Severe Acute Respiratory Severe Acute Respiratory SyndromeSyndrome

SARSSARS

Cosimo BocchiCosimo Bocchi

HealthHealth

1 Lynch1 Lynch

HistoryHistory

In 2003In 2003AsiaAsiaBy Dr. Carlo By Dr. Carlo

UrbaniUrbaniPatient 0- Patient 0-

Business man Business man Both dieBoth die

management and assessment of patient with hemaetologic management and assessment of patient with hemaetologic desorderdesorder

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OutbreaksOutbreaks

20032003Hong KongHong KongSpreads to Asia Spreads to Asia

and Oceaniaand OceaniaThen to EuropeThen to Europe7839 infected in 1 7839 infected in 1

monthmonth

CauseCause

CoronavirusCoronavirus Cold Cold

Some think it Some think it came from came from animalsanimals

Others believe Others believe it was isolatedit was isolated

How to get the diseaseHow to get the disease

Highly Highly contagiouscontagious

ThroughThroughSalivaSalivaBloodBloodAirAirTouchTouch

DiagnosisDiagnosis

Any wayAny way Swabs Swabs -Saliva-Saliva -Mucus-Mucus -Anything else from -Anything else from

lungslungs Chest x-rayChest x-ray Blood gasesBlood gases Blood toxinsBlood toxins

SymptomsSymptoms

High FeverHigh FeverHeadachesHeadachesBody achesBody achesDry coughDry coughPneumonia, Pneumonia,

later onlater on

Body areas affectedBody areas affected

Respiratory systemRespiratory systemGastrointestinalGastrointestinalLiver Liver NeurologicalNeurological

PrognosisPrognosis

11% if 11% if severesevere

Spreads very Spreads very fastfast

Matter of Matter of timetime

PreventionPrevention

Stay away from Stay away from people with it people with it

Don’tDon’t -Breath-Breath -Smell-Smell -Taste-Taste -Kiss-Kiss -Touch-Touch

Cure?Cure?

Non-ExistingNon-ExistingTreatmentTreatment

++

PreventionPreventionReliefReliefHopeHope

TreatmentTreatment

Intense Intense hospitalizationhospitalization Intravenous therapyIntravenous therapyMedicationsMedicationsBreathing supportBreathing supportPrevention of infectionsPrevention of infectionsNursing careNursing care

Intravenous TherapyIntravenous Therapy

IntravenousIntravenous

==

into a veininto a veinFluids+Medications Fluids+Medications

in veinsin veinsBloodBloodDNADNA

MedicationMedication

Chelidonium Chelidonium MajusMajus

steroidssteroidsVast rangeVast range>3000 types>3000 types

Breathing SupportBreathing Support

VentilatorVentilatorYou can’t You can’t

breathe on breathe on your own your own

Machine gives Machine gives you oxygen you oxygen

WHOWHO

World Health World Health OrganizationOrganization

General health General health organizationorganization

Institution that Institution that isolated itisolated it

What should we do next?What should we do next?

Create better Create better sanitary conditionssanitary conditions

THE ENDTHE END