SARS in Taiwan: an overview and lessons learned
Identifieur interne : 004927 ( Main/Merge ); précédent : 004926; suivant : 004928SARS in Taiwan: an overview and lessons learned
Auteurs : Kow-Tong Chen [Taïwan] ; Shiing-Jer Twu [Taïwan] ; Hsiao-Ling Chang [Taïwan] ; Yi-Chun Wu [Taïwan] ; Chu-Tzu Chen [Taïwan] ; Ting-Hsiang Lin [Taïwan] ; Sonja J. Olsen [Thaïlande] ; Scott F. Dowell [Thaïlande] ; Ih-Jen Su [Taïwan]Source :
- International Journal of Infectious Diseases [ 1201-9712 ] ; 2005.
Abstract
This report aims to describe the epidemiology of severe acute respiratory syndrome (SARS) in Taiwan between March and July 2003, and to examine the public health response.
Surveillance for SARS was initiated on 14 March 2003. Response activities are described for the isolation of patients; contact tracing; quarantine of contact persons; fever screening for inbound and outbound passengers at the airport; and hospital infection control as assessed by mobile SARS containment teams.
Between 14 March and 30 July 2003 a total of 668 probable cases of SARS were reported. Of the 668 cases, 181 (27%) were fatal. Compared to the survivors, fatal cases were more likely to be older (
In this outbreak, an emergency plan consisted of patient isolation and strict hospital infection control.
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DOI: 10.1016/j.ijid.2004.04.015
PubMed: 15708322
PubMed Central: 7110635
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Olsen</name><affiliation wicri:level="1"><nlm:aff id="aff5">International Emerging Infections Program, Centers for Disease Control and Prevention, Bangkok, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>International Emerging Infections Program, Centers for Disease Control and Prevention, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation></author><author><name sortKey="Dowell, Scott F" sort="Dowell, Scott F" uniqKey="Dowell S" first="Scott F." last="Dowell">Scott F. Dowell</name><affiliation wicri:level="1"><nlm:aff id="aff5">International Emerging Infections Program, Centers for Disease Control and Prevention, Bangkok, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>International Emerging Infections Program, Centers for Disease Control and Prevention, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation></author><author><name sortKey="Su, Ih Jen" sort="Su, Ih Jen" uniqKey="Su I" first="Ih-Jen" last="Su">Ih-Jen Su</name><affiliation wicri:level="1"><nlm:aff id="aff6">Center for Disease Control, Department of Health, No. 6–8F, Lin-Shen South Road, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Center for Disease Control, Department of Health, No. 6–8F, Lin-Shen South Road, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno 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xml:lang="en" level="a" type="main">SARS in Taiwan: an overview and lessons learned</title><author><name sortKey="Chen, Kow Tong" sort="Chen, Kow Tong" uniqKey="Chen K" first="Kow-Tong" last="Chen">Kow-Tong Chen</name><affiliation wicri:level="1"><nlm:aff id="aff1">Field Epidemiology Training Program, Department of Health, Center for Diseases Control, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Field Epidemiology Training Program, Department of Health, Center for Diseases Control</wicri:regionArea><wicri:noRegion>Center for Diseases Control</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2">Taipei City STD Control Center, Department of Health, Taipei City, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Taipei City STD Control Center, Department of Health, Taipei City</wicri:regionArea><wicri:noRegion>Taipei City</wicri:noRegion></affiliation></author><author><name sortKey="Twu, Shiing Jer" sort="Twu, Shiing Jer" uniqKey="Twu S" first="Shiing-Jer" last="Twu">Shiing-Jer Twu</name><affiliation wicri:level="1"><nlm:aff id="aff3">Division of Health Policy Research, National Health Research Institutes, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Health Policy Research, National Health Research Institutes</wicri:regionArea><wicri:noRegion>National Health Research Institutes</wicri:noRegion></affiliation></author><author><name sortKey="Chang, Hsiao Ling" sort="Chang, Hsiao Ling" uniqKey="Chang H" first="Hsiao-Ling" last="Chang">Hsiao-Ling Chang</name><affiliation wicri:level="1"><nlm:aff id="aff1">Field Epidemiology Training Program, Department of Health, Center for Diseases Control, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Field Epidemiology Training Program, Department of Health, Center for Diseases Control</wicri:regionArea><wicri:noRegion>Center for Diseases Control</wicri:noRegion></affiliation></author><author><name sortKey="Wu, Yi Chun" sort="Wu, Yi Chun" uniqKey="Wu Y" first="Yi-Chun" last="Wu">Yi-Chun Wu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Field Epidemiology Training Program, Department of Health, Center for Diseases Control, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Field Epidemiology Training Program, Department of Health, Center for Diseases Control</wicri:regionArea><wicri:noRegion>Center for Diseases Control</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Chu Tzu" sort="Chen, Chu Tzu" uniqKey="Chen C" first="Chu-Tzu" last="Chen">Chu-Tzu Chen</name><affiliation wicri:level="1"><nlm:aff id="aff1">Field Epidemiology Training Program, Department of Health, Center for Diseases Control, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Field Epidemiology Training Program, Department of Health, Center for Diseases Control</wicri:regionArea><wicri:noRegion>Center for Diseases Control</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Ting Hsiang" sort="Lin, Ting Hsiang" uniqKey="Lin T" first="Ting-Hsiang" last="Lin">Ting-Hsiang Lin</name><affiliation wicri:level="1"><nlm:aff id="aff4">Division of Laboratory and Research, Department of Health, Center for Diseases Control, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Laboratory and Research, Department of Health, Center for Diseases Control</wicri:regionArea><wicri:noRegion>Center for Diseases Control</wicri:noRegion></affiliation></author><author><name sortKey="Olsen, Sonja J" sort="Olsen, Sonja J" uniqKey="Olsen S" first="Sonja J." last="Olsen">Sonja J. Olsen</name><affiliation wicri:level="1"><nlm:aff id="aff5">International Emerging Infections Program, Centers for Disease Control and Prevention, Bangkok, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>International Emerging Infections Program, Centers for Disease Control and Prevention, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation></author><author><name sortKey="Dowell, Scott F" sort="Dowell, Scott F" uniqKey="Dowell S" first="Scott F." last="Dowell">Scott F. Dowell</name><affiliation wicri:level="1"><nlm:aff id="aff5">International Emerging Infections Program, Centers for Disease Control and Prevention, Bangkok, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>International Emerging Infections Program, Centers for Disease Control and Prevention, Bangkok</wicri:regionArea><wicri:noRegion>Bangkok</wicri:noRegion></affiliation></author><author><name sortKey="Su, Ih Jen" sort="Su, Ih Jen" uniqKey="Su I" first="Ih-Jen" last="Su">Ih-Jen Su</name><affiliation wicri:level="1"><nlm:aff id="aff6">Center for Disease Control, Department of Health, No. 6–8F, Lin-Shen South Road, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Center for Disease Control, Department of Health, No. 6–8F, Lin-Shen South Road, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Infectious Diseases</title><idno type="ISSN">1201-9712</idno><idno type="eISSN">1878-3511</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><sec><title>Objectives:</title><p>This report aims to describe the epidemiology of severe acute respiratory syndrome (SARS) in Taiwan between March and July 2003, and to examine the public health response.</p></sec><sec><title>Methods:</title><p>Surveillance for SARS was initiated on 14 March 2003. Response activities are described for the isolation of patients; contact tracing; quarantine of contact persons; fever screening for inbound and outbound passengers at the airport; and hospital infection control as assessed by mobile SARS containment teams.</p></sec><sec><title>Results:</title><p>Between 14 March and 30 July 2003 a total of 668 probable cases of SARS were reported. Of the 668 cases, 181 (27%) were fatal. Compared to the survivors, fatal cases were more likely to be older (<italic>p</italic> < 0.001), male (<italic>p</italic> < 0.05), exposed through hospital contact (<italic>p</italic> < 0.001), and have a coexisting medical disorder (<italic>p</italic> < 0.001). Between 28 March and 30 July a total of 151,270 persons were quarantined. Among them, 46 (3.0/10,000) were subsequently classified as being probable SARS cases. At the time of the mobile team assessments, 46 (53%) hospitals had implemented WHO infection control recommendations.</p></sec><sec><title>Conclusions:</title><p>In this outbreak, an emergency plan consisted of patient isolation and strict hospital infection control.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Poutanen, S M" uniqKey="Poutanen S">S.M. Poutanen</name></author><author><name sortKey="Low, D E" uniqKey="Low D">D.E. Low</name></author><author><name sortKey="Henry, B" uniqKey="Henry B">B. Henry</name></author><author><name sortKey="Finkelstein, S" uniqKey="Finkelstein S">S. Finkelstein</name></author><author><name sortKey="Rose, D" uniqKey="Rose D">D. Rose</name></author><author><name sortKey="Green, K" uniqKey="Green K">K. 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