news 20071122225647

80 %
20 %
Information about news 20071122225647
Education

Published on March 5, 2008

Author: Cinderella

Source: authorstream.com

Slide1:  What Lessons We Have Learnt from SARS Break in China? Miao Xiaohui Ph. D & M.D. Vice President, Changzheng Hospital, Second Military Medical University Shanghai, P. R. China www.miaoxh.com Slide2:  A email from professor Hou Jinlin at the beginning of February 2003 : Dear Prof. Miao: Recent months, a strange (mysterious) communicable disease is epidemic in Guangdong Province which is characterized with high fever, quick spreading, airway transmitting, high rate of HCWs infection and high mortality. Please tell and alert those experts and doctors who work at department of infectious diseases and respiratory diseases. www.miaoxh.com Slide3:  Sorry, I nearly ignored it! www.miaoxh.com Slide4:  What I did during the SARS outbreak in China? 2003.3.22: Sent two medical staff of Changzheng Hospital to Guangzhou to visit Southern Hospital. 2003.3.25: Gave a presentation titled “Pay high attention to atypical pneumonia” at the conference regarding to atypical pneumonia which was firstly held in Shanghai after SARS outbreak. 2003.3.30: I was invited to be a “consulting expert” by Health Bureau of Shanghai and thereafter attended numerous meetings organized by Health Bureau of Shanghai and Shanghai Medical Association. www.miaoxh.com Slide5:  2003.4: I was the head responsible for our hospital’s surveillance for suspicious, suspect and probable patients 2003.4.10: For the first time I attended a consulting activity for a imported SARS patient from Hong Kong. 2003.5.4-2003.6.23: As the commander, I lead a medical team including 72 members from SMMU to Beijing Xiaotangshan Hospital, where I spent a nervous, hard, challenging and unforgettable 50 days. www.miaoxh.com What I did during the SARS outbreak in China? Slide7:  www.miaoxh.com Slide8:  www.miaoxh.com Slide9:  www.miaoxh.com Slide10:  www.miaoxh.com Slide11:  Morbidity and Mortality of SARS www.miaoxh.com Diagnosed Dead Cured Survived(%) Whole world 8437 812 7449 88.29 Mainland, China 5327 348 4941 92.75 Taiwan, China 671 84 506 75.41 Hong Kong, China 1755 298 1431 81.54 Xiaotangshan 680 8 672 98.80 Hospital Data till 7 October 2003 Slide12:  The lessons could be learnt from SARS break in mainland of China Lessons 1: Both ignorance and panic are unreasonable to a new emerging disease Lessons 2: General rules of infectious disease will not change a lot. Lessons 3: The roles played by government should be re- considered. Lessons 4: National and international collaboration as well as inter-laboratories is permanently needed Lessons 5: SARS CoV vaccine develop: a tasty dinner? or a deluxe banquet? www.miaoxh.com Slide13:  Lessons 1: Both ignorance and panic are unreasonable to a emerging disease Government: Researchers: Clinicians: Medium: Public: www.miaoxh.com Slide14:  Lessons 1: Both ignorance and panic are unreasonable to a emerging disease www.miaoxh.com Government Researchers Clinicians Medium Public Slide15:  Follow Koch’s rule: Multi-ways to transmit but in a main manner Clinical presentation may provide some clues Transmitting chain can be broken when proper measures are utilized Any causative agents infection always lead to different outcomes Is it not infectious during the latent period? What is the original reservoir? Rivet? Bat ?Or other wild animals? SARS “Gone with the wind”? www.miaoxh.com Lessons 2: General rules of infectious disease will not change a lot. Slide17:  To be honest and tell pubic the truth at any time Do not interfere in researcher’s researches but support them Decision making should be based on the data from scientific survey and query a visible public health center is not equal to an invisible public health system ask experts and medical organization for making decision open up to the outside world Much more money is needed to establish and solid the public health system www.miaoxh.com Lessons 3: The roles played by government should be re-considered Slide18:  Government Researchers Clinicians Medium Public www.miaoxh.com Causing: Panic, disturbance, and losses in economy, politics and diplomacy Slide19:  Did patient’s blood samples belong to a single one or a single unit? Academic controversy: benefit or harmful? Keeping silence or speaking out? WHO: friendship? Or hostile? Why not joining the legal international network organization? www.miaoxh.com Lessons 4: National and international collaboration as well as inter-laboratories is permanently needed Slide21:  Stage 1: early stage when SARS-CoV was discovered Stage 2: late stage when SARS has gone and dose not appear again Two questions remain to be answered: 1. How and can we prove the protectiveness of any kinds of vaccine? 2. Can and which animal model mimic human immune- response to SARS-CoV? www.miaoxh.com Lessons 5: SARS CoV vaccine develop: a tasty dinner? or a deluxe banquet? Slide22:  Some questions should be cautiously answered 1. Is Osterporosis (thighbone necrosis) a often seen? 2. Does pulmonary fibrosis persistently advance in rehabilitation patient? 3. Can SARS-CoV be used as a bio-weapon in future local war? 4. What shall we do post SARS era? 5. Have lessons really been learnt and switched to be experience? 6. Can laboratory infection surely be prevented? 7. Are we prepared to another unprecedent new emerging infectious disease? 8. ……? www.miaoxh.com Slide23:  As early as in the middle period of last century(1957) Pietrogrand reported the first case who had osteroporosis with complicated pathophyslogical mechanism caused by the overdose use of steroid. In SARS patients, osteroporosis were observed but fortunately it was not very common and not serious. Osteroporosis www.miaoxh.com Slide24:  www.miaoxh.com Slide25:  Since as high as 80% of SARS patients have interstitial lung damage, namely with acute lung injury (ALI) ,or even with acute respiratory distress syndrome (ARDS), it could be explained that pulmonary fibrosis may developed in recovered patients. Pulmonary Fibrosis www.miaoxh.com Slide26:  Some questions should be cautiously answered 1. Is Osterporosis (thighbone necrosis) a often seen? 2. Does pulmonary fibrosis persistently advance in rehabilitation patient? 3. Can SARS-CoV be used as a bio-weapon in future local war? 4. What shall we do post SARS era? 5. Have lessons really been learnt and switched to be experience? 6. Can laboratory infection surely be prevented? 7. Are we prepared to another unprecedent new emerging infectious disease? 8. ……? www.miaoxh.com Slide27:  Welcome to visit my website: www.miaoxh.com www.miaoxh.com

Add a comment

Related presentations

Related pages

Un insecte xylophage, s'attaque-t-il uniquement aux ...

News; Sports; Finance; Celebrity; Weather; ... Un insecte xylophage, s'attaque-t-il uniquement aux xylophones en bois ? Add your answer. Source.
Read more