WHO
Strengthens Travel Warnings to Contain
SARS
Wed
April 23, 2003 03:51 PM ET
By
Stephanie Nebehay and Amran Abocar
BEIJING/TORONTO (Reuters) - Saying SARS
was still spreading out of control, the
World Health Organization tightened travel
advisories on Wednesday, adding Beijing
and Toronto to the list, while authorities
in Beijing started quarantines.
WHO said
someone infected with Severe Acute
Respiratory Syndrome had traveled from
Toronto to another country -- it would not
say where -- and infected five people
there.
And WHO
cited the spread of SARS in Beijing and
Shanxi provinces as the reason for adding
those areas to an existing advisory about
travel to Hong Kong and the southern
Guangdong province.
The Beijing
city government said it would quarantine
people and buildings infected, or
suspected of being infected, with the SARS
virus, the official Xinhua news agency
said -- by force if necessary.
The
government also ordered all Beijing's
primary and secondary schools closed for
two weeks from Thursday, a move that will
affect an estimated 1.7 million children.
Beijing, a
city of 14 million people, has reported
almost 700 SARS cases and 35 deaths.
Shanxi, which lies west of the capital,
has the third highest number of cases in
China, 157 cases with seven deaths,
according to health ministry figures.
SARS, a
sometimes deadly respiratory infection
caused by a relative of a common cold
virus, has killed at least 251 people
worldwide and infected 4,200 more since it
appeared in Guangdong late last year.
POSTPONING
TRAVEL TO TORONTO
It has
spread to virtually every continent but
outside of Asia, Canada has been
especially hard-hit. Fifteen people have
died from SARS in Toronto and 324 probable
or suspect cases have been reported
nationwide.
On Tuesday
the U.S. Centers for Disease Control and
Prevention issued a travel advisory for
Toronto, saying people should not postpone
travel there but should be aware of SARS.
But WHO
expressed stronger concern.
"We are
going to recommend that people who have
unnecessary travel to Shanxi, to Beijing,
and to Toronto postpone that travel if
possible," WHO's Dr. David Heymann told
reporters in a telephone briefing.
"Toronto
has had last week an exportation which set
up a cluster of 5 cases ... and I cannot
tell you the country ... but this is what
has called it again to our attention," he
added.
"The
outbreak in this area has continued to
grow in magnitude and has affected groups
outside the initial risk groups of
hospital workers, their families and other
close person-to-person contacts."
Canadian
health officials and local politicians
were outraged.
"Where did
this group come from? Who did they see?
Who did they talk to?" a visibly angry Mel
Lastman, Toronto's outspoken mayor, asked
at a news conference.
"Let me be
clear. If it's safe to live in Toronto,
it's safe to come to Toronto. I dare them
to be here tomorrow."
City health
officials said the WHO advisory was both
irresponsible and regrettable. "The
outbreak is not over but it is definitely
under control," said Sheela Basrur,
Toronto's medical officer of health.
FEARS SARS
COULD BECOME PERMANENT
WHO fears
that SARS, with a mortality rate that
approaches 6 percent, may become a
permanent human disease. It has a higher
mortality rate than influenza, which kills
an average of 250,000 people every year
globally, although SARS so far affects far
fewer people.
But health
experts say a contagious respiratory
disease could easily become as common as
influenza is and, with such a high
mortality rate, it would be devastating.
The best
hope of containing SARS, they say, is to
act quickly and decisively.
"Today, one
of the most important means of spreading
diseases around the globe is air travel,"
Heymann said.
"That is
why we have been concentrating on that as
a part of it. That is where I would put us
today. We still do not know whether or not
we can stop this disease from becoming
endemic."
Hong Kong
announced a $1.5 billion package to help
businesses reeling from the impact of the
disease. The city has now had 105 SARS
deaths.
In
Singapore, where there have been 189
infections and up to 17 deaths, alarm was
growing over an outbreak among vendors at
the city-state's largest vegetable market
and the government threatened to jail
people violating quarantine.
Taiwan
reported nine new cases as a raft of
infections at a Taipei hospital brought
the island's total to 38 and raised
concern the virus could spread into the
community.
The World
Trade Organization said the epidemic would
contribute to a gloomy year with global
trade volume expected to increase by less
than three percent after an already poor
2.5 percent rise last year. |