| SERVER ACUTE RESPIRATORY SYNDROME |
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| INTRODUCTION |
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SARS ( Severe Acute Respiratory
Syndrome ): A mysterious and sometimes deadly [ the death rate is less than 5%] illness known as SARS (Severe Acute Respiratory Syndrome) originating from China has the world in a panic. According to the World Health Organization,
2960 people have reported cases.[ Yesterday's tally was 2960. See http://www.who.int/csr/sarscountry/2003 04 12/en/ ] |
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According to the U.S Centers for Disease Control (CDC) SARS is a respiratory illness that was first reported among people in Guangdong Province (china), Hanoi (Vietnam), Hong Kong (Special Administrative Region of China), with the first reported case occurring on February 1, 2003. It has since spread to other countries. |
Two types of virus in particular appear to be candidates. The first is a virus in the family of coronaviruses.This family of viruses is a common cause of mild upper respiratory tract infections and can also produce intestinal infections as well as, possibly, infections of the brain. |
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Coronavirus Family |
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Cause mild to moderate upper and respiratory illnesses. |
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Able to survive in dry air for up to 3 hours. |
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Can be killed by exposure to ultra-violet light, so they will not survive under sunlight. |
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Mutate easily, which may trigger an epidemic of respiratory disease. |
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A new mutation., which arose Guangdong is suspected of causing SARS. |
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The name "coronavirus" refers to the protein molecules surrounding the virus, making it look like a crown (n."corona" lat=crown) |
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| The second is a virus called metapneumovirus. These viruses and other virus families are under nvestigation. |
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Symptoms |
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A temperature greater than 100.4 F (38 C). |
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Chills, body aches and headaches. |
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After 2 to 7 days, sometimes as many as 10 days, patients develop a dry Coughing and difficulty breathing. |
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If the difficulty, a blue skin color (mainly on the lips, fingers and tongue) may develop. |
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Chest pain. |
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| How does SARS ( Severe Acute Respiratory Syndrome) spread ? |
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It is believed that the virus from the patient can be passed like other respiratory diseases such as the common cold or flu. When the infected patient coughs or sneezes, tiny body fluid containing viruses travel through the air and contaminate the surroundings. When people inhale the air or touch the infected vehicles (this can be coffee cup, door knob, pen, etc.), there is a chance of catching the disease. |
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| How long is a person with SARS infections to others ? |
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The Virus for SARS has an incubation period of between 2 to 7 days, possibly as many as 10 days. It seems that patients are most likely to be infections when they have symptoms, such as fever or cough. It is not known for sure whether patients are infections during the incubation period or after their symptoms have subsided. |
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| Who is most likely to get SARS ? |
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Cases of SARS continue to be reported primarily 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 caring for a SARS patient. In the United States, there is no indication of community transmission at this time. CDC continues to monitor this situation very closely. |
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| What is the difference between SARS and other respiratory illnesses including pneumonia ? |
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So far, symptoms manifesting in SARS are similar with that of other respiratory diseases such as atypical pneumonia, so that it is hard to tell SARS from other similar infections. |
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The following clinical specimens should be collected in consultation with CDC : |
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Frozen and formalin fixed tissues from an autopsy. |
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Tranbronchial or pleural biopsy specimens fixed in formalin. |
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Bronchioaveolar lavage (BAL) specimens spun with supernatant frozen and cell pellet fixed in formalin. |
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Acute and convalescent serum samples, either at room temperature, iced, or frozen. |
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Peripheral blood smear, dried, at room temperature. |
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Nasopharyngeal wash or throat swab in viral transport medium, frozen. |
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