Deadly SARS Spreads World-Wide: Death Rate Increases and Doctors Worry About Mutating Virus

Deadly SARS Spreads World-Wide: Death Rate Also Increases and Doctors Worry About Mutating Virus

This is more evidence that SARS may be much worse that World Health Officials are admitting. The New York Times is reporting today that the death rate in Toronto, Canada is 9.5% and the mystery disease is still spreading rapidly around the world. Now the disease has spread to 27 countries. I quote from that report:

The Taiwan News has reported this morning that WHO officials are concerned that by doing so China may have hidden as many as 1,000 cases in military hospitals and intentionally understated the number of deaths reported. As many as 100 to 200 additional deaths from this mystery virus may have been hidden by Beijing. Quoting briefly from that report:

If health officials are correct about the potential number of unreported cases in China, and also about under-reported deaths from SARS, their real concern may be understated greatly. Assuming that China has understated its cases by only 50% of number mentioned by WHO: the total number of cases would have to adjusted upwards to 3,889. Then the number of deaths would have to be adjusted upward as well by 100 or 200 -- to possibly total of 265 or even to 365.

That would mean a rather dramatic increase in the death rate percentage from the old estimate of 4.9%, to a new estimated range of 6.8% to 9.3%.

How very strange ... Because the newly adjusted death rate is nearly identical to the rate in Canada today. But I do not want to engage in wild speculation. What I would like are some answers.

What I would like to know is why China is hiding SARS patients from WHO officials in its "secretive" military hospitals. Is their goal to protect the general population ? Or is their goal to confuse health officials and prevent them from learning the true cause of this dreaded disease?

The latest from CDC

FACT SHEET
Basic Information About SARS
April 16, 2003, 12:30 PM ET

A new disease called SARS

The Centers for Disease Control and Prevention (CDC) is investigating a new disease called severe acute respiratory syndrome (SARS) that has recently been reported in Asia, North America, and Europe. As of April 13, about 190 cases of SARS had been reported in the United States. This fact sheet provides basic information about the disease and what is being done to combat its spread.

Symptoms of SARS

In general, SARS begins with a fever greater than 100.4°F (>38.0°C). Other symptoms may include headache, an overall feeling of discomfort, and body aches. Some people also experience mild respiratory symptoms. After 2 to 7 days, SARS patients may develop a dry cough and have trouble breathing.

How SARS spreads

The primary way that SARS appears to spread is by close person-to-person contact. Most cases of SARS have involved people who cared for or lived with someone with SARS, or had direct contact with infectious material (for example, respiratory secretions) from a person who has SARS. Potential ways in which SARS can be spread include touching the skin of other people or objects that are contaminated with infectious droplets and then touching your eye(s), nose, or mouth. This can happen when someone who is sick with SARS coughs or sneezes droplets onto themselves, other people, or nearby surfaces. It also is possible that SARS can be spread more broadly through the air or by other ways that are currently not known.

Who is at risk for SARS

Cases of SARS continue to be reported mainly among people who have had direct close contact with an infected person, such as those sharing a household with a SARS patient and health-care workers who did not use infection control procedures while taking care of a SARS patient. In the United States, there is no indication of community spread at this time. CDC continues to monitor this situation very closely.

Possible cause of SARS

Scientists at CDC and other laboratories have detected a previously unrecognized coronavirus in patients with SARS. The new coronavirus is the leading hypothesis for the cause of SARS, however, other viruses are still under investigation as potential causes.

CDC RECOMMENDATIONS

CDC has issued recommendations and guidelines for people who may be affected by this outbreak.

For individuals considering travel to affected parts of Asia:

CDC advises that people planning elective or nonessential travel to mainland China and Hong Kong, Singapore, and Hanoi, Vietnam may wish to postpone their trips until further notice. Visit the Travelers' Health web site for more information about CDC’s advice to travelers.

For individuals who think they might have SARS:

People with symptoms of SARS (fever greater than 100.4°F [>38.0°C] accompanied by a cough and/or difficulty breathing) should consult a health-care provider. To help the health-care provider make a diagnosis, tell them about any recent travel to places where SARS has been reported or whether there was contact with someone who had these symptoms

For family members caring for someone with SARS:

CDC has developed interim infection control recommendations for patients with suspected SARS in the household. These basic precautions should be followed for 10 days after respiratory symptoms and fever are gone. During that time, SARS patients are asked to limit interactions outside the home (not go to work, school, or other public areas).

For health-care workers:

Transmission of SARS to health-care workers appears to have occurred after close contact with sick people before recommended infection control precautions were put into use. CDC has issued interim infection control recommendations for health-care settings see Interim Domestic Infection Control Guidance in the Health-Care and Community Setting for Patients with Suspected SARS page as well as for the management of exposures to SARS in health-care and other institutional settings, see Domestic Guidance for Management of Exposures to Severe Acute Respiratory Syndrome (SARS) for Healthcare and Other Institutional Settings.

What CDC is doing about SARS

CDC is working closely with the World Health Organization (WHO) and other partners in a global effort to address the SARS outbreak. For its part, CDC has taken the following actions:

Activated its Emergency Operations Center to provide round-the-clock coordination and response.
Committed more than 300 medical experts and support staff to work on the SARS response.
Deployed medical officers, epidemiologists, and other specialists to assist with on-site investigations around the world.
Provided ongoing assistance to state and local health departments in investigating possible cases of SARS in the United States.
Conducted extensive laboratory testing of clinical specimens from SARS patients to identify the cause of the disease.
Initiated a system for distributing health alert notices to travelers who may have been exposed to cases of SARS.

http://www.cdc.gov/ncidod/sars/factsheet.htm

You may be right that SARS is coming under control, but I think it's too soon to tell.

Yeah. It's too soon to tell.

Give up hope now while there's still adequate time to prepare for panic.

SARS -- April 17, 2003
The number of suspected SARS cases in Texas remains at seven.
The Centers for Disease Control and Prevention today reported that 208 suspected cases of SARS, or severe acute respiratory syndrome, in 34 states are under investigation in the U.S.
All of the suspected cases from Texas had traveled to Hong Kong, Singapore or the Guangdong province of China.
The seven [total] are from: Harris (2), Collin (2), Lubbock, Fort Bend and Travis counties.
All are adults. None of the seven is hospitalized.
Four have recovered. Three are recovering. The Lubbock County resident, who has recovered, had not been in that county since becoming ill.
The Texas Department of Health (TDH) reports there is no connection between the two suspected cases from Harris County or the two suspected cases from Collin County.
TDH officials stress that all 208 cases in the U.S. are suspected cases under investigation, not confirmed or absolute.
TDH officials also said no secondary cases have been reported in Texas and that there is no indication of an increased risk of illness for the general public. They said current information about SARS indicates that spread of the illness is primarily through respiratory droplets or fluids in direct or close contact situations. More information about SARS is available on the Web at www.cdc.gov/ncidod/sars. CDC updates a state-by-state Web listing of suspected case counts each workday by 4 p.m. CDT.

Looks HOPELESS doesn't it? The source of this HOPELESS news is:

http://www.tdh.state.tx.us/news/updates.htm

Excellent link. I found this on a link in the link:

For the inpatient setting:

If a suspect SARS patient is admitted to the hospital, infection control personnel should be notified immediately. Infection control measures for inpatients (www.cdc.gov/ncidod/hip/isolat/isolat.htm) should include:

Standard precautions (e.g., hand hygiene); in addition to routine standard precautions, health-care personnel should wear eye protection for all patient contact. Contact precautions (e.g., use of gown and gloves for contact with the patient or their environment) Airborne precautions (e.g., an isolation room with negative pressure relative to the surrounding area and use of an N-95 filtering disposable respirator for persons entering the room)

If airborne precautions cannot be fully implemented, patients should be placed in a private room, and all persons entering the room should wear N-95 respirators. Where possible, a qualitative fit test should be conducted for N-95 respirators; detailed information on fit testing can be accessed at http://www.osha.gov/SLTC/etools/respiratory/oshafiles/fittesting1.html.

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