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Severe Acute Respiratory Syndrome (SARS)

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Severe Acute Respiratory Syndrome (SARS) Spreads Worldwide

Bahasa Indonesia

15 March 2003 GENEVA -- During the past week, WHO has received reports of more than 150 new suspected cases of Severe Acute Respiratory Syndrome (SARS), an atypical pneumonia for which cause has not yet been determined. Reports to date have been received from Canada, China, Hong Kong Special Administrative Region of China, Indonesia, Philippines, Singapore, Thailand, and Vietnam. Early today, an ill passenger and companions who travelled from New York, United States, and who landed in Frankfurt, Germanywere removed from their flight and taken to hospital isolation.

Due to the spread of SARS to several countries in a short period of time, the World Health Organization today has issued emergency guidance for travellers and airlines.

"This syndrome, SARS, is now a worldwide health threat," said Dr. Gro Harlem Brundtland, Director General of the World Health Organization. "The world needs to work together to find its cause, cure the sick, and stop its spread."

There is presently no recommendation for people to restrict travel to any destination. However in response to enquiries from governments, airlines, physicians and travellers, WHO is now offering guidance for travellers, airline crew and airlines. The exact nature of the infection is still under investigation and this guidance is based on the early information available to WHO.

TRAVELLERS INCLUDING AIRLINE CREW: All travellers should be aware of main symptoms and signs of SARS which include:

high fever (>38C or >100.4 F)

AND

one or more respiratory symptoms including cough, shortness of breath, difficulty breathing

AND one or more of the following:

close contact* with a person who has been diagnosed with SARS

recent history of travel to areas reporting cases of SARS.

In the unlikely event of a traveller experiencing this combination of symptoms they should seek medical attention and ensure that information about their recent travel is passed on to the health care staff. Any traveller who develops these symptoms is advised not to undertake further travel until they have recovered.

AIRLINES: Should a passenger or crew member who meets the criteria above travel on a flight, the aircraft should alert the destination airport. On arrival the sick passenger should be referred to airport health authorities for assessment and management. The aircraft passengers and crew should be informed of the person's status as a suspect case of SARS. The passengers and crew should provide all contact details for the subsequent 14 days to the airport health authorities. There are currently no indications to restrict the onward travel of healthy passengers, but all passengers and crew should be advised to seek medical attention if they develop the symptoms highlighted above. There is currently no indication to provide passengers and crew with any medication or investigation unless they become ill.

In the absence of specific information regarding the nature of the organism causing this illness, specific measures to be applied to the aircraft cannot be recommended. As a general precaution the aircraft may be disinfected in the manner described in the WHO Guide to Hygiene and Sanitation in Aviation.

* * *

As more information has become available, WHO-recommended SARS case definitions have been revised as follows:

Suspect Case

A person presenting after 1 February 2003 with history of :

high fever (>38oC)

AND

one or more respiratory symptoms including cough, shortness of breath, difficulty breathing

AND one or more of the following:

close contact* with a person who has been diagnosed with SARS

recent history of travel to areas reporting cases of SARS

*Close contact means having cared for, having lived with, or having had direct contact with respiratory secretions and body fluids of a person with SARS.

UPDATE - WHO, International SOS and NNT

As of the 17th March.

The case in Indonesia has now been confirmed as NOT being due to SARS

The current confirmed affected locations are:

  1. Hong Kong
  2. Canada - Vancouver and Toronto
  3. Viet Nam - Hanoi
  4. Singapore
Our Advice is:

1. Recommend consider delaying non-essential travel through these locations

2. If you have been through one of these affected locations within in last 10 days and display the following symptoms

a. High Fever

AND

Cough or shortness of breath or difficulty breathing

THEN

  • Please stay at home and do not go to work
  • Contact the clinic or a doctor
We advice people not to worry at present, as the current risk to employees and their families is very low

Organisasi Kesehatan Dunia mengeluarkan peringatan global tentang ancaman penyebaran penyakit Sindrom Pernapasan Sangat Akut (SARS)

15 Maret 2003 GENEVA - Selama beberapa minggu terakhir, WHO telah menerima laporan sedikitnya telah terdapat 150 kasus yang diduga diakibatkan oleh Sindrom Pernapasan Sangat Akut - kasus penyakit radang paru-paru (pneumonia) di mana penyebabnya masih belum dapat ditemukan. Laporan kasus seperti ini berasal dari Kanada, Cina, Hongkong, Indonesia, Filipina, Singapura, Thailand, dan Vietnam. Hari ini, seorang penumpang pesawat udara dan rekan seperjalanannya yang terbang dari New York, AS menuju Frankfurt, Jerman, telah dievakuasi dari penerbangannya dan dibawa ke rumah sakit untuk menjalani perawatan dan isolasi.

Sehubungan dengan penyebaran penyakit misterius yang begitu cepat, WHO hari ini mengeluarkan peringatan global darurat bagi para pelancong internasional dan maskapai penerbangan.

"Sindrom ini - SARS, telah menjadi ancaman dunia, kata Direktur Jenderal WHO, Dr. Gro Harlem Brundtland. Dunia harus bekerja sama untuk menemukan penyebabnya, mengobati yang sakit dan menghentikan penyebarannya".

Hingga saat ini, tidak ada larangan bagi setiap orang untuk melakukan perjalanan ke mana pun. Namun demikian, menanggapi kekhawatiran beberapa negara, maskapai penerbangan, dan para pelancong, WHO saat ini mengeluarkan petunjuk perjalanan bagi para pelancong, awak pesawat dan maskapai penerbangan. Sifat infeksi masih dalam penyelidikan dan panduan ini didasarkan pada informasi awal yang diterima oleh WHO.

PELANCONG, TERMASUK AWAK PESAWAT

Semua pelancong harus mewaspadai gejala dan tanda-tanda SARS , antara lain:

Demam di atas 38 C atau di atas 100.4 F

DAN

disertai dengan gangguan pernapasan seperti batuk kering, sesak napas, napas tersengal-sengal

DAN disertai salah satu atau beberapa gejala berikut:

berhubungan langsung dengan orang yang menderita SARS.

riwayat perjalanan ke wilayah yang dilaporkan terjangkit oleh penyakit SARS.

Jika anda mengalami gejala di atas, disarankan segera memeriksakan diri dan berobat serta memberitahu perjalanan terakhir yang dilakukan kepada petugas kesehatan. Jika gejala yang ditunjukkan tidak kunjung sembuh, jangan bepergian dulu sebelum dinyatakan benar-benar sembuh.

MASKAPAI PENERBANGAN: Jika dalam penerbangan, awak pesawat mengetahui ada penumpang yang menderita/mengalami gejala-gejala sebagaimana ditunjukkan di atas, maka maskapai penerbangan harus memberi tahu, bandara tujuan. Setibanya di bandara, penumpang yang sakit harus segera dibawa ke klinik kesehatan bandara untuk menjalani pemeriksaan dan perawatan. Penumpang dan awak pesawat harus diberitahu bahwa orang yang sakit tersebut diduga menderita SARS. Penumpang dan awak pesawat harus memberikan seluruh informasi selama 14 hari berturut-turut kepada klinik bandara. Hingga saat ini tidak ada larangan bagi penumpang yang sehat untuk melanjutkan perjalanannya namun semua penumpang dan awak pesawat disarankan agar segera berobat bila mengalami gejala-gejala sebagaimana disampaikan di atas. Hingga saat ini, penumpang dan awak pesawat [yang sehat] tidak perlu menjalani pengobatan atau penyelidikan kecuali jika dinyatakan sakit.

Jika tidak ada informasi khusus tentang sifat organisme penyebab sakit, maka tidak dapat diberikan rekomendasi khusus yang harus diterapkan oleh maskapai penerbangan. Namun sebagai tindakan pencegahan secara umum, maskapai penerbangan dapat melakukan upaya pembersihan virus sebagaimana diuraikan dalam petunjuk Higiene dan Sanitasi Penerbangan yang diterbitkan WHO.

* * *

Seiring dengan informasi yang ada, WHO -telah merevisi definisi kasus SARS sebagai berikut:

Dugaan Kasus

Orang yang datang setelah 1 Februari 2003 dengan riwayat kesehatan sbb:

menderita demam yang cukup tinggi (>38°C)

DAN

disertai gangguan pernapasan seperti batuk, sesak napas, napas tersengal-sengal.

DAN salah satu atau beberapa gejala berikut:

berhubungan dengan orang yang sebelumnya telah didiagnosis menderita SARS

riwayat perjalanan terakhir diketahui mengunjungi wilayah yang dilaporkan terjangkit SARS.

berhubungan langsung dapat berarti telah dirawat, telah tinggal bersama atau kontak langsung dengan sistem pernapasan dan cairan tubuh dengan orang yang menderita SARS.

BERITA TERKINI - WHO, International SOS dan PTNNT

Mulai 17 Maret 2003.

Kasus yang terjadi di Indonesia telah dikonfirmasi sebagai kasus yang BUKAN disebabkan oleh SARS.

Negara yang terkena wabah antara lain:

5. Hong Kong

6. Kanada - wilayah Vancouver dan Toronto

7. Vietnam - Hanoi

8. Singapura

SARAN:

3. Usahakan perjalanan yang kurang begitu penting menuju negara -negara di atas ditunda terlebih dahulu

4. Jika anda telah melewati negara-negara tersebut dalam kurun waktu 10 hari terakhir, dan mengalami gejala seperti:

a. Demam yang cukup tinggi

DAN

Dibarengi dengan batuk atau sesak napas atau napas tersengal -sengal

MAKA, ANDA DISARANKAN UNTUK:

  • Tetap tinggal di rumah, dan jangan pergi ke tempat kerja
  • Segera hubungi klinik atau dokter

Kami sarankan anda tidak perlu terlalu khawatir saat ini karena risiko yang akan dihadapi oleh karyawan dan tanggungannya sangat rendah.

dditional info on SARS from the US Center for Disease Control>

If you have any further questions about SARS in Indonesia, see the Ask the Experts.

We trust this information will assist you in making correct choices regarding your health and welfare. However, it is not intended to be a substitute for personalized advice from your medical adviser.

Housing and schooling information for expats in Indonesia expatriate website for Indonesia Indonesian language translation of article

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