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Previous Entry | Main | Next Entry March 29, 2003 SARS I think SARS is an important story. One that should be followed. Below you'll find some good info put together by a surgeon/correspondent of mine. The Ontario government, on March 24, 25, and 26, purchased almost all high efficiency disposable face masks that were for sale in Canada (about 100,000 masks). These masks are rated to the NIOSH standard N95. 3M corporation is running its production lines 24 hours per day, but thinks that it cannot keep up with demand, according to their spokesman Greg Snow, in this Toronto Star article, from March 29, AM. The Ontario Commissioner of Public Security, Dr. James Young said that there were enough NG-95 masks on hand only to provide for the need of health-care workers. Patients and those in quarantine would be given the more porous "surgical masks", according to the Globe and Mail, March 28 http://www.globeandmail.com/servlet/ArticleNews/TPStory/LAC/20030328/UMASKM/TPHealth/ Toronto, Ontario, consumers have snapped up all available surgical masks from Toronto medical supply stores. (These are less effective masks than the government-recommended N95 quality). Source = above articles, also see Reuters, 28 Mar 2003 19:58:48 GMT: http://www.alertnet.org/thenews/newsdesk/N28343995.htm . See also the London Free Press (London, Ontario = location of the 3-M plant) at: http://www.canoe.ca/LondonNews/lf.lf-03-29-0008.html . The N95 mask sticks out, in front of the mouth, giving a duckbill appearance, compared to the cheaper "surgical" masks, which lay flatter against the face. There is Flash movie explaining about N95 masks at http://www.3m.com/US/healthcare/professionals/infectionprevention/jhtml/healthcaremasks.jhtml Two major hospitals in the Toronto area, Scarborough Grace and York Central, have been closed. Access to 3 others is severely restricted, due to this provincial "health emergency", according to the Ottawa Citizen newspaper at Canada.com : http://canada.com/national/story.asp?id=78E490B5-8D84-4CC2-935A-D7793BF38617 The CDC (Centers for Disease Control and Prevention, Atlanta) has recommended that travellers consider postponing non-essential travel to China, Hong Kong, Singapore, and Hanoi, Vietnam. Their travel recommendation does not yet extend to Toronto (Canadian hotspot for SARS). This from CNN.com Saturday, March 29, 2003 (0106 GMT) http://www.cnn.com/2003/HEALTH/03/29/sars.advisory/ "U.S. health officials said Saturday none of the anti-viral drugs and other treatments they have tested is effective against a flu-like disease that has killed at least 54 people and sickened nearly 1,500 others around the world. ", according to an Associated Press story, covered on Canada.com, March 29, 2003 at http://www.canada.com/news/story.asp?id=%7B0065973B-5FB2-43E9-BC9A-B22578B79B84%7D Courtesy: docbear Comments: Just a question. Do you guys beleive that Saddam is already dead? Im not sure either way. What do you think Sean-Paul? Posted by: Jordan on March 29, 2003 11:06 PMIt is indeed tragic that the doctor who first raised the alarm has died from the disease. Thus far about 50 people have died from SARS, and there are an estimated 1500 afflicted. Originally, researchers thought the disease was caused by a variation of the measles virus. More recent information connects SARS to a new form of coronavirus, which causes the common cold. 1500 hundred people worldwide is hardly an epidemic. Bears watching, but panic is hardly warranted at this point. Posted by: edub on March 29, 2003 11:11 PMI am hearing from all kinds of friends that went to the Hong Kong 7s Rugby (i usually go every year but didn't this year due to SARS) that this was really kept quiet in Hong Kong because of all the tourist dollars it brings in. Lots of Ex-pats in Asia are coming into contact with this and flying around the world....a chance that SARS could become big. Posted by: Hardboiled on March 29, 2003 11:14 PMPerhaps someone should do a SARS Agonist or something... although I'm sure someone has a SARS blog now somewhere. Posted by: Ellen on March 29, 2003 11:16 PM"Thus far about 50 people have died from SARS, and there are an estimated 1500 afflicted." If that's accurate, and unfortunately with China's resistance to come clean on what's happening in their country, then this is about a 3.33% fatality rate? Maybe not time to panic, but definitely enough for me to cancel a flight to Singapore and Hong Kong next month. I have no desire to sit on a plane for the better part of 24 hours sharing air with a couple hundred people and the threat of SARS. =/ Posted by: lanboy on March 29, 2003 11:18 PMForgive my ignorance. What is SARS? Posted by: Jordan on March 29, 2003 11:20 PMHere is one link for tomahawk inventory before the war: http://www.globalsecurity.org/military/systems/munitions/smart.htm Posted by: Dave on March 29, 2003 11:22 PMIs Saddam dead? Doubt it. Joe Galloway, independent war correspondent in an interview on NPR... stated that Saddam was sleeping in a house right next to the bunker hit during the decapitation strike. Galloway insists the house wasn't hit - and Saddam is alive and well. And if he is alive - why did the US government just release info. that his air defense minister was fired today by... Saddam? I will say that news sources are definitively reporting that Rumsfeld, Pearle, and Wolfowitz are now dead. Politically D-E-A-D!!! Any chance that George and the rest of his corrupt administration will submit their resignations? The fatality rate has varied around 3-4% of diagnosed cases of SARS, by the World Health Organisation statistics. http://www.who.int/ About 10-15% of the diagnosed patients have needed mechanical ventilation. If the SARS virus is like other coronaviruses, it will spread reasonably easily, unless special precautions are taken. Remember, coronavirus is a "common cold" virus. There is no cure (yet) for the "common cold". Being from Canada, (albeit on the far East Coast), SARS is a major concern of mine. Now the reports say that it is air-borne. Uh-huh. I just hope it does not get out into the general population in a large city... Something like this could resonably shut down part of the world. Posted by: Glenn on March 29, 2003 11:29 PMrussian military intelligence estimates that us has used up 25% of its cruise missiles. http://www1.iraqwar.ru/iraq-read_article.php?articleId=954&sesid=2 Posted by: michele on March 29, 2003 11:34 PMSean-Paul: Some warnings: that's creepy as hell. Thanks for the info. Saddam is alive. Before the war, he wanted to be Stalin, now he wants to be Ho Chi Minh. Will Bush be his Johnson? And if so, who's Nixon? Posted by: Peter on March 29, 2003 11:36 PMSARS is airborne and easily contagious. I suspect authorities are down playing the truth in order to avoid a panic. It should be a major concern of the world, thanks to jet travel. Just consider what it will do to the US if it gets into the part of the population with no medical insurance. Posted by: Chris Vail on March 29, 2003 11:38 PMi doubt that saddam hussein is alive. i read an article about that in a french newspaper, forget if it was le monde, le figaro or liberation. anyway, they stated that, and this is a fact, that french doctors came to iraq a year or so ago to treat saddam hussein for cancer. he was frail and could barely light his cigar with his trembling hands. it's very possible that there are 3 - 4 saddam husseins walking around, all for the benefit of the regime but that the real saddam hussein, has died long ago. talk about a "survivor" - he's survived his own death! Posted by: michele on March 29, 2003 11:40 PMPeter: Nixon= Hastert? Ok, bringing the various threads of this comment section together, and no doubt bringing accusations of tin-hat conspiracy theories: What happens if SARS hits our troops? Posted by: edub on March 29, 2003 11:50 PMRandal, Or maybe Dean. Dean is the early favorite out here on the west coast. Posted by: Peter on March 29, 2003 11:50 PM If we wanted to do some worst case, back of the envelope calculations we'd
it's never useful to panic, IMO. but SARS is being taken very seriously by canadian health officials, and they're not really inclined to overreact. the canadian team is not travelling to the women's world ice hockey championship in beijing. two NHL players have been under observation and didn't travel to their team's game on saturday. i think this is getting far less attention than it normally would in the US due to the war. To quote The Stand: (Which, believe me, gives me shivers everytime I think about it.) "There is no truth-no truth-to the rumor that this strain of flu is fatal. In the majority of cases, the person afflicted can expect to be up and around and feeling fine within a week. Further---{a spasm of coughing}..." from "The President's speech, delivered at 9 p.m. EST, not seen in many areas" Posted by: kbanas on March 30, 2003 12:34 AMI'm in Vancouver, so have been tracking SARS on the net for about three weeks now. Much Googling. No dedicated SARS blog I know of yet. Compared to coverage here, coverage in US media seems bizarrely muted. The situation in Toronto looks extremely serious, with Ireland and NZ both advising their citizens not to go there. The closure of the second hospital is seen as very bad news, but not as bad as "community" cases would be. Those are also called "third generation" cases. Note the lethality is actually *less* than is seen with a given strain of flu, so far. But the people who die seem more likely to be "old", i.e. over forty. Evident from HK media (as well as recent CDC briefing) that they don't know much yet about mechanism of spread. Droplet is assumed, but likely it can stay alive outside the body, on surfaces, for at least three hours. (If you want an overlapping nightmare scenario, imagine it spreading to the troops in Iraq.) Posted by: Bill on March 30, 2003 12:47 AMin my best McLaughlin voice..."wrong! McCain is Nixon ABSOLUTELY !!!!!!!
In 1994, I wrote an article regarding a common virus mutation taking advantage of poor immune systems. Since then, I've coined this type of Earth Gaia intervention "The Slap of Evolution". The Slap events are diverse and not just a deadly virus. They are also atmosphere related (sandstorm), (shuttle). There are others. Watch for one on Monday, 03.31.2003. This is the date my beta version Slap software picked - on March 1. I could be totally wrong, Posted by: istockdog on March 30, 2003 01:51 AM"(If you want an overlapping nightmare scenario, imagine it spreading to the troops in Iraq.)" Imagine it spreading to a population of 25 million underfed, war-stressed Iraqi civillians. Posted by: m. a. battilana on March 30, 2003 02:29 AMDoes anyone know or have links to information on the efficacy of air purifiers &/or air filters vs. SARS? I thought about purchasing a "wearble air purifier" for air travel but it was sold out at several online stores. Posted by: umeumeboshi82 on March 30, 2003 02:40 AM"anyway, they stated that, and this is a fact, that french doctors came to iraq a year or so ago to treat saddam hussein for cancer. he was frail and could barely light his cigar with his trembling hands." Pravda said it was 4 years ago and wanted to know if it was Saddam's final joke that the US would do all it is doing to oust him when he was already dead. But we're talking Pravda... It would a cruel irony though, but we would never (and may never) know the truth. Posted by: m. a. battilana on March 30, 2003 02:41 AM"The Iraqi tribes, ignored by the military planners and Washington pundits who think Iraq is held together only by the Baath party and the army, are a powerful force, their unity cemented by marriage and a network of families loyal to President Saddam who provide a force as cohesive as the Baath party itself.
President Saddam has already issued one set of orders which tells the tribesmen "to fight [the Americans and British] in groups and attack their advance and rear lines to block the way of their progress ... If the enemy settles into a position, start to harass them at night ..." Anybody see Lawrence of Arabia? Posted by: m. a. battilana on March 30, 2003 02:54 AMThank you for your humanity m.a.battilana! I was beginning to think this forum had been absorbed into the wargasm of militech and shockinaw. The comparison with the WWI Flu epidemic is worth making. For all the noise of WWI, the 1918 flu epidemic killed more people than the war. However, the stress and malnutrion of war conditions must bear a significant portion of the blame for the devastation of the 'Flu epidemic. I live in Toronto, the epicentre of this whole thing. To be perfectly honest, people here feel it's a little overblown. We're a little concerned, but we're hardly panicked. My boss is Chinese, so I have fairly close contact with people from Hong Kong. And we're just not worried. If it were as widespread as is being suggested, we feel, we'd all be sick by now. Posted by: Andrew Edwards on March 30, 2003 03:12 AMAnyone know if there have been "survivors yet" I mean anyone who has gotten over this (provided they really had SARS) Creepy part is will those few become the antibody machines for mankind...kinda like the Omega Man Posted by: bobbo on March 30, 2003 03:15 AMtoronto is hardly the "epicentre"; that would be hong kong. bobbo -- yes, there are survivors, in fact most people survive it; the mortality rate seems to be around 3% right now, which isn't terrible. i get a lot of my information from the WHO (world health organization) itself. Posted by: piranha on March 30, 2003 03:43 AMAre you sure that there are "survivors"? From the WHO faq "Q: Are there any positive developments? A : A significant number of cases in Viet Nam, as a result of good supportive care, have improved." Big difference between improved and recovered. Didn't dig real deep on the site yet so maybe there is more positive information elsewhere. But are the 1500 patients doomed to quartantine wards until somebody finally finds the cure for the common cold? Posted by: hanswu on March 30, 2003 04:08 AMFollow this very terrifying Severe Acute Respiratory Syndrome (SARS) on the special SARS website and the desease outbreak page of the WHO (World Health organization). Posted by: Oskar van Rijswijk on March 30, 2003 04:42 AMSARS sounds nasty, which is probably why the Ontario gov't has ordered quarantine. As for hospitals being closed, any Canadian could tell you that the health system in Ontario is being deliberately dismantled by the provincial government in preparation for privitization, which makes hospital closures hardly surprising. Posted by: nevin on March 30, 2003 06:06 AMI live in Hong Kong and I feel I ought to clarify a few points about SARS. Firstly it is not being played down by the HK authorities. It is being taken very seriously with lots of public information and plently of precautionary cleaning and closures. It is being played down by the mainland authorities which is expected. They think the west will think badly of them if it is found to come from China. Little do they know we think badly of them because they aren't brave enough to be open about it...(!) The epicenter of it is not Toronto, it's Guandong, China. Hong Kong seems to have the most cases because of the Chinese mainland govt. hiding figures. Plenty of people have recovered from it, already. It is perfectly safe on aircraft as long as noone coughs on you! I spend "lots" of time in aircraft and im fine...really. Older, more frail people are the ones who are dying. They almost always have some other disease. As for the war....."Survivor: Iraq"......now do they know why the world objected to it? Posted by: Ged on March 30, 2003 06:13 AMWe don't have a very large database yet, but it's interesting to note that the death rate from SARS seems to be close to zero in the countries with the most advanced hospital care. From the next tier downward we see the death rate jump to 3%+. I wonder, if the case load gets to be so great that it "overloads" the hospitals, how will that impact the death rate? Other questions: What are the implications of SARS in war zones and severely impoverished countries? What affect will SARS have on the HIV-positive? Next, assuming this is a variant of one of the "common cold" viruses: if we remain susceptible to colds year after year because the viruses keep mutating, will this virus continue to mutate, retaining its deadly nature while "fooling" our body's immune systems again and again? If that turns out to be the case, then the implication would seem to be that we would have a 3%+ chance of dying (statistically speaking) every time we catch the SARS "cold." At that rate, the human race could be close to extinction within two decades . . . actually, I don't think it's *that* bad -- every new disease can kill off victims until only those individuals who have a natural resistance to the disease remain, and then they build up the population again so that the disease is from that time forward relatively benign . . . until the next new disease shows up. For all we know, the common cold may at one time have been a serious "killer" disease. Finally, how long before the conspiracy theories show up saying that this is a man-made disease? And if it was a man-made disease, is there any way that could be proven? Anyone remember Richard Preston's novel "The Cobra Event?" Posted by: cdwitmer on March 30, 2003 06:17 AMSARS (Severe Acute Respiratory Syndrome) has been tentatively identified as a paramyxovirus. The family of Paramyxoviridae includes measles, mumps, and flu. The WHO has a FAQ page which is worth reading. One thing I'm curious about: I know that myxoviruses have been transmitted between humans and animals. Is there any evidence that this outbreak started that way? Posted by: Kay on March 30, 2003 07:10 AMAFAIK the spanish flu came in 4 "waves", about a year or so appart. Thus, it's reasonable to expect we'll see a couple of iterations with SARS, if it makes it global. The spanish flu, unlike SARS, was actually worst for those that were HEALTHY, the highest casualty rates were found among young men in good health. This is quite unusual, and doesn't seem to be the case with SARS. Posted by: Incy on March 30, 2003 07:27 AMIf most people experience SARS as a common cold or flu, with only a small percentage reporting severe breathing difficulties or needing medical attention, what is to say that the Western info on fatality or infection rates is accurate or representative? On another note, it seems a cheap shot for Western armchair critics to complain about the recalcitrance of the Chinese government in coming out with accurate health statistics. It would certainly be nice if we had them, but I'd doubt it's even possible to get accurate statistics on these things, especially once one starts moving out of the major cities into places like... say... rural Guangdong. I read last night we shot 169 cruise missles in to Iraq so far. I'll see if I can find it. Posted by: David on March 30, 2003 07:59 AMI have a conspiracy theory. It emanates from the fact that the Chinese government is not only unwilling to provide accurate statistics, but has thus far denied WHO scientists access to Guangdong. Given that Guangdong is the acknowledged point of origin for SARS, locating the source of the disease could be a critical step in its eradication. The Chinese government would certainly want to facilitate this step, unless the disease originated in some biotech firm or government laboratory. Of course, I just saw the movie 28 Days Later ... Posted by: Waiwai on March 30, 2003 08:23 AMBTW, this just proves that there's always important news going on. We're just so focused on the Iraq war that we don't have time for anything else. "Have you noticed that when there's a newspaper strike, nothing happens? It's marvelous!" -- Michael Flanders Posted by: Kay on March 30, 2003 08:23 AMI have a conspiracy theory. It emanates from the fact that the Chinese government is not only unwilling to provide accurate statistics, but has thus far denied WHO scientists access to Guangdong. Given that Guangdong is the acknowledged point of origin for SARS, locating the source of the disease could be a critical step in its eradication. The Chinese government would certainly want to facilitate this step, unless the disease originated in some biotech firm or government laboratory. Of course, I just saw the movie 28 Days Later ... Posted by: Waiwai on March 30, 2003 08:23 AMI read an article by a biologist years ago, who was studying species extinction in the rainforests. He suggested one effect of the loss of species diversitication was that things lower on the food chain tend to prey on the top. We're the top. It was called the "human meat market theory", I believe. Things like parasites, viruses tend to proliferate, when the food chain loses diversity. I wonder if this is what we are seeing? Mother nature attempting to balance out the overly successful human race? I'm wondering if anybody has any better information on how this is transmitted? Posted by: Jeremy on March 30, 2003 09:46 AMI live in Toronto. Have been out and about - shopping, dining in restaurants - over the past few days and have seen no masks, no evidence of concern ... though I gather that folks are staying away from the various "Chinatown" neighbourhoods, and I have seen local-tv footage of shoppers wearing masks. Of the three who died, two (if I recall correctly) picked it up in Hong Kong (they were mother and son), where they stayed on a particular floor of a particular hotel that has since been identified as a secondary locus. The third, I recall, was an already-quite-ill man who had the misfortune to be in a bed beside one of those affected by SARS - before it was identified. Those in quarantine are simply people who have been working at, or have visited, one of the two hospitals where the more serious cases were taken - and who MIGHT have the disease. They need to be quarantined for only 10 days or so, to make certain that they do not develop the disease. After that, they can leave quarantine. US Customs & Immigration officers at nearby border crossings (Niagara Falls, Buffalo, etc.) have apparently been told to watch for people with respiratory problems - so you don't want to try to cross into the US if you have a cold! And airline personnel at Toronto's international airport have been encouraged to turn away anyone whose health is suspect (as they always have the right to do). And, yes, there have been plenty of survivors - people who have had SARS but recovered. Posted by: Peter on March 30, 2003 10:35 AMOne more thing: Local health officials - while obviosuly taking SARS seriously - have made the point that, so far at least, both the incidence of (and mortality rate from) SARS are less than that of more common types of flu at this time of year. Any visit to a hospital is always risky. I blame a great deal of the panic on the increased reach and popularity of local all-news radio and tv stations! Posted by: Peter on March 30, 2003 10:38 AMJeremy, I've read some interesting articles about the same thing. The common theory is that in doing so much damage to the environments, species that kept other species in check are no longer in place. So we're seeing new diseases crop up from the imbalance. Considering mankind knows less than 5% of the species on this planet, I find the theory very realistic and plausible. The saying, "You don't know what you've got 'til it's gone." Comes to mind. Posted by: Teresa on March 30, 2003 11:09 AMA recent article stated that despite media hype the death toll from SARS is actually less than many of the pandemic flus that sweep the globe yearly. This one, however, takes longer to recover from and tends toward pneumonia. Posted by: Ishgooda on March 30, 2003 11:17 AMGood SARS link at CBC: This is upsetting: I am in Brunei, Kb, and the worst thing is that The Brunei government object to that there is this "SARS-severe acute respiratory syndrome" present in Brunei. They keep on saying that they have checked everyone that came down from the plane arriving brunei but have never knew that the signs and symptoms WILL only persist after one or two weeks, by that time, it would already be too late! There's already a case in Chung Hua Middle School, Kuala Belait in Brunei, that a child has been sent to RIPAS hospital in Bandar as he might be infected with SARS- a very clever virus but a deadly one! Posted by: Andrew on April 1, 2003 11:14 PMSomebody asked if there was a SARS blog. I'm keeping one at www.SARSwatch.org if you want to check it out. Thanks, Post a Comment: |