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Severe Acute Respiratory Syndrome, Beijing, 2003

Identifieur interne : 001481 ( Pmc/Checkpoint ); précédent : 001480; suivant : 001482

Severe Acute Respiratory Syndrome, Beijing, 2003

Auteurs : Wannian Liang [République populaire de Chine] ; Zonghan Zhu [République populaire de Chine] ; Jiyong Guo [République populaire de Chine] ; Zejun Liu [République populaire de Chine] ; Xiong He [République populaire de Chine] ; Weigong Zhou [États-Unis] ; Daniel P. Chin [République populaire de Chine] ; Anne Schuchat [États-Unis]

Source :

RBID : PMC:3092360

Abstract

The largest outbreak of severe acute respiratory syndrome (SARS) struck Beijing in spring 2003. Multiple importations of SARS to Beijing initiated transmission in several healthcare facilities. Beijing’s outbreak began March 5; by late April, daily hospital admissions for SARS exceeded 100 for several days; 2,521 cases of probable SARS occurred. Attack rates were highest in those 20–39 years of age; 1% of cases occurred in children <10 years. The case-fatality rate was highest among patients >65 years (27.7% vs. 4.8% for those 20–64 years, p < 0.001). Healthcare workers accounted for 16% of probable cases. The proportion of case-patients without known contact to a SARS patient increased significantly in May. Implementation of early detection, isolation, contact tracing, quarantine, triage of case-patients to designated SARS hospitals, and community mobilization ended the outbreak.


Url:
DOI: 10.3201/eid1001.030553
PubMed: 15078593
PubMed Central: 3092360


Affiliations:


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PMC:3092360

Le document en format XML

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<p>The largest outbreak of severe acute respiratory syndrome (SARS) struck Beijing in spring 2003. Multiple importations of SARS to Beijing initiated transmission in several healthcare facilities. Beijing’s outbreak began March 5; by late April, daily hospital admissions for SARS exceeded 100 for several days; 2,521 cases of probable SARS occurred. Attack rates were highest in those 20–39 years of age; 1% of cases occurred in children <10 years. The case-fatality rate was highest among patients
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65 years (27.7% vs. 4.8% for those 20–64 years, p < 0.001). Healthcare workers accounted for 16% of probable cases. The proportion of case-patients without known contact to a SARS patient increased significantly in May. Implementation of early detection, isolation, contact tracing, quarantine, triage of case-patients to designated SARS hospitals, and community mobilization ended the outbreak.</p>
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<xref ref-type="aff" rid="aff1">*</xref>
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<surname>Liu</surname>
<given-names>Zejun</given-names>
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<xref ref-type="aff" rid="aff1">*</xref>
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<given-names>Daniel P.</given-names>
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<surname>Schuchat</surname>
<given-names>Anne</given-names>
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<collab>for the Beijing Joint SARS Expert Group</collab>
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<sup>1</sup>
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Beijing Municipal Health Bureau and Beijing Municipal Centers for Disease Prevention and Control, Beijing, China</aff>
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<label></label>
Centers for Disease Control and Prevention, Atlanta, Georgia, USA</aff>
<aff id="aff3">
<label></label>
World Health Organization, Beijing, China</aff>
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<corresp id="cor1">Address for correspondence: Anne Schuchat, Respiratory Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop C-23, Atlanta, GA 30333, USA; fax: 404-639-3970; email:
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<year>2004</year>
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<volume>10</volume>
<issue>1</issue>
<fpage>25</fpage>
<lpage>31</lpage>
<abstract>
<p>The largest outbreak of severe acute respiratory syndrome (SARS) struck Beijing in spring 2003. Multiple importations of SARS to Beijing initiated transmission in several healthcare facilities. Beijing’s outbreak began March 5; by late April, daily hospital admissions for SARS exceeded 100 for several days; 2,521 cases of probable SARS occurred. Attack rates were highest in those 20–39 years of age; 1% of cases occurred in children <10 years. The case-fatality rate was highest among patients
<underline>></underline>
65 years (27.7% vs. 4.8% for those 20–64 years, p < 0.001). Healthcare workers accounted for 16% of probable cases. The proportion of case-patients without known contact to a SARS patient increased significantly in May. Implementation of early detection, isolation, contact tracing, quarantine, triage of case-patients to designated SARS hospitals, and community mobilization ended the outbreak.</p>
</abstract>
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<title>Keywords: </title>
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<kwd>disease outbreaks</kwd>
<kwd>epidemiology</kwd>
<kwd>China</kwd>
<kwd>nosocomial infection</kwd>
<kwd>SARS virus</kwd>
<kwd>disease transmission</kwd>
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<li>États-Unis</li>
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