Tuesday, February 11, 2020

U.S. public health response to Wuhan CoV

According to an article in the February 10, 2020 issue of the San Francisco Chronicle by Erin Allday, experience with the earlier epidemics of SARS and MERS are guiding U.S. authorities in responding to the novel coronavirus. The U.S. public health response has been both more aggressive and less chaotic than it was with the earlier outbreaks.

Compared to SARS and MERS, the new coronavirus is both better and worse. It has produced far more cases (40,500 in 3 months vs 8,100 in 5 months for SARS and 2,500 cases total for MERS), but the mortality rate is much lower (2% vs 10% for SARS and 30% for MERS). Although China can be faulted for its response, it is still a big improvement over the situation with SARS (it took China 4 months to report SARS, but only a little over a month to report the novel coronavirus). Improved technology has played a big role in tracking this outbreak -- with SARS, testing could take weeks and often wasn’t done at all, while the current virus was identified within weeks and testing can be done in under 24 hours, including time to transport samples to a central testing location.

The other lesson is that it all starts at the airports. As a result of the experience with SARS, travelers from China are being funneled to specific airports which are equipped to screen them. As a result, potential sufferers are being identified early, both preventing them from being at large and making it easier to identify their contacts (since the number of contacts is much smaller).

~~ Steve Blasberg

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