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Couples Health: SARS

Worries about SARS:
Update from the CDC
by Jason Cheng, DO


The fear and panic surrounding the current respiratory illness in Southeast Asia, the US and Europe reminds me that just like death, taxes, and wars, plague-like illness and strange diseases that we know very little about can always be expected. SARS, or Severe Acute Respiratory Syndrome is only the latest of foreign diseases that have caught our attention.
 


Within 60 short days, 2,500 individuals diag-nosed with SARS, at least 100 killed and it is now in 29 states in the US.


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After only being identified for two months, it has already infected over 2,500 individuals, killed at least 100 (including the doctor who identified it), and spread across 29 states in the US.

WHAT IS SARS?

SARS is a respiratory illness that begins with symptoms of a common cold. There may be fevers up to 100.4 (38.0 C) combined with other symptoms such as chills, headache, and overall body ache. Usually within 2-7 days, a non-productive cough that can lead to shortness of breath and chest pain begin to take over. In approximately 10-20% of cases, patients will be hospitalized in the intensive care unit requiring mechanical ventilation and cardiopulmonary support.

WHAT IS THE CAUSE OF SARS?

As with many other severe respiratory diseases, including influenza, most experts believe that a highly lethal virus belonging to the corona virus family (a virus with a trademark crown, or halo). This has yet to be confirmed, and until a definitive causal agent is isolated, SARS is defined not by an actual agent responsible as influenza is, but by the constellation and sequence of its progression and symptoms. TOP

HOW DO YOU GET SARS?

The transmission of SARS is just the same as influenza or community acquired pneumonia—through close contact by either touch or even sharing the same air.

WHEN IS SARS INFECTIOUS TO ANOTHER PERON?

Current information suggests that SARS is most contagious when symptoms are actually present. However, as with most other viral or even bacterial illnesses, transmission of germs can be silent, that is you may get the agent responsible, but until your immune system weakens to a point that the offending agent takes over, recognition of the disease goes undetected. TOP

WHO IS AT RISK FOR SARS?

Cases of SARS continue to be reported primarily among people who have either traveled to Southeast Asia, or those who may have come into contact with those infected. Individuals with compromised immune systems such as young children, HIV patients with low viral load counts, and the elderly are at highest risk. Unfortunately, those who have been near vehicles that have carried ill individuals, whether on planes, trains, or vessels may also have had exposure to SARS.

WHAT IS THE TREATMENT FOR SARS?

Because there is not yet a definitive test or causing agent identified as the culprit, the treatment for SARS is the same for any complicated respiratory illness: antibiotics and respiratory support. Currently the CDC is working with the WHO (World Health Organization) to find antibodies that can detect the strange virus that is believed responsible, however there is nothing definitive yet.
HOW TO PROTECT YOURSELF | A Physician's thoughts

 

For further updates on SARS, please visit: www.CDC.gov & THE World Health Organization

 
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