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Thread: pneuonia illness started in Asia -> Canada & Europe

  1. #1
    emiC
    Guest

    pneuonia illness started in Asia -> Canada & Europe


    www.washingtonpost.com/wp...Mar15.html

    news.asiaco.com/news/exte...391976.htm

    "Separately, a WHO expert that the Guangdong outbreak of atypical pneumonia appeared to have been controlled. Chinese health authorities said the outbreak was caused by an unusual strain of <strong>chlamydia</strong> not transmitted through sexual contact."




  2. #2
    emiC
    Guest

    More info


    Date: Sat, 15 Mar 2003 23:08:15 -0500 (EST)

    SEVERE ACUTE RESPIRATORY SYNDROME - WORLDWIDE (02): ALERT
    ***************************************
    A ProMED-mail post

    ProMED-mail is a program of the
    International Society for Infectious Diseases

    [1] Taiwan
    [2] USA response/briefing
    [3] Worldwide summary alert
    [4] Hong Kong
    [5] East Asia

    [1]

    Date: Sun, 16 Mar 2003 11:24:28 +0800 (CST)
    From: "Peter Chang, MD, MPH, ScD"

    Official report by the CDC of Taiwan: Another Suspected Atypical Pneumonia
    Case in Taiwan - follow up report on 15 Mar 2003
    ---------------------------
    Here in Taiwan, we have one more reported case of atypical pneumonia, this
    64-year-old woman developed fever on 8 Mar 2003 about one week after
    traveling to Guandong (China) and Hong Kong. She was hospitalized on 13 Mar
    2003 due to subsequent respiratory symptoms. Chest radiogram revealed an
    atypical pneumonia in the right lower lung. CDC Taiwan has reviewed the
    regular surveillance system for Acute respiratory distress syndrome (ARDS)
    and complicated influenza cases. So far, there was no evidence of community
    spread except for the couple reported on 14 Mar 2003 [see ProMED-mail Acute
    respiratory syndrome - East Asia 20030314.0630]

    We would appreciate any useful advice and assistance for pathogen
    investigation.

    Peter Chang, MD, MPH, ScD
    Advisor and Coordinator for Health Affairs
    for
    Tzay-Jinn Chen, M.D., M.P.H.
    Directer-General,
    Center for Disease Control,
    Department of Health,
    Taiwan

    ******
    [2]

    Date: 15 Mar 2003
    From: ProMED-mail
    Source: CDC Press Release

    Severe Acute Respiratory Syndrome
    Center for Disease Control and Prevention CDC [USA] Issues Health Alert
    About Atypical Pneumonia
    ----------------------------
    Atlanta: In response to reports of increasing numbers of cases of an
    atypical pneumonia that the World Health Organization (WHO) has called
    Severe Acute Respiratory Syndrome (SARS), the CDC today announced several
    steps to alert US health authorities at local and state levels.

    CDC activated its emergency operations center on Fri, 14 Mar 2003, upon
    learning of several cases reported in Canada among travelers recently
    returned from Southeast Asia and their family members. The federal public
    health agency:

    Issued a health alert to hospitals and clinicians on Sat 15 Mar 2003
    Briefed state health officials on Sat 15 mar 2003
    Is investigating illness among travelers who may have passed through the
    United States after having potential exposure to the virus.

    Is preparing health alert cards to give to travelers returning from
    Southeast Asia.

    Is preparing guidance to assist public health departments, health care
    facilities and clinicians in monitoring and identifying potential cases.

    Deployed 8 CDC scientists to assist the WHO in the global investigation.

    Is analyzing specimens to identify a cause for the illness.

    CDC has been working with the World Health Organization (WHO) since late
    February [2003] to investigate and confirm outbreaks of this severe form of
    pneumonia in Viet Nam, Hong Kong, and parts of China. No cases have been
    identified to date in the United States.

    "The emergence of 2 clusters of this illness on the North American
    continent indicates the potential for travelers who have been in the
    affected areas of Southeast Asia to have been exposed to this serious
    syndrome," said Dr. Julie L. Gerberding, CDC Director. "The World Health
    Organization has been leading a global effort, in which CDC is
    participating, to understand the cause of this illness and how to prevent
    its spread. We do know that it may progress rapidly and can be fatal.
    Therefore, we are instituting measures aimed at identifying potential cases
    among travelers returning to the United States and protecting the people
    with whom they may come into contact."

    The WHO issued a global alert about the outbreak on 12 Mar 2003, cautioning
    that the severe respiratory illness may spread to hospital staff. No link
    has been made between this illness and any known influenza, including the
    "bird flu" (A[H5N1]) outbreak reported in Hong Kong on 19 Feb 2003.

    ******
    [3]

    Date: 15 Mar 2003
    From: ProMED-mail
    Source: New York Times 16 Mar 2003 (from website)

    As a mysterious respiratory illness spread to more countries, the World
    Health Organization (WHO) yesterday issued a rare health alert, declaring
    the ailment "a worldwide health threat" and urging all countries to help in
    seeking its cause and control.

    The agency said that in the last week it had received reports of more than
    150 new suspected cases of the illness, now known as Severe Acute
    Respiratory Syndrome, or SARS. The syndrome has caused at least 9 deaths,
    the last one a nurse in Hanoi. It apparently does not respond to antiviral
    and antibiotic drugs. [according to a Center for Disease Control and
    Prevention (CDC) telebriefing held today, 15 Mar 2003 (available at:
    ) Dr. Gerberding's
    response about efficacy of antimicrobials was: "...there is no consistent
    utilization of antibiotics or antiviral therapy in the areas that have had
    the most cases, and so we have no real information to help tell us whether
    or not anything is having a clinical impact. At best we could just provide
    anecdotal suggestions and no data or advice.", hence a conclusion that
    there is no response to antiviral and antibiotics maybe premature. - Mod. MPP]

    Reported cases have come from Canada and 6 countries in Asia — Hong Kong
    and elsewhere in China, Indonesia, the Philippines, Singapore, Thailand and
    Vietnam, the health organization said. There have been no reports of the
    illness in the United States. But yesterday [today - 15 Mar 2003], an ill
    passenger and 2 companions who traveled from New York City were removed
    from a flight after it arrived in Frankfurt and put in isolation in a
    German hospital.

    The ill passenger is a doctor from Singapore who treated one of the
    earliest cases there, and who flew to a medical meeting in New York City,
    said Dick Thompson, a WHO spokesman. The doctor may have gone to a hospital
    in New York — the agency is not certain which one — before flying back to
    Singapore via Frankfurt with his wife and another doctor. Before boarding
    the flight, the doctor called a colleague in Singapore to describe his
    symptoms, and the colleague notified WHO.

    The cause has not been identified, and scientists do not know whether it is
    a virus or even an infectious agent. Although health officials have
    suspected avian influenza, which has infected a small number of people
    sporadically in Hong Kong since 1997, laboratory tests have not detected
    that rare strain, known as influenza A(H5N1). As a result, laboratory
    scientists are focusing on the possibility of a previously unknown
    infectious agent.

    Dr. Julie L. Gerberding, director of CDC, said in a news conference
    yesterday [today - 15 Mar 2003] that it appeared to take direct and
    sustained contact to transmit the illness from an affected individual to
    other people. "There is no evidence to suggest that this can be spread
    through brief contact or assemblages of large numbers of people," she said.

    Asked whether this might be an instance of bioterrorism, she replied, "We
    are keeping an open mind."

    In an emergency advisory issued yesterday, WHO said that "there is
    presently no indication to restrict travel to any destination."

    But Dr. Gerberding said, "We are advising persons planning nonessential or
    elective travel to affected areas that they may wish to postpone their trip
    until further notice."

    Updated information will be posted on the centers' Web site,
    .

    WHO and American officials urged all travelers to be aware of the main
    signs. In addition to the breathing problems, the illness can cause a dry
    cough and other flulike symptoms that are thought to develop 2 to 7 days
    after exposure. They usually start with a sudden onset of high fever and go
    on to include muscle aches, headache, sore throat and shortness of breath.

    Standard lab tests often show low numbers of white blood cells and
    platelets, which help blood to clot.

    The health agency said any passenger or airline crew member who developed
    such symptoms should immediately seek medical attention and ensure that
    information about their recent travel was passed on to the health care
    staff. "Any traveler who develops these symptoms is advised not to
    undertake further travel until they have recovered," it said.

    If a passenger became ill on a flight, the agency asked airlines to alert
    the airport of destination and to refer any ill passengers to airport
    health officials.

    "There are currently no indications to restrict the onward travel of well
    passengers, but all passengers and crew should be advised to seek medical
    attention if they develop" symptoms, the agency said.

    In another rare step, the CDC activated its emergency operations center in
    Atlanta, including sophisticated communications technology, to enhance its
    ability to coordinate information from other countries and to investigate
    any suspect cases in this country.

    The CDC has used the operations center only twice before, for the
    mosquito-borne West Nile fever epidemic last year and the anthrax attacks
    in 2001. The last time it issued a global health alert was in 1993, to
    enhance measures to control tuberculosis. WHO officials said they could not
    recall the last time an emergency global travel advisory was issued.

    The CDC and New York City health officials are now investigating the travel
    histories of the passengers now in a German hospital as well as one of the
    8 cases suspected to be the new syndrome in Toronto and Vancouver, British
    Columbia [Canada].

    Two hours before the plane landed, the WHO notified German health
    officials, who had the plane moved to a separate runway where the doctor,
    his wife and a colleague disembarked and were taken to a nearby hospital.
    German health officials advised the other passengers to monitor their
    health and gave them a telephone number to call if they developed any
    symptoms. Officials did not release any information on his condition.

    Mr. Thompson, the spokesman for the WHO, said the cases in Toronto involved
    a family who returned home after flying to Hong Kong. A woman, died shortly
    after her return. Five other family members who had not been to Hong Kong
    have since become ill; 4 are still in the hospital while the fifth, [the
    fatal case's] son, died on 13 Mar 2003, according to Toronto Public Health
    officials.

    Toronto health officials said they were aware of 2 other cases in
    Vancouver, both people who had recently traveled to Hong Kong. CDC
    officials are aiding in the investigation because [the fatal case's]
    daughter, who is being treated in Toronto, had flown to Atlanta recently,
    Mr. Thompson said.

    So far, laboratory scientists have not been able to identify a known or
    novel infectious agent, said Dr. David L. Heymann, a WHO official.

    Japanese officials said their tests showed that the influenza virus was not
    the cause of the illness. But Dr. Heymann said samples from more victims
    needed to be tested, because it can take weeks for the immune system to
    produce influenza antibodies, the proteins that are formed to fight
    invading microbes.

    "We have not ruled out influenza definitively," Dr. Heymann said.

    Tests of victims' samples have found no evidence of mycoplasma or similar
    microbes that are the usual causes of atypical pneumonia. Additional tests
    have shown no evidence of Ebola or any of the other viruses that cause
    hemorrhagic fevers, hantavirus and bacteria.

    In Hong Kong, an American businessman died on Thursday after passing
    through Hong Kong and falling ill in Hanoi, where 30 doctors and other
    medical personnel have fallen ill at the hospital where the businessman was
    initially treated.

    [by: Lawrence K. Altman and Keith Bradsher]

    --
    ProMED-mail

    *****
    [4]

    Date: Sat 15 Mar 2003
    From: "Pablo Nart"
    Source: Reuters News online, Sat 15 Mar 2003 [edited]

    Hong Kong: Total of Affected Medical Personnel Increases to 47
    --------------------------------------------------------------
    HONG KONG: Four Hong Kong medical workers were admitted to hospital on
    Saturday with symptoms of a flu-like virus that has already killed one
    person and infected dozens, sparking a rash of travel cancellations to the
    territory. The 4 admitted on Sat 15 Mar 2003 brought the total of Hong Kong
    medical workers suffering the same symptoms to 47. Thirty-seven have since
    developed signs of severe pneumonia, up from 29 on Friday [14 Mar 2003].

    Forty-one people in Hanoi are being treated for the illness, 2 of them in
    critical condition. [according to another newswire report, one of these
    cases died during the course of today - Mod.MPP] An outbreak of severe
    pneumonia in China's southern Guangdong province in February infected 305
    people, killing 5, but it is not known if there is any link. Singapore and
    Taiwan issued travel warnings when a few of their residents contracted
    pneumonia after trips to Hong Kong or mainland China. Vietnamese
    immigration officials are now monitoring visitors for signs of infection.

    [By Tan Ee Lyn and Vicki Kwong]

    --
    ProMED-mail

    *****
    [5]

    Date: Sat 15 Mar 2003
    From: H.L. Penning
    Source: Straits Times Interactive, Agence France-Presse, Sat 15 Mar 2003
    [edited]


    East Asia: Pneumonia Outbreak Worsens
    -------------------------------------
    In Taiwan a 64-year-old woman and a married couple were confirmed to have
    contracted the disease and were in hospital, said Mr Chen Tsai Chin, head
    of the Taiwan Health Department's Centre for Disease Control (CDC). In
    Hong Kong, 47 people are now under observation in 6 different Hong Kong
    hospitals with 37 of them showing symptoms of pneumonia.

    In Vietnam's capital Hanoi 6 more people were struck down with the illness,
    a hospital spokesman said. The new cases brought the number of infections
    in the capital to 40. Thirty employees of the Hanoi French Hospital
    remained under treatment, with 2 people, including a French doctor, in a
    critical condition, a hospital official said.

    Singapore's Ministry of Health said on Fri 14 Mar 2003 that it had been
    notified of 6 persons admitted to hospital for pneumonia, in addition to
    who had earlier been confined after visiting Hong Kong. [more recent
    newswires put the number of cases reported from Singapore at 16 - Mod.MPP]

    --
    H.L. Penning




  3. #3
    Joesitz
    Guest

    Re: More info


    Whose biological weapons can we blame this on?

    Joe

  4. #4
    Aloft02
    Guest

    Re: More info


    Blame overuse/over-prescription of antibiotics, it's likely a factor.

  5. #5
    Joesitz
    Guest

    Re: More info


    Are you sure it is not the Iraqis?

  6. #6
    emiC
    Guest

    Re: More info


    No one can be sure it is not bioterrorism, but authorities think it is unlikely. Sad, one more person died today.

  7. #7
    Ladskater
    Guest

    Re: pneuonia illness started in Asia -> Canada & Euro


    What I had was close to that new strain of flu - except I got bronchitis. It's pretty devastating. I would hate to get the pneumonia strain.


    Ladskater

  8. #8
    eltamina
    Guest

    Re: pneuonia illness started in Asia -> Canada & Euro


    Ladskater, take care.

  9. #9
    emiC
    Guest

    from CDC


    suspected cases in USA

    www.cdc.gov/od/oc/media/sars.htm

    Severe Acute Respiratory Syndrome
    Report of Suspected Cases Under Investigation
    in the United States
    This information in this table will be updated Monday through Friday.

    These data were reported to the World Health Organization on March 19, 2003.

    Numbers of suspected cases are expected to fluctuate as additional information becomes available.

    State Suspected cases under investigation*
    California 3
    Hawaii 1
    Maine 1
    Massachusetts 1
    New Jersey 1
    New Mexico 1
    North Carolina 2
    Tennessee 1
    Virginia 1
    Wisconsin 1
    Total Suspected Cases Under Investigation 13


  10. #10
    Grgranny
    Guest

    Re: from CDC


    There's a person in a Wichita hospital. They are waiting for test results. He was recently in Asia.

  11. #11
    Kasey
    Guest

    Re: pneuonia illness started in Asia -> Canada & Euro


    Had I been out of the country lately, I'd be worried, because I've been sick for a week with respiratory something...UGH. Hope they find a cure/treatment/test for it soon....Kasey

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