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Reasonable Rascal
02-13-03, 00:25
Southern China grapples with mystery illness

http://www.cnn.com/2003/WORLD/asiapcf/east/02/11/china.flu/index.html

Wednesday, February 12, 2003 Posted: 2:57 AM EST (0757 GMT)

BEIJING, China -- Chinese and Hong Kong authorities are on the alert as a mystery illness sweeps through southern China.

The pneumonia-like sickness has so far killed at least five people and hospitalized around 300, with panicked Chinese flocking to pharmacies to stock up on medicines.

As officials scramble to find the source of the sickness -- which includes fever and coughing -- authorities in the southern province of Guangdong are telling residents not to be scared.

Rumors of hundreds of deaths sparked by the "atypical pneumonia" prompted scores of residents in southern China to buy antibiotics and vinegar.

People in Hong Kong and the Chinese territory of Macau also lined up to buy vinegar. News reports said one Hong Kong shop limited buyers to six bottles each and doubled the price to $2.60.

Many Chine se use vinegar as a disinfectant, and the surge in demand led to a 10 percent rise in the share price of a major producer on Tuesday, according to The Associated Press.

'Don't be scared'

Hospitals have been given extra antibiotics, which can be used to treat infections that could result as a side effect from viruses.

Local papers on Wednesday quoted a Guangzhou Information Department spokesman as saying the outbreak hit more than a month ago.

Most the cases -- 220 of 305 -- were reported in the Guangdong capital, Guangzhou, with doctors, nurses and other health workers especially hard hit.

"The sicknesses of all the patients are being effectively treated and they are under control," the spokesman said.

"People have no need to be scared."

But Chinese health professionals, including experts sent to Guangdong by Beijing, have yet to isolate the virus causing the outbreak.

'Not anthrax'

In a bid to quell concerns, the government's Xinhua news agency has ruled out an anthrax attack or bubonic plague.

This view was echoed by Hong Kong's director of health, Margaret Chan, who said initial reports showed it was not "anthrax or plague."

Authorities in Hong Kong -- the territory shares a border with the province - are monitoring the situation and say they have already contacted their counterparts in mainland China for more details.

At least three patients who may have caught the sickness while in Guangdong are being treated in Hong Kong hospitals.

The peak flu season for Hong Kong is January to March.

Soccer match

Across the border, provincial party secretary Zhang Dejiang ordered school children still on Lunar New Year holidays to start classes again next Monday. But a much-awaited soccer match between China and Brazil on Wednesday evening will still go ahead, he said.

Southern China is a major source of new strains of flu and other viruses that are often traced to the poultry industry.

An outbreak of bird flu in Hong Kong in 1997 killed six people and prompted the territory to slaughter all of its 1.4 million chickens.

In the latest outbreak, officials said while symptoms could worsen quickly, the sickness was generally not life-threatening.

-- CNN senior China analyst Willy Wo-Lap Lam and The Associated Press contributed to this report

Reasonable Rascal
02-13-03, 03:44
PNEUMONIA - CHINA (GUANGDONG) (02)
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A ProMED-mail post

[1]
Date: Tue, 11 Feb 2003 16:06:05
From: Jack Soo
Source: Associated Press Mon 10 Feb 2003 11:33 PM ET [edited]
<
http://story.news.yahoo.com/news?tmpl=story&u=/ap/20030211/ap_wo_en_po/as_gen_china_disease_panic_1
>

Virus outbreak in southern China kills 5, prompts panic buying of antibiotics
------------
An unidentified pneumonia virus has killed 5 people and left hundreds hospitalized in southern China, while rumors of a surging death toll prompted frightened residents to stock up on antibiotics, officials
said Tuesday.

Health officials said the outbreak in a region of Guangdong province near Hong Kong had been brought under control. They said Health Ministry investigators sent from Beijing were trying to find the source of the disease.

Some 300 people have been hospitalized, one third of them doctors, nurses, and other health workers, said an official of the provincial Disease Prevention and Control Center. He said 59 of those people had been treated and released. Officials wouldn't give any details about who was killed by the disease or when.

Rumors that hundreds of people had died prompted residents to clear store shelves of antibiotics and pay inflated prices for white vinegar for use as disinfectant, officials said. Photos in Hong Kong newspapers showed people in Guangdong wearing surgical masks in hopes of avoiding infection. Hospitals have been given extra antibiotics, officials said.

"The disease is under control. It's not as serious as the rumor said. The priority now is to figure out what caused it," said a doctor at the No.1 Hospital of the Guangzhou Medical School in Guangzhou, the provincial capital. She wouldn't give her name.

Southern China is a major source of new strains of flu and other viruses, which often are traced to the region's large poultry industry. An outbreak of bird flu in Hong Kong in 1997 killed 6 people and prompted health authorities to slaughter of all of the territory's 1.4 million chickens.

The latest disease was first reported in November [2002] in 4 cities in Guangdong including Zhongshan, about 100 kilometers (60 miles) northwest of Hong Kong, said the provincial disease- control official. "We did not take it seriously at the beginning," said the official. Rumors that the disease had spread to the neighboring island province of Hainan prompted similar panicked buying of antibiotics there, though no cases have been confirmed there, the government-run China News Service reported.

[Byline: Joe McDonald]

******
[2]
Date: Tue, 11 Feb 2003 07:18:20 -0800 (PST)
From: Marianne Hopp
Source: WHO Disease Outbreak Reported 11 Feb 2003 [edited]
<http://www.who.int/csr/don/2003_02_11/en/>


Acute respiratory syndrome in China
-------------------------------------
WHO has received reports from the Chinese Ministry of Health of an outbreak of acute respiratory syndrome with 300 cases and 5 deaths in Guangdong Province. A team from the Ministry of Health is working with health officials in the province to investigate the outbreak and collect samples for laboratory analysis.

******
[3]
Date: Tue 11 Feb 2003 23:21:48 +0800
From: Jack Soo
Source: Yahoo! News Singapore / Agence France-Presse [edited]
<http://sg.news.yahoo.com/030211/1/37bdt.html>


At least 5 killed, 305 hit by mystery disease in China
-------------------------------------------------
A mysterious lung virus has killed 5 people and stricken 305 in southern China, officials said amid a growing health panic.

The top leader of Guangdong province, Zhang Dejiang, ordered the provincial health department to set up an emergency experts group to probe the causes and sources of the unknown strain of pneumonia that first appeared some 2 months ago, Guangdong Department of Health officials told AFP Tuesday.

The government also urged immediate measures to curb the spread and fatalities of the disease which has been officially termed an "atypical pneumonia."

The disease reportedly first appeared 2 months ago in Heyuan city, 150 kilometers (90 miles) northwest of Hong Kong, while mid- January [2003] press reports from Zhongshan city in the Pearl River Delta downplayed the health scare and urged citizens not to panic.

"This virus has been present in Guangzhou for more than a month, and the illness of those afflicted has been effectively treated and controlled. There is no need for the people to panic."

Doctors urged citizens to immediately seek medical help if they develop symptoms of the airborne communicable virus that included fever, dizziness, muscle soreness, and bouts of coughing.

Residents were also urged to fumigate their rooms with a vinegar-based steam wash, wear gauze masks, and stay away from crowded areas such as shopping centers and train stations.

--
ProMED-mail
<promed@promedmail.org>

[This sounds a lot like the outbreak in Russia in 2001, for which we never heard the cause -- see ref. below. There is as yet no evidence that this outbreak is caused by a virus, but if it is, antibiotics and white vinegar will have no effect. China is good at diagnosing influenza, so it seems that this is something different that is highly infectious in a hospital setting. We await further information. - Mod.JW]