- A ProMED-mail post
- ProMED-mail is a program of the
- International Society for Infectious Diseases
- ISID.org
-
- [1]
- Date: 1 May 2004
- From: ProMED-mail
- Source: China MOH SARS update 1 May 2004 [edited]
- http://www.moh.gov.cn/zhgl/zt/yqfb/1200405010001.htm
-
- SARS situation update 1 May 2004 (Medical Department
Public Office)
- ---------------------
- Between 10 AM 30 Apr 2004 and 10 AM 1 May, Beijng has
confirmed the
- diagnosis of SARS coronavirus [Co-V] infection in a previously
reported
- suspected case.
-
- This case is the postdoctoral student working in the
China CDC virology
- laboratory. On 22 Apr 2004 he was admitted to the Ditan
hospital and on 23
- Apr 2004 he was diagnosed as a suspected case of SARS.
On 30 Apr 2004, the
- Beijing Disease Control Center reported positive IgG
and IgM serology on
- specimens from this patient and accordingly has reclassified
this case as
- confirmed based on clinical, epidemiologic, and laboratory
examinations.
- Close contacts of this case have not demonstrated any
signs of illness.
-
- With regard to the remaining 3 confirmed cases in Beijing:
the nurse who
- cared for the index patient from Anhui is stable with
15 consecutive days
- without fever; her aunt is still in serious condition
but appears to be
- improving, and the 3rd patient is now afebrile. The 3
suspected cases are
- still in isolation. 65 close contacts have been released
from observation.
-
- The condition of the confirmed index case in Anhui continues
to improve
- with 8 consecutive days without fever. 40 close contacts
have been released
- from observation.
-
- In summary, since 22 Apr 2004, Anhui Province has reported
2 confirmed
- cases of SARS, Beijing has reported 4 confirmed cases
of SARS and 3
- suspected cases of SARS, while other provinces have not
reported suspected
- or confirmed cases of SARS.
-
- ******
-
- [2]
- Date: 1 May 2004
- Source: WHO CSR website 30 Apr 2004 [edited]
- http://www.who.int/csr/don/2004_04_30/en/
-
- China confirms SARS infection in another previously reported
case; summary
- to date - Update 5, 30 Apr 2004
- -----------------------------
- Chinese authorities have today reported test results
confirming that the 53
- year old woman who died in Anhui Province on 19 April
was infected with the
- SARS coronavirus. The woman, a medical doctor, was the
mother of a 26 year
- old postgraduate student who had been conducting research
at the National
- Institute of Virology in Beijing. The student remains
in hospital in Anhui.
-
- Since the 1st case was reported on 22 Apr 2004, Chinese
authorities have
- confirmed a diagnosis of SARS in 5 people (see summary
below). Testing
- continues on another 4 patients who have SARS-like symptoms
and a history
- of close contact with a known case.
-
- Since 22 Apr 2004, the 7 patients in Beijing have been
treated in isolation
- in a single facility, Ditan Hospital, as a risk reduction
strategy.
- Investigation of the source of the outbreak is presently
focused on lapses
- in biosafety procedures at the National Institute of
Virology. The
- institute was closed on 23 Apr 2004 and its staff were
placed in isolation.
-
- Summary of cases
- ----------------
- To date, there have been 3 generations resulting in 9
cases.
-
- 1st generation. The 1st case is a 26 year old woman postgraduate
student
- from Anhui Province. She worked at the National Institute
of Virology in
- Beijing 7-22 Mar 2004. Laboratories at the institute
are known to be
- conducting studies using the live SARS coronavirus. Her
symptoms developed
- on 25 Mar in Anhui. Following onset of symptoms, she
travelled twice by
- train from Anhui to Beijing and back to Anhui. Her SARS
infection has been
- confirmed by the Chinese Ministry of Health. She is presently
isolated in
- hospitalized in Anhui.
-
- A 2nd case who may have acquired infection from a laboratory
source is a 31
- year old male researcher at the same virology institute.
His symptoms
- developed on 17 Apr 2004. He is presently being treated
in isolation at
- Beijing,s Ditan Hospital. To date, he has not been linked
to any other cases.
-
- 2nd generation. The 2 cases in the second generation
are both linked to
- close personal contact with the postgraduate student.
These cases are her
- 53 year old mother, whose infection with the SARS coronavirus
was confirmed
- by Chinese authorities today. She is, to date, the only
fatal case in the
- outbreak. The 2nd case is a 20 year old nurse in Beijing
who treated the
- postgraduate student, from 29 Mar 2004 to 2 Apr 2004,
during her initial
- hospitalization in Beijing. The nurse,s SARS infection
has been confirmed
- by the Chinese Ministry of Health. She is being treated
in isolation at
- Beijing,s Ditan Hospital.
-
- 3rd generation. 5 further cases have all been linked
to close contact with
- the nurse. 3 are relatives: her father, mother, and aunt,
aged 45y, 44y,
- and 36y, respectively. SARS infection in the mother and
aunt has been
- confirmed by the Chinese Ministry of Health. The 4th
case linked to the
- nurse is a 49 year old retired woman doctor who was admitted
to hospital
- because of another illness and shared a room with the
nurse. The retired
- doctor,s 23 year old daughter-in-law, who accompanied
her at the time of
- hospital admission, is the 5th case. As neither woman
developed SARS-like
- symptoms until a week following hospital admission, both
are presumed to
- have acquired their infection from close contact with
the nurse. All 5
- patients are being treated in isolation at Ditan Hospital.
-
- --
- ProMED-mail
- promed@promedmail.org
-
- [No new suspected cases of SARS have been reported in
China since the last
- update. The new information consists of positive laboratory
tests
- confirming SARS Co-V infection in a previously reported
suspected case.
- Again, a reminder that laboratory testing results of
an independent
- laboratory are still pending. - Mod.MPP]
-
-
- Patricia A. Doyle, PhD
- Please visit my "Emerging Diseases" message
board at: http://www.clickitnews.com/ubbthreads/postlist.php?Cat=&Board=emergingdiseases
- Zhan le Devlesa tai sastimasa
- Go with God and in Good Health
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