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Journal of Epidemiology and Community Health 2003;57:770; doi:10.1136/jech.57.10.770
Copyright © 2003 by the BMJ Publishing Group Ltd.
Journal of Epidemiology and Community Health 2003;57:770
© 2003 BMJ Publishing Group Ltd

Debate

WILL THE SARS EPIDEMIC RECUR?

Host and environment are key factors

A Lee

Department of Community and Family Medicine, The Chinese University of Hong Kong, School of Public Health, Prince of Wales Hospital, Shatin, NT, Hong Kong; alee@cuhk.edu.hk

Keywords: severe acute respiratory syndrome; SARS

The first 150 words of the full text of this article appear below.

On 5 July 2003, the WHO removed Taiwan from its list of areas with recent local transmission of SARS meaning that all known chains of person to person transmission of the severe acute respiratory syndrome (SARS) virus have now been broken.1 However, the WHO executive director for communicable diseases advised that public health should not let down its guard, as more cases could still surface somewhere in the world.1 It is therefore an important public health issue whether the SARS epidemics will recur.

If you had a crystal ball to view the future, this question would be answered. We would make some prediction based on the epidemiological triangle (fig 1Go) recognising the three main factors—agent, environment, and host in the pathogenesis of disease.2 If we can control any two of the main factors, we would prevent the occurrence of a communicable diseases.


 


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