SARS: Severe Acute Respiratory Distress Syndrome - Here’s
What We Know
We don’t know much about the new epidemic that has
affected Asia. But with the mounting of new cases daily, and
in addition to the discovery of cases in the United States,
it is important that everyone take this disease seriously.
What does SARS stand for?
SARS stands for Severe Acute Respiratory Syndrome. It has
accounted at the time of this writing over 2000 cases with
over 80 deaths. The virus has not yet been identified. No
one has isolated the virus but a worldwide investigation by
the top laboratories is currently on the way. There are over
100 cases in the United States that are thought to be
attributed to SARS.
Where did it come from?
It was thought to originate in the GuangDong province in
southern China. The scientist who discovered the disease,
Dr. Carlo Urbani, himself succumbed to the disease in March
2003.
What are the symptoms of SARS?
It is similar to someone who has the flu. Fevers, with a
temperature over 100.5 degrees, and chills, muscle
stiffness, body aches, fatigue, loss of appetite and
headaches. After three to seven days, breathing becomes more
difficult, with a strong likelihood a respirator will be
needed to help the stricken breathe. It has affected mostly
adults age 20 to 60 years old.
How is SARS spread?
Because the virus has not been identified, it has not
been known. However, people in close contact and exchange of
respiratory secretions appears to be the designated way it
gets spread. The leading candidate that is responsible for
SARS are a group known as the coronaviruses, viruses that
are responsible for the common cold. The chlamydia virus has
also been identified in patients, suggesting there may be
more than one virus at work. The incubation period is
estimated to be between 3 and 7 days.
Could this be from a bioterrorist act?
There has been no linkage to this disease as a result of
chemical warfare from terrorist groups.
What about my trip to China?
Currently the CDC has issued a warning to anyone visiting
China, Vietnam, Singapore, and Hong Kong. Recently cases
have been seen in Toronto, Canada and has recommended
restricting travel to Canada as well.
Is there a cure yet?
Sadly no, simply because we have not been able to
identify the virus. Once identification takes place, the
race for the cure will be a bit easier. Currently treatment
of SARS include our current arsenal of medications for
atypical pneumonias, such as antibiotics, antiviral
medications, oxygen support, and steroid drugs. There are
also diagnostic tests that are being developed using
polymerase chain reactions and enzyme assays to work on
identification of the virus.
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