Hello folks,

Quoted from below:

"We are close to knowing what causes it. Until recently, we thought it
belonged to a member of the paramyxovirus family. This family includes
measles, mumps and parainfluenza. But now, it appears that a coronovirus,
not a paramyxovirus, causes the syndrome. [Coronoviruses are thought to
cause one-third of common colds]"

BROOKS:

What data do you have on CS vs. cornovirus?  At least it is easier to
pronounce. 

JOH


By Noël Holton
University of Maryland Medical System Web Site Writer



Michael Donnenberg, M.D., head of the University of Maryland Medical
Center’s Division of Infectious Diseases, answers some questions about
severe acute respiratory syndrome (SARS), the mysterious, new pneumonia that
has been confounding public health officials on several continents.

Having originated in parts of Asia [Peoples´ Republic of China; Hanoi,
Vietnam; and Singapore], it has spread via travelers to Europe, Canada and
probably the United States (the Centers for Disease Control and Prevention
reports there were 51 suspected cases in this country as of March 28, 2003).
Scroll below for more information.

What is Severe Acute Respiratory Syndrome (SARS)?

Until we learn more about it, the Centers for Disease Control is using a
case definition to describe it. They are defining the disease as one that
encompasses symptoms of respiratory illness and a fever. Not everyone with
these symptoms has a case of SARS, however. The CDC adds that they must have
had recent, close contact with a person under investigation or suspected of
having SARS, or have recently traveled to an area with documented
transmission of SARS. Obviously, not everyone suspected of having SARS will
turn out to have it, but the CDC definition is broad at this point so that
they don’t miss any cases.

Do we know what causes it?

We are close to knowing what causes it. Until recently, we thought it
belonged to a member of the paramyxovirus family. This family includes
measles, mumps and parainfluenza. But now, it appears that a coronovirus,
not a paramyxovirus, causes the syndrome. [Coronoviruses are thought to
cause one-third of common colds]

What are its symptoms?

SARS symptoms are similar to those of other respiratory illnesses. They
include a cough, shortness of breath, trouble breathing and evidence of
pneumonia on a chest X-ray. A fever over 100.4° F is another symptom.

Is there an incubation period?

Yes, the incubation period seems to be four to seven days. It is certainly
less than 10 days.

How is it spread?

It is spread through close contact. Almost everyone who has had it has
either been a family member of an infected person or medical personnel who
have cared for the person directly. It looks like it is probably spread
through the droplets that travel through the air when a person coughs or
sneezes in close proximity to another person.

Is it deadly?

So far [as of March 28, 2003], there have been about 53 deaths out of 1,485
confirmed cases [according to the World Health Organization].

Are there any groups of people, the elderly or those with compromised immune
systems for example, that are particularly vulnerable to SARS?

Not necessarily. This illness has been infecting people of all ages. Many of
the people who have died from SARS have been people who were previously
healthy.

How do you treat the illness?

The main thing is getting patients suspected of having SARS on proper
isolation so that it doesn’t spread further and so that medical personnel
don’t get it. Other than that, you support the patient the same way you
would for other respiratory illnesses. Because we don’t know a lot about it
yet, it is hard to pinpoint an exact treatment. An antiviral drug is being
used in some cases, but we don’t know if it is actually working or if the
pneumonia is just running its course. Most of the people who have contracted
it just seem to get better and go home on their own.



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