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SARS: experience at Prince of Wales Hospital, Hong Kong
The Lancet, Vol 361, No 9368 ^ | May 03, 2003 | Brian Tomlinson, Clive Cockram

Posted on 05/09/2003 1:54:44 AM PDT by FreepForever

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This article, published in the medical journal The Lancet, illustrates how the disease was spread from one patient to 1600+ cases in Hong Kong.
1 posted on 05/09/2003 1:54:44 AM PDT by FreepForever
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To: aristeides; Dog Gone; Judith Anne; CathyRyan; per loin; Petronski; InShanghai; Ma Li; ...
FYI
2 posted on 05/09/2003 1:55:59 AM PDT by FreepForever (China is the hub of all evil)
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To: FreepForever
Thanks for posting this, FF.

How do I get on a related bump/ping list?
3 posted on 05/09/2003 2:01:12 AM PDT by bd476 (Taglinus FreeRepublicus (10th Edition): Thanks Dixie Chix for calling me a Freeper! Freeper at last!)
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To: FreepForever
Bump...
4 posted on 05/09/2003 2:07:39 AM PDT by Prince Charles
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To: bd476
Just ask. You're in it now.
5 posted on 05/09/2003 2:29:59 AM PDT by FreepForever (China is the hub of all evil)
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To: FreepForever; aristeides; Dog Gone; Judith Anne; CathyRyan; per loin; Petronski; InShanghai; ...
Another reason for spread among health-care workers is infected workers continuing to work despite symptoms, such as mild fever.

If SARS ever becomes endemic in the USA I doubt that many managers will react well to people staying home from a mild fever or a cough.

6 posted on 05/09/2003 5:53:14 AM PDT by harpseal (Stay well - Stay safe - Stay armed - Yorktown)
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To: harpseal
That's an interesting thought. I don't know how Americans would respond.
7 posted on 05/09/2003 7:19:59 AM PDT by Dog Gone
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To: Dog Gone; FreepForever; aristeides; Judith Anne; CathyRyan; swarthyguy; blam; riri
This article takes my breath away.Imagine the long term ramifications.SARS is clearly the issue of most impact to the world.Did the dem pres candidates even mention it?
I cant think of any facet of life that wont be affected by SARS.How will funerals be done? All cremations?How will the world grow and deliver food?Extrapolation of all the issues makes me to want to cry.
8 posted on 05/09/2003 8:17:45 AM PDT by Betty Jo
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To: Betty Jo

Virus fears mount in China's rural areas

May 10 2003
Taipei

The World Health Organisation has advised against travel to two more Chinese provinces and the capital of Taiwan, as its experts headed to China's hinterland where they fear SARS is beginning to spread rapidly.

The WHO extended its SARS-related travel warning to the provinces of Tianjin and Inner Mongolia, as well as Taipei. The United Nations health agency had already advised against travel to Beijing, the provinces of Guangdong and Shanxi and Hong Kong.

WHO experts say China is the key to containing the global spread of the virus. Severe acute respiratory syndrome has now killed more than 500 people and infected more than 7300.

The WHO has turned its attention to the country's poorer provinces, dispatching four experts to Hebei province, which surrounds Beijing. The team, which arrived in the city of Baoding on Thursday, will inspect hospitals, talk to medical workers and visit rural areas.

In recent days an estimated million migrant workers have returned to Hebei from Beijing and other SARS-stricken areas. Eight officials in the Hebei city of Zhouzhou were fired for allowing a SARS-infected woman returning from Beijing to infect her family, state media reported.

Compounding concerns about the outbreak, Cambodian officials reported the death of seven people from an unidentified form of pneumonia in two impoverished regions near the country's border with Vietnam. WHO and Cambodian officials said there was no evidence yet the deaths were linked to SARS.

But the worst news came from Taipei, where officials reported at least six new cases of SARS that could not be traced to foreign travel or to other SARS victims. Such instances of so-called community infection have been a harbinger of much larger outbreaks to come in other countries that have been affected.

Authorities also were investigating the death of a 63-year-old man in the southern city of Kaohsiung, which represented the first SARS case outside Taipei.

Taiwan now has 132 probable cases and 14 deaths. The island trails only mainland China and Hong Kong with its case load. "It is a grim situation at the moment," said Dr Lee Ming-liang, who was recently appointed to head a SARS taskforce. "Our most important task at this point is to track down the sources of community infections."

The increases have been especially bitter for Taiwan, which has imposed some of the most draconian measures of any country in its efforts to control the disease.

Authorities require all passengers on trains and buses to wear masks, and visitors to buildings with more than 100 workers must have their temperatures taken before entering. The country also is imposing mandatory 10-day quarantines on all visitors from China, Hong Kong, Singapore and Toronto - a step that is devastating its economy.

Taiwanese President Chen Shui-bian told his cabinet on Thursday night that he would order the army and police to take a more active role in enforcing the quarantine and pursuing violators.

The initial assessment of a WHO epidemiological team - the first representatives of that agency to visit the island in 30 years - did not provide any comfort, criticising the country's initial efforts at containment.

"There is some concern that they are not taking proper infection control measures and that, when a case is identified, they do not have the procedures to make sure that person is isolated," said Maria Cheng, a WHO spokeswoman.

9 posted on 05/09/2003 8:25:06 AM PDT by Dog Gone
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To: harpseal
If SARS ever becomes endemic in the USA I doubt that many managers will react well to people staying home from a mild fever or a cough.

Not only managers, but workers. I have found it very frustrating when sick people come to work and then spread their sickness among their fellow workers.

A lot of people nowadays refuse to stay home when they are sick. They either don't want to lose the money or they don't have any "sick days" left. In the meantime, they get everybody else sick and the cycle goes round and round.

10 posted on 05/09/2003 8:29:08 AM PDT by Gritty
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To: Gritty
"A lot of people nowadays refuse to stay home when they are sick. They either don't want to lose the money or they don't have any "sick days" left. In the meantime, they get everybody else sick and the cycle goes round and round."

I'll take a guess. At some point, after all sick days are used up, the employee will be placed on a 'no pay' authorized absence. The company is not penalized by having to pay excessive sick days and the employee is not penalized for excessive absentism.

11 posted on 05/09/2003 8:37:20 AM PDT by blam
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To: blam
And the world economies will collapse.
12 posted on 05/09/2003 8:45:09 AM PDT by Betty Jo
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To: Dog Gone; aristeides
How soon before we hear of the first government killing of a non-compling SARS victim?
13 posted on 05/09/2003 8:47:19 AM PDT by Betty Jo
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To: blam
A lot of people (some of the ones that my husband is manager of) take every sick day the minute it is accrued...then they're resentful when they have to use vacation time for a real illness...

14 posted on 05/09/2003 8:51:59 AM PDT by Judith Anne (I wish I could remember...something or other...)
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To: Betty Jo
I've about resigned myself to a horrible fall and winter.
15 posted on 05/09/2003 8:52:54 AM PDT by Judith Anne (I wish I could remember...something or other...)
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To: Betty Jo
I cant think of any facet of life that wont be affected by SARS.How will funerals be done? All cremations?How will the world grow and deliver food?Extrapolation of all the issues makes me to want to cry.

With 1,600 cases and 200 deaths, Hong Kong is the second hardest hit area in the world, just next to China. We peaked at 80 new cases/day. Today, the new case/day hit a new low, just 6. New cases per day had been single digit for the past 5 days. We went through a lot of hardship but we did come through the crises. Yes, many families are ruined, many children are orphaned, thousand of jobs are losts, hundreds of businesses went bankrupt. But we survived.

After all, there is not one death case in Ameica, yet. So, don't cry, Betty. Face it. Does worry and fear help to fight to disease? If you want detail of how we deal with it, just ask. I will summarize our experience here. I am not saying Hong Kong is a successful model. The casualty is just second to China, but we did survive. And, that matters a lot to me.

16 posted on 05/09/2003 9:15:53 AM PDT by FreepForever (China is the hub of all evil)
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To: Judith Anne; blam
All these concern about the sick days will become trivial when your primary concern is saving your life.
17 posted on 05/09/2003 9:20:13 AM PDT by FreepForever (China is the hub of all evil)
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To: Gritty
Tell me about it, last year I got the worst throat infection of my life because my boss wouldn't stay home for a couple days when she was sick. We get a ton of paid sick time too, when you are seriously ill & contagious stay home!
18 posted on 05/09/2003 9:23:17 AM PDT by caa26
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To: FreepForever
Yes, I think you are correct.
19 posted on 05/09/2003 9:25:20 AM PDT by Judith Anne
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To: FreepForever
You and Hong Kong survived.Past tense.Do you really think that there will not be new SARS in Hong Kong?
20 posted on 05/09/2003 9:36:21 AM PDT by Betty Jo
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