Re: SARS: Strategies

From: Wei Dai (weidai@weidai.com)
Date: Thu Apr 24 2003 - 16:40:33 MDT

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    On Thu, Apr 24, 2003 at 11:50:32AM -0700, Robert J. Bradbury wrote:
    > Now, on the TV this morning I heard comments to the effect that most of
    > the people who have died are either elderly or otherwise immunocompromised.
    > This only makes sense and implies that most people do not really need
    > to be fearful (as Anders points out).

    This is not the impression I have. Look at the latest case counts from
    WHO: http://www.who.int/csr/sarscountry/2003_04_24/en/. In Canada and Hong
    Kong, the ratio of death to recovery is about 1:5. In China it's 1:10 but
    that could easily be due to bad reporting. For comparison, the fatality
    rate of smallpox is 30%.

    > Its always important to keep in mind influenza kills (to my best very
    > rough guess) around 600,000 people a year [1] while SARS if it continues
    > at its present rate will only kill perhaps 500 people this year.

    Influenza has a much lower fatality rate than SARS. The 1918-1919
    influenza pandemic had a fatality rate of less than 1%. Also remember that
    the current fatality rate of SARS assumes intensive medical care. It will
    surely be much higher if the virus spreads into underdeveloped regions or
    if the epidemic overwhelms health care systems.

    "This is a disease that is now probably endemic in China. It's definitely
    an epidemic in Hong Kong, as it is in Toronto," said Donald Low of Mount
    Sinai Hospital in Toronto. "Patients will carry it to other countries and
    introduce it into new countries. Some of those countries will be able to
    respond adequately and other countries won't have the resources or
    expertise. It's bleak. It really is bleak."
    (http://www.charleston.net/stories/042203/wor_22sars.shtml)



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