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More tests on suspected Sars man
08/04/2003 16:06  - (SA)  

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  • Mariëtte le Roux

    Pretoria - It should be known by Wednesday whether a South African hospitalised with flu-like symptoms had contracted the potentially deadly severe acute respiratory syndrome (Sars), health officials said on Tuesday.

    The national virology institute, which was conducting the tests, requested more blood samples on Tuesday, said Dr Richard Friedland, chief operating officer of the hospital operator Netcare.

    The 62-year-old Pretoria businessman was in a critical but stable condition in the Pretoria East Hospital.

    Barrier nursing

    He was being treated in a specially isolated intensive care unit behind glass barriers to make sure there was no risk of infection to hospital workers and other patients.

    A method known as barrier nursing was being used, in terms of which staff wore protective gloves, gowns and masks.

    Five of the man's family members and a nurse who had been in direct contact with him were being monitored for symptoms of the disease - which has reportedly claimed about 100 lives around the world.

    Friedland said the man was immediately isolated after reporting to the hospital on Monday.

    The man returned to South Africa on March 27 from a business trip to Hong Kong. He took ill on Monday, and went to the Pretoria East Hospital casualty centre.

    He had flu-like symptoms, a high fever and shortness of breath. His symptoms were immediately recognised by hospital staff as being similar to those of Sars.

    More than 2 500 people infected world wide

    The disease, also described as atypical pneumonia, has infected more than 2 500 people in 30 countries.

    It originated in southern China in November, and has since spread through the world by air travellers.

    No confirmed cases of Sars have been reported in Africa.

    The health department said in a statement people who had come into contact with the man were being traced to establish if they too displayed symptoms of Sars.

    "This serves a dual purpose: early care in the event of any of them becoming ill and containment of further transmission."

    Response teams being strenghtened

    The department said outbreak response teams were being strengthened at national level and in Gauteng - the province receiving the most traffic from areas in Asia affected by the disease.

    These teams would review whether steps already in place at South African airports were adequate.

    Passengers arriving from Sars affected destinations were informed of the symptoms and told how to respond should they become ill within a fortnight of their return.

    "Several patients have become ill and been tested, but all, so far, have tested negative and recovered."

    There was ongoing communication with hospitals to ensure their infection control teams were able to react appropriately to suspected Sars cases, the department said.

    With passengers coming into South Africa daily from affected destinations, there was a possibility the country could see a small number of "imported" Sars cases, the department said.

    But it should be possible to ensure no further infection occurred locally.

    "There is no reason at this point to view Sars as a threat to our population at large," the department said.

    It advised citizens intending to travel to Hong Kong or China's Guangdong province to do so only if they were unable to postpone or cancel their visits.

    Flu vaccine

    Meanwhile, MedInfo advised all travellers to have themselves vaccinated against influenza, even though it could not prevent Sars infection.

    "People vaccinated against flu are not likely to develop flu symptoms. As a result, the likelihood of a Sars false alarm will be reduced, averting the need to spend time in isolation unnecessarily."

    - SAPA



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