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#1 Posted : 15 April 2003 10:50:00(UTC)
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Posted By Steve Ashton Please - can someone explain why there is so much panic / hysteria in the media and in the travel industry etc regarding SARS. Accepted that it is an unpleasant, infectious condition, but the infection rates are miniscule - a reported 80 plus something deaths in China over four months or so - compared to an estimated average million deaths per month from other causes. Why no panic over measles? it kills far more than sars.... Or Flu - that regularly kills several orders of magnitude more on a daily basis - and even more during an epidemic. Compared to many other conditions, SARS appears positively benign - low infection rates, low(ish) morbidity etc... Is there something going on that we haven't been told about? Can anyone provide any reason for the hysteria that would justify this condition receiving so much attention from the media and others? Why do so many people refer to the outbreak as an 'epidemic'?? I believed there were infection rates set by the WHO that have to be exceeded before the outbreak could be properly called an 'epidemic'?? Please, can someone out there explain the hysteria in terms of objective reality???
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#2 Posted : 15 April 2003 14:48:00(UTC)
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Posted By Jay Joshi the answer is in the perception of risks compared to actual risk and what factors affect perception of risks. There are treatises on this subject!
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#3 Posted : 15 April 2003 15:18:00(UTC)
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Posted By Geoff Burt Consider a school situation in the UK with pupils from Hong Kong. Currently some of these children are on holiday in Hong Kong. You have a child at this school - would you be happy for the school to allow these children straight back from Hong Kong into the school when they return after the holiday? What if a child dies as a result of the school not taking the proper precautions? What about the school liabilities if something goes wrong? I can understand fully where you are coming from, I initially felt the same way. But when you look at the possible outcomes it is better to be safe than sorry. Jay's right, it is perception. But as a parent I'm not prepared to take the risk. Geoff
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#4 Posted : 15 April 2003 16:34:00(UTC)
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Posted By Lewis T Roberts Very nice Geoff, However it is better to live life than always be in fear of it. Lew
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#5 Posted : 15 April 2003 16:48:00(UTC)
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Posted By Geoff Burt What's your point Lewis?
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#6 Posted : 15 April 2003 19:21:00(UTC)
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Posted By Merv Newman The infection rate is very low - 1 per million, but that is only my estimation. The mortality rate is actually about 5%. Which for infectious diseases is quite high today (apart from ebola). Mortality rate is much lower in countries with good medical facilities ( I must look again at the canadian rates) All in all, I am at the moment thinking more about a media scare than about an actual risk level. However, I am prepared to (but would hate to be) proved wrong by actual events But have NOT cancelled my trip to Hong Kong next week. regards Merv Newman
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#7 Posted : 16 April 2003 09:12:00(UTC)
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Posted By Lewis T Roberts Consider a work situation in the UK with other parents of children attending your child’s school actually considering a visit in their line of work to Hong Kong. Currently some parents have children in this parent’s school. You have a child at this school - would you be happy for the school to allow these parents straight back from Hong Kong into the school to discuss GCSE options or a parents evening when they return after the holiday? What if a child dies as a result of the school and the employers not taking the proper precautions? What about the school liabilities and employers liabilities if something goes wrong? What if what if what if. My point is as has already been expressed the perception verses the actual risk. Where would we be if we all didn’t take acceptable risks based on actual risk and reasonable control measures what a terribly boring existence. Lew
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#8 Posted : 16 April 2003 11:54:00(UTC)
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Posted By Geoff Burt Lew You wrote 'My point is as has already been expressed the perception verses the actual risk. Where would we be if we all didn’t take acceptable risks based on actual risk and reasonable control measures what a terribly boring existence. Lew' It is not an acceptable risk (something like 7% fatalities from those contracting sars and the children are returning from one of the sources) and a reasonable control measure which is being implemented in this case is to quarantine the returning children for two weeks. I'm not sure why you have brought 'boring existence' and similar words into it - I was trying to explain to the originator of the thread why the response to sars has been as it is. I still don't see what point you are trying to make that is relevant to this discussion. Geoff
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#9 Posted : 16 April 2003 14:00:00(UTC)
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Posted By Lewis T Roberts Geoff, I am well aware of what I have scribed but thank you for the summary. Again the thread is about the hysteria surrounding the events that have materialized with respect to SARS. My comments were about perceived risks against actual risks that have already been discussed. I thought that this was clear I am in agreement with Jay. You seem to fall into the perceived category as opposed to the actual risk. You speak of percentages in terms of fatalities of those who fall victim to the condition rather than actual numbers who fall victim as a percentage of population. Rather than give the reason for the response to SARS you seem to have tried to justify and fuel the misconceptions outlining one possible scenario. Quarantining children or any other person for a period of two weeks without the justification based not on fact but perception, in my opinion, is not a reasonable control measure. Lew
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#10 Posted : 16 April 2003 14:35:00(UTC)
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Posted By Allan St.John Holt Lew, I have a lot of sympathy with your view. But I think Geoff's point may be that we can recognise the logic of what you say, and agree with it, but the fact is that the general population has a distorted view of risk. Therefore, to some extent (while we should be educating them of course) we need to accept this and deal sympathetically with them too. This in turn may involve taking steps which 'we the informed' might believe to be unnecessary. I could give some concrete examples from Royal Mail if I hadn't signed the Official Secrets Act! Many actions have been taken in the past in many industries and situations to allay concerns that were probably not justified by risk analysis! It may be politically correct to do so, but it could be political suicide not to! Allan
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#11 Posted : 16 April 2003 14:52:00(UTC)
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Posted By Jack I'm with Lewis on this. I agreed with Geoff's points about why some people perceive the risk as being higher than it is but then, despite his evident 'risk literacy', he went along with his gut reaction to the situation and then allowed this to lead him to confuse death rates of those who get the disease with risk of getting the disease (falling off the top of multi storey car parks is often fatal but I'm still prepared to park on the top floor). Of course we need to understand and address the how people perceive risks but I think we should still understand what the real risks are.
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#12 Posted : 16 April 2003 14:54:00(UTC)
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Posted By Geoff Burt Thank you Allan - a reasoned response. Lew your initial comment was 'Very nice Geoff, However it is better to live life than always be in fear of it. Lew' I have no idea what you are trying to put across with this 'helpful' remark as in my first contribution I agreed it is the perception that may by a problem. As far as I can see I have not tried to justify anything - I was trying to explain why there has been an overreaction by stating my particular case, and why people act as they do. You then went on to talk about boring existence - tell me where you are coming from and I can give you a reasoned response. Or might it be better to stick to the discussion than giving out unjustified throw away remarks? Geoff
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#13 Posted : 16 April 2003 15:08:00(UTC)
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Posted By Geoff Burt But Jack, would you park on the top floor if there wasn't a barrier around it? Geoff
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#14 Posted : 16 April 2003 15:35:00(UTC)
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Posted By Lewis T Roberts Geoff If you are going to act on a perceived risk rather than the actual risk, i.e advocate control measures so restrictive as to interfere with day to day activities based on hype not fact then I think that the comment ‘boring existence’ is justified. Who wants to exist in a place where there are no risks? How dull. This comment was not aimed at you. Merely stating an opinion of removing all risk as to make life bland. However how can I expect you to give a reasoned response when you advocate locking children up for two weeks when the likelihood of this particular risk is minuscule. As to unjustified throw way remarks, well who has thrown the teddy out of the pram? Lew
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#15 Posted : 16 April 2003 15:58:00(UTC)
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Posted By Geoff Burt Lew We seem to be talking on different levels. Is 'quarantine' the same as 'locking up' - I think not. Has the quarantine idea for sars been accepted around the world - yes. Is taking sensible precautions in life boring - well maybe, but we all do it. Comments about teddies & prams? As I say we are talking on different levels. Geoff
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#16 Posted : 16 April 2003 16:51:00(UTC)
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Posted By Lewis T Roberts Geoff, I agree we seem to be on different levels. Is quarantine the same as locking up – well yes it is or it amounts to the same. If you restrict a persons movements to particular area then it is locking up. Has the quarantine idea for sars been accepted around the world - yes. The idea has but not the intervention of carrying it out except when there has been confirmation or contact with confirmed patients or other high risk occupations (not school children or others that have merely visited HK) Is taking sensible precautions in life boring – no I agree but what you have advocated is not sensible but extreme in the light the risk involved. As you rightly say we are talking on different levels. Lew
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#17 Posted : 16 April 2003 19:47:00(UTC)
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Posted By Geoff Burt At least we agree on one thing.
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#18 Posted : 17 April 2003 00:30:00(UTC)
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Posted By Dave Westhead I can see "handbags at 20 paces" here. Come on gents stop the petty squabling and get on with the disscusion. Dave
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#19 Posted : 17 April 2003 11:22:00(UTC)
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Posted By Geoff Burt Quite right Dave. But it does make it more interesting with the different opinions being expressed. Geoff
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#20 Posted : 21 April 2003 13:04:00(UTC)
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Posted By John Webster Lets face it, during the Iraq conflict, SARS was almost unheard of, justifying a few lines on an inside page or a scrolling headline at the bottom of the Sky news screen. Now the "war", in news terms, has become old hat, boring. The headline writers need a new news sensation, and they have found it in SARS. We have pundits telling us this could be the new "black death", the 21st centuary "plague". Perhaps it will, but then 20 years ago we were all as good as told that we would be dead from AIDS by now. Newspapers love creating mass hysteria. It sells newaspapers.
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#21 Posted : 23 April 2003 11:30:00(UTC)
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Posted By Mark Large Quote "the answer is in the perception of risks compared to actual risk and what factors affect perception of risks." So true.. Why particularly the panic in this case as opposed to other infection diseases? Familiarity breeds comtempt. We are used to certain infections. They are so widespread that they are no longer newsworthy. If it isn't in the news people don't see it as a big deal. Man's worse fear is the unknown. Its a new disease and therefore instantly treated as a greater risk because people in general know nothing about it, don't trust information about it because the powers that be have been known to lie / are incompetant (perception). The familiar turned alien. The inferrance is that SARS is the common cold turned bad. Who of us hasn't had a cold at some time. The idea that a disease that visits us as regualry as an old friend could be lethal = big panic. Media. If its in the news it must be true! If only. The media is now an entertainment industry concerned with ratings. I'm afraid I have very little respect for modern day media since witnessing incedulous misrepresentation of fact .
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