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Healthcare
Home/Healthcare/SARS

WHAT ARE THE SIGNS AND SYMPTOMS?
The sudden onset of high fever (> 100.4ºF or >38ºC) is the most consistent early sign of the illness. Fever is sometimes associated with chills or other flu-like
symptoms, including headache, a general feeling of discomfort, and body aches. Mild respiratory symptoms are also common at the outset: cough, sore throat,
shortness of breath, and difficulty of breathing.

WILL I GET INFECTED IF I GET IN CONTACT WITH A SARS CASE?

The reported cases thus far are cases of people with prolonged contact with a SARS case. The medical community is still studying why some in close contact get infected and others do not. Or why many get well, and a few cases (6 % to date) end up in death.

What has been discovered thus far is that there are stages of the disease. The first is the incubation stage of about 14 days where the virus multiplies in an infected person. Symptoms appear, the most common of which is fever, and at this point the victim is minimally contagious. Then pneumonia sets in, characterized
by sever acute respiratory distress, and this is when the patient is maximally contagious.

WHICH COUNTRIES HAVE REPORTED CASES AND WHAT IS THE RP SITUATION?

The WHO lists a cumulative number of reported cases of SARS in the following countries as of 8 May 2003:

As of May 8 there are 6,901 reported cases worldwide, of which 498, or 7%, have resulted in death. In the Philippines, there are ten (10) reported cases of
which two (2) have resulted in death of the victim. At least two of the (2) cases are “imported cases” i.e. due to infection from people who came from SARS-infected countries. Vigilant government action has resulted in successful containment of the disease (no widespread infection of others).

WHICH HOSPITALS CAN HANDLE SARS CASES?
The DOH has announced that there are two facilities equipped to handle SARS cases:

Research Institute for Tropical Medicine (RITM)
Alabang, Muntinlupa City
Director Remigio Olveda, Director
807-7599; 807-2636; 842-2828, 807-2634; 842-2245 fax
Contact persons: Dr. Manolito L. Chua, Dra. Marie Rose Delos Reyes
807-2628-32 (TL) loc. 801
Hotlines: 772-5567

San Lazaro Hospital
San Lazaro Compound, Sta. Cruz, Manila
OIC Dr. Arturo Cabanban
Contact persons: Dr. Perla Alban
732-3776 to 78; 732-3106
711-6966; 711-6979 fax

There is also a list of Provincial Hospitals which have been disseminated to Branch Managers and Sales Managers. Refer to attachment.

Any suspected SARS cases need to be brought to these hospitals. They have a dedicated ambulance service ready to pick up suspected cases. These hospitals
have the isolation, laboratory, and pathology capabilities to deal with the disease. The RITM has the molecular biology and electron microscopy facilities.

SHOULD I TAKE ANTI-PNEUMONIA VACCINES?
There is no vaccine yet developed for SARS.

WHAT ARE THE SENSIBLE PRECAUTIONS?
· Proper hygiene and frequent handwashing with soap are recommended.

· Build up your body’s resistance with proper nutrition, sufficient intake of fluids and proper rest.

· Seek immediate medical attention if you develop the symptoms and have traveled to the infected countries or were in contact with persons diagnosed with SARS.

· Even if you do not have a history of contact with a SARS case, if you develop a fever, do not go to work, and report your condition to your Supervisor; consult a physician and follow his advice, and monitor the condition especially for fever above 38º.

· If you have coughs and colds or difficulty breathing but no fever, consult a physician for appropriate medical advice.
· Cover your nose and mouth when coughing or sneezing.
· Avoid sharing eating utensils, and use proper serving spoons.

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