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Analysis »


Latest research implies SARS can spread via sweat, food and sewage

Producer: Valarie Tan
First broadcast: 7 May 04, Radio Singapore International

The Severe Acute Respiratory Syndrome or SARS virus has been found in sweat glands and the intestines.

That s according to the latest study results released by pathologists from the First Military Medical University in Guangzhou, China.

Beyond the known method of transmission through airborne droplets, the new research findings suggest, in theory, SARS may spread via contaminated sewage, food or even a handshake.

To discuss these recent findings, Valarie Tan spoke to Professor Lee Shiu Hung, a member of the SARS Expert Committee in Hong Kong.

LSH: Well, the results of course is, providing additional new information about the epidemiology of SARS. But we still need to study the picture as a whole. We have to study in more detail about the route of transmission. For example, we know that civet cat is a transmittor of SARS but how could this virus transmit from animal to human being, and then from human being to another human being.

So you re saying that these new research findings doesn t make a difference to what we already know about how SARS is transmitted.

LSH: Well, in a way, it gives more details. But basically we still have to go into the whole system of first, the role of civet cats, then the transmittor and also the carrier whether there s a possibility of carrier existing and also the route of transmission. Early on, we ve identified that drops transmitted is one of the main method but whether or not, there could also be other way, like through the intestinal system, as it has been mentioned about the outbreak in Amoy Gardens in Hong Kong, because that s through the sewerage system.

Will these findings cause mass hysteria among the public because the findings imply that SARS can be easily transmitted through just skin contact into our sweat glands?

LSH: I think that s not the thing we have to give special concern because we need to study the whole epidemiology. It s not just the finding of the virus in the sweat glands. If its transmitted, it can be transmitted in many other ways. So we have to look at the system as a whole. And then of course, we have to follow the basic principles of prevention. The important thing is to deal with the outbreak as a whole.

The researchers also say that their findings imply that SARS can be transmitted through food and human excretion. And we see SARS resurfacing in China recently. Should China do something with this new piece of research findings?

LSH: This is a thing we have think about as a world wide effort. Its not just a particular country, because it is a world wide effort. We have to understand this emerging infectious diseases. SARS is one of them and the other is the avian flu. It requires a joint effort of both the nations, the regions and also international the World Health Organisation to deal with them altogether.

Will the new findings also rule out the possibility of SARS transmission through consumption of exotic animals like civet cats?

LSH: Well, civet cat to human is one of the areas we have to continue to do more study. It has been found the virus has also been detected in the civet cat, the corona virus. So now we have to deal with how this wildlife market can cause transmission to human beings through the dealing of the animal, through sale of the animal, through transport, through slaughtering of the animal and also the food processing. All these needs to have further detailed studying. So this is not just on the human being but also no the veterinarian side as well.

We ve heard quite a few theories so far about how SARS can be transmitted. But who can confirm these theories?

LSH: This is the joint effort of clinical medicine, public health and laboratories together in all these directions. Now we have to deal with SARS, in the 4 main headings. First, we must identify the disease as early as possible. We must report as early as possible. We must introduce this isolation of patients contacts as early as possible and early action on the kind of joint effort basis.


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