SARS (Severe Acute Respiratory Syndrome) The history of SARS (Severe Acute Respiratory Syndrome) is significant in the study of infectious diseases. SARS is caused by the SARS-CoV virus, which belongs to the coronavirus family. Here's an overview of its history: Emergence and Outbreak (2002–2003) 1. Origins: o SARS-CoV is believed to have originated in bats and was transmitted to humans through an intermediate host, the palm civet, in wildlife markets in Guangdong Province, China. o The first known case of SARS was reported in November 2002 in Foshan, Guangdong. 2. Spread: o The virus spread rapidly in early 2003 due to human-to-human transmission, primarily through respiratory droplets. o It spread to multiple countries, including Vietnam, Hong Kong, Singapore, Canada, and the United States. 3. Key Events: o Dr. Liu Jianlun: A doctor from Guangdong unknowingly spread the virus to guests and staff at the Metropole Hotel in Hong Kong in February 2003. This event became a major super-spreader incident. o Healthcare Workers: Many infections occurred in hospitals, where healthcare workers were disproportionately affected. 4. Global Response: o The World Health Organization (WHO) issued a global alert in March 2003. o Quarantines, travel advisories, and public health measures helped contain the outbreak. 5. Impact: o Over 8,000 cases were reported across 29 countries. o The outbreak resulted in 774 deaths, with a mortality rate of approximately 9.6%. o The outbreak was officially declared contained by the WHO in July 2003. Post-Outbreak Developments 1. Research and Preparedness: o The SARS outbreak spurred extensive research into coronaviruses. o Vaccines and treatments were explored, but the cessation of the outbreak reduced urgency, leaving no approved vaccines. 2. Zoonotic Risks: o Studies confirmed that SARS-CoV originated in bats and was transmitted to humans via intermediate hosts. o This highlighted the risks of wildlife markets and zoonotic disease transmission. 3. Public Health Lessons: o The SARS outbreak underscored the importance of rapid response, transparency, and international cooperation in managing infectious diseases. o It also led to the strengthening of global surveillance systems. Connection to SARS-CoV-2 • The SARS outbreak provided a framework for understanding and responding to COVID-19, caused by SARS-CoV-2, which emerged in late 2019. • The similarities between the two viruses emphasize the need for ongoing vigilance against emerging coronaviruses.