|
MORE on SARS
Controlling Avian Flu
Emergency Plan Movies
Human implications of influenza
Control of Avian Flu
Avian Flu Medicines
Model of Avian Flu Outbreak
SARS
Cats catch Avian Flu
1918 Influenza Epidemic
Medicines
Amantadine
Oseltamivir - Tamiflu
Rimantadine - Flumadine
Vira 38
Zanamivir
Alternative Medication
World Virus Maps
May to October
Links
General
International Organisations
References HOME
|
Severe Acute Respiratory Syndrome (SARS
Virus)
| Case
Definition of Severe Acute Respiratory Syndrome (SARS) |
Case
definitions (revised 1 May 2003)
Suspect case
1. A person presenting after 1 November 2002 with
history of:
- high fever (>38 °C)
AND
- cough or breathing difficulty
AND one or more of the following exposures
during the 10 days prior to onset of symptoms:
- close contactwith a person who is a
suspect or probable case of SARS;
- history of travel, to an area
with recent local transmission of SARS
- residing in an area
with recent local transmission of SARS
2. A person with
an unexplained acute respiratory illness
resulting in death after 1 November 2002,1
but on whom no autopsy has been performed
AND one or more of the following exposures
during to 10 days prior to onset of symptoms:
- close contact,2
with a person who is a suspect or
probable case of SARS;
- history of travel to an area
with recent local transmission of SARS
- residing in an area
with recent local transmission of SARS
Probable case
1. A suspect case with
radiographic evidence of infiltrates
consistent with pneumonia or respiratory
distress syndrome (RDS) on chest X-ray (CXR).
2. A suspect case of SARS that is
positive for SARS coronavirus by one or more
assays. See Use
of laboratory methods for SARS diagnosis.
3. A suspect case with autopsy
findings consistent with the pathology of RDS
without an identifiable cause.
Exclusion criteria
A case should be excluded if an alternative
diagnosis can fully explain their illness.
Reclassification of cases
As SARS is currently a diagnosis of
exclusion, the status of a reported case may
change over time. A patient should always be
managed as clinically appropriate, regardless
of their case status.
- A case initially classified as
suspect or probable, for whom an alternative
diagnosis can fully explain the illness,
should be discarded after carefully
considering the possibility of co-infection.
- A suspect case who, after
investigation, fulfils the probable case
definition should be reclassified as "probable".
- A suspect case with a normal
CXR should be treated, as deemed appropriate,
and monitored for 7 days. Those cases in whom
recovery is inadequate should be re-evaluated
by CXR.
- Those suspect cases in whom
recovery is adequate but whose illness cannot
be fully explained by an alternative
diagnosis should remain as "suspect".
- A suspect case who dies, on
whom no autopsy is conducted, should remain
classified as "suspect". However,
if this case is identified as being part of a
chain transmission of SARS, the case should
be reclassified as "probable".
- If an autopsy is conducted and
no pathological evidence of RDS is found, the
case should be "discarded".
1 The surveillance
period begins on 1 November 2002 to capture cases of atypical
pneumonia in China now recognised as SARS. International
transmission of SARS was first reported in March 2003 for
cases with onset in February 2003.
2 Close
contact: having cared for, lived with, or
had direct contact with respiratory
secretions or body fluids of a suspect or
probable case of SARS.
|
Source: http://www.who.int/csr/sars/casedefinition/en/
|
Organisation with
information
- WHO
- Disease outbreaks reported
Updates
- Severe
Acute Respiratory Syndrome (SARS)Updates
- Guidelines,
recommendations, descriptions
Updates
- Update
62 - More than 8000 cases reported
globally, situation in Taiwan, data on in-flight
transmission, report on Henan Province,
China - 22 May
- Guidance
for mass gathering events, 15 May
- "No evidence that SARS
stems from farm animals"- FAO news
- International
scientific meeting on SARS;17-18 June 2003 ; Kuala Lumpur,
Malaysia
- Case
definitions for surveillance of SARS,
revised 1 May
- Update 46 - WHO sends team to
Taiwan, situation in China, 3 May
- Update
42 - Travel advice for Toronto, situation
in China, 29 April
- Update
40 - Situation in Shanghai, Hong Kong and Viet Nam, 26 April
- WHO
biosafety guidelines for handling of SARS
specimens, 25 April
- Update
37 -WHO extends its SARS-related travel
advice to Beijing and Shanxi Province in
China and to Toronto Canada, 23 April
- Severe
Acute Respiratory Syndrome
Teleconference briefing of wire service
recognition 23 April
- Update
34 - Unanswered questions- a critical
point in the evolution of SARS, 19 April
- Severe
Acute Respiratory Syndrome - Press
briefing, 16 April
- Update 32 Situation in China and
Hong Kong, status of diagnostic tests, 17
April
- Update 31 Coronavirus
never before seen in humans is the cause
of SARS, 16 April
- The
operational response to SARS
- WHO
Global Scientific Meeting on Severe Acute
Respiratory Syndrome (SARS) WHO Geneva,
17-18 June 2003
- Update
30 - Status of diagnostic test,
significance of super spreaders,
situation in China
- Update
29 - Situation in China, status of
scientific and clinical knowledge
- SARS
epidemiology to date, 11 April
- Information
to Member States regarding goods and
animals arriving from SARS-affected
areas, 11 April
- Update
25 - Interim report of WHO team in China,
status of the main SARS outbreaks in
different countries, 9 April
- Update
24 - WHO Guangdong China team to issue
its report, 8 April
- Severe Acute Respiratory Syndrome (SARS)
- multi-country outbreak - Update 23 Full
text 7 April 2003
- WHO
travel advice, 4 April
- Update
19 - China deepens its collaboration to
contain SARS, WHO revises its advice to
international travellers as new data come
in, 2 April
- Severe
Acute Respiratory Syndrome - Press
briefing, 2 April
- Clinicians
hold virtual conference on management of
SARS patients. 26 March 2003
- Data
from China, countries introduce stringent
control measures 26 March 2003
- Severe Acute Respiratory Syndrome (SARS)
multi-country outbreak - Update 5 Full
text 20 March 2003
- Severe Acute Respiratory Syndrome (SARS)
multi-country outbreak - Update 4 Full
text 19 March 2003
- Severe Acute Respiratory Syndrome (SARS)
multi-country outbreak - Update 3 Full
text 18 March 2003
- Severe Acute Respiratory Syndrome (SARS)
- multi-country outbreak - Update 2 Full
text 17 March 2003
- Severe Acute Respiratory Syndrome (SARS)
- multi-country outbreak - Update Full
text 16 March 2003
- Severe Acute Respiratory Syndrome (SARS)
- Multi-country outbreak Update Full
text 15 March 2003
- SARS-
Availability and use of laboratory testing
- United
Nations Agencies Joint Medical Service Conference
on Severe Acute Respiratory Syndrome, 9 April
- Update
on SARS aetiology, primers for SARS virus,
laboratory testing for SARS - 7 April 2003
- Cumulative
number of reported probable cases - 12 June
- Map of current probable cases - 12
June
- Areas
with recent local transmission - 8 May
- Availability
and use of laboratory testing, 8 April
- SARS
Travel Recommendations, Summary Table - 12 June
- Images
of the new coronavirus
- CDC - Influenza
Prevention and Control
- Severe Acute Respiratory Syndrome (SARS) Updates
Frequently Asked Questions; Fact Sheet; SARS US Case Reports
- CDC Updates (Updates) What's New Check here for latest
updates
- Case
Definition
- Clinical
Description
- SARS
Coronavirus Sequencing
- Patients
& Their Close Contacts
- Fact
Sheet for Close Contacts of SARS
Patients
- Diagnosis/Evaluation
- Isolation and
Infection Control
- Management of
School Students
- Management of
Persons in the Workplace
- Ground Emergency
Medical Transport
- Specimen
Collection & Shipping
- Respiratory
Protection
- Exposure
Management
- Health
Departments
- Quarantine
- Treatment
- Reporting
- Training &
Reference Materials
- Updated
Interim U.S. Case Definition of SARS 20 May 2003
- Telebriefing-
Update on SARS 22 May 2003
- CDC
Updates Interim US Surveillance Case Definition for
SARS 1 May 2003
- Updated
Interim Surveillance Case
Definition for SARS - US.,
Apr 29, 2003
- Interim
Definitions and Criteria-
Travel Alerts vs. Travel
Advisories 30 April
2003
- Telebriefing-
Response to Reports of
SARS 25 April 2003
- CDC
Telebriefing- SARS 17
April 2003
- CDC Lab
Sequences Genome of New
Coronavirus 14 April 2003
- Update on SARS14 April 2003
- Webcast-
Preventing the Spread of
SARS (April 7, 2003)
- APR
4 Broadcast- Preventing Spread of SARS
- Statement by HHS
Secretary Tommy Thompson
Regarding Executive Order
on Quarantinable Diseases (4 April 2003)
- Advice
for Travellers about SARS (April 3, 2003)
- SARS Update (March 29, 2003)
- Update on SARS
Investigation (March 24, 2003)
- Severe Acute
Respiratory Syndrome (SARS)
Interim Case Definition (March
17, 2003, 5:00 PM EST)
- Warden Notice-
Guidance about Severe
Acute Respiratory
Syndrome for Americans
Living Abroad (March 17, 2003, 8:00
pm Eastern Standard Time)Outbreak
information and
recommendations
- Telebriefing
Transcript- CDC's
Response to Severe Acute
Respiratory Syndrome (March 17, 2003)
Telebriefing
& press conference
with Tommy Thompson,
Secretary of the
Department of Health
& Human Services,
& Julie Gerberding,
Director of CDC
- Press
Release- CDC Issues Health Alert Notice for Travellers
to USA from Hong Kong, Guangdong Province and Hanoi(March
17, 2003)
CDC is distributing information cards in US airports
to travellers arriving from Hong Kong & Guangdong
Province in China, & from Hanoi, Vietnam, warning
that they may have been exposed
- Press Release:
CDC issues health alert
about atypical pneumonia (March 15, 2003)
In response to reports of increasing numbers of cases
of an atypical pneumonia that WHO has called severe
acute respiratory syndrome (SARS), CDC has announced
several steps to alert US health authorities at local
& state levels...
- Media Advisory:
CDC's Response to
Atypical Pneumonia in
Southeast Asia and Canada (March 15, 2003)
Transcript
from telebriefing
- Health Alert Notice (March
15, 2003)
For international travellers arriving in or returning
to the USA from Hong Kong & Guandong Province
in the People's Republic of China & from Hanoi,
Vietnam.
- Interim Travel
Advisory: Acute
respiratory syndrome,
multi-country outbreak (March 15, 2003)
Persons
planning elective or
nonessential travel to
areas affected by the
outbreak may wish to
postpone their trips
until further notice.
- Travellers
Health Notice: Acute respiratory syndrome, Hong Kong
SAR, Viet Nam, China (March 13, 2003)
Information
on reports of outbreaks
of a severe form of
pneumonia in Hong Kong,
Vietnam, & Guangdong,
a province in southern
China.
- CDC Guidelines and
Recommendations
- PPHB
(Population and Public Health Branch, Health Canada)
- ProMED-mail
electronic conference Query Severe Acute Respiratory Syndrome or
SARS
Updates
- Cybermed
Malaysian Medical Association Newsletter - Severe Acute Respiratory Syndrome (SARS)
Information on SARS
Clinical/ Epidemiology Information
Pathology and Laboratory
- RT-PCR Testing
at the Laboratory Response Network - 30 May 2003
- Armed
Forces Institute of Pathology on SARS This
site provides information about the imaging and pathology
of severe acute respiratory syndrome (SARS). The content
represents the combined efforts of the Armed Forces
Institute of Pathology and American Registry of
Pathology, Washington, DC, USA, the Tan Tock Seng
Hospital and Centre for Forensic Medicine, Health
Sciences Authority, Singapore, and the National
Taiwan University Hospital, Taipei, Taiwan. (Thanks
to Michael P. D'Alessandro, M.D)
- WHO
recommendations on SARS and blood safety - 15 May
- Clinical
and laboratory findings from Hong Kong, SAR China - 30
April- WHO
- WHO
multi-center collaborative network on SARS diagnosis- WHO
- First
data on stability and resistance of SARS coronavirus
compiled by members of WHO laboratory network, 4 May
- WHO
- Use of laboratory methods for SARS diagnosis, 1
May - WHO
- Sampling
for Severe Acute Respiratory Syndrome (SARS) diagnostic
tests, 29 April - WHO
- Severe Acute Respiratory Syndrome (SARS),
Laboratory diagnostic tests, 29 April - WHO
- Recommendations for laboratories testing for
SARS-coronavirus, 29 April -
WHO
- SARS-
Availability and use of laboratory testing - WHO
- Genome
Sciences Centre SARS associated virus genome
sequencing project
- SARS
Coronavirus Sequencing - CDC-13 April 2003
- Pathology on SARS (Thanks to Raili Suhaili and Hooi Lai Seong)
- The (M)AVID
multiple alignment program (Thanks
to Lior Pachter)
- Human
Coronavirus- Material Safety Data Sheet
- SARS &
Coronavirus TestingUS, 2003 - April 11, 2003; MMWR; 52(14);297-302
- Coronavirus
RT-PCR Protocol from Christian Drosten, Bernhard-Nocht
Institute of Tropical Medicine, Hamburg, Germany
- Availability
and use of laboratory testing, 8 April - WHO
- Interpreting
Test Results from CDC
- Recommended Laboratory Investigation of SARS
- Severe Acute Respiratory Syndrome- Interim
Guidelines Office of
Laboratory Security - Biosafety Advisory
- Detection
of Human Coronaviruses in Respiratory Specimens by Imunofluorescence Microscopy
- Mutation
Rate, Recombination, Multi-gene Reassortment, and
Pseudotyping
- INSTITUTE
FOR ANIMAL HEALTH
Radiology
Medical Publication
- SARS Reference
by Bernd Sebastian Kamps and Christian Hoffmann
- The Lancet
-
- Prospective study of the clinical progression and
viral load of SARS associated coronavirus
pneumonia in a community outbreak; JSM
Peiris, CM Chu, VCC Cheng, KS Chan, IFN Hung, LLM
Poon, KI Law, BSF Tang, TYW Hon, CS Chan, KH
Chan, JSC Ng, BJ Zheng, WL Ng, RWM Lai, Y Guan,
KY Yuen and members of the HKU / UCH SARS Study
Group; WHO site early release;Volume 361, Number 9369
10 May 2003 [Full Text]
- Epidemiological determinants of spread of causal
agent of severe acute respiratory syndrome in
Hong Kong [Full
Text] ;Christl A
Donnelly, Azra C Ghani, Gabriel M Leung, Anthony
J Hedley, Christophe Fraser, Steven Riley, Laith
J Abu-Raddad, Lai-Ming Ho, Thuan-Quoc Thach,
Patsy Chau, King-Pan Chan, Tai-Hing Lam, Lai-Yin
Tse, Thomas Tsang, Shao-Haei Liu, James H B Kong,
Edith M C Lau, Neil M Ferguson, Roy M Anderson;Volume 361, Number 9369
10 May 2003
- Comparative full-length genome sequence analysis of 14 SARS coronavirus
isolates and common mutations associated with putative origins of
infection; [Full
Text] YiJun Ruan, Chia Lin Wei, Ling Ai Ee, Vinsensius B
Vega, Herve Thoreau, Se Thoe Su Yun, Jer-Ming Chia, Patrick Ng,
Kuo Ping Chiu, Landri Lim, Zhang Tao, Chan Kwai Peng, Lynette Oon
Lin Ean, Ng Mah Lee, Leo Yee Sin, Lisa F P Ng, Ren EE Chee, Lawrence
W Stanton, Philip M Long, Edison T Liu; Volume 361, Number 9369
10 May 2003
- Development of a standard treatment protocol for
severe acute respiratory syndrome;Loletta
K-Y So, Arthur C W Lau, Loretta Y C Yam, Thomas M
T Cheung, Edwin Poon, Raymond W H Yung, K Y Yuen;
[Full
Text] Volume 361, Number 9369
10 May 2003
- Effectiveness of precautions against droplets and
contact in prevention of nosocomial transmission
of severe acute respiratory syndrome (SARS)
[Full
Text] ; W H Seto, D
Tsang, R W H Yung, T Y Ching, T K Ng, M Ho, L M
Ho, J S M Peiris, and Advisors of Expert SARS
group of Hospital Authority* *Members listed at
end of report ;Volume 361, Number 9368;03 May 2003
- Will SARS hurt the world's poor? [Full
Text] Editorial; Volume 361, Number 9368;03 May 2003
- Aminopeptidase N inhibitors and SARS [Full
Text] Dimitrios P
Kontoyiannis, Renata Pasqualini, *Wadih; Volume 361, Number 9368;03 May 2003
- SARS: experience at Prince of Wales
Hospital, Hong Kong ; Brian Tomlinson, Clive Cockram ; Volume 361, Number 9368;03 May 2003
- Clinical presentations and outcome of severe
acute respiratory syndrome in children [Full
Text]; K L E Hon, C W
Leung, W T F Cheng, P K S Chan, W C W Chu, Y W
Kwan, A M Li, N C Fong, P C Ng, M C Chiu, C K Li,
J S Tam, T F Fok; Volume 361, Number 9367 ;
26 April 2003;Published
online April 29, 2003
- Haemorrhagic-fever-like
changes and normal chest radiograph in a doctor
with SARS ; Lancet 2003; 361: 1520-21
- Coronavirus as a possible cause of severe acute
respiratory syndrome [Full
Text] J S M Peiris, S T
Lai, L L M Poon, Y Guan, L Y C Yam, W Lim, J
Nicholls, W K S Yee, W W Yan, M T Cheung, V C C
Cheng, K H Chan, D N C Tsang, R W H Yung, T K Ng,
K Y Yuen, and members of the SARS study group;
Early Release;5 April 2003
- Novel coronavirus and severe acute respiratory
syndrome [Full
Text] Ann R Falsey, Edward
E Walsh; Early Release; 5 April 2003
- Guideline on management of severe acute
respiratory syndrome (SARS) [Full
Text] William Ho; Early
Release; 5 April 2003
- New England Journal of
Medicine - Reports
and Editorials on SARS
- A
Novel Coronavirus Associated with Severe Acute Respiratory Syndrome (SARS);Thomas
G. Ksiazek, D.V.M., Ph.D., Dean Erdman, Dr.P.H., Cynthia Goldsmith,
M.S., Sherif R. Zaki, MD, Ph.D., Teresa Peret, Ph.D., Shannon Emery,
B.S., Suxiang Tong, Ph.D., Carlo Urbani, MD, James A. Comer, Ph.D.,
M.P.H., Wilina Lim, Pierre E. Rollin, MD, Kim Ha Nghiem, B.A., Scott
Dowell, MD, M.P.H., AI-EE Ling, MD, Charles Humphrey, Ph.D., Wun-Ju
Shieh, MD, Jeannette Guarner, MD, Christopher D. Paddock, MD, Paul
Rota, Ph.D., Barry Fields, Ph.D., Joseph DeRisi, Ph.D., Jyh-Yuan
Yang, Ph.D., Nancy Cox, Ph.D., James Hughes, MD, James W. LeDuc,
Ph.D., William J. Bellini, Ph.D., Larry J. Anderson, MD, for the
SARS Working Group ; 10 April 2003
- Identification
of a Novel Coronavirus in Patients with SARS; Christian Drosten,
MD, Stephan Günther, MD, Wolfgang Preiser, MD, Sylvie van der Werf,
Ph.D., Hans-Reinhard Brodt, MD, Stephan Becker, Ph.D., Holger Rabenau,
Ph.D., Marcus Panning, MD, Larissa Kolesnikova, Ph.D., Ron A.M.
Fouchier, Ph.D., Annemarie Berger, Ph.D., Ana-Maria Burguière, Ph.D.,
Jindrich Cinatl, Ph.D., Markus Eickmann, Ph.D., Nicolas Escriou,
Ph.D., Klaus Grywna, M.Sc., Stefanie Kramme, MD, Jean-Claude Manuguerra,
Ph.D., Stefanie Müller, M.Sc., Volker Rickerts, MD, Martin Stürmer,
Ph.D., Simon Vieth, Hans-Dieter Klenk, MD, Albert D.M.E. Osterhaus,
Ph.D., Herbert Schmitz, MD, and Hans Wilhelm Doerr, MD; 10 April
2003
- A Major Outbreak of Severe Acute
Respiratory Syndrome (SARS) in Hong Kong; N. Lee and
Others; N Engl J Med 2003;Early Release; April 7,
2003
- Faster
. . . but Fast Enough? Responding to the Epidemic of Severe Acute
Respiratory Syndrome; Gerberding N Engl J MEd 2003;10.1056;April
2, 2003
- A
Cluster of Cases of Severe Acute Respiratory
Syndrome in Hong Kong Early Release
Posted March 31, 2003
- Identification
of Severe Acute Respiratory Syndrome in Canada
Early Release Posted March 31, 2003
- Editorial-
Case Clusters of the Severe Acute Respiratory Syndrome
Early Release Posted March 31, 2003
- British Medical Journal
- Canadian
Medical Association Journal
- MMWR
- Search for "SARS" related articles
- Clinical Description (Mar
21, 2003)
- MMWR
Update- SARS US, June 11, 2003
- Update- Severe Acute Respiratory
Syndrome -- United States, May 21, 2003 - May 23, 2003 /
52(20);466-468
- MMWR
Update- SARS US, 2003 - May 9, 2003 / 52(18);411-413
- MMWR Update- SARS Singapore, 2003 - May 9, 2003 / 52(18);405-411
- MMWR
Update- SARS US, 2003 - May 2, 2003 / 52(17);388-390
- Update-
SARS US, 2003 - April 25, 2003 / 52(16);357-360
- Update-
Severe Acute Respiratory Syndrome --- United
States, 2003 - April 18, 2003 /
52(15);332-336
- MMWR-
SARS & Coronavirus TestingUS, 2003 - April 11, 2003;
52(14);297-302
- MMWR-
Outbreak of SARS World-wide, 2003 - April 4, 2003; 52(13);269-272
- Update:
Outbreak of Severe Acute Respiratory Syndrome --- World-wide,
2003; March 28, 2003 / Vol. 52 / No. 12
- Outbreak
of Severe Acute Respiratory Syndrome World-wide, 2003 March
21, 2003 / Vol. 52 / No. 11
- Epidemiology, Clinical Presentation and
Laboratory Investigation of Severe Acute Respiratory
Syndrome (SARS) in Canada, March 2003 Canada Communicable Disease Report -
PREVIEW - 25 March 2003
- Genomics, Proteomics &
Bioinformatics (Geno., Prot. & Bioinfo.) Is sponsored by the
Institute of Genetics and Developmental Biology of Chinese Academy of
Sciences (CAS), managed and edited by Beijing Genomics Institute (BGI),
CAS, and published by the Science Press, Beijing, China.
- Science Magazine
Other SARS Resources
Coronaviridae
Paramyxovirus
- For more information
Influenza - For more information and links
related to influenza
H5N1 Avian Influenza - Bird Flu - For more information.
Country Coverage
Hong Kong Coverage- SARS
CHINA Coverage- SARS
Singapore Coverage -SARS
Canada Coverage - SARS
Australia Coverage -
SARS
French Coverage -
SARS
UK Coverage - SARS
Eurosurveillance - SARS
Taiwan - SARS
Malaysia - SARS
New Zealand Coverage
- SARS
|