Caution against SARS
THE whole world is in fear of SARS (Severe Acute Respiratory Syndrome). Experts are warning that there is every chance of SARS changing from an epidemic to a pandemic. Most countries are becoming vigilant over its possible entry and spread.
Within the past 10 days I have been consulted by at least six persons with fever and upper respiratory infection immediately upon return from Hong Kong, China and Singapore. Not one person was questioned at Karachi airport about the possibility of their bringing in SARS.
Even one person bringing the virus into Pakistan can set off this highly dangerous illness. Given our high-density population and pathetic living conditions, SARS can spread like wild fire. Our hospitals are least equipped to deal with serious respiratory illnesses: few have respirators; most do not have proper masks; hand washing after examining patients is not a usual practice because of the non-availability of facilities; no antibiotic will give cure. Given such handicaps, hundreds of us, including doctors, nurses, paramedical and non-medical persons, would die within days, should SARS enter Pakistan.
We still have a chance to pre-empt entry of SARS into Pakistan. The health department should post a doctor at the airport to check each and every passenger returning from affected countries. (The number of countries has grown today to 19). In the event of any passenger having a cough and fever, he/she should be immediately quarantined for a period of two weeks. Only by interrupting the chain of transmission will the disease eventually die out.
The health department should treat this matter as extremely urgent if they wish to save the public from this potentially devastating infectious disease.
DR NASEEM SALAHUDDIN
President, Infectious Diseases Society of Pakistan,
Karachi

