winter for Germans and France.......)
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To: riri; Dog Gone
That's what I get for trying to be sarcastic and even putting the clue in the tagline.....
14 posted on 04/10/2003 3:05:53 PM PDT by Chancellor Palpatine (Springtime for Saddam and Iraqis, Winter for Germans and France.......)
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To: Chancellor Palpatine
Pssst - you shoulda read my tagline above

Ditto. My apologies.

15 posted on 04/10/2003 3:06:47 PM PDT by riri
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To: per loin; aristeides; CathyRyan; All
New Pro Med Update which has some good information, there is a pdf from the New England Journal Of Medicine that looks interesting as well as what looks like a break down of where Canada's patients are at this point.

Pro Med Update 3.09.03

16 posted on 04/10/2003 3:19:13 PM PDT by riri
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To: Chancellor Palpatine
(It's a sarcastic sendup on paleocon/paleolibs - no flames!)

Ya know, CP, if the poster had been anyone but you, I'd have flamed away at the opening sentence. Having seen your stuff before, I knew I had to read the whole thing to get to the punch line.

You really need to put a blinker or something on that tag line.

17 posted on 04/10/2003 3:42:49 PM PDT by reformed_democrat
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To: billorites
Specialists call her a "super spreader"

That's a good name for my first wife.
18 posted on 04/10/2003 3:46:05 PM PDT by gortklattu
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To: Chancellor Palpatine
That's what I get for trying to be sarcastic and even putting the clue in the tagline.....

The problem is tagline abuse, dammit, tagline abuse. Nobody reads them anymore, since most are dumb.

They were cool back in the olden days when taglines were supposed to be for email addresses (like anyone would do that now) and they were abused by some of us rebels without a clue.

19 posted on 04/10/2003 4:34:58 PM PDT by Dog Gone
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To: aristeides
Taking aspirin has been shown to spread the common cold virus...somehow it increases the virulence in the mucus.
20 posted on 04/10/2003 4:50:56 PM PDT by Domestic Church (AMDG...)
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To: Chancellor Palpatine
Who reads taglines?
21 posted on 04/10/2003 5:50:38 PM PDT by aristeides
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