PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of ehpmedspringer.comThis journalToc AlertsSubmit OnlineOpen Choice
 
Environ Health Prev Med. 2005 September; 10(5): 251–254.
PMCID: PMC2723407

Lessons learned from international responses to severe acute respiratory syndrome (SARS)

Abstract

In early February 2003, a previously unknown disease causing severe pneumonia was recognised. This disease which is now known as severe acute respiratory syndrome (SARS) is believed to have had its origins in the Guangdong Province of China, and was the cause of a multi-country epidemic resulting in significant morbidity and mortality. The World Health Organization (WHO) has been coordinating the international response to provide the epidemiological, laboratory, clinical and logistic requirements needed to contain this disease.

A rapid spread of SARS around the world occurred at its onset, facilitated greatly by air travel. Between November 2002 and July 2003, a total of 8,094 cases and 774 cases were reported from 26 countries worldwide.

WHO responded quickly to this multi-country outbreak and on 12 March released a “global alert” about SARS. This was followed by the first WHO travel advisory on 15 March. The Global Outbreak Alert and Response Network was activated, and international experts were brought together to implement enhanced global surveillance systems for SARS.

The international community has learned a lot of lessons from the SARS outbreak. Particularly, rapid and transparent information sharing between countries is critical to prevent international spread of the disease. However, information exchange was less than optimal in the early phase of the outbreak.

Key words: SARS, WHO, global outbreak alert, response network, international health regulations

References

(1) Xu RH, He JF, Evans MR, Peng GW, Field HE, Yu DW, et al. Epidemiologic clues to SARS origin in China. Emerg Infect Dis. 2004;10:1030–1037. [PubMed]
(2) Peiris JS, Yu WC, Leung CW, Cheung CY, Ng WF, Nicholls JM, et al. Re-emergence of fatal human influenza A subtype H5N1 disease. Lancet. 2004;363:617–619. [PubMed]
(3) WHO. World Health Organization issues a global alert about cases of atypical pneumonia. Geneva: WHO. Available from: URL: http://www.who.int/csr/sars/archive/2003F03F12/en/
(4) WHO Severe acute respiratory syndrome, update 96—Taiwan, China: SARS transmission interrupted in last outbreak area. Geneva: WHO. Available from: URL: http://www.who.int/csr/don/2003F07F01/en/
(5) WHO International Health Regulations (1969). Geneva: WHO. Available from: URL: http://www.who.int/csr/ihr/en/
(6) WHO Intergovernmental Working Group on the Revision of the International Health Regulations. Geneva: WHO. Available from: URL: http://www.who.int/gb/ghs/e/index.html.

Articles from Environmental Health and Preventive Medicine are provided here courtesy of The Japanese Society for Hygiene