Quarantine for SARS, Taiwan.
Identifieur interne : 002859 ( PubMed/Curation ); précédent : 002858; suivant : 002860Quarantine for SARS, Taiwan.
Auteurs : Ying-Hen Hsieh [Taïwan] ; Chwan-Chuan King ; Cathy W S. Chen ; Mei-Shang Ho ; Jen-Yu Lee ; Feng-Chi Liu ; Yi-Chun Wu ; Jiunn-Shyan JulianwuSource :
- Emerging infectious diseases [ 1080-6040 ] ; 2005.
Descripteurs français
- KwdFr :
- Contrôle des maladies contagieuses (), Facteurs temps, Flambées de maladies (), Humains, Quarantaine (normes), Syndrome respiratoire aigu sévère (), Syndrome respiratoire aigu sévère (diagnostic), Syndrome respiratoire aigu sévère (épidémiologie), Taïwan (épidémiologie), Virus du SRAS (croissance et développement).
- MESH :
- croissance et développement : Virus du SRAS.
- diagnostic : Syndrome respiratoire aigu sévère.
- normes : Quarantaine.
- épidémiologie : Syndrome respiratoire aigu sévère, Taïwan.
- Contrôle des maladies contagieuses, Facteurs temps, Flambées de maladies, Humains, Syndrome respiratoire aigu sévère.
- Wicri :
- geographic : Taïwan.
English descriptors
- KwdEn :
- Communicable Disease Control (methods), Disease Outbreaks (prevention & control), Humans, Quarantine (standards), SARS Virus (growth & development), Severe Acute Respiratory Syndrome (diagnosis), Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (prevention & control), Taiwan (epidemiology), Time Factors.
- MESH :
- geographic , epidemiology : Taiwan.
- diagnosis : Severe Acute Respiratory Syndrome.
- epidemiology : Severe Acute Respiratory Syndrome.
- growth & development : SARS Virus.
- methods : Communicable Disease Control.
- prevention & control : Disease Outbreaks, Severe Acute Respiratory Syndrome.
- standards : Quarantine.
- Humans, Time Factors.
Abstract
During the 2003 outbreak of severe acute respiratory syndrome (SARS) in Taiwan, >150,000 persons were quarantined, 24 of whom were later found to have laboratory-confirmed SARS-coronavirus (SARS-CoV) infection. Since no evidence exists that SARS-CoV is infective before the onset of symptoms and the quarantined persons were exposed but not symptomatic, we thought the quarantine's effectiveness should be investigated. Using the Taiwan quarantine data, we found that the onset-to-diagnosis time of previously quarantined confirmed case-patients was significantly shortened compared to that for those who had not been quarantined. Thus, quarantine for SARS in Taiwan screened potentially infective persons for swift diagnosis and hospitalization after onset, thereby indirectly reducing infections. Full-scale quarantine measures implemented on April 28 led to a significant improvement in onset-to-diagnosis time of all SARS patients, regardless of previous quarantine status. We discuss the temporal effects of quarantine measures and other interventions on detection and isolation as well as the potential usefulness of quarantine in faster identification of persons with SARS and in improving isolation measures.
DOI: 10.3201/eid1102.040190
PubMed: 15752447
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<front><div type="abstract" xml:lang="en">During the 2003 outbreak of severe acute respiratory syndrome (SARS) in Taiwan, >150,000 persons were quarantined, 24 of whom were later found to have laboratory-confirmed SARS-coronavirus (SARS-CoV) infection. Since no evidence exists that SARS-CoV is infective before the onset of symptoms and the quarantined persons were exposed but not symptomatic, we thought the quarantine's effectiveness should be investigated. Using the Taiwan quarantine data, we found that the onset-to-diagnosis time of previously quarantined confirmed case-patients was significantly shortened compared to that for those who had not been quarantined. Thus, quarantine for SARS in Taiwan screened potentially infective persons for swift diagnosis and hospitalization after onset, thereby indirectly reducing infections. Full-scale quarantine measures implemented on April 28 led to a significant improvement in onset-to-diagnosis time of all SARS patients, regardless of previous quarantine status. We discuss the temporal effects of quarantine measures and other interventions on detection and isolation as well as the potential usefulness of quarantine in faster identification of persons with SARS and in improving isolation measures.</div>
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