thanks for all the advice and references. you guys are the greatest. I've only 
been on this mailing list for about a week. i have learned so much. HOLLAND 
i'll look into that DMSO for my eyes. thanks. i just received my cs generator 
today. i just drank about 3 oz of 8-10 ppm cs water. to kind of jump start my 
self. stuff has kind of a nasty after taste but hopefully well worth the 
benefits!!!!!!!! more questions.................... is there any side effects 
of the cs (beginning detox) and is there anyone who knows anything about ionic 
minerals specifically "water of life" mineral water found at 
www.sunstoneherbals.com under the title "ionic minerals." if anyone can provide 
any info i would appreciate it. thanx again to everyone for my CS education.  
----- Original Message -----
From: [email protected]
Sent: Friday, April 04, 2003 7:11 PM
To: undisclosed-recipients:;
Subject: CS>More SARS 4/4/03

"A Pretty Good Understanding" of SARS



As an epidemic of a mystery virus sweeps from China and Hong Kong to the rest  
of the world (see BW Online, 4/4/03, "The Day Hong Kong Shut Its Doors")  
treatment remains elusive. About 80% of those who get the illness, dubbed  
severe acute respiratory syndrome (SARS), seem to recover fully after a few  
weeks. But the rest get very sick. The worst symptom: Their lungs fill up  
with fluid, making it difficult to breathe -- and to get enough oxygen into  
their bodies. Respirators can help, but not always. Four percent of patients  
die.  

That has touched off a frantic search to find a medicine or vaccine that can  
help. Dr. Donald E. Low of Mount Sinai Hospital in Toronto is at the  
forefront of that search, and he's at the center of the outbreak in Canada --  
which began when an elderly woman brought the disease back from Hong Kong.  
Since then, he has treated dozens of patients. In fact, he has been exposed  
to the disease himself and is now under isolation in case he's infected.  

Low says "we're now able to speculate about exactly what happened -- and we  
have a pretty good understanding of what's going on." The evidence suggests  
that somewhere in Southern China, a virus that normally infects animals  
jumped to a person -- "probably a farmer or someone in close contact with  
animals," says Low.  

ONE EXCEPTION. The virus, he suggests, doesn't do all that well in people.  
That's why my most people manage to fight off the infection. But some people  
develop a very severe pneumonia. Why?  

In Canada, Low and his colleagues have found two things that predict how hard  
the disease will strike. One is that virtually all of those who died were  
either elderly or had other, chronic diseases, or both. Those who are young  
and healthy appear to be far more capable of fighting off the virus. With one  
exception: Those who are exposed to a huge dose of the virus can die  
regardless of how strong and healthy there are.  

Low points out that the elderly woman who brought the disease to Toronto had  
a 43-year old son, who helped care for her when she fell ill. Over the course  
of her illness, doctors speculate, the son got a huge dose of virus. "I bet  
he got a massive exposure," says Low. He soon became ill himself and died on  
Mar. 13, eight days after his mother passed away.  

TWO APPROACHES. Based on study of the disease so far, Low believes that his  
team has made progress in treating it. Scientists now think the fluid in the  
lungs is caused by a biochemical mechanism that involves chemical messengers  
in the immune system called cytokines. Somehow -- the exact mechanisms aren't  
yet known -- the virus triggers cells in the immune system to make far too  
many cytokines. The cytokines, in turn, cause the capillaries (small blood  
vessels) in lung tissue to leak fluid into the lungs.  

Doctors thought there might be two ways to tackle this deadly chain of  
events. One is to try to knock the virus back directly with an antiviral drug  
like ribavarin. But Low says he has treated 20 patients with ribavarin "and  
I've not been impressed," he says. "It's not a great drug -- at least in the  
test tube" against this virus.  

The other approach is to try to dampen the immune response just enough to  
keep the amount of cytokines (and thus the fluid in the lungs) from getting  
dangerously high. The drugs of choice: steroids. But steroids can be a  
double-edged sword. Even as they dampen the cytokine response, they may also  
dampen the immune system's ability to make antibodies against the virus.  
These antibodies are crucial to fighting off the microbe. And "steroids may  
allow more viral reproduction," Low explains.  

A BETTER WAY? So the approach Low and others are now using combines both  
steroids and ribavarin. The hope is that the ribavarin, even though it's not  
very potent against the virus, might slow it down just enough to counteract  
the steroids' bad effects on the immune system. That way, the steroids' good  
effects -- reducing fluid in the lung -- can help patients live long enough  
for their antibodies to kick in, finally conquering the virus.  

"In our more recent patients, we started ribavarin and steroids at the same  
time -- and they've done very well," says Low. But something else should work  
a lot better, he says. Ample evidence shows that the body's immune system can  
make antibodies against the virus. So what if doctors took those antibodies  
and gave them to sick people?  

The idea "definitely warrants further investigation," says Low. The same  
approach has worked well in other dangerous infections, he says. "The  
challenge is to find patients who have recovered and to harvest antibodies  
from them," he says. But if that can be done, "it could be a very attractive  
treatment."  

"MY BIG CONCERN." Low believes that Canada and other countries with strong  
public-health systems will be able to control their outbreaks. But maybe not  
so in the rest of the world: "My big concern is that if it goes into  
countries with no resources, no expertise, [and] no infrastructure, it will  
become a pandemic," he says. That means it would keep spreading from person  
to person for years to come -- and periodically come back to haunt countries  
that managed to stamp it out this time around.  

If that happens, Low hopes, at least by then doctors will be better equipped  
to handle it. "If we can control the outbreak in this country now, it will  
give us the lead time to get vaccines and better treatments, so we'll be more  
prepared when it comes back," he says. In the meantime, the research goes on.  




------------------------------------------------------------------------  


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