Update on Severe Acute Respiratory Syndrome SARS

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UpdateonSevere Acute Respiratory Syndrome(SARS)

• Prepared by the
• Department of Health
• April 4, 2003

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According to the WHO,as of April 3, 2003,the
total number of casesof SARS worldwide is
2270with 78 deaths.(Death Rate 3.5)At
present, there has beenno confirmed case of SARS
identified in the Philippines.
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China (Mainland) Guangdong Province, Beijing,
and Shanxi 806 cases, 34 deaths, with local
transmission (16 November 2002 to 28 February
2003)
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China,Hong Kong Special Administrative Region
685 cases, 16 deaths, with local transmission
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SARS Cases Asia and Australia
China - 1190
Taiwan 14
Hong Kong - 734
Thailand - 7
Vietnam - 59
Singapore - 98
Australia - 1
TOTAL 2103
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Deaths Asia and Australia
China - 46
Taiwan 0
Hong Kong - 17
Thailand - 2
Vietnam - 4
Singapore - 4
Australia - 0
TOTAL 73
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Asian Countries with SARS
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Non-Asian Countries with SARS
Due to differences in the case definitions being
at a national level, probable cases are reported
by all countries except the United States of
America, which is reporting suspect cases under
investigation.
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Deaths Asia and Australia
China - 34
Taiwan 0
Hong Kong - 16
Thailand - 1
Vietnam - 4
Singapore - 3
Australia - 0
TOTAL 58
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How do we determinewho has SARS?

• Signs and Symptoms
• cough
• difficulty of breathing
• fever (gt38 C 100.4 F)
• Chest x-ray results
• pneumonia or
• acute respiratory distress syndrome
• History of travel
• within 7 days of onset of symptoms from countries
  with SARS cases
• Close contact with persons diagnosed with SARS

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SARS transmission

• SARS can be transmitted from person to person by
  droplet infection.
• SARS cases, when they cough, can spread droplets
  with the infective organism to a distance of
  approximately one meter or three feet.
• SARS can not be transmitted by mosquitoes or
  other insects and animals.

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How to Prevent Spread

• Barring entry of sick passengers at port of exit
  from countries with SARS cases (i.e. China, Hong
  Kong, Singapore and Vietnam)
• Health assessment through the Health Check List
  and self-reporting among Philippine airports
• Triage of cases through DOH hotline and referral
  to appropriate hospital facility

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Advisory on Quarantine

• Persons symptomatic on arrival
• Direct to airport or maritime quarantine station
• Refer to hospitals (San Lazaro or RITM or
  regional hospitals)
• Persons asymptomatic on arrival
• If with contact with SARS case
• Advise Voluntary Home Confinement
• Limit contact with members of the household
• Call DOH hotlines once signs and symptoms
  indicative of SARS appear within 7 days after
  arrival
• If without known contact with SARS case
• Call DOH hotlines once signs and symptoms
  indicative of SARS appear within 7 days after
  arrival

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List of Medical Centersand Regional Hospitals

• Metro Manila
• CITY OF MANILA
• SAN LAZARO HOSPITAL
• MUNTINLUPA CITY
• RESEARCH INSTITUTE FOR
• TROPICAL MEDICINE

• Region I
• SAN FERNANDO, LA UNION
• ILOCOS TRAINING AND
• REGIONAL MEDICAL CENTER
• BATAC, ILOCOS NORTE
• MARIANO MARCOS MEMORIAL
• HOSPITAL AND MEDICAL CENTER

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List of Medical Centersand Regional Hospitals

• Region II
• BAYOMBONG, NUEVA VIZCAYA
• VETERANS REGIONAL HOSPITAL
• TUGUEGARAO, CAGAYAN
• CAGAYAN VALLEY MEDICAL CENTER

• Region III
• SAN FERNANDO, PAMPANGA
• JOSE B. LINGAD MEMO.
• GENERAL HOSPITAL
• CABANATUAN, NUEVA ECIJA
• DR. PAULINO GARCIA MEMORIAL
• RESEARCH AND MEDICAL CENTER

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List of Medical Centersand Regional Hospitals

• Region IV
• BATANGAS CITY, BATANGAS
• BATANGAS REGIONAL HOSPITAL

• Region V
• LEGASPI CITY, ALBAY
• BICOL REGIONAL TRAINING
• AND TEACHING HOSPITAL
• NAGA CITY, CAMARINES SUR
• BICOL MEDICAL CENTER

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List of Medical Centersand Regional Hospitals

• Region VI
• BACOLOD CITY, NEGROS OCCIDENTAL
• WESTERN VISAYAS REGIONAL HOSPITAL
• MANDURRIAO, ILOILO CITY
• WESTERN VISAYAS MEDICAL CENTER

• Region VII
• TAGBILIRAN CITY, BOHOL
• GOV. CELESTINO GALLARES
• MEMORIAL HOSPITAL
• CEBU CITY
• VICENTE SOTTO SR. MEMORIAL
• MEDICAL CENTER

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List of Medical Centersand Regional Hospitals

• Region VIII
• TACLOBAN CITY, LEYTE DEL NORTE
• EASTERN VISAYAS REGIONAL MEDICAL CENTER

• Region IX
• DAPITAN CITY, ZAM. DEL NORTE
• DR. JOSE RIZAL MEMORIAL HOSPITAL
• MARGOSATUBIG, ZAM. DEL SUR
• MARGOSATUBIG REGIONAL HOSPITAL
• ZAMBOANGA CITY, ZAM. DEL SUR
• ZAMBOANGA CITY MEDICAL CENTER

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List of Medical Centersand Regional Hospitals

• Region X
• OZAMIS CITY, MISAMIS OCCIDENTAL
• MAYOR HILARION RAMIRO SR. REGIONAL
• TRAINING AND TEACHING HOSPITAL
• CAGAYAN DE ORO CITY, MISAMIS ORIENTAL
• NORTHERN MINDANAO MEDICAL CENTER

• Region XI
• TAGUM CITY, DAVAO DEL NORTE
• DAVAO REGIONAL HOSPITAL
• BAJADA, DAVAO CITY
• (JP LAUREL, DAVAO CITY)
• DAVAO MEDICAL CENTER

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List of Medical Centersand Regional Hospitals

• Region XII
• COTABATO CITY, NORTH COTABATO
• COTABATO REGIONAL AND MEDICAL CENTER

• CORDILLERA AUTONOMOUS REGION
• ABATAN, BAUKO, MT. PROVINCE
• LUIS HORA MEMORIAL REG'L. HOSPITAL
• BAGUIO CITY
• BAGUIO GENERAL HOSPITAL AND
• MEDICAL CENTER

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List of Medical Centersand Regional Hospitals

• ARMM
• MARAWI CITY, LANAO DEL SUR
• AMAI PAKPAK MEDICAL CENTER

• CARAGA
• SURIGAO CITY, SURIGAO DEL NORTE
• CARAGA REGIONAL HOSPITAL
• TANDAG, SURIGAO DEL SUR
• ADELA SERRA TY MEMORIAL MEDICAL CENTER

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Do not worryIf you did not travel to countries
with SARS cases in February to MarchIf you did
travel to countries with SARS cases but did
notcome near a known case of SARS
PUBLIC ADVISORY
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For inquiries, call741-7048or743-1937or
text your questions at0916-466-5823