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HK SARS - More Resistant
Cases Showing Up
By Mary Kwang
Straits Times
4-20-3

Unlike the first cases of Sars in the territory, recent ones appear to be less responsive to treatment
 
Recent cases of Sars in Hong Kong were more serious and less responsive to treatment than those who first came down with the illness, stumping health officials, who also reported 12 deaths yesterday in the territory's highest one-day jump.
 
Health authorities also revealed yesterday that a Cathay Pacific steward had been confirmed with Sars and that efforts were being made to contact the 220 passengers on CX714 from Singapore to Hongkong last Tuesday.
O
With 31 new cases yesterday, Hong Kong now has 1,358 cases of severe acute respiratory syndrome (Sars).
 
Dr Yu Wai Cho, a consultant with the Princess Margaret Hospital, told reporters: 'Recent cases, not just from Amoy Gardens, but also from other areas such as Kwun Tong, are more seriously afflicted and respond less well to treatment.'
 
Health officials are stumped and are investigating this development. But they did not rule out the viral load, mutation of the Sars virus, or the existence of an additional virus. And with fatalities rising in recent weeks, health officials are hard pressed to explain the treatment protocol they have adopted.
 
Dr Yu said Sars treatment here, comprising the anti-viral drug Ribavirin and steroids, was at a mature stage. Generally, 95 per cent of patients respond to this cocktail. The recovery rate for patients who sought treatment within five days of contracting Sars was very high, he said.
 
Dr Loretta Yam of the Pamela Youde Eastern Hospital, who visited Guangzhou last week to exchange information on Sars with Guangdong officials, said mainland doctors were also using Ribavirin and steroids.
 
Health Secretary Yeoh Eng Kiong said: 'My last phone call with the Ministry of Health in Singapore told me that they were, in fact, using very similar treatment as we are. So, this is the global experience.'
MORTALITY RATE
InAs doctors grapple with new Sars remedies, Hong Kong is looking at solving a number of long standing problems that might affect hygiene, including littering and building density.
 
Home Affairs Secretary Patrick Ho, who walked past cockroach-infested sites, clogged drains and heaps of rubbish in backlanes during a clean-up blitz yesterday, said: 'I feel ashamed at how dirty Hong Kong is. Conditions are terrible!'
 
He was one of several ministers, led by Chief Executive Tung Chee Hwa, taking part in the two-day clean-up of environmental black spots that began yesterday.
 
The officials, assigned to different locations territory-wide, took up brooms, mops and brushes, and handed out bottles of bleach and hygiene kits to residents.
 
Community leader Rosanna Wong, who led 6,000 volunteers in the exercise, said: 'We want to show the world that we are determined to make Hong Kong clean.'
 
Apart from luring visitors back to a more hygienic territory, the high-profile campaign also aims to boost local consumption, which has taken a battering in the Sars scare.
 
Chief Secretary Donald Tsang had a cup of coffee in a cafe in Lan Kwai Fong, while Treasury Secretary Frederick Ma bought some food at a street stall.
 
Housing Secretary Michael Suen said that after the experience at Amoy Gardens which has over 320 Sars cases, building regulations would be reviewed to ensure that flats are built further apart.
 
http://straitstimes.asia1.com.sg/singapore/story/0,4386,184245,00.html


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