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China

Zhengzhou: Heads in the sand about SARS
By Miao Ye

HONG KONG - How many people in China's Henan province are infected with severe acute respiratory syndrome (SARS)? As of this Monday, local officials said there were only 11 cases. But local residents by and large do not believe these statistics. Why? Because suspected SARS cases have been streaming out of provincial capital Zhengzhou's train station every day since April 19.

Zhengzhou's train station has become a source of hidden danger. After the "T8 Incident" on April 19, in which a passenger infected with SARS was discovered on the T8 train from Beijing to Zhengzhou, the city of 6 million suddenly became a very tense place.

The number of people donning facemasks in public increased sharply. The city is permeated with the odor of the disinfectants that have become ubiquitous. Bottles of disinfectant that were selling for 2 yuan (about 25 US cents) a few weeks back are now selling for 10 yuan, sometimes more.

A Zhengzhou resident said, "Previously, Zhengzhou was fine. But ever since that day [April 19] the number of people on the street wearing facemasks increased dramatically." Zhengzhou residents suddenly feel that SARS is walking alongside them wherever they go.

According to informed sources, Zhengzhou's SARS picture is not as rosy as official announcements have indicated. The Fifth Hospital of Zhengzhou has already had a SARS-related death. In No 2 Affiliated Hospital of Henan Medical University there have been four deaths suspected of being caused by SARS.

Despite the local government announcing that up until Monday there had been no SARS infections in Zhengzhou, the majority of Zhengzhou residents are viewing this information as spurious at best. Rumors of all kinds are spreading like a virus throughout the city. One of the prominent rumors is that hospitals - the Hospital of Traditional Chinese Medicine, Zhengzhou Railway Central Hospital and the Fifth Hospital of Zhengzhou - had already admitted SARS patients.

One Zhengzhou resident thought it was obvious that Zhengzhou had a SARS problem, saying: "Zhengzhou, in the central of inland China, is at the juncture of the two major trunk railways of Beijing-Guangzhou and Longhai. Trains running between the two hard-hit areas of Beijing and Guangzhou all stop at Zhengzhou. No SARS in Zhengzhou? Think about it and you will know."

Outside of Henan province's hospitals that have been officially designated for treating SARS cases, the tension is palpable. Public-security vehicles are frequently stationed nearby, with their lone occupants still insisting upon wearing their facemasks despite nobody else being in the car with them.

According to people working in Zhengzhou's train station, ever since the "T8 incident", suspected cases have arrived daily. A Zhengzhou cab driver said, "It's too dangerous now around the train station. On the afternoon of the 22nd, two suspected cases were taken from the train station. Nowadays no drivers are willing to pick up passengers near the train station."

Daily trains to SARS-affected areas in China include 44 trains to Beijing, 10 to Guangzhou and five to Taiyuan in Shanxi province. The number of passengers at the train station has dropped off considerably due to SARS - one taxi driver could take the total number of people stopping off in Zhengzhou each day. At the train station, there is no sanitizing or disinfecting occurring, other than the cleaning that is done on any normal day. The city has not taken any effective measures to counter the threat posed by SARS. Zhengzhou's train station is truly a snake in the grass.

Affected by SARS, many of Zhengzhou's wholesale markets have experienced a major decline in business and are saturated with a dark bleakness. A vendor of beauty products said, "Because of this period of SARS, our sales are falling significantly short of what we need to take in. Every beauty product market has been hit hard."

All of Zhengzhou's primary and secondary schools have begun to deny entry to people from elsewhere in China. The municipal government has opened outpatient fever clinics at six city hospitals. Every large market or hotel is placing banners or signs near entrances and exits that say "disinfected".

Last Thursday, an inspection team of the State Council, China's cabinet, visited Zhengzhou and began advising about anti-SARS precautions. Just after the group arrived, a series of measures were announced, all of which were effective immediately, among them including screening of all Zhengzhou residents who work outside of the city, the numerous people from outside of the city who go to Zhengzhou for work, and Zhengzhou residents who have been to SARS-affected areas.

On Friday, an infra-red heat scanner was installed at the entrance of Zhengzhou's train station to check for passengers whose body temperature exceeded normal. Was the municipal government taking these measures in order to placate the inspection team? No one knows. At any rate, these gestures by the Zhengzhou government are tantamount to locking the door after the horse has bolted.

As of Monday, there were still only 11 official cases of SARS in Henan province. At present, with the hot season looming, many laborers working out of town will start to flow back to their home villages. Henan has 11.8 million laborers who work away from home. Their travels back and forth between villages and cities such as Zhengzhou is likely to contribute significantly to the spread of SARS throughout the province.

The Zhengzhou train station is a crucial transportation hub in Henan as well as China. If the present anti-SARS measures are not improved, it is very likely that there will be no way to prevent a massive spread of SARS. Moreover, the majority of passengers are from the countryside. Given the condition of rural Henan's health-care system, if one day SARS is spread to rural Henan, it will result in a catastrophe that will be impossible to reverse.

Translated by Christopher Horton.

(©2003 Asia Times Online Co, Ltd. All rights reserved. Please contact content@atimes.com for information on our sales and syndication policies.)
 
May 1, 2003



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