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SARS - Prevention and Care (SARS)
April 15,2003
Information provided by
Dr. Sarah Borwein, Department of Family Medicine
Chair, Infection Control Committee
Beijing United Family Hospital & Clinics
Tel: 6433-3960
SARS Daily Update: www.bjunited.com
SARS is a virulent respiratory illness which appears to have started in Southern China but has now spread around the world, with Hong Kong and Guangdong province being the hardest hit. Although there are confirmed cases in Beijing, Beijing United Family Hospital has NOT seen any cases and there is no reason to panic. Beijing United Family Hospital and Clinics has taken all necessary precautions and is fully prepared to deal with the situation. The following are appropriate precautions and useful information to prevent the situations we are now seeing in Hong Kong, Singapore and Toronto.
Facts About Severe Acute Respiratory Syndrome (SARS)
A form of Atypical Pneumonia
Characteristics o
* high fever (>38o C or 100.4o F)
* dry cough
* breathing difficulties
* rapid deterioration
Less infectious than Influenza "
Incubation 2 to 7 days, maybe up to 12 days "
Infectious period undetermined as yet
Clinical Course of SARS
Most patients adults aged 25-70 years, SARS has occurred in children
Begins with fever > 38C, often with chills and shaking, sometimes headache, malaise, muscle aches.
May initially have only mild respiratory symptoms
After 3-5 days, lower respiratory phase begins with dry cough
80-90% begin to recover slowly by day 6 or 7
10-20% have severe respiratory illness which might require mechanical ventilation
Case fatality rate 3%
SARS Treatment
Severity of disease is thought to be highly variable
Treatment generally includes broad-spectrum antibiotics +/- antivirals +/- steroids
How does SARS spread?
NOT likely airborne
Droplets via close contact with an infected person
Contaminated working surfaces (e.g. countertops, stainless steel, doorknobs,)
Contamination -survival up to 6 hours if left untreated
Face Masks - Compulsory or Elective?
Compulsory
Healthcare workers looking after suspected/confirmed cases of SARS
Family members of suspected/ confirmed case
Suspected/confirmed SARS patients
Elective
General Public areas
Medical Facilities
Prevention and Care Part I
DO
1. Wash your hands regularly (30 seconds with liquid soap and water, or use alcohol-based hand cleanser)
2. Use serving spoons when eating from communal dishes (NOT CHOPSTICKS)
3. Remain at home if you have a fever (adults and children)
4. Keep your children home from school when they are sick. No child should go to school with a fever.
5. Use disposable tissue if coughing or sneezing
6. Avoid touching face or rubbing eyes
7. Avoid large crowds when possible
8. Clean and disinfect household surfaces, air filters, humidifiers on a regular basis
(1 part bleach to 99 parts water)
9. Inform your Ayis and Drivers of SARS; make sure they stay home if sick
10. Maintain good indoor ventilation
11. Build up good body immunity. Eat a proper diet, get adequate rest and regular exercise, reduce stress, avoid smoking
12. Wear a mask if traveling on an airplane
13. Wear a mask and wash hands well if caring for a sick family member
14. Consult our doctor promptly if you develop respiratory symptoms (CALL AHEAD)
15. Keep up-to-date about SARS
www.bjunited.com.cn
www.cdc.gov
www.who.int
DON'T
1. Cough or sneeze into your hands
2. Share food, cups, straws, cigarettes, hand towels
3. Chew pens, pencils, etc.
4. Put your chopsticks, forks, spoons into communal dishes
5. Visit friends if you or they have flu-like symptoms
6. Travel to areas with uncontrolled outbreaks (Hong Kong, South China, Taiwan, Singapore, Toronto
7. Have elective medical procedures done in Hong Kong or Singapore
8. Visit local hospitals unless absolutely necessary
9. Forget to wash your hands
10. Don't Panic!!
April 15,2003
Information provided by
Dr. Sarah Borwein, Department of Family Medicine
Chair, Infection Control Committee
Beijing United Family Hospital & Clinics
Tel: 6433-3960
SARS Daily Update: www.bjunited.com
SARS is a virulent respiratory illness which appears to have started in Southern China but has now spread around the world, with Hong Kong and Guangdong province being the hardest hit. Although there are confirmed cases in Beijing, Beijing United Family Hospital has NOT seen any cases and there is no reason to panic. Beijing United Family Hospital and Clinics has taken all necessary precautions and is fully prepared to deal with the situation. The following are appropriate precautions and useful information to prevent the situations we are now seeing in Hong Kong, Singapore and Toronto.
Facts About Severe Acute Respiratory Syndrome (SARS)
A form of Atypical Pneumonia
Characteristics o
* high fever (>38o C or 100.4o F)
* dry cough
* breathing difficulties
* rapid deterioration
Less infectious than Influenza "
Incubation 2 to 7 days, maybe up to 12 days "
Infectious period undetermined as yet
Clinical Course of SARS
Most patients adults aged 25-70 years, SARS has occurred in children
Begins with fever > 38C, often with chills and shaking, sometimes headache, malaise, muscle aches.
May initially have only mild respiratory symptoms
After 3-5 days, lower respiratory phase begins with dry cough
80-90% begin to recover slowly by day 6 or 7
10-20% have severe respiratory illness which might require mechanical ventilation
Case fatality rate 3%
SARS Treatment
Severity of disease is thought to be highly variable
Treatment generally includes broad-spectrum antibiotics +/- antivirals +/- steroids
How does SARS spread?
NOT likely airborne
Droplets via close contact with an infected person
Contaminated working surfaces (e.g. countertops, stainless steel, doorknobs,)
Contamination -survival up to 6 hours if left untreated
Face Masks - Compulsory or Elective?
Compulsory
Healthcare workers looking after suspected/confirmed cases of SARS
Family members of suspected/ confirmed case
Suspected/confirmed SARS patients
Elective
General Public areas
Medical Facilities
Prevention and Care Part I
DO
1. Wash your hands regularly (30 seconds with liquid soap and water, or use alcohol-based hand cleanser)
2. Use serving spoons when eating from communal dishes (NOT CHOPSTICKS)
3. Remain at home if you have a fever (adults and children)
4. Keep your children home from school when they are sick. No child should go to school with a fever.
5. Use disposable tissue if coughing or sneezing
6. Avoid touching face or rubbing eyes
7. Avoid large crowds when possible
8. Clean and disinfect household surfaces, air filters, humidifiers on a regular basis
(1 part bleach to 99 parts water)
9. Inform your Ayis and Drivers of SARS; make sure they stay home if sick
10. Maintain good indoor ventilation
11. Build up good body immunity. Eat a proper diet, get adequate rest and regular exercise, reduce stress, avoid smoking
12. Wear a mask if traveling on an airplane
13. Wear a mask and wash hands well if caring for a sick family member
14. Consult our doctor promptly if you develop respiratory symptoms (CALL AHEAD)
15. Keep up-to-date about SARS
www.bjunited.com.cn
www.cdc.gov
www.who.int
DON'T
1. Cough or sneeze into your hands
2. Share food, cups, straws, cigarettes, hand towels
3. Chew pens, pencils, etc.
4. Put your chopsticks, forks, spoons into communal dishes
5. Visit friends if you or they have flu-like symptoms
6. Travel to areas with uncontrolled outbreaks (Hong Kong, South China, Taiwan, Singapore, Toronto
7. Have elective medical procedures done in Hong Kong or Singapore
8. Visit local hospitals unless absolutely necessary
9. Forget to wash your hands
10. Don't Panic!!