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Severe Acute Respiratory Syndrome (SARS)

 

Frequently asked questions:

 

1. What is Severe Acute Respiratory Syndrome (SARS)?

SARS is the term being used to describe a serious respiratory illness which has recently been reported in parts of East and South East Asia, Canada (Toronto). It has now been reported from over 20 countries in the world. All these cases have been associated with travelers and their close contacts (mainly health care workers) returning from Hong Kong, China, Singapore and Vietnam. The only countries/areas where the disease has spread to any degree are Hong Kong, Vietnam, China, Singapore and Canada. All the other outbreaks have been quickly controlled by good public health and infection control measures.

 

2. What are the symptoms of SARS?

The main symptoms of SARS are high fever (>38° C), dry cough, shortness of breath, or breathing difficulties. Changes in chest X-rays of pneumonia also occur.

 

3. How contagious is SARS?

Based on currently available evidence, close contact with an infected person poses the highest risk of spread from one person to another. Close contact means having cared for, having lived with, or having had direct contact with respiratory secretions and body fluids of a person with SARS. The principal way SARS appears to be spread is through droplet transmission; when someone sick with SARS coughs or sneezes droplets into the air and someone else breathes them in. It is possible that SARS can be spread from objects that have become contaminated. To date, the majority of cases have occurred in hospital workers who have cared for SARS patients and the close family members of these patients. There is NO evidence at this stage that it is spread by casual contact.

 4. Can SARS be spread from touching contaminated objects or surfaces?

It is possible that SARS could be spread when a person touches a contaminated object or surface; how often this might happen, or if it happens at all, is not known at this time. Previously identified coronaviruses (scientists have reported that a new cororavirus may be the cause of SARS) have been shown to survive in the environment for as long as 3 hours. To reduce the overall risk for infection by touching contaminated objects and surfaces, It is recommended that people wash their hands thoroughly and often with soap and water.

5. I’ve heard that SARS is fatal?

The vast majority of people who get SARS do well and are discharged from the hospital. A much smaller number of people become quite ill, and world-wide about 3% of the patients with SARS have died. Many of the people who have died have had other chronic illnesses like heart disease, chronic bronchitis, kidney disease.

6. What is the treatment for SARS?

Antibiotics and antiviral drugs are being used to treat the illness, but there is no specific treatment at the present time.

7. How fast does SARS spread?

SARS is less infectious than influenza. The incubation period is believed to be short, around 2-7, exceptionally 13 days. The speed of international travel does, however, create a risk that cases can rapidly spread around the world.

8. Is there a vaccine for this illness?

No, a vaccine is not available. The germ causing SARS has only just been identified.
9. What is the cause of this disease?
WHO is coordinating an international multi-centre research project to expedite identification of the causative agent. Eleven top laboratories in ten countries are consulting daily and are working together to identify the cause of the outbreak. A type of germ called a coronavirus (SARS virus) is thought to be the cause. Diagnostic tests are being developed for it. Once this virus is definitely identified as the cause we will be able to learn more about how it is spread.
 

Is there a test for SARS?

No "test" is available yet for SARS; however, CDC, in collaboration with WHO and other laboratories, has developed 2 research tests that appear to be very promising in detecting antibodies to the new coronavirus. CDC is working to refine and share this testing capability as soon as possible with laboratories across the United States and internationally.

1. How many cases of SARS have been reported to date?

For the latest number reported cases worldwide, please refer to the WHO website at <http://www.who.int/csr/sars/en/>.
2. Could this result from bioterrorism?
There is no evidence to indicate that SARS is linked to bioterrorism.
3. What should I do if I am planning to travel to Hong Kong, Singapore, Thailand, Vietnam, China, or other areas in South East Asia?

At the moment WHO advises people to postpone travel to the worst affected areas (Hong Kong and Guandong Province of China). You may also wish to delay travel to the other areas where the disease is still occurring (Singapore, Canada, Taiwan). The best advice is to be aware of the symptoms of this illness, particularly if you have recently traveled in Hong Kong, Singapore, Vietnam (Hanoi), China (Taiwan, Beijing, Guangdong, Shanxi), Canada (Toronto) and seek medical advice should you develop them within 14 days of your return. Latest information is available on the WHO website at <http://www.who.int/health_topics/travel/en/>.

4. What should I do if I have recently returned from South East Asia and feel unwell?

If you have recently returned (within the past 14 days) from any of the affected countries above and suffer from any of the following symptoms: sudden onset of fever (>38° C), together with respiratory symptoms such as cough, sore throat, shortness of breath or difficulty breathing, please contact your medical adviser. While arranging this you should take precautions to protect your family and friends such as covering your mouth and nose when you cough and sneeze, washing your hands afterwards and minimizing your contact with other people.

5. I've heard of cases of SARS in Fiji – can you confirm this?

There have been no confirmed cases of SARS in Fiji. But the Fiji MOH is prepared and has taken a number of actions to protect the population of Fiji.

 

What can I do to protect myself and my family?

There is NO SARS in Fiji at the present time. However every one of us can take certain actions to protect ourselves and our families from SARS and other ‘flu’ like illnesses: 
  • Maintain good personal hygiene and a healthy lifestyle.
  • Wash hands with soap after sneezing, coughing and cleaning the nose.
  • Wash hands with soap before putting them into mouth or eyes.
  • Use disposable towels for drying hands.
  • Do not share towels.
  • Build up body immunity with a balanced diet, regular exercise and adequate rest.
  • Do not smoke.
  • Ensure good indoor ventilation.
  • Keep air-conditioners well maintained.
  • Wash filters frequently.
  • Open windows to improve ventilation.Avoid crowded places.

 

Clean and wash furniture and toys properly

  • Wipe furniture regularly with towels soaked in diluted household bleach (1 part bleach: 99 parts water), and then rewipe with towels soaked in clean water.
  • Clean toys regularly by immersing in a diluted solution of household bleach (1:99) for 30 minutes. Rinse in clean water.

 

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Ministry of Health P.O. Box 2223, Government Bldgs Suva, Fiji
Dinem House, Toorak, Suva Ph.(679) 330 6177 Fax(679) 330 6163
Email:
info@health.gov.fj
 
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