gms | German Medical Science

International Conference on SARS - one year after the (first) outbreak

08. - 11.05.2004, Lübeck

An epidemiological study on the dead cases of SARS in Guangdong province

Poster

  • Ling-hui Li - Center for Disease Control and Prevention of Guangdong Province, China
  • Wen-jia Liang - Center for Disease Control and Prevention of Guangdong Province, China
  • Ru-ning Guo - Center for Disease Control and Prevention of Guangdong Province, China
  • Yan Fang - Center for Disease Control and Prevention of Guangdong Province, China
  • Xiao-hua Tan - Center for Disease Control and Prevention of Guangdong Province, China
  • Dong-yue Li - Center for Disease Control and Prevention of Guangdong Province, China
  • Guo-wen Peng - Center for Disease Control and Prevention of Guangdong Province, China

International Conference on SARS - one year after the (first) outbreak. Lübeck, 08.-11.05.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04sarsP2.02

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/sars2004/04sars105.shtml

Veröffentlicht: 26. Mai 2004

© 2004 Li et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: To reduce mortality and to control the epidemic of severe acute respiratory syndrome ( SARS ) through analyzing the epidemiological characteristics of the dead cases of SARS.

Methods: The epidemiological distribution, the conditions of primary diseases and the causes of deaths of all dead cases with SARS reported between Jan 2 and August 30 2003 in Guangdong province were investigated by uniform questionnaire.

Result: As of August 30 , accumulative total of 1512 SARS cases were reported in Guangdong province with the mortality of 3.83% (58/1512). Most of the death occurred in GuangZhou, where reported the most cases. The peak of mortality 11.1%(4/16) occurred in the first ten days of January, and no deaths occurred after May 20.The mortality increased with the aging of the patients (X2=184.2, p<0.001). The mortality was 13.5%(12/84) among the cases aged 70 years old or above, followed by the cases aged 60-69(9.91%). The mortality was the highest (15.63%, 5/32) among farmers.17 of the dead cases had severe basic diseases (29.8%). No significant difference of the mortality was observed between clustered cases (4.64%, 24/523) and the sporadic cases (3.34%,33/989)( X2=1.47,p>0.05). But the difference between community-based clustered cases (10.11%,19/188) and the hospitals-based (1.49%,5/335)( X2=20.407, p<0.001) was statistically significant. In terms of the determinants of the deaths, both the community-based clustered infection(OR=4.73,95%CI:2.50,8.95) and aging (OR=1.05,95%CI:1.03,1.06) were selected (p<0.01)

Conclusion: SARS could be cured and the mortality can be reduced after information available. In order to reduce the mortality of SARS, we should pay more attention to the community-based clustered cases, senior cases those with basic diseases.