NGO information exchange

Aug 04th
Home arrow Home arrow SARS: Hong Kong Health System at brink of collapse
SARS: Hong Kong Health System at brink of collapse
User Rating: / 0
Friday, 11 April 2003
The progression of the SARS pandemic is unprecedented. According to a
Reuters report, "Hong Kong Health System on Brink as SARS Spreads" , Thu April 10, 2003 11:48 AM ET:

The deadly SARS virus has pushed Hong Kongs health care system to the brink of collapse, hospital workers said Thursday, as anxiety grew over the spread of the flu-like illness. A quarter of Hong Kongs 1,000 cases of Severe Acute Respiratory Syndrome (SARS) are health workers and another 12 were confirmed with the illness on Thursday. "I am afraid that if more hospital staff get infected, the entire health care system would collapse," Peter Wong, a spokesman for three major nurse unions, told a news conference. He said Hong Kong government hospitals were not providing staff with adequate protective gear. "We are facing an unprecedented situation. We are dealing with a serious, unseen threat," Singapores Minister of Manpower, Lee Boon Yang, said on Thursday. Hong Kongs public health care system, one of the most advanced in Asia, has been overwhelmed by the growing number of SARS patients.

The government earlier this week said it was preparing a "worst-case scenario" of an additional 2,000 cases by the end of this month. But isolation wards are already overflowing and essential surgery is being delayed. Trained staff are in short supply. The topic of noncompliance to International Health Regulations brings rise to significant issues that now need to be addressed in a crisis responsive environment. The following is an excerpt from the paper Globalization, International Law, and Emerging Infectious Diseases, David P. Fidler, J.D., Indiana University School of Law, Bloomington, Indiana, USA that is spotlighted on
the HRI Legal Resource and Assistance Center :

"The effectiveness of existing international law on infectious disease control has been questioned. A 1975 WHO publication stated that the International Health Regulations have not functioned satisfactorily at times of serious disease outbreaks. More recently, WHO’s efforts with the International Health Regulations have been called a failure, and noncompliance with these regulations has increased in connection with reporting disease outbreaks.

The HIV/AIDs crisis dramatically illustrated the weaknesses of the health regulations. Since AIDs was not originally (or subsequently) made subject to the regulations, states had, and continue to have, no notification requirements in connection with this new disease. Further, as HIV/AIDs spread globally, many states adopted exclusionary policies that, according to experts, violated provisions of the health regulations. In relation to one of the biggest disease crises of this century, parts of the International Health Regulations were irrelevant, and other parts were openly violated.

The International Health Regulations administered by WHO represent the most important set of international legal rules relating to infectious disease control, but the regulations only apply to plague, yellow fever, and cholera. The importance of health is mentioned in international declarations (for example, see the Universal Declaration of Human Rights,
art. 25 [1]) and treaties (for example, see the International Covenant on Economic, Social and Cultural Rights, art. 12), leading some legal scholars to argue that international law creates a “right to health” (24); but this “right” does not directly address the control of infectious diseases."


The serious implications of a public health emergency of this magnitude, in the context of globalization, presents a new challenge to the international community. The potential collapse of the health care system in Hong Kong
would yield a direct geoeconomic impact illustrated in the ranking statistics from the Humanitarian Resource Institute report "Contingency Planning: Year 2000 Conversion: Global Infrastructure Analysis"
where China was in the Fourth-tier (66% Predictions of Infrastructure Failure) with the following global rankings:

#9 Total World Exports: Hong Kong
#1 Busiest Seaport: Hong Kong
#24 Busiest Airport: Hong Kong (People)
#4 Busiest Airport: Hong Kong (Cargo)
#11 Teledensity: Hong Kong
#10 Total World Exports
#6 Hard Coal 31 Mt 6.3%
#11 Busiest Seaport: Shanghai, China

Enterprises: 8,612 Firms: Percent of SMEs: 99.9: PRC

#3, 24 (Top 25 Banks)
< Prev   Next >


How often do you receive first hand information about the UN from your radio & TV stations?

Crisis watch

  • Dura aterragem na Venezuela
    A Venezuela está à beira do precipício. A ação concertada ainda pode evitar a sua queda. Mas quanto mais se atrase, mais venezuelanos morrerão por falta de medicamentos, pela má nutrição ou pela violência.
  • South China Sea Ruling Sweeps Away Diplomatic Ambiguities
    Tuesday?s ruling by the International Tribunal on the Law of the Sea has bought a little clarity to the problems in the South China Sea, but it has not made solving the underlying problems significantly...
  • China Hardens Position on South China Sea
    China has taken a leap towards clarifying its claims in the South China Sea, but in a direction that could intensify frictions.
  • Erdo?an?s Pyrrhic victory
    Paradoxes have always abounded in the relationship between the Turkish military and the country?s politicians. Turkey?s armed forces ? or factions within them ? have justified their repeated interventions in politics with claims that they...
  • Venezuela?s hard landing
    Venezuela is on the edge of the precipice. Concerted action may yet pull it back. But the longer it is delayed, the more Venezuelans will die from lack of medicines, malnutrition or violence.