AAPHP News March 15 2003
News Items
1. AAPHP Election Results (from the 2/21/03 Annual Meeting): President-Elect - Arvind Goyal, MD, MPH; Vice President - Alfio Rausa MD, MPH; new BOT members - Timothy Barth, MD, CCPH; Joshua Lipsman, MD, MPH, and Perrianne Lurie, MD, MPH; Reelected BOT members - Sindy Paul, MD, MPH;
Stanley Reedy, MD, MPH and Elizabeth Safran, MD, MPH. Congratulations for
the election and thank you to all for serving.
2. WHO Severe Acute Respiratory Syndrome- Worldwide: Alert Those interested in keeping up with this evolving outbreak may wish to subscribe to ProMED-Mail - http://www.promedmail.org

AAPHP 50th ANNIVERSAY - February 2004!

AAPHP News is sent to members whenever we receive several items of potential interest. Send information for this newsletter to the editor Virginia Dato MD MPH at vmdato@pitt.edu. Please forward this newsletter to physicians who may be interested in joining. A membership application form can be found on our web page http://www.aaphp.org.

Item 2 From ProMed - WHO Severe Acute Respiratory Syndrome - Worldwide:alert Archive Number 20030315.0637 Published Date 15-MAR-2003 Subject PRO/ALL> Severe Acute Respiratory Syndrome - Worldwide:alert


A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases <http://www.isid.org>

Date: 15 Mar 2003
From: ProMED-mail promed@promedmail.org
Source: WHO Press release http://www.who.int/mediacentre/releases/2003/pr23/en/

World Health Organization issues emergency travel advisory Severe Acute Respiratory Syndrome (SARS) Spreads Worldwide

15 March 2003 | GENEVA -- During the past week, WHO has received reports of more than 150 new suspected cases of Severe Acute Respiratory Syndrome (SARS), an atypical pneumonia for which cause has not yet been determined. Reports to date have been received from Canada, China, Hong Kong Special Administrative Region of China, Indonesia, Philippines, Singapore, Thailand, and Viet Nam. Early today, an ill passenger and companions who travelled from New York, United States, and who landed in Frankfurt, Germany were removed from their flight and taken to hospital isolation.

Due to the spread of SARS to several countries in a short period of time, the World Health Organization today has issued emergency guidance for travellers and airlines.

"This syndrome, SARS, is now a worldwide health threat," said Dr. Gro Harlem Brundtland, Director General of the World Health Organization. "The world needs to work together to find its cause, cure the sick, and stop its spread."

There is presently no recommendation for people to restrict travel to any destination. However in response to enquiries from governments, airlines, physicians and travellers, WHO is now offering guidance for travellers, airline crew and airlines. The exact nature of the infection is still under investigation and this guidance is based on the early information available to WHO.

TRAVELLERS INCLUDING AIRLINE CREW: All travellers should be aware of main symptoms and signs of SARS which include:

  • ? high fever (greater than 38 C)  AND
  • ? one or more respiratory symptoms including cough, shortness of breath, difficulty breathing, AND one or more of the following:
  • ? close contact* with a person who has been diagnosed with SARS
  • ? recent history of travel to areas reporting cases of SARS.

In the unlikely event of a traveller experiencing this combination of symptoms they should seek medical attention and ensure that information about their recent travel is passed on to the health care staff. Any traveller who develops these symptoms is advised not to undertake further travel until they have recovered.

AIRLINES: Should a passenger or crew member who meets the criteria above travel on a flight, the aircraft should alert the destination airport. On arrival the sick passenger should be referred to airport health authorities for assessment and management. The aircraft passengers and crew should be informed of the person's status as a suspect case of SARS. The passengers and crew should provide all contact details for the subsequent 14 days to the airport health authorities. There are currently no indications to restrict the onward travel of healthy passengers, but all passengers and crew should be advised to seek medical attention if they develop the symptoms highlighted above. There is currently no indication to provide passengers and crew with any medication or investigation unless they become ill.

In the absence of specific information regarding the nature of the organism causing this illness, specific measures to be applied to the aircraft cannot be recommended. As a general precaution the aircraft may be disinfected in the manner described in the WHO Guide to Hygiene and Sanitation in Aviation.

As more information has become available, WHO-recommended SARS case definitions have been revised as follows:

Suspect Case: A person presenting after 1 Feb 2003 with history of :

  • ? high fever (greater than 38 C), AND
  • ? one or more respiratory symptoms including cough, shortness of breath, difficulty breathing, AND one or more of the following:
  • ? close contact* with a person who has been diagnosed with SARS
  • ? recent history of travel to areas reporting cases of SARS

Probable Case: A suspect case with chest x-ray findings of pneumonia or Respiratory Distress Syndrome


A person with an unexplained respiratory illness resulting in death, with an autopsy examination demonstrating the pathology of Respiratory Distress Syndrome without an identifiable cause.


In addition to fever and respiratory symptoms, SARS may be associated with other symptoms including: headache, muscular stiffness, loss of appetite, malaise, confusion, rash, and diarrhea.

Until more is known about the cause of these outbreaks, WHO recommends that patients with SARS be isolated with barrier nursing techniques and treated as clinically indicated. At the same time, WHO recommends that any suspect cases be reported to national health authorities.

WHO is in close communication with all national authorities and has also offered epidemiological, laboratory and clinical support. WHO is working with national authorities to ensure appropriate investigation, reporting and containment of these outbreaks.

*Close contact means having cared for, having lived with, or having had direct contact with respiratory secretions and body fluids of a person with SARS.

For more information contact:
Dick Thompson - Communication Officer
Communicable Disease Prevention, Control and Eradication
WHO, Geneva
Telephone: (+41 22) 791 26 84

[see also:
Acute respiratory syndrome - Canada (Ontario) 20030314.0631 Acute respiratory syndrome - East Asia 20030314.0630 Acute respiratory syndrome - China (HK), VietNam (03) 20030313.0624 Acute respiratory syndrome - China (Hong Kong), Vietnam (02) 20030313.0623 Acute respiratory syndrome - China (Hong Kong), Vietnam 20030312.0602 Undiagnosed illness - Vietnam (Hanoi): RFI 20030311.0595 Influenza, H5N1 human case - China (Hong Kong) (05) 20030228.0500 Pneumonia - China (Guangdong) (07) 20030221.0452 Pneumonia - China (Guangdong) (02) 20030211.0369 Pneumonia - China (Guangdong) (03) 20030214.0390 Pneumonia - China (Guangdong) (04) 20030219.0427 Pneumonia - China (Guangdong) (05) 20030220.0446 Pneumonia - China (Guangdong) (06) 20030220.0447 Pneumonia - China (Guangdong): RFI 20030210.0357 Avian influenza - China (Hong Kong) (03) 20030204.0300] .................................mpp