SARS in Taiwan: an overview and lessons learned
Identifieur interne : 001085 ( Pmc/Curation ); précédent : 001084; suivant : 001086SARS 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.
Url:
DOI: 10.1016/j.ijid.2004.04.015
PubMed: 15708322
PubMed Central: 7110635
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<author><name sortKey="Chen, Kow Tong" sort="Chen, Kow Tong" uniqKey="Chen K" first="Kow-Tong" last="Chen">Kow-Tong Chen</name>
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<affiliation wicri:level="1"><nlm:aff id="aff2">Taipei City STD Control Center, Department of Health, Taipei City, Taiwan</nlm:aff>
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<author><name sortKey="Su, Ih Jen" sort="Su, Ih Jen" uniqKey="Su I" first="Ih-Jen" last="Su">Ih-Jen Su</name>
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<sourceDesc><biblStruct><analytic><title 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>
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<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>
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<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>
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<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>
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<author><name sortKey="Wu, Yi Chun" sort="Wu, Yi Chun" uniqKey="Wu Y" first="Yi-Chun" last="Wu">Yi-Chun Wu</name>
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<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Field Epidemiology Training Program, Department of Health, Center for Diseases Control</wicri:regionArea>
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<author><name sortKey="Chen, Chu Tzu" sort="Chen, Chu Tzu" uniqKey="Chen C" first="Chu-Tzu" last="Chen">Chu-Tzu Chen</name>
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<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Field Epidemiology Training Program, Department of Health, Center for Diseases Control</wicri:regionArea>
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<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>
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<wicri:regionArea>Division of Laboratory and Research, Department of Health, Center for Diseases Control</wicri:regionArea>
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<author><name sortKey="Olsen, Sonja J" sort="Olsen, Sonja J" uniqKey="Olsen S" first="Sonja J." last="Olsen">Sonja J. Olsen</name>
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<country xml:lang="fr">Thaïlande</country>
<wicri:regionArea>International Emerging Infections Program, Centers for Disease Control and Prevention, Bangkok</wicri:regionArea>
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<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>
</affiliation>
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<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>
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<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>
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<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>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Int. J. Infect. Dis</journal-id>
<journal-title-group><journal-title>International Journal of Infectious Diseases</journal-title>
</journal-title-group>
<issn pub-type="ppub">1201-9712</issn>
<issn pub-type="epub">1878-3511</issn>
<publisher><publisher-name>International Society for Infectious Diseases. Published by Elsevier Ltd.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">15708322</article-id>
<article-id pub-id-type="pmc">7110635</article-id>
<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>
</record>
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