1. Has the blight of SARS changed Hong Kong’s public health policies and attitudes?

2. Recap…
The Three Essential Elements for infectious disease to spread

3. The way to transmit an infectious disease
Host
Transmission Agent
Environment
Susceptible Host

4. SARS-like virus in Saudi Arabia
Has Hong Kong learned from
the past and prepared itself adequately
for the threat?
Video: New SARs-Like Virus Spreading

5. Point to think
Why could SARS cause so much disturbance to Hong Kong?

6. so many disturbances to Hong Kong?
Video: SARS 2003
Try to answer all of the T/F questions after watching the clip
Why could SARS cause
so many disturbances to Hong Kong?

7. SARS: Ten years on (2) A (0:00 – 5:51)
Have people forgotten about SARS?
Try to note down some key issues to complete question.

8. Discussion
What/Why do we need to learn the lesson from SARS?

9. Actions taken by the government responding to SARS.
Initial Stage
Deny the rumors or reports about the virus being spread in Guangdong
Response to initial detection of epidemic
No special response
Quarantine
No action until the outbreak in Amoy Garden
Outcome
299 people died

10. What changes can you find?
Discussion
Has the Hong Kong government learnt a lesson from SARS?
How do you know?
SARS Ten Years On (2)
(10:26 – 13:34)
What changes can you find?

11. Response to initial detection of epidemic
Swine Flu(2009)
Initial Stage
Information disclosed to public once immediately.
Response to initial detection of epidemic
Government management (Centre for Health Protection)began to formulate actions to response.
Quarantine
7 days quarantine order was issued to the hotel where the index potential was living once he was confirmed to have contracted the virus.
Outcome
62 people died, but no major outbreak, mild infection

12. Changes after SARS (SARS Ten Years On 2 (16:52 till the end))
Government
Cut off the infectious disease from source
Rearrange the use and allocation of resources
Organize the community to participate in prevention
Educate and remind citizens

13. Information transparency increased
Cut off the infectious disease from source
Rearrange the use and allocation of resources
Organize the community to participate in prevention
Educate and remind citizens
Setup the Centre for Health Protection (CHP) to increase swiftness of response
Decision made much quicker with higher cautious
E.g. Quarantine order issued straightaway in the Swine Flu case
Information transparency increased
Report of confirmed case to WHO as well as public immediately.

14. Government (Continue)
Cut off the infectious disease from source
Rearrange the use and allocation of resources
Organize the community to participate in prevention
Educate and remind citizens
Government (Continue)
Stricter control at the boarders
Temperature measured and reported for each traveler.
Declaration form filled in for each traveler.
Increase Heal tfth Education
Stress the importance of environmental hygiene.

15. Improvement of medical facilities
Cut off the infectious disease from source
Rearrange the use and allocation of resources
Organize the community to participate in prevention
Educate and remind citizens
Improvement of medical facilities
E.g. maintain negative pressure and optimize fresh air intake in SARS wards and selected operating theatres

16. Changes after SARS People: Increase awareness of personal hygiene
Wash hand after arriving home
Use 1:99 disinfectants for regular cleaning
Avoid to eat wild animal
Habit changed
Wear mask if caught a cold
Temperature regularly measured

17. Group Discussion
What is the best solution to combat infectious disease? How?
Would focusing on 1 aspect of the epidemiological triangle be the best way?

18. Public Health View Prevention rather than just curing diseases
Promoting good personal habits.
Focus on the environment
Improving environmental hygiene
Emphasize on the root causes
Trace the virus back to originated place

19. Conclusion
Has the blight of SARS changed Hong Kong’s public health policies and attitudes?