Photo of doctor
Back to Health Topics page

Severe Acute Respiratory Syndrome (SARS)


General Information

What is SARS?
What is the definition of close contact?
Travel Advisories versus Travel Alerts
Should I be concerned if a student or colleague plans to return to Athens from an area with Alert or Advisory status?
What if a student has been exposed to SARS and has no symptoms?
What if a student has been exposed to SARS and now has symptoms?
Who is at risk for SARS?
How can I protect myself against SARS?
Are surgical masks recommended for protection from SARS?
Where can I get more information on SARS?

Persons Arriving from Areas of Current or Suspected Community Transmission of SARS

Includes any travel (or transit in an airport) to mainland China and Hong Kong Special Administrative Region, People’s Republic of China; Singapore; Taiwan; Toronto, Canada
What should I do after I arrive in Athens?
What should I do if I suspect that I am ill?
What should I do if I am in close contact with a person with SARS?
To which precautions should people with SARS or symptoms of SARS adhere?
Where can I get more information on SARS?

What is SARS?

As defined by the CDC
SARS is caused by a novel corona virus and typically presents as a respiratory illness marked with fever of >100.4°F (38°C) and one or more clinical findings or respiratory illness (e.g. cough, shortness of breath, difficulty breathing, or hypoxia). Severe cases of SARS may have radiographic evidence of pneumonia or respiratory distress syndrome. Early in the course of the disease, individuals may have no symptoms or mild respiratory symptoms. Patients usually don’t have a sore throat with SARS. SARS criteria includes travel within 10 days of onset of symptoms to an area with documented or suspected community transmission of SARS OR close contact within 10 days of onset of symptoms with a person known to be a suspect case of SARS.

What is the definition of close contact?

Close contact is defined as having cared for, having lived with, or having direct contact with respiratory secretions. Potential ways in which SARS can be spread include touching the skin of other persons or objects that are contaminated with infectious droplets and then touching the eye, nose, or mouth. This can happen when someone who is sick with SARS coughs or sneezes droplets onto themselves, other persons, or nearby surfaces. It is also possible that SARS can be spread more broadly through the air or by other ways that are currently not known.

Casual contact with a SARS patient such as attending the same class or public gathering has not resulted in documented transmission in the United States. To date, there is no evidence to suggest that SARS is transmitted from asymptomatic individuals (i.e. a person without signs of illness such as fever, cough, etc).

If you are a close contact of a person with SARS

Students who are close contacts of person with SARS and who develop fever or respiratory symptoms should follow the procedure under “If you suspect you are ill”. Inform the doctor that you are a close contact of a person with SARS.

Travel advisories vs. travel alerts

The CDC has posted both travel advisories and travel alerts. The CDC is constantly reviewing and updating the list of countries under travel advisory and travel alert. Please refer to the CDC website http://www.cdc.gov/travel/ for the most current information.

Travel Advisories notify travelers that a disease is occurring in a geographic area. There is a recommendation against nonessential travel to the area. Areas with travel advisories on 5/19/03 include Mainland China, Taiwan, and Hong Kong.

Travel Alerts notify travelers that an outbreak of disease has occurred in the geographic area but there is NO recommendation against nonessential travel to the area. Areas under travel alert on 5/19/03 include Toronto, Canada and Singapore.

Should I be concerned if a student or colleague plans to return to Athens from an area with alert or advisory status?

Most of the cases of SARS in the U.S. have occurred in travelers returning to the U.S. from areas with SARS. However, to date, there have been no cases of SARS transmission by individuals who have no symptoms of illness.

What if a student has been exposed to SARS and has no symptoms?

Students who may have been exposed to SARS either through travel or through contact with a SARS patient, should monitor for fever by measuring their temperature twice daily and by monitoring for respiratory symptoms for a full 10 days after exposure. Students need not limit their activities outside the home and should not be excluded from school or other public areas.

What if a student has been exposed to SARS and now has symptoms?

If students develop fever OR respiratory symptoms, students should call the Health Center at 706-542-8666 to speak to a physician. If the Health Center is closed, the student should call Athens Regional Medical Center 706-475-3304/706-475-7000 or St Mary’s Hospital 706-354-3100 or 706-548-7581 and speak to the Triage Nurse. The student should tell the nurse or doctor of the recent travel and symptoms prior to appearing at the facility so that proper precautions can be taken to prevent potential spread of the virus to people in waiting areas or to the staff.

Who is at risk for SARS?

To date, most reported patients with SARS in the U.S. have been exposed through foreign travel to countries with community transmission of SARS or through close contacts, such as family members and health care workers who have been caring for SARS patients.

How can I protect myself against SARS?

The SARS virus is shed in the tears, saliva, urine and feces of infected individuals.
The most important protection is good personal hygiene and frequent hand washing with soap and water. If sinks are not readily available, alcohol based hand sanitizers are excellent substitutes if the hands are not visibly soiled. Never touch your eyes, nose or mouth with unclean hands, as the virus will enter the body through these mucus membranes. Encourage those around you to cover their nose and mouth with a tissue when coughing or sneezing.

Are surgical masks recommended for protection from SARS?

Surgical masks are not routinely recommended for public use to prevent SARS. However, people who have or think they may have SARS should wear a surgical mask during close contact with people who are not infected to prevent the spread of infectious droplets. When a person with SARS cannot wear a surgical mask, household members should wear surgical masks when in close contact with the patient.

After your return or arrival to Athens:

Persons returning from one of the affected areas should monitor their health for 10 days. Watch for fever, cough, or shortness of breath. Consider active surveillance by taking your temperature twice daily. If your temperature is 100.4°F or 38°C or higher, you have a fever.

If you suspect that you are ill:

If you become ill with fever or respiratory symptoms during this period:

  • Consult the University Health Center by telephone at 706-542-8666.
  • Ask to speak with a physician. If none are available, you should ask to speak to the clinic nurse.
  • Tell the doctor or nurse about your recent travel and your symptoms.

If the Health Center is closed, you should call one of the local hospital Emergency Rooms:

  • Athens Regional Medical Center 706-475-3304 / 706-475-7000
  • St Mary’s Hospital 706-354-3100 or 706-548-7581
  • Ask to speak to the Triage Nurse
  • Tell the nurse or doctor about your recent travel and your symptoms.

It is important to call before going to the Health Center or Emergency Room so arrangements can be made, if necessary, to prevent transmission to others in the health-care setting.

Persons with symptoms of SARS should follow the same precautions recommended for people with SARS.

Persons with SARS or symptoms of SARS should adhere to the following precautions

The person who is ill should cover their mouth and nose with a facial tissue when coughing or sneezing. If possible, they should wear a surgical mask during close contact with healthy people to prevent spread of infectious droplets. If the sick person is unable to wear a surgical mask, other persons should wear surgical masks when in close contact with the person who is ill.

Use of disposable gloves should be considered for any direct contact with body fluids of a person with SARS. However, gloves are not intended to replace proper hand hygiene. Immediately after activities involving contact with body fluids, gloves should be removed and discarded and hands should be cleaned. Gloves must never be washed or reused.

All close contacts staying with a person with SARS should carefully follow recommendations for hand hygiene (e.g., frequent hand washing or use of alcohol-based hand rubs), particularly after contact with body fluids (e.g., respiratory secretions, urine, or feces).

People with SARS should avoid sharing eating utensils, towels, and bedding with others, although these items can be used by others after routine cleaning, such as washing or laundering with soap and hot water.

Environmental surfaces (e.g., toilets, sinks) soiled by body fluids should be cleaned with a household disinfectant according to manufacturer's instructions; gloves should be worn during this activity. Wash hands afterwards and throw the gloves away.

Other close contacts staying with a person with SARS do not need to restrict their outside activities unless they develop symptoms of SARS, such as a fever or respiratory illness.

Where can I get more information on SARS?
Centers for Disease Control (CDC)
www.cdc.gov

World Health Organization (WHO)
www.who.int

Office of International Education
www.uga.edu/oi