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Severe Acute Respiratory Disease
ProMed ^ | Dec 14, 2003 | Government of Columbia

Posted on 12/15/2003 8:13:27 PM PST by leu25iso

Colombia: Outbreak of Undiagnosed Severe Respiratory Disease -------------------------------------------------- From 25 Sep to 28 Nov 2003, 38 cases of a severe acute respiratory disease have been reported to the Colombian National Institute of Health (INS). The illness develops in a range of 10 to 7 days. The disease begins with high respiratory symptoms and fever, cough (with or without expectoration), dyspnea, headache, asthenia, and/or adynamia. Diarrhea, vomit or intense thoracic pain can also be present. Chest x-rays show interstitial and alveolar infiltrates. This illness has resulted in 13 deaths.

Information coming from health care providers of National Institutions indicates an increase of cases with respiratory infection. The disease is affecting patients ranging from 6 months to 72 years old, with an average age of 22 years old. Women represent 58 percent (22) of the cases. The most affected areas are: Antioquia, 19 cases (50 percent); North of Santander, 14 (37 percent) and Bogota, 7 (13 percent). 4 patients had other chronic diseases like chronic lung disease, hypercoagulability syndrome, and bronchial hyperreactivity.

In 16 of the 38 cases, the following respiratory viruses have been isolated: 2 with Influenza A virus, 2 with parainfluenza virus and 2 co-infections (one with respiratory syncytial virus and parainfluenza 1 virus, and another with respiratory syncytial virus and influenza A virus).

Appropriate prevention and control measures have been taken, including educational messages for the population, awareness messages for health care providers, and recommendation for influenza vaccination.

-- ProMED-mail

[Further information is requested. In particular, it would be relevant to know what other tests were carried out and the identities of any other respiratory tract pathogens that could have been detected. For example, the text of the article refers to severe acute respiratory disease, but it is not disclosed whether human coronaviruses would have been detected by the methods employed. The high mortality of 13 deaths among 38 patients suggests inadequate reporting of cases, rather than involvement of a SARS-like coronavirus. The association of the viruses isolated with the disease outbreak is not consistent enough to confirm an etiologic role. Also, the small number of affected patients (38 reported over a 9-week period) may indicate diverse etiologies. - Mod.CP]


TOPICS: News/Current Events
KEYWORDS: coronavirus; emergingdisease; epidemic; flu; health; pneumonia; respiratorydisease; sard; sars
Columbia not saying anything about testing for SARS. For those who read Spanish, see link below:

http://www.ins.gov.co/pdf_investiga/brote_casos_ergcr.PDF

1 posted on 12/15/2003 8:13:27 PM PST by leu25iso
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To: Tauzero
More "symptoms."
2 posted on 12/15/2003 8:30:47 PM PST by sourcery (This is your country. This is your country under socialism. Any questions? Just say no to Socialism!)
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To: sourcery
SARD sounds like SARS, but fatalities are in younger patients.
3 posted on 12/15/2003 8:37:17 PM PST by leu25iso
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To: sourcery
Here is direct link to government report.
4 posted on 12/15/2003 8:40:58 PM PST by leu25iso
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To: RandallFlagg
PING!!!!
5 posted on 12/15/2003 8:49:02 PM PST by 11B3 (Liberalism is merely another form of mental retardation.)
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To: 11B3
bump!
6 posted on 12/15/2003 11:20:18 PM PST by Concentrate
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To: 11B3
bump!
7 posted on 12/15/2003 11:20:41 PM PST by Concentrate
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To: 11B3
There is also no mention of any infection of health care workers or other contacts, although the table suggests primary and secondary infections.
8 posted on 12/16/2003 2:19:17 AM PST by leu25iso
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To: aristeides
ping
9 posted on 12/16/2003 10:15:16 AM PST by riri
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To: leu25iso; CathyRyan; Mother Abigail; Dog Gone; Petronski; per loin; riri; flutters; Judith Anne; ...
Any reason to think this is not just flu and/or pneumonia?
10 posted on 12/16/2003 11:17:33 AM PST by aristeides
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To: aristeides
SARD...thanks for the ping..bump.
11 posted on 12/16/2003 11:32:55 AM PST by blam
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To: aristeides
No way to tell if it's SARS or not. I could be wrong, but I don't think it is. Time will tell.
12 posted on 12/16/2003 11:37:55 AM PST by Judith Anne (Send a message to the Democrat traitors--ROCKEFELLER MUST RESIGN!)
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To: aristeides
The case fatality rate is quite high considering the average age is 22. I would not have predicted SARS starting in Columbia. If this is SARS, then other places are keeping things very quite.
13 posted on 12/16/2003 12:07:54 PM PST by leu25iso
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To: aristeides
It shouldn't be flu season down there.
14 posted on 12/16/2003 1:35:56 PM PST by Domestic Church (AMDG...)
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To: aristeides
This is the first I've heard of this.
15 posted on 12/16/2003 2:53:09 PM PST by Prince Charles
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To: Domestic Church
On a semi related note, maybe

Another Microbiologist Mystery Death

16 posted on 12/16/2003 3:00:28 PM PST by riri
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To: leu25iso
30+ years ago while in Basic Traing at Ft.Leonard Wood during the early winter months, there were all kinds of viral infections being passed amoung we trainees.

The US Army's solution to the problem was quite novel & worthy of mention.
Red painted, water filled 5# coffee cans with the letters "ARD" stensiled on the side & placed up & down all the halls in our barracks!

Yup, the *theory* behind the "Anti-Respritory Disease" cans involved the water evaporating into the dry, cold Missouri air & then virus germs c/wouldn't be spread as easily.
>?<

I wound up in the hospital with viral pnumonia, anyway. {g}

...our government "at work." :o)

17 posted on 12/16/2003 3:03:42 PM PST by Landru (Tagline Schmagline...just a drag on my line.)
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To: aristeides
If it is SARS we will get confirmation soon.
18 posted on 12/16/2003 4:21:44 PM PST by Nov3
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