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Preparing for World Cup germ invasion

  Worried about hooligans running amok at the upcoming 2002 World Cup?
They're small potatoes compared to the catastrophe that might occur
if a carrier of some exotic tropical disease were to spread his germs
in a stadium filled with 50,000 football fans.

  The question is, of the 380,000 foreign visitors expected in Japan
for the big event, will one of them be bringing along a case of
Ebola? Or Lhassa fever? Or bubonic plague?

  The Japanese government is at least giving some thought to the
possibility. Shukan Jitsuwa (4/4) reports that on March 12, the
quarantine section at the Kansai International Airport conducted a
full-scale drill simulating an outbreak of Ebola. The drill included
transport of the victim from the airport to a designated hospital,
and a review of the methods for tracking down and monitoring possible
secondary carriers.

  According to Motoki Onishi at the airport's quarantine station,
employees of local governments in the Kansai area, airport customs,
immigration, and medical services took part in the simulation.

  Although Kansai International Airport expects to welcome some 160,000
foreign visitors during the World Cup, the chances of such an
epidemic occurring, fortunately, appear fairly slim. Since 1987,
Japan has had just one reported case of Lhassa fever - brought in by
a Japanese returning from Africa - and no patients are currently
being treated for other deadly maladies such as Ebola and Marburg
disease, in the so-called "Category 1."

  Should an outbreak occur, however, the possibility of secondary
infection is a major concern, as Japan is poorly equipped to deal
with a full-blown epidemic: It has only 12 hospitals designated to
treat viral hemorrhagic fevers that constitute the bulk of Category 1
ailments.

  Buntaro Kuroi, author of a book on biological terrorism, contracted
malaria (a "Category 4" disease) while visiting the tropics. Even
though he ran a constant fever, it took his physician a full week
before he recognized the symptoms as malaria.

  "There are hospitals with a resident specialist who can deal with a
particular disease," says Kuroi. "But it takes time to locate one. If
an outbreak were to occur in a hotel or at a stadium during the World
Cup, I wonder what will happen. There's really no way to prepare
completely for something like this."

March 25, 2002
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Click the link below to view this article and related discussions on
Japan Today
http://www.japantoday.com/e/?content=kuchikomi&id=161
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