Abstract

SARS Transmission and Commercial Aircraft

Highlights

  • On 16-17 May 2003, the World Health Organization held the first global meeting on the epidemiology of SARS in Geneva, Switzerland

  • The participants recognized that striking progress had been made in global understanding of the science of SARS, and the coronavirus[1] that is its cause (SARS-CoV), since the first information began to be gathered in March

  • It was noted that in some cases, late diarrhoea may be related to antibiotic treatment rather than part of the natural history of the disease: given that viral excretion was greatest in stool, diarrhoea could still remain important for infectivity, regardless of its cause.iii

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Summary

Introduction

On 16-17 May 2003, the World Health Organization held the first global meeting on the epidemiology of SARS in Geneva, Switzerland. Seven topics for discussion (see below) were selected on the basis of their importance as epidemiological indicators of the potential impact of the SARS epidemic and the potential for prevention, containment, elimination or eradication Participants presented their findings to a broad audience on Friday May and a smaller group met on Saturday May to review the data and formulate draft recommendations for wider dissemination. Dr Guénäel Rodier (Director, Communicable Disease Surveillance and Response Department, WHO) highlighted the importance of sharing data and experience and the need to reach a consensus on the epidemiology of SARS to enable evidence-based public health action. Discussions at this meeting focused on seven main topics:. It provides a synthesis of our current understanding of the epidemiology of SARS and the priorities for public health research

Recommendations from the global meeting on the epidemiology of SARS
Incubation period
Infectious period
Case-fatality ratios
The presence and significance of subclinical infection
Animal and environmental reservoirs
Cross-cutting issues
Key epidemiological distributions
Routes of transmission
The global epidemiology of SARS
Risk factors for SARS
Special populations requiring investigation
Airline transmission
23 February–14 March 15 March–26 March 27 March–23 May 23 February–23 May
The SARS experience by geographical area
Animal reservoirs
Domestic animals
Wildlife
Food safety
Stability and resistance of the SARS coronavirus
VIII. Cross-cutting issues
OBJECTIVES

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