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Dáil Éireann debate -
Tuesday, 1 Apr 2003

Vol. 564 No. 1

Written Answers - SARS Virus.

Aengus Ó Snodaigh

Question:

221 Aengus Ó Snodaigh asked the Minister for Health and Children if he will report on the steps being taken to prevent the spread of the virus causing severe acute respiratory syndrome, SARS; if the recent closure of the Cherry Orchard Hospital isolation unit, which had the only acute hospital beds here specifically designated for the isolation and containment of highly contagious and fatal diseases and viruses, has hampered the State's ability to deal with this suspected outbreak and the possibility of the contagion spreading throughout the State; and if he will make a statement on the matter. [8713/03]

Severe acute respiratory syndrome, SARS, is a severe form of pneumonia or infection of the lungs which appeared recently in South East Asia. In mid-March I established an expert group to monitor the situation as it developed and to advise me of the measures required to deal with this syndrome. This group meets regularly and continues to monitor the situation.

The National Disease Surveillance Centre, NDSC, and my Department have developed guidance for hospitals and health professionals which describes the syndrome and provided advice on how suspect cases should be managed. To date, two probable cases of SARS in persons who have recently returned on flights from South East Asia and who have shown symptoms similar to those of the disease are being investigated.

The symptoms of SARS are a temperature of over 38ºC, "flu-like" symptoms and a cough. This is relevant only to people who have been in the affected areas. The advice to the general public remains as before: people travelling to affected areas in Singapore, Hanoi, Toronto and parts of China – i.e., Beijing, Guangdong, Hong Kong, Shanxi and Taiwan Province – should be aware of the symptoms and seek medical advice should they become unwell during their trip or within 10 days of leaving the area.

With effect from Friday 28 March, individuals are advised not to undertake non-essential or elective travel to the SARS-affected areas. This advice follows the serious health threat identified by authorities in areas affected by SARS and the stringent disease control measures now being employed as a result.

In addition, the Infectious Disease Regulations 1981 have been amended in order to designate SARS as a notifiable infectious disease.

At one stage, Cherry Orchard had 231 beds for infectious diseases and had become by custom and practice a hospital where people with infectious diseases were accommodated. However, over the past 15 years the majority of its work has concerned other patient services.

In recent years it has become the practice to refer and treat patients with infectious disease in acute general hospitals. It is now generally agreed by the medical profession, including the Irish Medical Council, that an acute general hospital is the appropriate setting for the delivery of this service. Therefore, the number of patients with acute infectious diseases admitted to Cherry Orchard has significantly reduced.
Cherry Orchard does not have a range of back-up services and staffing to manage patients with acute illnesses. These are more appropriately treated in acute general hospitals where specialist expertise and facilities are present.
In light of the small number of referrals and admissions of cases of acute infectious diseases to Cherry Orchard Hospital, and in view of the general agreement that it is most appropriate to treat these patients in acute general hospitals, all cases of acute infectious diseases have been, and will continue to be, managed in acute general and paediatric hospitals with effect from 1 January 2003.
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