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Singapore - 740 people quarantined, 14 new cases on Monday, Hospitals close, SARS spreads
AP ^ | 03-24-03 | D'arcy Doran

Posted on 03/24/2003 6:27:49 AM PST by Mother Abigail

Posted on Mon, Mar. 24, 2003

Singapore Quarantines More Than 700

D'ARCY DORAN

Associated Press

SINGAPORE - Singapore's government on Monday ordered about 740 people who may have been exposed to victims of a mysterious flu-like illness to stay home for 10 days in a bid to contain the disease.

Health Minister Lim Hng Kiang said he was invoking the Infectious Diseases Act for what could be the first time since Singapore gained independence in 1965.

The city state of 4 million people has recorded 65 cases of severe acute respiratory syndrome, or SARS, including 14 new cases reported on Monday, Lim said. Twelve patients are in serious condition in an intensive care unit, he added.

"The number in ICU will increase, unfortunately, and there may be fatalities," Lim told reporters. "A stronger wall is now created to break the chain of infection," he said.

Any quarantined person caught outside their home could face a fine of up to $2,825 for a first infraction and $10,000 for a second offense, officials said.

Those on the quarantine list include people who may have had exposure to infected people, including children at a school and a daycare, which will be closed for the duration of the quarantine.

Entire households will be quarantined and the government plans to arrange to deliver groceries to them and compensate people who could suffer financial difficulties due to lost income, Lim said.

National Environment Agency officers will monitor the quarantined people daily, checking for symptoms of the disease, the health ministry said in a statement. SARS has made 386 people around the world ill and killed 11 people in the past three weeks, according to WHO figures. Experts suspect it is linked to an earlier outbreak of an unidentified disease in China, where officials say 305 people have fallen ill and five have died.

As part of efforts to further isolate patients, Singapore's Tan Tock Seng Hospital, which houses the Communicable Diseases Center, will now only admit patients suspected of having the disease, the minister said over the weekend. Other patients have been transferred to affiliated hospitals.


TOPICS: Front Page News; News/Current Events
KEYWORDS: sars
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1 posted on 03/24/2003 6:27:50 AM PST by Mother Abigail
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To: All

Attention News/Health Editors:

Toronto EMS Paramedic ambulance services will not be affected by temporary closure of Scarborough Hospital - Grace Division emergency department

TORONTO, March 23 /CNW/ -

Emergency Medical Services -

Toronto Emergency Medical Services announced today that its regular paramedic ambulance services to the public will not be affected by the decision of Scarborough Hospital - Grace Division to close its emergency department temporarily in order to provide an appropriate level of care for patients suspected of having Severe Acute Respiratory Syndrome
(SARS). Dr. Colin D'Cunha, Ontario's Commissioner of Public Health, announced the closure today during his SARS update.

"Toronto EMS has considerable experience in redistributing patient calls during the temporary emergency department closures that occur from time to time, most recently in December during the outbreak of the Norwalk-like virus," said Peter Macintyre, Manager, Community Safeguard Services. "Emergency Medical Dispatchers will direct paramedic crews to the closest available facility during the temporary closure of the Scarborough Hospital - Grace Division ED."
2 posted on 03/24/2003 6:33:08 AM PST by Mother Abigail
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To: All
For next 2 weeks: TTSH won't take in new patients, A&E also closed By Li-Ann Wee TAN Tock Seng Hospital (TTSH) is not where you would go in the next fortnight, unless you suspect you may be coming down with the severe acute respiratory syndrome (Sars). The 1,500-bed hospital is not admitting new patients for the next two weeks, so that resources can be used more effectively to isolate and treat Sars cases, and reduce the risk of the infection spreading.
3 posted on 03/24/2003 6:36:15 AM PST by Mother Abigail
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To: All
Sun, March 23, 2003

HK hospital chief falls ill with pneumonia; unclear if it's mystery disease

By HELEN LUK

HONG KONG (CP) - Authorities said Monday that the chief of Hong Kong's Hospital Authority has fallen ill with pneumonia symptoms - but it was not clear whether he has caught the mystery illness that has killed 12 people and sickened more than 400 worldwide.

Dr. William Ho, chief executive of the Hospital Authority, was admitted to hospital on Sunday night with symptoms of pneumonia, according to a statement from the authority's chairman, Dr. Leong Che-hung. Ho was in stable condition Monday, said Hospital Authority spokeswoman Jess Fu. She declined comment on whether Ho had SARS, saying she hoped to have more information later.

Local newspapers said officials were testing to see whether Ho had contracted severe acute respiratory syndrome, or SARS, which has killed eight people in Hong Kong, two in Vietnam and two in Canada.
4 posted on 03/24/2003 6:38:36 AM PST by Mother Abigail
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To: All
Hanoi French Hospital stopped accepting patients on Thursday; 60 per cent of its staff have Sars.
5 posted on 03/24/2003 6:40:15 AM PST by Mother Abigail
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To: Mother Abigail
Oh, wonderful. Two governments are in the first stage of an effort to contain what could become a catastophic epidemic.
6 posted on 03/24/2003 6:45:36 AM PST by jimtorr
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To: jimtorr
The horsemen are abroad, it would seem...
7 posted on 03/24/2003 6:50:23 AM PST by EternalVigilance
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To: jimtorr
Watch Hong Kong, secondary cases are mounting, schools are closing, hospitals are out of service - bad news in HK
8 posted on 03/24/2003 6:54:43 AM PST by Mother Abigail
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To: Mother Abigail
I really think this is out of control.
9 posted on 03/24/2003 6:59:40 AM PST by CathyRyan
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To: Mother Abigail
mystery illness that has killed 12 people and sickened more than 400 worldwide.

Hasn't it been one to two weeks since this story started getting significant coverage in America? And in that time, only a few more people have died. It doesn't seem like the kind of illness that has a big 'pandemic' potential. I hope so. The only family I have left (sister and dad), both have chronic health problems. And my mother died ten years ago, from pneumonia (resulting from the immune disease Lupus).

10 posted on 03/24/2003 7:01:13 AM PST by TrappedInLiberalHell (Let's Iraq and Roll!)
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To: jimtorr
Tuesday, March 25, 2003 Maid from Abra dies of SARS in Hong Kong

By Ferdinand G. Patinio and Niel Mugas, Correspondents

THE World Health Organization confirmed yesterday that a Filipino domestic helper in Hong Kong had died of the killer pneumonia virus or Severe Acute Respiratory Syndrome (SARS).

Both Labor and Health departments confirmed the death of Adela Dalingay, 39, married. a native of Manabo, Abra.

She was pronounced dead at 9:14 a.m. Monday at the Intensive Care Unit of the Queen Elizabeth Hospital.

WHO spokesman Peter Cordingley said the Hong Kong government has also confirmed Dalingay's death.
Labor Secretary Patricia Sto. Tomas said the victim was taken to the accident and emergency department of the said hospital on March 19 by her co-worker, a certain Lily.

Dalingay was then transferred to the Intensive Care Unit after her health deteriorated despite taking antibiotics.

A team of sars specialists attended to her.

Her medical case report, dated March 23, said Dalingay had respiratory failure and was incubated and hooked to a mechanical ventilator. Doctors said, she also had two cardiac arrests but was later revived



Unsure if this is secondary case, will try to determine
11 posted on 03/24/2003 7:01:46 AM PST by Mother Abigail
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To: TrappedInLiberalHell
Many of the 400 hundred people still alive are in ICU's, many in serious or critical condition, releases of patients has been very slow, the outcome is still in question...
12 posted on 03/24/2003 7:04:38 AM PST by Mother Abigail
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To: Mother Abigail
Thanks for posting this update...seems like they are now in the stage where the US could be, in a few weeks. I hope not.
13 posted on 03/24/2003 7:05:03 AM PST by Judith Anne (God bless our soldiers with swift victory...)
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To: CathyRyan
Where did it come from? Is just a mutated strain that developed as a result of stronger anti-biotics? Or is a animal disease that has crossed over to humans? This is quite scary. Werent cases reported in LA?
14 posted on 03/24/2003 7:05:54 AM PST by cardinal4 (The Senate Armed Services Comm; the Chinese pipeline into US secrets)
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To: cardinal4
I think it is an animal disease that has crossed over into humans.
15 posted on 03/24/2003 7:07:51 AM PST by Judith Anne (God bless our soldiers with swift victory...)
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To: TrappedInLiberalHell

Pneumonia claims another victim in Vietnam
Worldwide death toll from SARS rises to 22 with hundreds of people sick in hospital


March 24, 2003, 15:30

A Vietnamese nurse has died from a fast-spreading pneumonia virus, bringing the worldwide death toll from the disease to 22 with hundreds of people sick in hospital. The latest deaths include three in Hong Kong, officials there said.

Doctors at the Vietnam-France Hospital, where the outbreak in Vietnam's capital began, said a 43-year-old Vietnamese nurse who worked at the facility and who was one of three patients there in critical condition, died this afternoon.

The illness, called severe acute respiratory syndrome (SARS), killed a Vietnamese nurse from the same hospital on March 15 and a
16 posted on 03/24/2003 7:09:06 AM PST by Mother Abigail
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To: EternalVigilance
Is the real problem that no one recovers? You get this, you die, or you stay sick forever? What's going on? Does anyone know?

Yes, the four are mounting up.

The horsemen are abroad, it would seem...

17 posted on 03/24/2003 7:09:06 AM PST by GOPJ
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To: GOPJ
Death toll has risen from 13 to 22
overnight
18 posted on 03/24/2003 7:10:24 AM PST by Mother Abigail
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To: GOPJ
Unknown
19 posted on 03/24/2003 7:11:59 AM PST by Mother Abigail
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To: Judith Anne
SARS outbreak hits 2 more Canadians
12 more cases feared: Emergency ward closed, third Toronto resident dies

CanWest News Service

Two additional people in Ontario are suspected of having severe acute respiratory syndrome (SARS), bringing to 17 the number of Canadians with the deadly pneumonia strain, amid new fears 12 more people may have it.

Dr. Colin D'Cunha, Ontario's Public Health Commissioner, yesterday said one of the two new cases is categorized as probable and the other is listed as suspected.

Announcing the latest cases at a news conference yesterday, Dr. D'Cunha said the emergency ward at a Toronto hospital has been closed to allow medical staff to provide an "appropriate level of care to their patients."
20 posted on 03/24/2003 7:19:01 AM PST by Mother Abigail
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To: cardinal4
Where did it come from?

Probably from China

Is just a mutated strain that developed as a result of stronger anti-biotics?

Probably not

Or is a animal disease that has crossed over to humans?

Probably

Werent cases reported in LA?

Were are six possible cases in CA

21 posted on 03/24/2003 7:20:00 AM PST by CathyRyan
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To: Mother Abigail
Twelve MORE would bring the number of Canadian [suspected] cases way up...
22 posted on 03/24/2003 7:22:13 AM PST by Judith Anne (God bless our soldiers with swift victory...)
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To: Mother Abigail
China is still sticking to its story that the epidemic is over in Guangdong. I find that not easy to believe. Has anyone here a private source in that area?
23 posted on 03/24/2003 7:22:39 AM PST by per loin
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To: per loin
I agree, the Guangdong spread is not over. However, they may have ruled that such patients will not be seen or treated...I too hope for an update from the area...
24 posted on 03/24/2003 7:25:32 AM PST by Judith Anne (God bless our soldiers with swift victory...)
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To: per loin
Based on the detailed analysis of the 65 cases so far, the evidence is SARS is transmitted only when a patient develops the symptoms of the illness, the ministry said, pointing out the incubation period runs three-to-seven days, though it could be up to 10 days.

Epidemiological tracking of the outbreak shows Singapore's initial three cases resulted in 21 primary contacts developing probable SARS. This latter group of patients in turn has infected 41 more cases of probable SARS.

The health ministry has announced a set of new measures to help contain the spread of SARS.
It will be invoking the Infectious Diseases Act to isolate all contacts who have been exposed to infected SARS patients.



China is sticking to it's BS story and reports are all over the map about cases, two in Beijing for sure, others are just too uncertain to list. One way or another we must get into China and prove or disprove our fears...
25 posted on 03/24/2003 7:27:48 AM PST by Mother Abigail
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To: Mother Abigail
This from Time:

Across the country, in cities as far-flung as Nanjing and Beijing, medical staff are whispering that a strange pneumonia is also popping up in their hospitals—contradicting China's claim that the disease is confined to Guangdong.

26 posted on 03/24/2003 7:30:51 AM PST by per loin
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To: Mother Abigail
3 cases infect 21 people who infect 41 people

I do not like those numbers...
27 posted on 03/24/2003 7:30:56 AM PST by Mother Abigail
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To: Mother Abigail
Bad as they are, I am sadly sure that it is underreported.
28 posted on 03/24/2003 7:32:27 AM PST by Judith Anne (God bless our soldiers with swift victory...)
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To: per loin
This cannot be hidden, China does not have the advanced isolation and ICU equipment to keep this bug under wraps in rural areas.

29 posted on 03/24/2003 7:33:33 AM PST by Mother Abigail
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To: Judith Anne
Sad but true
30 posted on 03/24/2003 7:34:38 AM PST by Mother Abigail
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To: EternalVigilance
I think you are right. I've been watching the entire situation with great interest, the war, disease, corruption everywhere. Frightening.
31 posted on 03/24/2003 7:35:00 AM PST by dljordan
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To: Mother Abigail
What scares me, MA, is the habit American's have of showing up to work even though they are ill. And working parent's very often send sick children to daycare.

Is anyone in the US taking any interest in this? I haven't seen a news report on SARS since the war began.

32 posted on 03/24/2003 7:38:27 AM PST by riri
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To: Mother Abigail
Yes. As this thing spreads, medical isolation will be replaced with police and military isolation techniques. We are beginning to see that in Singapore. Any word of India yet?
33 posted on 03/24/2003 7:38:38 AM PST by per loin
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To: Mother Abigail
You're freaking me out Mother, with that name and all.

Can you add me to your ping list? I rarely ask to be added to a ping list, but this is worth watching.

Does anyone know how long it takes from first contact to develop symptoms? I'm curious about the incubation period.

34 posted on 03/24/2003 7:39:22 AM PST by AAABEST
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To: Mother Abigail
N/M, you answered my question in the thread already. Keep up the good work.
35 posted on 03/24/2003 7:41:22 AM PST by AAABEST
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To: AAABEST
2 to 7 days, as far as they know thus far.
36 posted on 03/24/2003 7:42:20 AM PST by riri
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To: riri
As of Friday, U.S. health officials were investigating 37 suspected cases of SARS in 18 states.

Meanwhile, a science writer from Johns Hopkins University is urging Americans not to panic as health officials work to determine the cause of the
37 posted on 03/24/2003 7:43:44 AM PST by Mother Abigail
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To: All
I am concerned about this new 22 deaths number, can't seem to make it all add up

Could be a typo, or reporting is starting to lag behind the counting

Accurate numbers are our friends
38 posted on 03/24/2003 7:46:16 AM PST by Mother Abigail
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To: AAABEST
Added
39 posted on 03/24/2003 7:49:00 AM PST by Mother Abigail
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To: All

A CHRONOLOGICAL COMPILATION OF THE "SARS" OUTBREAK AS REPORTED ON FREE REPUBLIC


1. Precognition

2. Hong Kong Health Secretary calls for calm as SARS cases double, (83 up from 42 on Sunday)

3. LATEST SARS UPDATE - DETAILED MEDICAL INFORMATION

4. BREAKING BIG: POSSIBLE PATHOGEN DETECTED IN SARS CASE

5. Killer Virus (SARS) Identified

6. Seven victims of mystery pneumonia stayed on same floor of Hong Kong hotel

7. Guangdong doctor linked to SARS outbreak

8. President of the American Society of Microbiology on SARS - "Everything says it is airborne."

9. CDC increases SARS cases to 22 in U.S.

10. CHINA CONFIRMS CASES AND DEATHS (SARS) - HONG KONG SITUATION DETERIORATING - 22 CASES IN US

11. Causative agent of SARS virus isolated from lung tissue - test is reliably identifying cases

12. VIETNAM NEW SARS HOT ZONE, U.S. Warns Citizens in Vietnam To leave

13. SARS cases on the rise in Canada, may be spreading even further, 12 people showing symptoms   


40 posted on 03/24/2003 8:03:26 AM PST by Mother Abigail
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To: Mother Abigail
37 this week being "investigated" in the US. Last Monday there were only maybe 8...more than quadrupled in a week...and that's only what is reported...
41 posted on 03/24/2003 8:10:05 AM PST by Judith Anne (God bless our soldiers with swift victory...)
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To: Mother Abigail
By Tan Ee Lyn

HONG KONG (Reuters) - Four more people died in Asia on Monday from a mystery pneumonia virus, bringing the death toll worldwide to at least 22, and Hong Kong's hospital chief was taken ill with symptoms of the disease.

A nurse and a doctor died in Vietnam and at least two people succumbed in Hong Kong as Singapore said it would quarantine over 700 people in a bid to contain the illness in the city-state.

The virus, spread swiftly around the world by air travelers, has infected hundreds in Hong Kong, Vietnam, Singapore, Canada and Germany after first showing up in southern China late last year. Suspected cases have been reported in the United States, Britain and Australia.

A senior Hong Kong doctor blasted the government for not doing enough to control the disease, which has taken a heavy toll on tourism in parts of Asia.

"The government must work faster than the virus," said Henry Yeung, president of the Hong Kong Doctors' Union. "It must get everyone to wear surgical masks and all schools must shut for two weeks," Yeung told Reuters.

William Ho, chief executive of Hong Kong's Hospital Authority, was admitted on Sunday, a government spokeswoman said on Monday.

Ho had been working on the outbreak for the past few weeks, visiting hospitals, briefing senior government officials, including leader Tung Chee-hwa, and meeting the press.

Experts believe the disease is caused by a new virus from the paramyxovirus family, a large group of microbes including germs that cause measles, mumps and respiratory infections.

Initial symptoms include high fever, dry cough, chills and severe breathing problems. Even healthy, athletic adults can end up on a respirator within five days.

While the disease is believed to have started late last year in southern China, killing five and infecting 300 others, Hong Kong is now its epicenter.

Airports and airlines around the world have begun barring passengers showing flu-like symptoms.

EARLY TREATMENT NEEDED

Hong Kong doctors have been treating patients with ribavirin -- an anti-virus drug -- and steroids. They say this works for most patients if treated early.

Infections crept up in Hong Kong on Monday, bringing the total there to 265, with 260 suffering full-blown pneumonia.

Workers disinfected a handful of schools over the weekend after several children were taken ill with the disease and will begin cleaning about 2,000 more schools on Monday. Two more children were infected by Monday, bringing the total to eight.

In Singapore, some 740 people would be isolated under the rarely used Infectious Disease Act, the health ministry said.

Those quarantined must stay home for 10 days and minimize contact with other people. Anyone caught breaking the order faces a maximum fine of S$5,000 ($2,834) for a first offence, and S$10,000 for a second, the ministry said on Monday.

"Singaporeans must not be shocked if one or two (patients) may not recover," Health Minister Lim Hng Kiang told reporters.

In Vietnam, doctors at the Vietnam-France Hospital, site of the first outbreak in Hanoi, said a 43-year-old nurse and a 36-year-old doctor died Monday afternoon.

The illness killed a Vietnamese nurse from the same hospital on March 15 and a French doctor on March 19. More than 50 people are infected in Vietnam.

Vietnam has tried to reassure travelers the situation is stable. "For the time being, the epidemic has basically been put under control and contained," the foreign ministry said.

Washington has urged U.S. citizens to consider leaving Vietnam and said it was offering free flights out of the country to family members of U.S. diplomats.

A delegation of five experts from the World Health Organization (WHO) met health officials in China on Monday, but no details of their talks were immediately available.

The health agency has raised hopes the disease can be curbed and Hong Kong researchers say they have designed a diagnostic test, but WHO says the identity of the virus remains elusive.

42 posted on 03/24/2003 8:22:48 AM PST by per loin
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To: Mother Abigail
Loudoun County case
43 posted on 03/24/2003 8:23:17 AM PST by palmer (ohmygod this bulldozer is like, really heavy?)
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To: palmer
Sorry, try that again: Loudoun County case
44 posted on 03/24/2003 8:25:26 AM PST by palmer (ohmygod this bulldozer is like, really heavy?)
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To: per loin
Infections crept up in Hong Kong on Monday, bringing the total there to 265, with 260 suffering full-blown pneumonia.



265 infections 260 full-blown pneumonia cases

This seems to show very little variation in personal resistance to the pathogen.

What you might expect in a new virus
45 posted on 03/24/2003 8:41:20 AM PST by Mother Abigail
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To: Mother Abigail
Thanks for the excellent information you have been providing. This could be the most important story in the world today.

If you have a ping list, please put me on it. Thank you.
46 posted on 03/24/2003 8:42:23 AM PST by EternalHope (Chirac is funny, France is a joke.)
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To: EternalHope
You are quite welcome, and I have added you to our list of bug watchers
47 posted on 03/24/2003 8:50:46 AM PST by Mother Abigail
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To: per loin
A team from the World Health Organization arrived in Beijing on Sunday to determine whether the outbreak in Guangdong was related to the disease that had spread from Hong Kong.

Although listed among the 15 countries reporting cases of the disease to the World Health Organization, China is the only government not to give any information on how many people have been infected or killed by the outbreak.

The reluctance of the Chinese government to make public information fueled panic in Guangdong as people snapped up supplies of traditional medicines, antibiotics and vinegar for use as a disinfectant.

The disease prompted the World Health Organization to raise a ''global alert'' for the first time in a decade due to the speed, severity and highly infectious nature of the disease.

Yeoh described spending time with William Ho, chief executive of the Hong Kong Hospital Authority, just hours before he checked into the hospital suffering severe pneumonia.

''The disease was very, very quick,'' Yeoh said. ''We both attended a function on Saturday, but by Sunday night he had a high a fever, chills and had to be hospitalized.''
48 posted on 03/24/2003 8:54:48 AM PST by Mother Abigail
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Comment #49 Removed by Moderator

To: Mother Abigail
Hmmm... Does China really have any incentive to curb the spread of this disease? Talk about your natural population control.
50 posted on 03/24/2003 8:57:50 AM PST by malakhi (The fundamentalist unitarian freeper formerly known as "angelo".)
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