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Outbreak of Severe Acute Respiratory Syndrome (SARS) in Hong Kong. The Hong Kong Medical Association. Types of Pneumonia. Bacterial Pneumonia Atypical Pneumonia - Mycoplasma Viral Chemical. Severe Acute Respiratory Syndrome (SARS). First recognised in Feb 2003 (case in Hanoi)
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Outbreak of Severe Acute Respiratory Syndrome (SARS) in Hong Kong The Hong Kong Medical Association
Types of Pneumonia • Bacterial Pneumonia • Atypical Pneumonia - Mycoplasma Viral Chemical
Severe Acute Respiratory Syndrome (SARS) • First recognised in Feb 2003 (case in Hanoi) • A form of Atypical Pneumonia • characteristics - high fever (>38°C or 100.4° F) - dry cough - breathing difficulties - rapid deterioration
No. of case of SARS worldwide From: 1 Feb 2003 To: 27 Mar 2003, 17:30 GMT+1
Epidemiological linkage 1 Mainland visitor Onset: 21 Feb 03 Metropole Hotel PWH index patient Onset: 21 Feb 03 Succumbed at KWH 1 American Chinese 3 Singapore visitors 2 Canadian visitors Outbreak in Singapore Hanoi outbreak index case A private hospital outbreak on Hong Kong Island Outbreak in Toronto, Canada
Known Facts about SARS • Less infectious than influenza • Incubation 2 to 7 days • Infective period? • A new virus? • Any treatment? • Mortality?
How does SARS spread? • NOT airborne • Droplets - via close contact with an infected person • Contaminated working surfaces (e.g. formites, stainless steel) ~ survival up to 6 hours
The wearing of face masks • Healthcare workers looking after suspected/confirmed cases of SARS • Family members of suspected/ confirmed case • Wearing in public area? • N95? Surgical mask?
Prevention of Respiratory Tract Infection (1) • Building good body immunity by having a proper diet, regular exercise and adequate rest, reducing stress and avoiding smoking; • Maintain good personal hygiene, and wash hands after sneezing, coughing or cleaning the nose; • Maintain good ventilation;
Prevention of Respiratory Tract Infection (2) • Avoid visiting crowded places with poor ventilation; • Put on a mask if taking care of a patient with respiratory symptoms and wash hands thoroughly afterwards; • Put on a mask if suffering from respiratory tract infection to reduce the chance of spreading the infection to people around them.
Statistics on community-acquired pneumonia (CAP) • There is no unusual rise in the number of CAP • The causes of CAP are similar to previous years (50% each of known causes and unknown causes)
~ The End ~ The Hong Kong Medical Association