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"SARS will
not be the last new disease to take advantage of
conditions in a globalized world," predicted WHO
director general Gro Harlem Brundtland. "In the past two
decades, new diseases emerged at the unprecedented rate
of one per year," she said. "This trend is likely to
continue."
David
Baltimore, Nobel prize-winning virologist and president
of the California Institute of Technology echoes the
view. "It was and is inevitable that new agents will
appear," he said. "Each animal has its own range of
viruses, many of which have the potential to get into
the human population."
SARS will
probably be eliminated from most places in the world,
says Baltimore, but adds that stamping it out of China
is clearly the greatest challenge. "The world will
isolate China unless it controls SARS," he said, "so
they have a very strong incentive to do that."
Back in
April, the Chinese authorities were widely accused of
attempting to cover up the extent of the SARS epidemic.
"Our response at the very beginning was insufficient,"
admitted Gao Qiang, China's vice-minister for health at
the WHO global meeting on SARS in Kuala Lumpur, Malaysia
this week.
But Qiang
puts this down to a lack of understanding of the
disease, weaknesses in the public health system and
emergency services, insufficient laws and regulations,
and an inadequate alert system. Once the government
realized the severity of the epidemic, he says, it acted
quickly and responsibly.
"The decisive
measures we have taken have achieved noticeable
effects," he said, "and we have accumulated valuable
experience in the prevention and control of SARS."
WHO's
Brundtland praised the way that Vietnam and Singapore
dealt with the disease, and predicts that their
successes would soon be realized in Beijing, Hong Kong,
Taiwan, and Canada.
The most
compelling lesson that should be learned from SARS is
the importance of prompt and open reporting, she says.
"Attempts to conceal cases of an infectious disease for
fear of social and economic consequences must now be
recognized as carrying a very high price," she said.
Meanwhile,
vaccine research continues apace, says Marie-Paule
Kieny, director of WHO's initiative for vaccine
research. "Both academical institutions and vaccine
manufacturers have started producing the first candidate
vaccines," she told BioMedNet News. "These should
be available for testing in animal preclinical models
... within a few weeks or months," she said. |