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Countries Tighten
Measures To Fight SARS

By Maggie Fox
Health and Science Correspondent
4-10-3
 
 
WASHINGTON (Reuters) - Governments around the world tightened their defenses against a frightening new respiratory disease on Thursday, with Singapore deploying surveillance cameras and the United States broadening its definition of who is at risk.
 
Hospital workers in Hong Kong said the epidemic of Severe Acute Respiratory Syndrome had pushed the territory's health care system to the brink of collapse.
 
But scientists said they had pinned down the virus that causes SARS and could finish work on an easy diagnostic test, and U.S. legislators pushed for an extra $150 million to strengthen worldwide surveillance networks to defend against future outbreaks.
 
Worldwide, more than 110 people have died and nearly 3,000 have been infected.
 
A quarter of Hong Kong's 1,000 cases of SARS, marked by fever, cough and severe pneumonia, are health workers, including 12 diagnosed with the illness on Thursday.
 
"I am afraid that if more hospital staff get infected, the entire health care system would collapse," Peter Wong, a spokesman for three major nurses unions, told a news conference. He said Hong Kong government hospitals were not providing staff with adequate protective gear.
 
The U.S. Centers for Disease Control and Prevention and the World Health Organization recommend health-care workers treating respiratory patients wear a mask and gloves to protect themselves.
 
MORE HONG KONG DEATHS
 
The Hong Kong government said three more people died of SARS, bringing the toll to 30, and officials feared the illness could spread further through the city's crowded apartment towers.
 
WHO teams were in Beijing and in China's Guangdong province, the source of the infection, but WHO infectious disease chief Dr. David Heymann said they would like permission to look further. "China is a worrisome area because don't know what is going on outside Beijing," he said in an interview.
 
Singapore slapped a quarantine on arriving foreign workers and took drastic measures to enforce quarantine orders on hundreds of people suspected of exposure to SARS, including mounting "Webcams" in homes and threatening to use electronic wrist bands.
 
"We are facing an unprecedented situation. We are dealing with a serious, unseen threat," said Singapore's minister of manpower, Lee Boon Yang.
 
Indonesia said it banned 8,000 workers from traveling to SARS-hit countries and Russia advised its citizens against traveling to SARS-affected areas.
 
The United States widened its definition of people at risk of SARS, saying anyone who passed through an airport in an affected country should watch for symptoms of respiratory illness and contact a doctor immediately if they developed fever or cough.
 
"If you are a passenger traveling from an unaffected part of the world and you go through an airport in a country, say like Hong Kong, where the disease is being transmitted, you could come into contact with someone who is infected," CDC Director Dr. Julie Gerberding told a news conference.
 
The CDC also said it would be more proactive in screening people who have been in contact with SARS patients. "Rather than asking people to contact a clinician if they develop an illness, we are going to work with (state) health departments so that we contact the contacts and check in periodically," Gerberding said.
 
AGGRESSIVE CONTAINMENT
 
"I think this a very sensible way for being more aggressive about containment."
 
The CDC believes its strict measures and broad definition of who is a suspected SARS patient has helped keep the disease from spreading in the United States. Gerberding said there were 166 suspected SARS cases in 30 states.
 
CDC and European researchers both said they had come closer to proving that a new virus from the coronavirus family causes SARS. They found the virus, which may have jumped from animals to humans, in most patients with SARS.
 
They proposed naming it Urbani SARS-associated coronavirus after Dr. Carlo Urbani, who treated the first identified SARS victims in Hanoi and who later himself died of SARS.
 
The CDC has developed three experimental tests for the virus and is working to get a licensed version that can be used widely, although Gerberding said it would be at least a week and probably longer.
 
Once a test is widely available doctors can more easily diagnose SARS and can start to learn if people can carry the virus -- and perhaps pass it on -- without being ill.
 
Reports abounded that people of Chinese and other Asian origin were being discriminated against. On Thursday Canadian Prime Minister Jean Chretien dined in Toronto's Chinatown to help dispel fears.
 
Ten people have died of SARS in Toronto with 253 cases nationwide.
 
"It is very important for people to appreciate that this is a respiratory illness that is caused by a virus, probably a new virus," Gerberding said. "It is not a disease that is in any way related to being Asian."
 

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