Maryn McKenna

Journalist and Author

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How The New Coronavirus Might Be Like SARS: Hospital Spread (Part 2)

May 9, 2013 By Maryn Leave a Comment

The most recent official update on the novel coronavirus raises the possibility that most of the recent cluster — 13 cases out of 30 — may be due to the novel disease spreading within one hospital. (Yesterday there were reports of the spread having to do with dialysis. I’m skeptical of that.) Infectious disease experts find the idea of hospital spread very worrisome, because when the related disease SARS arose 10 years ago, hospitals unknowingly caused its first rapid spread. International health authorities are taking this threat seriously: On Monday, the World Health Organization published a multi-page infection-prevention guide for any hospitals that might take in victims.

When SARS broke out of southern China in early 2003, I was in the midst of a year-long project shadowing members of the disease-detective corps of the Centers for Disease Control and Prevention, known as the Epidemic Intelligence Service. Some of the most explosive SARS outbreaks they were sent to investigate were in hospitals, and front-line health care workers were some of the earliest victims.

This is the second of two excerpts from a book I wrote in 2004 about the EIS, Beating Back the Devil, describing what the early days of SARS were like. In the previous one, a hospital swamped by SARS locks its doors, with its sick staff inside. In this one, a doctor who worked in that hospital — and alerted the world to the threat — loses his life to the disease.

[Read more…]

Filed Under: Science, Science Blogs, Superbug Tagged With: CDC, coronavirus, HAI, hong kong, MERS, NCoV, SARS, Science Blogs, Who

How The New Coronavirus Might Be Like SARS: Hospital Spread

May 7, 2013 By Maryn Leave a Comment

The most recent update on the novel coronavirus that has been spreading in the Mideast since last summer adds three more cases to the outbreak, and raises the possibility that most of the recent cluster — 13 cases out of 30 — may be due to the infection spreading within one hospital. Infectious disease experts find that worrisome, because when the related disease SARS arose 10 years ago, hospitals unknowingly amplified its first rapid spread. International health authorities are taking this threat seriously: On Monday, the World Health Organization published a multi-page infection-prevention guide for any hospitals that might take in victims.

When SARS broke out of southern China in early 2003, I was in the midst of a year-long project shadowing members of the disease-detective corps of the Centers for Disease Control and Prevention, known as the Epidemic Intelligence Service. Some of the most explosive outbreaks they were sent to investigate were in hospitals, and front-line health care workers were some of the earliest victims.

I thought it would be worth remembering what the early days  of SARS were like, while we wait to see what this new virus does next. So over the next few days, I’m going to run a couple of excerpts from a book I wrote in 2004 about the EIS, Beating Back the Devil. In this one, a hospital swamped by SARS locks its doors, with its sick personnel inside. In the second excerpt, a doctor who worked in that hospital — and alerted the world to the threat — loses his life to the disease.

[Read more…]

Filed Under: Science, Science Blogs, Superbug Tagged With: CDC, coronavirus, HAI, hong kong, MERS, NCoV, SARS, Science Blogs, Who

Why the New Coronavirus Unnerves Public Health: Remembering SARS

September 26, 2012 By Maryn Leave a Comment

Lung tissue containing the original SARS coronavirus (CDC, 2003)

On Feb. 21, 2003, a 65-year-old physician who lived in the Chinese province that abuts Hong Kong crossed into the territory surrounding the city and checked into a hotel in Kowloon. He was given a room on the ninth floor. Sometime during his stay — no one has ever fully traced his path — he encountered roughly a dozen other people; most of them were hotel guests whose rooms were on the same floor, but some were staying on other floors, and some were visitors to events there. The physician had been sick for a week with symptoms that had started like the flu, but were turning into pneumonia, and the next day, he checked out of the hotel and went to a Hong Kong hospital. Before the end of the day, he died.

In the next few days, the people who had crossed paths with the physician left the hotel. Most of them were visitors to the special administrative region: Hong Kong is not only a port and transit hub, but a business and shopping destination for much of the Pacific Rim. They went to Vietnam, Singapore, Canada, and Ireland. As they traveled, some of them started to feel as though they had picked up the flu.

[Read more…]

Filed Under: Science, Science Blogs, Superbug Tagged With: CDC, coronavirus, hong kong, MERS, Qatar, SARS, Saudi Arabia, Science Blogs, Who

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