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SARS in Taiwan: an overview and lessons learned

Identifieur interne : 001246 ( Pmc/Checkpoint ); précédent : 001245; suivant : 001247

SARS 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 :

RBID : PMC:7110635

Abstract

SummaryObjectives:

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.

Methods:

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.

Results:

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 (p < 0.001), male (p < 0.05), exposed through hospital contact (p < 0.001), and have a coexisting medical disorder (p < 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.

Conclusions:

In this outbreak, an emergency plan consisted of patient isolation and strict hospital infection control.


Url:
DOI: 10.1016/j.ijid.2004.04.015
PubMed: 15708322
PubMed Central: 7110635


Affiliations:


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PMC:7110635

Le document en format XML

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<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>
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<article-id pub-id-type="publisher-id">S1201-9712(04)00176-6</article-id>
<article-id pub-id-type="doi">10.1016/j.ijid.2004.04.015</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>SARS in Taiwan: an overview and lessons learned</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Kow-Tong</given-names>
</name>
<email>ktchen@health.gov.tw</email>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Twu</surname>
<given-names>Shiing-Jer</given-names>
</name>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chang</surname>
<given-names>Hsiao-Ling</given-names>
</name>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Yi-Chun</given-names>
</name>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Chu-Tzu</given-names>
</name>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lin</surname>
<given-names>Ting-Hsiang</given-names>
</name>
<xref rid="aff4" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Olsen</surname>
<given-names>Sonja J.</given-names>
</name>
<xref rid="aff5" ref-type="aff">e</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dowell</surname>
<given-names>Scott F.</given-names>
</name>
<xref rid="aff5" ref-type="aff">e</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Su</surname>
<given-names>Ih-Jen</given-names>
</name>
<xref rid="aff6" ref-type="aff">f</xref>
<xref rid="cor1" ref-type="corresp">*</xref>
</contrib>
<contrib contrib-type="author">
<collab>Taiwan SARS Response Team</collab>
<xref rid="fn1" ref-type="fn">1</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>a</label>
Field Epidemiology Training Program, Department of Health, Center for Diseases Control, Taiwan</aff>
<aff id="aff2">
<label>b</label>
Taipei City STD Control Center, Department of Health, Taipei City, Taiwan</aff>
<aff id="aff3">
<label>c</label>
Division of Health Policy Research, National Health Research Institutes, Taiwan</aff>
<aff id="aff4">
<label>d</label>
Division of Laboratory and Research, Department of Health, Center for Diseases Control, Taiwan</aff>
<aff id="aff5">
<label>e</label>
International Emerging Infections Program, Centers for Disease Control and Prevention, Bangkok, Thailand</aff>
<aff id="aff6">
<label>f</label>
Center for Disease Control, Department of Health, No. 6–8F, Lin-Shen South Road, Taipei, Taiwan</aff>
<author-notes>
<corresp id="cor1">
<label>*</label>
Corresponding author. Tel.: +886 2 2231 5307; fax: +886 2 2231 5275.</corresp>
<fn id="fn1">
<label>1</label>
<p>Taiwan SARS Response Team: Taiwan: Ming-Liang Lee, Chein-Jen Chen, Ping-Fuai Wu, Tsung-Hsi Wang, Chao A. Hsiung, Mei-Shang Ho, Chuang-Chuan King; CDC-USA: Susan Maloney, Daniel Jernigan, Jim Lando, Tamara L. Fisk, James M. Simmerman; WHO: Babatunde Olowokure, K. O’Bai Kamara, Howard Sobel, Cathy Roth.</p>
</fn>
</author-notes>
<pub-date pub-type="pmc-release">
<day>25</day>
<month>1</month>
<year>2005</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub">
<month>3</month>
<year>2005</year>
</pub-date>
<pub-date pub-type="epub">
<day>25</day>
<month>1</month>
<year>2005</year>
</pub-date>
<volume>9</volume>
<issue>2</issue>
<fpage>77</fpage>
<lpage>85</lpage>
<history>
<date date-type="received">
<day>24</day>
<month>11</month>
<year>2003</year>
</date>
<date date-type="rev-recd">
<day>19</day>
<month>3</month>
<year>2004</year>
</date>
<date date-type="accepted">
<day>7</day>
<month>4</month>
<year>2004</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2004 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2004</copyright-year>
<copyright-holder>International Society for Infectious Diseases</copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract>
<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>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>Severe acute respiratory syndrome</kwd>
<kwd>Isolation</kwd>
<kwd>Quarantine</kwd>
<kwd>Contact tracing</kwd>
</kwd-group>
</article-meta>
<notes>
<p>
<bold>Corresponding Editor:</bold>
Michael Whitby, Brisbane, Australia</p>
</notes>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Taïwan</li>
<li>Thaïlande</li>
</country>
</list>
<tree>
<country name="Taïwan">
<noRegion>
<name sortKey="Chen, Kow Tong" sort="Chen, Kow Tong" uniqKey="Chen K" first="Kow-Tong" last="Chen">Kow-Tong Chen</name>
</noRegion>
<name sortKey="Chang, Hsiao Ling" sort="Chang, Hsiao Ling" uniqKey="Chang H" first="Hsiao-Ling" last="Chang">Hsiao-Ling Chang</name>
<name sortKey="Chen, Chu Tzu" sort="Chen, Chu Tzu" uniqKey="Chen C" first="Chu-Tzu" last="Chen">Chu-Tzu Chen</name>
<name sortKey="Chen, Kow Tong" sort="Chen, Kow Tong" uniqKey="Chen K" first="Kow-Tong" last="Chen">Kow-Tong Chen</name>
<name sortKey="Lin, Ting Hsiang" sort="Lin, Ting Hsiang" uniqKey="Lin T" first="Ting-Hsiang" last="Lin">Ting-Hsiang Lin</name>
<name sortKey="Su, Ih Jen" sort="Su, Ih Jen" uniqKey="Su I" first="Ih-Jen" last="Su">Ih-Jen Su</name>
<name sortKey="Twu, Shiing Jer" sort="Twu, Shiing Jer" uniqKey="Twu S" first="Shiing-Jer" last="Twu">Shiing-Jer Twu</name>
<name sortKey="Wu, Yi Chun" sort="Wu, Yi Chun" uniqKey="Wu Y" first="Yi-Chun" last="Wu">Yi-Chun Wu</name>
</country>
<country name="Thaïlande">
<noRegion>
<name sortKey="Olsen, Sonja J" sort="Olsen, Sonja J" uniqKey="Olsen S" first="Sonja J." last="Olsen">Sonja J. Olsen</name>
</noRegion>
<name sortKey="Dowell, Scott F" sort="Dowell, Scott F" uniqKey="Dowell S" first="Scott F." last="Dowell">Scott F. Dowell</name>
</country>
</tree>
</affiliations>
</record>

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