BANGKOK, April 28 -- The World Health Organization said today
that the SARS outbreak has peaked and is on the decline in Canada,
Hong Kong and Singapore, but not in China, where WHO officials
called for detailed disclosure on the progress of the
sometimes-fatal respiratory ailment.
"We believe that these countries will still have to make great
efforts to control the outbreaks and contain them, but that they're
well on the way to decreasing that epidemic curve, so that they will
go down to no cases," said David L. Heymann, WHO chief of
communicable diseases. "We have great hopes that they will do that,
and that they will be free of SARS."
But he said China must work hard to identify cases and control
the outbreak of SARS in the provinces.
The U.N. health organization also reported that Vietnam is the
first country to successfully contain the virus and will be removed
from the organization's list of SARS-affected countries.
Leaders from a number of Asian countries, including Chinese
Premier Wen Jiabao, on his first foreign trip, and Hong Kong chief
executive Tung Chee-hwa, were to hold a one-day summit here on
Tuesday where they were expected to endorse measures to reduce the
spread of the disease.
At least 3,106 cases of SARS with 139 fatalities have been
reported in China, where the virus was first detected in November in
the southern province of Guangdong. The disease then spread to Hong
Kong, which has reported at least 1,557 cases and 138 fatalities.
Together, the incidence in mainland China and Hong Kong accounts for
more than 85 percent of all cases listed by WHO.
The WHO announcement on the decline of the disease in some
locations is an indication that the virus, which has killed 321
people worldwide and infected more than 5,000, can be eradicated,
officials said.
Since April 11, the number of new infections in Canada, Hong
Kong, Singapore and Vietnam has decreased, said Heymann, speaking to
a meeting of the Foreign Correspondents Club of Thailand. But China
reported 203 new cases of SARS and eight more deaths today.
[Singapore officials on Tuesday said it was too early to say
whether the outbreak had peaked in Singapore, as hospitals turned
away visitors in an effort to curb the spread of SARS, the Reuters
news service reported.
Singapore, coping with the world's fourth-highest number of SARS
cases, has gone two consecutive days without a new case, raising
hope that tough government measures had made substantial progress in
containing the illness.
"We'll have to wait for at least another two weeks," Eunice Teo,
a Health Ministry spokeswoman, told Reuters.]
Henk Bekedam, head of the WHO office in Beijing, called on
Chinese officials to provide more details about SARS, including
detailed identification of outbreaks and the location of patients.
Earlier this month, the Chinese government officially listed only
37 cases and four deaths from SARS in Beijing. Officials later
acknowledged mistakes in handling the outbreak and apologized for
underreporting statistics about the epidemic. Today, 96 new cases
were reported in Beijing, increasing the total there to 1,199, with
59 deaths.
Bekedam said researchers needed to track each new case. "The key
question is, what do we know about the 96, who are the 96, when did
they start, where did they live?" he said. "This kind of data at
this moment is the big challenge."
"We do think that it is now high time that this information
becomes available," Bekedam said. "This information is also crucial
for everybody to have an understanding from what's going on, and I
think at this very moment, we don't know."
Tuesday's summit in Bangkok is an indication of the high level of
importance given to fighting the illness, WHO officials said. The
Asian leaders were expected to endorse and perhaps expand on
standardized detection and protection measures agreed on last week
by their health ministers at a meeting in Malaysia. The measures
include strict regionwide pre-departure screening of travelers for
SARS symptoms.
"To have the head of China and the chief executive of Hong Kong
to come to a meeting on SARS is quite a government commitment to
confronting the disease," Heymann said. "It never happened with
AIDS."
Heymann said the key factor in eradicating SARS appeared to be
early detection and an aggressive response. Vietnam has now gone 20
days without a new infection, twice the assumed 10-day incubation
period for the disease. Vietnam listed 63 infections and five
deaths.
The outbreak occurred in a private hospital, infected mainly
health workers, and was rapidly contained, though not through
quarantines, said the WHO representative in Vietnam, Pascale Brudon,
in a telephone interview from Hanoi. The disease was brought to
Vietnam by a Chinese American businessman who arrived from Hong Kong
in late February.
"From the beginning, we contacted our network around the world
and we were able to inform the government quickly" about the case,
Brudon said. An international team was formed and strong infection
control measures were established to make sure the infection did not
spread beyond health workers, she said. All infections in Vietnam
trace back to the one imported case, she said.
WHO said it was dropping travel advisories and was no longer
listing Vietnam as a SARS-affected country. But no decision has been
made on dropping travel advisories to Toronto, Hong Kong, Beijing
and Guangdong province.
Heymann, noting the "unnecessary negative impact" SARS has had on
tourism and trade, said that SARS should not prevent people from
traveling. He said that there has been evidence of only five
confirmed instances of SARS transmission on aircraft, although
millions of people have flown since the outbreak was first detected.
"Unfortunately," Heymann said, "the public perceive the risk to
be much greater than the risk actually is. SARS is not transmitted
to people walking on the main street in any city or town."
SARS is spread by close personal contact with an infected person,
he said. The virus is spread by droplets -- through a sneeze or a
cough -- or by touching a surface contaminated by the droplets.
Evidence further suggests that the contact must take place during a
certain early stage of the infection, said Mark Salter, WHO's Geneva
coordinator for clinical management of SARS, who also spoke to
reporters.Correspondent John Pomfret in Beijing contributed to
this report.