Update: Severe Acute Respiratory Syndrome – Toronto, Canada, 2003

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Berall, G. ; Berger, L. ; Christian, M. ; Gravel, D. ; Hansen, L. ; Henry, B. ; King, A. ; Low, D. ; McGeer, A. ; Mederski, B. ; Ofner, M. ; Shahin, R. ; Tam, T. ; Wallington, T. ; Wong, T. ; Yaffe, B.
• Description:
  Severe acute respiratory syndrome (SARS) was first recognized in Toronto in a woman who returned from Hong Kong on February 23, 2003. Transmission to other persons resulted subsequently in an outbreak among 257 persons in several Greater Toronto Area (GTA) hospitals. After implementation of provincewide public health measures that included strict infection-control practices, the number of recognized cases of SARS declined substantially, and no cases were detected after April 20. On April 30, the World Health Organization (WHO) lifted a travel advisory issued on April 22 that had recommended limiting travel to Toronto. This report describes a second wave of SARS cases among patients, visitors, and health-care workers (HCWs) that occurred at a Toronto hospital approximately 4 weeks after SARS transmission was thought to have been interrupted. The findings indicate that exposure to hospitalized patients with unrecognized SARS after a provincewide relaxation of strict SARS control measures probably contributed to transmission among HCWs. The investigation underscores the need for monitoring fever and respiratory symptoms in hospitalized patients and visitors, particularly after a decline in the number of reported SARS cases. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Health Care Facilities Workforce And Services Health Personnel Occupational Health Respiratory System Respiratory Tract Diseases Safety Viral Diseases
• Keywords:
  Disease-prevention Disease-transmission Health-care-facilities Health-care-personnel Infection-control Infectious-diseases Pulmonary-system-disorders Respiratory-infections Respiratory-system-disorders Surveillance-programs Viral-infections

  More +
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Publisher:
  Centers for Disease Control and Prevention (CDC) (U.S.)
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Canada
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  5 pdf pages
• Volume:
  52
• Issue:
  23
• NIOSHTIC Number:
  nn:20026621
• Citation:
  MMWR 2003 Jun; 52(23):547-550
• Federal Fiscal Year:
  2003
• Peer Reviewed:
  False
• Collection(s):
  National Institute for Occupational Safety and Health Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:27a48b2f6dee7b8472cb552a7edddcacfdce5994f78bea3db15c1b6d812280c78b3f4495f15a4405db6ad743337a76017512fc240189c059dd757c7c7ccd716e
• Download URL:
  https://stacks.cdc.gov/view/cdc/183322/cdc_183322_DS1.pdf
• File Type:
  [PDF - 94.63 KB ]