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Emerging Infectious Disease

 

Specific Disease Frequently Asked Questions | SARS

Choose a topic below to jump to the Specific Disease FAQ's for that particular topic.

SARS: THE ILLNESS

What is SARS?
What is the cause of SARS?
What are coronaviruses?
How long can the SARS coronavirus (SARS Co-V) survive in the environment?
What are the symptoms and signs of SARS?
If I were exposed to SARS, how long would it take for me to become sick?
What medical treatment is recommended for patients with SARS?
What should I do if I think I have SARS?

THE SPREAD OF SARS

How is SARS spread?
How can I protect myself against SARS?
Who is most at risk of contracting SARS?
Should I wear a surgical mask to prevent SARS?

TRAVEL & QUARANTINE

Are there any travel restrictions related to SARS?
What if I must travel to a county where there is community spread of SARS? What precautions can I take?
What should I do if I have recently traveled to a county where cases of SARS have been reported?
What is the difference between a "travel alert" and a "travel advisory" issued by CDC?
What is the risk to individuals who may have shared a plan or boat trip with a suspected SARS patient?
If I'm on board an airplane or ship with someone suspected of having SARS, will I be allowed to continue to my destination?

THE ILLNESS

What is SARS?
Severe acute respiratory syndrome (SARS) is a respiratory illness that has recently been reported in Asia, North America, and Europe.

What is the cause of SARS?
Scientists at CD and other laboratories have detected a previously unrecognized corona virus in patients with SARS. This new coronavirus is the leading hypothesis for the cause of SARS.

What are coronaviruses?
Coronaviruses are a group of viruses that have a halo or crown-like (corona) appearance when viewed under a microscope. These viruses are a common cause of mild to moderate upper-respiratory illness in humans and are associated with respiratory, gastrointestinal, liver and Neurologic disease in animals.

How long can the SARS coronavirus (SARS Co-V) survive in the environment?
Preliminary studies in some research laboratories suggest that the virus may survive in the environment for several days. The length of time that the virus survives likely depends on a number of factors. These factors could include the type of material or body fluid containing the virus and various environmental conditions such as temperature or humidity. Researchers at CDC and other institutions are designing standardized experiments to measure how long SARS Co-V can survive in situations that simulate natural environmental conditions.

Data on survival of SARS outside of the human body emphasize the importance of frequent handwashing with soap and water or use of alcohol-based sanitizing lotion/gel.
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What are the symptoms and signs of SARS?
The illness usually begins with a fever (greater than 100.4 F). The fever is sometimes associated with chills or other symptoms, including headache, general feeling of discomfort and body aches. Some people also experience mild respiratory symptoms at the outset.

After 2 to 7 days, SARS patients may develop a dry, nonproductive cough that might be accompanied by or progress to the point where insufficient oxygen is getting to the blood. In 10% to 20% of cases, patients will require mechanical ventilation.
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If I were exposed to SARS, how long would it take for me to become sick?
The incubation period for SARS is typically 2 - 7 days; however, isolated reports have suggestion an incubation period as long as 10 days.
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What medical treatment is recommended for patients with SARS?
CDC currently recommends that patients with SARS receive the same treatment that would be used for any patient with serious community-acquired atypical pneumonia.
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What should I do if I think I have SARS?
If you are ill with a fever greater than 100.4 F that is accompanied by a cough or difficulty breathing or that progresses to a cough and/or difficulty breathing, you should consult a health-care provider. To help your health-care provider make a diagnosis, tell him or her about any recent travel to regions where cases of SARS have been reported and whether you were in contact with someone who has had these symptoms. You can also contact the St. Charles County Department of Community Health and the Environment for further instructions and/or information.
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THE SPREAD OF SARS

How is SARS spread?
The primary way that SARS appears to spread is by close person-to-person contact. Potential ways in which SARS can be spread include touching the skin of other people or objects that are contaminated with infectious droplets and then touching your eye(s), nose, or mouth. This can happen when someone who is sick with SARS coughs or sneezes droplets onto themselves, other people, or nearby surfaces. It also is possible that SARS can be spread more broadly through the air or by other ways that are currently not known.
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How can I protect myself against SARS?
There are some common-sense measures that you can take to prevent the spread of SARS that apply to many infectious diseases. The most important is frequent hand washing with soap and water or use of alcohol-based hand rubs. In addition, you should avoid touching your eyes, nose, and mouth with unclean hands and encourage people around you to cover their nose and mouth with a tissue when coughing or sneezing.
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Who is most at risk of contracting SARS?
Most of the U.S. cases of SARS have occurred among travelers returning to the United States from other parts of the world affected by SARS. There have been very few cases as a result of spread to close contacts such as family members and health care workers. Currently, there is no evidence that SARS is spreading more widely in the community in the United States.
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Should I wear a surgical mask to prevent SARS?
People who have-or think they might have-SARS should cover their mouth and nose with a tissue when coughing or sneezing. If possible, they also should wear a surgical mask during close contact with people who are not infected (for example, household members) to prevent the spread of infectious droplets. When a person with SARS is unable to wear a surgical mask, household members should wear surgical masks when in close contact with the patient.

Surgical masks should fit snugly around the mouth and nose. Masks are intended for use by one person only and should not be shared. Masks should be discarded when soiled or moist; changing masks daily is a good rule of thumb.
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TRAVEL & QUARANTINE

Are there any travel restrictions related to SARS?
At this time there are no TRAVEL RESTRICTIONS in place that are directly related to SARS. However, a CDC travel advisory recommends that individuals who are planning nonessential or elective travel to mainland China, Hong Kong and Taiwan may wish to postpone their trip until further notice. CDC also has issued travel alerts for Singapore; Hanoi, Vietnam; and Toronto, Canada, to recommend that U.S. travelers to any of these places observe precautions to safeguard their health.
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What if I must travel to a county where there is community spread of SARS? What precautions can I take?
As with all infectious illnesses, the first line of defense is careful hand hygiene. As a general rule, it is good practice to wash hands frequently with soap and water; if hands are not visibly soiled, alcohol-based hand rubs may be used as an alternative.

To minimize the possibility of infection, you may wish to avoid close contact with large numbers of people as much as possible. CDC does not recommend the routine use of masks while in public areas.
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What should I do if I have recently traveled to a county where cases of SARS have been reported?
You should monitor your own health for 10 days following your return. If you become ill with a fever of more than 100.4 F that is accompanied by a cough or difficulty breathing or that progresses to a cough and/or difficulty breathing, you should consult a health-care provider. To help your health-care provider make a diagnosis, tell him or her about any recent travel to regions where cases of SARS have been reported and whether you were in contact with someone who had these symptoms.
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What is the difference between a "travel alert" and a "travel advisory" issued by CDC?
CDC issues two types of notices to travelers depending on specific situations: travel alerts and travel advisories. Travel Alerts inform travelers of a health concern in a particular area and provide advice about specific precautions that should be taken. A Travel Advisory notifies travelers of potentially more serious situations and advises that non-essential travel be postponed.
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What is the risk to individuals who may have shared a plan or boat trip with a suspected SARS patient?
Cases of SARS continue to be reported primarily among people who have had direct close contact with an infected person, such as those sharing a household with a SARS patient and health-care workers who did not use infection control procedures while attending to a SARS patient. SARS also has occurred among air travelers, primarily travelers to and from Hong Kong, Hanoi, Singapore and mainland China.

CDC is requesting locating information from travelers who are on flight with people suspects of having SARS. You should contact your local health department if you suspect that this has occurred, so that the health department can report this to the CDC and they can begin their investigation.
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If I'm on board an airplane or ship with someone suspected of having SARS, will I be allowed to continue to my destination?
CDC does not currently recommend that the onward travel of health passengers be restricted nit he event that a passenger or crew member suspected of having SARS is removed from the ship or airplane by port health authorities. All passengers and crew members may be advised by port health authorities to seek medial attention if they develop SARS symptoms.
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