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New What is actually known?
We don't know that much about transmission, and there is some evidence that it may be somewhat easier than initially thought, but the death rate is currently being estimated slightly lower than before (3.5% vs 4%):

[link|http://www.cnn.com/2003/HEALTH/03/29/mystery.illness/index.html|http://www.cnn.com/2...llness/index.html]
[link|http://www.nytimes.com/2003/03/30/health/30INFE.html?ex=1049605200&en=515394677ffb382d&ei=5062&partner=GOOGLE|http://www.nytimes.c...62&partner=GOOGLE]

As for Toronto, what appears to have changed is that there is a public panic. They not only have to deal with the medical problem, but also the panic. If someone thinks that they might have it and you think that they don't, why not just tell them to isolate themselves? No real harm done, and they are out of your hair. A more detailed report describing how they were swamped:

[link|http://www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_Type1&c=Article&cid=1035780018110&call_pageid=968332188492&col=968793972154|http://www.thestar.c...&col=968793972154]

And, speaking of panic, this is a very good time to re-read [link|http://www.vmyths.com/fas/fas1.cfm|http://www.vmyths.com/fas/fas1.cfm], all of it. It talks about a different kind of virus, but the phenomena that it talks about is universal. I also note that mere geographic proximity to an outbreak doesn't actually confer any actual expertise on the topic in question.

Yes, this disease is a serious public health threat. But when all is said and done, and the corpses are tallied, I am willing to bet that the panic over the disease will cost an order of magnitude more than the disease itself did - with little reduction in the actual long-term spread because of it.

Of course that bet is being made by a moderately informed person armed with no more than a broad general background, decent intelligence, and undue verbal facility. Insert appropriate levels of skepticism...

Cheers,
Ben

PS I actually am finally getting around to reading [link|http://www.lauriegarrett.com/index_betrayal.html|http://www.lauriegar...dex_betrayal.html] and I reiterate my recommendation to read it. It is a very good book that is extremely relevant to the current situation.

PPS If the name Laurie Garrett rings a bell, it is because she is the person who wrote the infamous description of what happened at the WEF...
"good ideas and bad code build communities, the other three combinations do not"
- [link|http://archives.real-time.com/pipermail/cocoon-devel/2000-October/003023.html|Stefano Mazzocchi]
New Known SARS cases in T.O. tops 100
At least, so says CBC Newsworld tonight (as in, five minutes ago). The health unit folks say they expect to see more. Also, they've called in the police to start ensuring that quarantines are observed.

I suspect that the reason they went from "it's all OK" to "close hospitals and quarantine" is because they knew that the confirmed cases were about to rise dramatically. As Dr. Cunha put it in today's press conference "the major vectors now are health workers and people in close personal contact with them" which is to say health workers in the two hospitals that have been completely closed and their families.

I've been reading the Garrett stuff too. Very interesting reading, albeit all US history; obviously, the development of public health infrastructure followed a very different path in Canada.

I think it's the very large differences between the two that have led to the different approaches to dealing with SARS on the two sides of the border. It will be very interesting to see how it plays out... there's a paper in there, that's for sure.
--\n-------------------------------------------------------------------\n* Jack Troughton                            jake at consultron.ca *\n* [link|http://consultron.ca|http://consultron.ca]                   [link|irc://irc.ecomstation.ca|irc://irc.ecomstation.ca] *\n* Kingston Ontario Canada               [link|news://news.consultron.ca|news://news.consultron.ca] *\n-------------------------------------------------------------------
New Her book is not all US
As for SARS, an impending rise is a good reason to get more serious. As I said at first, with an untreatable disease either you succeed in confining it at the start, or you have to live with the consequences of failing. If current policy is not containing it, then it is better to go drastic early than to wait.

The more than 100 number is also confirmed at [link|http://www.globeandmail.com/servlet/story/RTGAM.20030329.umask0329/BNStory/National|http://www.globeandm.../BNStory/National].

Ben
"good ideas and bad code build communities, the other three combinations do not"
- [link|http://archives.real-time.com/pipermail/cocoon-devel/2000-October/003023.html|Stefano Mazzocchi]
New Well, I'm only reading chapter 4
That's the one she has available online in PDF format, though there may be other parts that I've not found yet. Interesting reading, nonetheless; the recounting of early twentieth century public health advances in New York is fascinating. I'm more familiar with the efforts of the Europeans (Pasteur, Snow, etc) than I am with what happened in the US in the late nineteenth and early twentieth centuries.

As for SARS in T.O., I have to say I'm concerned. Considering that these folks are ones who should know how to minimise risk of infection from their patients, the possibilities for what's going to happen to their immediate families are chilling; they would simply not have been thinking about it most of the time, I'd imagine.

One thought that I had earlier this evening would be the consequences if it got into the homeless population in Toronto. That would be really bad, I think. That possibility underlines the importance of looking at indigency not only as an ethical problem (the suffering of the indigent) but also as a potential public health problem.
--\n-------------------------------------------------------------------\n* Jack Troughton                            jake at consultron.ca *\n* [link|http://consultron.ca|http://consultron.ca]                   [link|irc://irc.ecomstation.ca|irc://irc.ecomstation.ca] *\n* Kingston Ontario Canada               [link|news://news.consultron.ca|news://news.consultron.ca] *\n-------------------------------------------------------------------
     Third hand scary SARS rumor - (ben_tilly) - (23)
         Further spread in Canada - (jake123) - (1)
             That is a better theory than any I had - (ben_tilly)
         Man, this is bad - (jake123) - (6)
             I've been told it's in Windsor as well - (admin) - (1)
                 We haven't heard that up here - (jake123)
             It would be financially ruinous - (ben_tilly) - (3)
                 Might not be a bad idea to prep yourself - (jake123) - (2)
                     I like avoiding unproductive panic - (ben_tilly) - (1)
                         Sounds like a good time to update PHP though... - (tseliot)
         The story has been mentioned in mainstream media - (ben_tilly) - (6)
             They're only reporting index patients? - (jake123) - (5)
                 So *that* is what an index patient is? - (ben_tilly)
                 What is actually known? - (ben_tilly) - (3)
                     Known SARS cases in T.O. tops 100 - (jake123) - (2)
                         Her book is not all US - (ben_tilly) - (1)
                             Well, I'm only reading chapter 4 - (jake123)
         Cosmic ruminations aside.. - (Ashton)
         Rumours of it in my general area - (tangaroa)
         #UPDTE Wife arrived HK last night - here are her stories ... - (dmarker) - (4)
             Best hopes for a healthy imune system.. - (Ashton)
             Seconding what Ashton said. - (inthane-chan) - (2)
                 I had been increasingly concerned about her - (dmarker) - (1)
                     Crossing fingers for her, Doug. - (a6l6e6x)

> I can't quite tell the difference latterly between IWT and an encounter group moderated by Livia Soprano.
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