Stopping a Scourge
No one knows if SARS will strike again. But researchers' speedy work halting the epidemic makes a compelling case study of how to combat a deadly virus
- By David Brown
- Smithsonian magazine, September 2003, Subscribe
(Page 3 of 3)
Of course, even though the SARS epidemic is officially over, the virus may actually still be with us. A few survivors are known to have carried it for months and may be contagious. It’s also conceivable that a handful of people with the disease have escaped detection. For those reasons, some medical experts believe that only a vaccine can rid humanity of SARS for certain. Making and testing one will require at least three years of work, says Gary Nabel, director of the vaccine research center at the National Institute of Allergy and Infectious Diseases. (The same is likely to be true for anti-SARS drugs.) Even so, animal coronavirus vaccines have a spotty record. Some provide only transient protection. Others, like the vaccine against feline coronavirus, can even worsen an infection under some circumstances. Until good drugs and an effective vaccine are available, the best approach to preventing the global spread of the disease is decidedly old-fashioned: identifying infected persons, isolating them until they recover and quarantining people who’ve had close contact with the victims. Those measures, applied assiduously in recent months and in many nations, appear to have accomplished something nearly unheard of in the history of medicine—halting an epidemic respiratory infection, at least temporarily.
For his part, the CDC’s Zaki is betting on SARS’s return. "I don’t see any reason why it shouldn’t come back," he says. "We can learn from history. If it happened once, it can happen again."
The flip side of such fatalism—or is it realism?—is that despite some predictions that the emergence of SARS augurs a new millennium of ever-accumulating human scourges, nothing about it is foreordained. We shouldn’t forget that thanks to sanitation, affluence and medicine, in many parts of the world far more infectious diseases have retreated than have emerged in the past century. The appearance of SARS, like so many important historical events, was the product of dozens, or hundreds, of small occurrences, many of them chance. It was neither inevitable nor entirely unexpected. It’s just what happened.
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