Severe Acute Respiratory Syndrome

Throughout the history, influenza viruses have caused several pandemics or global epidemics, killing many people. For example, the influenza strike in 1918 to 1919 infected an estimated 500 million people worldwide, which is one-third of the planet’s population at the time and killed an estimated 20 million to 50 million people. More than 25 percentage of the U.S. population were affected, and caused 675,000 deaths in U.S during the pandemic.(History, 2015). There were no effective treatments for this type of influenza and no available vaccines can prevent its spread during the period. (History, 2015) U.S government required general population to wear masks and other protective equipments in public areas, and many public places also closed due to the influenza strike. Health care providers tried everything they knew to save people, but none shows any evidence of effects. (National Center for Biotechnology Information [NCBI], 2015). Scientists found out that the influenza virus had invaded their lungs and caused pneumonia, which made so many people died from the pandemic (History,2015). Another influenza strike happened

The first wave of the 1918 pandemic appeared in San Sebastián, Spain. Within two months, 8 million of Spain’s residents were ill, and the disease had spread on a global scale. Soon it became known as the Spanish flu, because it received the most press there. The other nations had their media tied up with wartime censorship; Spain, a noncombatant, had no such measures in place (Kolata, Flu 9-10). The first wave of the 1918 pandemic appeared in America without much comment. The media was more interested in attention-grabbing news about topics like the war than the rather unremarkable flu. Most people were afflicted with symptoms for a few days before recovering and moving on. The only aspect of the flu that was remarkable was the condition of the lungs from the victims who had died from the flu and pneumonia (Crosby 17-21).

1. A physician is called to the intensive care unit to provide care for a patient who received second- and third-degree burns over 50 percent of his body due to a chemical fire. The patient is in respiratory distress and is suffering from severe dehydration. The physician provides support for two hours. Later that day the physician returns and provides an additional hour of critical care support to the patient.

Because of the uncertainties and evolving nature of infectious diseases, outbreaks can cause substantial fear in communities and in the general public. Such is the case with the severe acute respiratory syndrome (SARS) epidemic in 2003. It was the first serious infectious disease of the twenty first century and questions about its origin and treatment greatly outnumbered the answers.

At the first possible outbreak of SARS, the nurse will need to follow protocol. The initiation of the protocol begins with an assessment of the patient. A doctor will determine if the patient is possibly infected with SARS by following the physical and epidemiologic criteria. The Center of Disease Control and Prevention mandates reporting to the all cases where the patient has pneumonia of an unknown origin, and could have recently been exposed of the SARS virus [ (Center of Disease Control, 2005) ]. Once the report has been made the community health nurse should have all hospitalized patients with respiratory symptoms questioned on their recent history and possibilities of contact with the virus. Next, the community health nurse needs to educate staff and the community about possible ways to contract SARS, and encourage behaviors such as, frequent hand washing, covering their nose and mouth while coughing or sneezing, and using and properly disposing of tissues for respiratory secretions. [ (Center of Disease Control, 2005) ] Once health care members and the public are educated on the route of transmission they can prevent being exposed. Confirmed infected patients would be transferred to Seattle, where they can be in isolation rooms, patients can be more critically monitored, and research centers can be of benefit to

Infectious epidemics and pandemics have happened all through mankind's history. “They remain the prime cause of death worldwide and will not be conquered during our lifetimes.” The flu of 1918 was one of the deadliest epidemics in history. “It infected an estimated 500 million people worldwide–about one-third of the planet’s population at the time–and killed an estimated 20 million to 50 million victims. More than 25 percent of the U.S. population became sick, and some 675,000 Americans died during the pandemic.” No one knew how the virus spread, there were no antibiotics to fight it, and no flu shots to prevent it. In the final year of World War I, it struck terror in the hearts of people all across Europe and left more death in its wake than the combined military actions of the combatants. “It killed more Americans in a few months than World War I, World War II, the Korean War, and the

An epidemic occurs when a disease spreads to more people in one area then usually happens. There have been many epidemics in history that have had devastating effects. Two epidemics that occurred right here in the United States were cholera and scarlet fever. From the 1830’s to the 1860’s, cholera spread throughout the United States killing many people. And in the late 1850’s scarlet fever spread throughout the New England area of the United States. For both of these terrible diseases it is not clear what stopped their rapid spread. Today there is a vaccine for cholera but not for scarlet fever. However, there are ways to protect yourself from catching these diseases. New and stronger illnesses seem to be happening all the time and are in the news. However, we still need to be aware of these diseases from the past so we can keep ourselves healthy.

In a response to the polio outbreak of 1916, Dr. Haven Emerson, the Health Commissioner for New York City, stated: “we have learned little that is new about the disease, but much that is old about ourselves.” The meaning of this has to do with the ideology that no matter the era, people have a common response to the outbreak of contagious disease. Human nature supplies us as humans with a common reaction to dealing with disease, and it is one that can be seen during the Black Death, polio epidemics, and ebola epidemics, as well as many other epidemics. These responses can be both positive and negative, and often have to do with containment of the disease, preventative measures - which may or may not be effective; and scapegoating. Although there may be individualized responses for each of these diseases, the way in which the health-care officers and the public handle the outbreak of disease generally follows the same pattern overall.

According to the American Lung Association, “Acute respiratory distress syndrome (ARDS) is a rapidly progressive disease occurring in critically ill patients.” ARDS is an extreme manifestation of a lung injury that can be associated with an acute medical problem. This occurs as a result of direct or indirect trauma to the lungs. With nearly 200,000 cases in the United States each year, ARDS is not extremely common (“Acute Respiratory Distress Syndrome”). Most people who acquire this disease are critically ill patients within the hospital. The most common predisposing medical problems of ARDS consist of: shock, trauma, pulmonary infections, sepsis, aspiration, and cardiopulmonary bypass (Ignatavicious, 2013). ARDS is a severe syndrome and even with prompt and aggressive medical treatment, almost fifty percent of those diagnosed do not survive. Those who survive have a longer hospital stay along with recurring hospital admissions throughout their lifetime (“Acute Respiratory Distress Syndrome”). Acute respiratory distress syndrome is a rapidly progressive disease which requires thorough assessment, rapid diagnosis, and emergency treatment measures in order to successfully respond to the disease process.

Severe Acute respiratory syndrome (SARS) is a respiratory illness that had recently been reported in Asia, North America, and Europe. SARS was first reported is Asia in February of 2003, over the next few months it spread to more than a dozen countries. By late July 2003, no new cases were being reported and the global outbreak was declared over by the World Health Organization. During this time period 8,098 people worldwide became infected with SARS and out of these 774 died. In the United States a total of 192 SARS cases had been reported, including 159 suspect and 33 probable cases. Of the probable only 8 had laboratory evidence of SARS-CoV infection. Luckily, no SARS relate deaths occurred in the US.

The Middle East respiratory syndrome coronavirus (MERS-CoV) is a positive-strand RNA virus belonging to the C lineage of the Betacoronavirus genus. Since its identification in 2012 in a patient from Saudi Arabia, there have been seven hundred one laboratory-confirmed cases of MERS-CoV in eight different countries, boasting an alarming thirty-five percent patient fatality rate. Both alphacoronaviruses (alphaCoVs) and betacoronaviruses (betaCoVs) have been known to cause human disease, but a majority of cases only cause common cold-like illnesses in health adults. Some betaCoVs, however, have the ability to cause severe life-threatening pandemics, such as the severe acute respiratory syndrome coronavirus pandemic (SARS-CoV). In 2003, SARS-CoV, a B lineage betaCoV, infected more than eight thousand people worldwide, more than eight hundred of which succumbed to the virus. The important question that needs to be answered to shed some light on its origin as well as potential therapeutic approaches is why are some species susceptible to MERS-CoV infection while others remain resistant?

Saudi Arabia is a country that is known to attract religious visitors from around the world to take part in the yearly pilgrimage of Hajj or Umrah. The Middle East Respiratory Syndrome is a new infectious disease that is creating an uproar in the world because of the yearly gathering of around 3 to 4 million muslims to participate in Hajj and the year-long influx of pilgrims partaking in Umrah (Lessler et al., 2014).

Respiratory symptoms of this virus can be fever, cough, shortness of breath, and pneumonia. Patients can also have gastrointestinal problems such as diarrhea. If the patient becomes severely ill, they may have a respiratory failure and would be placed on a respirator or a ventilator. According to the World Health Organization (WHO) website, "Approximately 27% of patients with MERS have died." The organization also claims that the virus causes a severer disease in the elderly, people with a weak immune system, and people that may gave a chronic disease.

The world has experienced a total of four pandemics within the twentieth century. These pandemics, as horrific and deadly as they are, have brought so much more positive advances to our health care system and how we prepare for biological threats. Although we are in the twenty-first century and we have advanced so far in healthcare, there is still the possibility of a deadly pandemic.

Respiratory distress syndrome (RDS) is a common lung disorder that mostly affects preterm infants. RDS is caused by insufficient surfactant production and structural immaturity of the lungs leading to alveolar collapse. Clinically, RDS presents soon after birth with tachypnea, nasal flaring, grunting, retractions, hypercapnia, and/or an oxygen need. The usual course is clinical worsening followed by recovery in 3 to 5 days as adequate surfactant production occurs. Research in the prevention and treatment of this disease has led to major improvements in the care of preterm infants with RDS and increased survival. However, RDS remains an important cause of morbidity and mortality especially in the most preterm infants. This chapter reviews the most current evidence-based management of RDS, including prevention, delivery room stabilization, respiratory management, and supportive care.