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Fateful Wait For Elevator
Infected Two With SARS
By Carolyn Abraham
Globe and Mail Medical Reporter
3-26-3

It was, as the Chinese might say, an astonishing case of bad luck.
 
Hong Kong health officials now suspect that some or all of the people who picked up a mysterious pneumonia at the Metropole Hotel on the Kowloon peninsula -- including a Toronto woman and a Vancouver man -- spent a few unfortunate moments together waiting for an elevator in the ninth-floor corridor on the afternoon of Feb. 21.
 
Among them was a 64-year-old medical professor from Guangzhou, capital of China's Guangdong Province. The professor, a physician who had checked in that day, had been feeling poorly for a week before he left the mainland. But he opted to make the trip to attend a relative's wedding reception.
 
"We think he must have been coughing and sneezing while he was waiting for that lift," said John Tam, chief information officer of the Hong Kong Economic and Trade Office, "and that's when he infected the other guests."
 
By Feb. 22, the professor, who died on March 4, was so ill he checked out of the hotel and into a hospital, contaminating within 24 hours enough of his fellow hotel guests to help spread the disease to more than a dozen countries over the next three weeks.
 
Yeoh Eng-kiong, Hong Kong's Secretary of Health, told reporters yesterday that the infectious agent, believed to be an unknown virus, travelled through respiratory droplets in the tight space of the elevator waiting area and proved to be "very, very infectious."
 
"It appears that when people are very sick, they are infectious. So this is consistent with the picture we've seen that it's really the health-care workers and family members that have looked after very sick patients [who contract the disease]," said Dr. Yeoh, "because it's probably when they're very sick they shed a lot of virus."
 
Hong Kong health officials are now working with the Guangdong government to investigate the source of the infection. The disease has killed six in Hong Kong, the latest fatality being a relative of the Guangzhou professor, and sickened 173 people, including five schoolchildren.
 
The World Health Organization hopes to send a team to the coastal province, where an unusual pneumonia outbreak that infected more than 300 and killed five first began last November, Guangdong officials recently confirmed. But until the hotel connection became apparent, the current international cases of SARS, or severe acute respiratory syndrome -- now numbering a suspected 306 infections and at least 10 deaths worldwide, two of them in Canada -- had only been traced as far back as Feb. 26.
 
That day, a 48-year-old American businessman became the SARS index patient, or the first person known to die of the disease, after he stepped off a plane in Hanoi, feverish, coughing and struggling to breathe, and went to a hospital.
 
But Hong Kong officials have now confirmed that the businessman, who spent time in Hong Kong before landing in Hanoi, was also a guest on the ninth floor of the three-star Metropole Hotel at the same time as the Guangdong professor. The man was eventually transferred back to a Hong Kong hospital where he died March 13.
 
Other guests at the hotel during the professor's brief stay who later fell ill included three young women from Singapore, a local Hong Kong resident who visited a friend at the hotel, a 55-year-old Vancouver man and the 78-year-old Toronto woman who died at home March 5.
 
"The story of this hotel is incredible," said Donald Low, chief of microbiology at Toronto's Mount Sinai Hospital. "My basic contention is that none of this would be happening in Canada if they didn't all end up at the Metropole on those days."
 
In fact, Dr. Low said, the Toronto woman and her husband were actually checking out of the hotel on the afternoon of Feb. 21, just as the Guangdong doctor was checking in.
 
After spending the night with their son in Hong Kong, the Toronto couple returned to Canada on Feb. 23, where the disease would devastate their family. The woman's son died March 13 and her husband, daughter and other son would end up in intensive care. Her five-month-old grandchild is now fatherless and is being monitored at Toronto's Hospital for Sick Children.
 
The Vancouver man, who remains in critical condition, and his wife had stayed at the hotel between Feb. 20 and Feb. 24.
 
© 2003 Bell Globemedia Interactive Inc. All Rights Reserved.
 
http://www.globeandmail.com/servlet/ArticleNe
ws/TPStory/LAC/20030321/UBUGGN/TPHealth/
 
 
Comment
 
From Frances
3-26-3
 
So, unless the elevators take an EXTREMELY long time to come in Hong Kong,
this BS we've been hearing about having to be in contact with someone
who has it for AT LEAST 45 MINUTES in order to contract SARS is nothing
BUT BS!


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