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ACT Alert

China - 1/2003

Severe Acute Respiratory Syndrome (SARS)

Geneva, 9 May, 2003

The new and acutely infectious disease known as Severe Acute Respiratory Syndrome (SARS) is posing an enormous threat to the Chinese population. The first case of SARS appeared in November in Fushan County, Guangdong Povince in southeastern China. Little if anything was known of the disease at the time and it spread rapidly. As many medical workers who treated the SARS patients began to develop the same symptoms as the patients, it was realised that the disease is highly contagious. Strict preventive measures were put in place once the real threat of the disease was realised world wide, however, 26 out of the total of 31 provinces, municipalities and autonomous regions are now reported to have SARS cases.

Official statistics reveal that by 6 May 2003 a total of 4,409 SARS cases have been diagnosed with 2,646 suspected cases, of these at least 214 patients have died.

Beijing, the capital city of China, with its huge population is reported to have the most SARS cases. By 6 May, a total of 1,960 confirmed and 1,523 suspected cases were reported with each day bringing a further 100 cases. The surrounding cities and provinces of Tianjing, Shanxi and Inner Mongolia also have a significant number of SARS cases.

The large numbers of people who have migrated from remote rural areas to Guangdong, Beijing and other big cities to make a living are now returning to their hometowns in the fear that they may contract the disease if they stay in the cities. This is exacerbating the situation by spreading the virus to areas that have until now remained unaffected.

Measures taken to combat the virus

  • SARS patients (along with the medical workers treating them) are put into strict isolation and particular hospitals and wards are designated specially for treatment of SARS patients
  • Waste generated by SARS patients and medical workers is strictly isolated and specially processed
  • Fever outpatient rooms are set up in hospitals in all cities throughout China and suspected patients are isolated immediately in a separate room for further observation
  • Bedside X-ray machines are used in hospitals to X-ray fever patients
  • Disinfectant is used in homes and public places at least twice a day to sterilise the environment
  • People in SARS areas are encouraged to check their temperature every day
  • People are urged to avoid public places as much as possible, but when this is not possible, they are required to wear surgical masks
  • Medical workers who treat SARS patients must wear protective suits, surgical masks, goggles and surgical hats
  • Universities, middle schools in cities are closed to outsiders and the students are required to have meals in their own schools
  • Migrant workers are required to stay where they work and not return to their hometowns. However, those who have already returned will be followed up to ensure they are free from the virus.

Specific difficulties confronted

One of the most important challenges is to prevent the further spread of SARS from urban to rural areas where the population is large and the medical facilities too poor to handle SARS cases. Many rural hospitals or clinics lack the necessary equipment and hygienic conditions to effectively treat more usual illnesses let alone SARS. Countrywide there is a severe shortage of medical equipment to diagnose and treat such a disease. Equipping the rural health clinics alone will require substantial financial investment.

Efforts made by the government

The central, provincial and lower level governments have allocated a total of 6,000,000,000 yuan (about

US$ 725 million) to combat SARS. The Central Government has issued regulations that no hospitals should reject any SARS patients and local authorities are responsible for all medical expenses for rural and urban poor SARS patients within their own administrative areas. No employers are allowed to lay off any suspected SARS affected person and their salaries should be maintained while they are isolated for further observation or medical treatment.

Most needed items

  • Protective suits, surgical masks, goggles and surgical hats
  • Bedside X-ray machines
  • Bedside respiratory machines
  • Electronic thermometers
  • Thermometers
  • Chlorine disinfectant

Proposed assistance from Amity

The above mentioned allocation by the government is still far from sufficient and people from all walks of life are being called upon to make their contribution. Amity would like to its play part by providing:

  • 2,000 thermometers X 2.5 yuan = 5,000 yuan
  • 150 electronic thermometers X 250 yuan = 50,000 yuan
  • 2000 protective suits X 100 yuan = 200,000 yuan
  • 2 bedside X-ray machines X 260,000 yuan = 520,000 yuan
  • 1 respiratory machine X 220,000 yuan = 220,000 yuan

Total: 995,000 yuan (about US$120,214)

ACT Co-ordinating Office is in contact with Amity regarding a possible appeal. We would highly appreciate indications as to your support for any such appeal.