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Pastimes : SARS - what next? -- Ignore unavailable to you. Want to Upgrade?


To: Maurice Winn who wrote (771)9/28/2003 12:13:20 AM
From: Henry Niman  Read Replies (1) | Respond to of 1070
 
>>Missing from the list of dead are a fair share of European young people [under age 50]. Dead Europeans were nearly all quite old and frail. But dead Asians were healthy and younger [though not under 40]. <,

I think you are getting a distorted view from selective media reports. The report showing mortality rates of 50% for older (above 60) patients came out of Hong Kong. Although a few younger patients died in Asia, the vast majority were older.

The situation was pretty much the same across the board. Mortality rates were much higher in older patients, especially those with underlying conditions like diabetes.

Chinese had higher numbers because SARS originated in Guangdong Province, not because they were more susceptible.



To: Maurice Winn who wrote (771)10/1/2003 8:24:47 AM
From: Henry Niman  Respond to of 1070
 
Looks like adminstrators have taken charge of SARS. In Taiwan the lowered the case fatality rate from 27% to 11% by simply removing those who died while infected by SARS CoV as long as they had an underlying condition.

Looks like WHO is getting more proactive, moving from wishful thinking to history revision.

Using some creativity in defining a SARS death Taiwan has dropped its case fatality rate from 27%

who.int

to 11%

who.int

by simply changing the definition.

>===== Original Message From "Henry L Niman, PhD" <henry_niman@hms.harvard.edu> =====
abc.net.au

Taiwan welcomes revision of SARS toll

Taiwan has hailed the World Health Organization for revising the island's
death toll from SARS to 37 from the previously listed 180.

WHO made the adjustment after ruling that 143 of the fatalities on the initial
list had not in fact died from Severe Acute Respiratory Disease.

The discrepancy arose because WHO had included in its list people who had
contracted SARS, but had died from other causes.

A spokesman from Taiwan's Center for Disease Control has welcomed the
revision, saying it would help the epidemic be better understood by the world.



To: Maurice Winn who wrote (771)10/1/2003 8:46:16 AM
From: Henry Niman  Read Replies (1) | Respond to of 1070
 
WHO not only reduced the case fatality rate by changing the definition, they also dropped the total number of SARS cases in Taiwan from 665 to 346. Sounds like patients who were infected with SARS CoV were not considered a SARS case if some other medical diagnosis could be made.

Also sounds like administrators have SARS CoV infections and fatalities well under control. I'm sure that friends and relatives of the patients will feel much better when they are told that SARS CoV infections do not mean the patient has SARS and patient deaths are due to chronic diabetes!

>===== Original Message From "Henry L Niman, PhD" <henry_niman@hms.harvard.edu> =====
I misread the asterisk. It is actually defined as "Includes only cases whose death is attributed to SARS". I think WHO needs a column for those who died while infected with SARS CoV, regardless of revisions for causes of death.