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Toronto Health Pro Spreads
SARS - 15 Docs, Staff Infected

By David Rider
For CanWest News Service
The StarPhoenix - Saskatoon
4-22-3


TORONTO -- Health officials already struggling to stop SARS from running rampant in the community are facing a surprising new threat -- infected health-care workers mingling with the public and putting hundreds of others at risk.
 
The public health boss for York Region, north of Toronto, revealed Monday that the infected man who exposed hundreds of fellow mourners to severe acute respiratory syndrome Friday and Saturday is a senior health-care professional.
 
The man, who lives in York but works at a Toronto facility, was "obnoxious, threatening and belligerent" to public health workers when they served him with a court order to quarantine himself, Dr. Hanif Kassam told reporters.
 
Kassam said the region's lawyer later threatened the man at his hospital bedside with another order that would see police enforce the quarantine. That option was put on hold after the man finally agreed to isolate himself.
 
In an interview, Kassam said the man, who went to a funeral home, church and burial site, is "pretty high up the totem pole" at a facility where he works with SARS patients.
 
"I am still finding it a little bit difficult to understand how a qualified health professional who knows the signs and symptoms would ignore them and put hundreds of people at risk," Kassam said.
 
Authorities are trying to trace everyone who came into contact with the man along with six commuters who rode in close proximity to an infected Mount Sinai hospital nurse. She rode rush-hour trains from Burlington to Toronto and back last Monday afternoon and Tuesday morning.
 
A weekend full of setbacks on the SARS front also saw a new cluster of as many as 15 infected doctors, nurses and other medical staff at Sunnybrook Hospital.
 
Dr. James Young, Ontario's commissioner of public security, called the latest events "disappointing." While praising the tireless work and sacrifice of health-care workers during the month-long crisis, he urged them to scrupulously follow infection precautions at work and, above all, isolate themselves if they show any SARS symptoms.
 
"Medical people are people first and medical people second and that means they must abide by the same rules as well," he said. "It is important that medical people stay home when they're sick."
 
At-risk staff already wearing gowns, gloves, goggles and masks are now being ordered to double up on the gown and gloves and to wear a visor over their goggles, changing the outer layer after each patient.
 
Ontario officials, surprised by the ferocity of the virus, have also called in Health Canada and the Atlanta-based Centers for Disease Control and Prevention to do an "audit" on infection control procedures.
 
One person has called Toronto's public health unit to say he or she might be one of the six who sat close to the Mount Sinai nurse, said Dr. Sheela Basrur, the city's medical officer of health.
 
It also emerged Monday that a man whose heart surgery had been put on hold because of the SARS outbreak has died. He was scheduled to have a coronary bypass at Sunnybrook in early April, but died a week later, according to a hospital official. Young said a coroner is conducting an independent investigation.
 
The Canadian death toll from SARS itself climbed to 15 because officials included a 46-year-old woman who died in the Philippines on April 13 and may have contracted the disease in Toronto. However, Basrur said there's doubt it was SARS that killed her.
 
© Copyright 2003 The StarPhoenix (Saskatoon)
 
http://www.canada.com/saskatoon/starphoenix/story.asp
?id=9B2C18CB-CFBA-4607-8667-E00DBE97638E


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