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Preventing SARS
From DrGreene.com
As SARS continues to slowly spread around the globe, parents want to
know what they can do to reduce the risk of their kids getting it. But
here is the problem: we know that people diagnosed with SARS are
contagious, but we do not yet know how long before (or after) developing
symptoms people with SARS are contagious. In some diseases, such as
chickenpox, children are contagious a day or two before anyone knows they
have chickenpox. Could SARS be one of these? Yes it could. We just don't
know. It makes sense where possible to reduce contact with people with
SARS, or even those who have recently been exposed to SARS. For health
officials, quarantine can be a powerful tool.
Meanwhile, Australia has now advised its citzens not to travel to
Canada or to any of the affected Asian nations. Hong Kong has established
isolation camps in an attempt to decrease the spread. Schools remain
closed throughout Hong Kong and the nation of Singapore.
As individuals, we cannot control others, but we can decide how we will
behave ourselves. It makes sense to me, in general, to consider
respiratory secretions and stool to be infectious - whether the infection
is SARS or some other disease. We do know that SARS can be spread in
respiratory droplets - which often travel by way of the hands. New
evidence from a stricken apartment block in Hong Kong suggests that the
virus might also spread from stool-to hand-to mouth, or
stool-to-water-to-mouth. Excellent hand hygiene (with alcohol-based hand
sanitizers or frequent hand washing) is one of the most effective ways to
reduce these types of transmission. This is especially important after
toileting and before eating. Sharing utensils is unwise. Soiled surfaces
can be cleaned with a household disinfectant. Perhaps some of the SARS
spread may also be airborne. The CDC is suggesting that people with SARS
symptoms (fever and cough or difficulty breathing) wear surgical masks,
and/or that people around them wear surgical masks. The SARS outbreak is
still small, with fewer than 2,300 cases identified in a world of
billions. This is the best time to prevent its spread.
Last Reviewed: March
2003 by Alan Greene, MD, FAAP
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