-Caveat Lector-

http://www.washingtonpost.com/wp-dyn/articles/A30294-2003Mar15.html
washingtonpost.com

U.S. Monitoring Deadly Pneumonia Outbreak in Asia

Reuters Saturday, March 15, 2003; 5:38 PM

By Paul Simao

ATLANTA (Reuters) - U.S. health officials said on Saturday they had joined a
worldwide


battle to stamp out a mysterious and deadly new form of pneumonia that
emerged in Asia and is spreading into Europe and North America.

The U.S. Centers for Disease Control and Prevention said it had alerted
health authorities throughout the United States to watch for signs of
severe respiratory syndrome, a virulent strain of what is known as atypical
pneumonia.

The Atlanta-based federal agency also has assigned eight of its scientists to
assist in a global investigation by the World Health Organization, which
issued a warning about the outbreak last Wednesday.

More than 150 people have contracted the fast-spreading pneumonia in
China, Hong Kong, Indonesia, the Philippines, Singapore, Thailand and
Vietnam. Several people have died, including two members of a Canadian
family who traveled to Hong Kong and an American businessman taken ill in
Hanoi after visiting Shanghai.

A handful of other cases have been reported in Europe and Canada,
although none have been confirmed in the United States. The CDC said it
was investigating reports that two people passing through Atlanta and New
York may have been infected.

"We are thoroughly investigating, and we will be taking aggressive steps to
reach those who have traveled to the affected areas (in Asia)," Dr. Julie
Gerberding, the director of the CDC, told reporters in a weekend
conference call.

The cause of the outbreak is unknown though it resembles a wave of
pneumonia-like illnesses that caused hundreds of people to become sick in
southern China's Guangdong province in mid-February.

'OPEN MIND' ON SOURCE OF DISEASE

Symptoms include a fever above 100.4 Fahrenheit and respiratory problems
such as coughing and shortness of breath. Many of those infected have
been health care workers treating infected patients.

Gerberding said there was no evidence linking the pneumonia cases to any
form of influenza, including the recent emergence of "bird flu" in Hong
Kong, or to a bioterrorist attack.

She did, however, add that the agency was keeping an "open mind" and
would not rule out any possibilities until further investigation.

Top CDC officials and Health and Human Services Secretary Tommy
Thompson were criticized in 2001 for reacting slowly to an outbreak of
deadly anthrax bacteria linked to contaminated letters sent to U.S. media
organizations and politicians in the weeks after the Sept. 11 attacks.

Five people died from the anthrax attacks.

On Saturday, Thompson said he was consulting regularly with top ranking
officials from the WHO and China to determine how to prepare for the
possibility of atypical pneumonia spreading to the United States.

"This is a situation that is evolving very quickly," Thompson told reporters
by telephone before boarding a flight at Chicago's O'Hare International
Airport.

"We are doing everything humanly possible to learn what is causing this
outbreak, how to treat patients and how to prevent the spread to
others," Thompson said.

U.S. health officials said it was particularly important that travelers
returning from Southeast Asia alert their doctors if they developed high
fevers, breathing difficulties and other symptoms of the disease.

But they also recommended against using antibiotics or anti-viral drugs
prophylactically against the disease, which appears to have an incubation
period of between two to seven days.

© 2003 Reuters
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the authority of teachers, elders or wise men.  Believe only after
careful observation and analysis, when you find that it agrees with
reason and is conducive to the good and benefit of one and all.
Then accept it and live up to it." The Buddha on Belief,
from the Kalama Sutra

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